Quick answers
- Does West Virginia University Hospitals, Inc have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at West Virginia University Hospitals, Inc. In a medical emergency, call 911.
- Where is West Virginia University Hospitals, Inc?
- Medical Center Drive, Morgantown, WV 26506, in Monongalia County, West Virginia.
- What is the phone number of West Virginia University Hospitals, Inc?
- (304) 598-4000, as listed by Medicare (CMS).
- What is the Medicare star rating of West Virginia University Hospitals, Inc?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).
Specialties and care areas[4][10][11]
- Bariatrics
- Integrative Pain Management
- Reproductive Medicine
- Organ Transplantation
- Urology
- Stroke Care
- Trauma Care
- Neurocritical Care
Conditions treated[10][11][12]
- Stroke
- Ischemic stroke
- Hemorrhagic stroke
- Transient ischemic attack (TIA)
- Large vessel occlusion
- Severe traumatic injuries
- Severe musculoskeletal injuries
- Pancreatic cancer
- Colon cancer
- Lung cancer
- Prostate cancer
- Leukemia, lymphoma and myeloma
Treatments[10]
- IV thrombolytic (clot-busting) therapy
- Neurocritical care and stroke unit management
- Physical, occupational and speech therapy for stroke
- Stroke prevention and risk evaluation
- Telestroke / teleneurology consultation
- Vagus nerve stimulation (VNS) therapy for stroke recovery
Procedures[10][12]
- Endovascular (mechanical) thrombectomy
- Rapid stroke brain imaging (CT/MRI)
- Colon cancer surgery
- Lung cancer surgery
- Pancreatic cancer surgery
- Prostate cancer surgery
- Mastectomy
Programs and centers[4][6][10][11]
- Center for Integrative Pain Management
- Center for Reproductive Medicine
- WVU Medicine Center for Organ Transplantation
- No One Dies Alone Program
- WVU Stroke Center (Comprehensive Stroke Center)
- Telestroke and Teleneurology network
- Stroke support group
- Jon Michael Moore Trauma Center
Emergency care (hospital website)[4][8][9]
| Emergency room | Yes |
|---|---|
| Trauma designation | Level I |
Visiting and practical information
| Visiting | General inpatient visitation hours are 8 am to 7:30 pm daily; two approved adult visitors at a time[8] |
|---|---|
| Parking | Parking is free anywhere on the J.W. Ruby Memorial Hospital campus; game-day restrictions apply[7] |
| Interpreters and languages | Free language services and qualified interpreting are offered for patients whose primary language is not English[5][6] |
| Patient portal | MyWVUChart |
Recognition[4][10][11][12][13]
- Magnet Recognition (ANCC), fifth designation
- ACS-verified Level 1 adult trauma center
- Joint Commission Comprehensive Stroke Center
- AHA/ASA Get With The Guidelines-Stroke Gold Plus
- National Pancreas Foundation Center
- U.S. News & World Report: No. 1 hospital in West Virginia
- U.S. News 2026-27 High Performing: colon cancer surgery; leukemia, lymphoma and myeloma; lung cancer surgery; prostate c
- Castle Connolly gold standard: mastectomy, lung cancer surgery, pancreatic cancer surgery
Doctors and clinicians (2,095)
2,095 doctors and other clinicians list West Virginia University Hospitals, Inc 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
- Nurse Practitioner412
- Physician Assistant256
- Internal Medicine192
- Family Practice170
- Certified Registered Nurse Anesthetist (CRNA)120
- Anesthesiology72
- Diagnostic Radiology69
- Emergency Medicine58
- Neurology50
- Cardiovascular Disease (Cardiology)47
- General Surgery46
- Orthopedic Surgery40
Doctors with a page on this site (2,095)
- Aabha M. Suchak, DPMPodiatry
- Aaron HoekjePhysician Assistant
- Aaron J. Monseau, MDEmergency Medicine
- Aaron KesslerAnesthesiology
- Aaron M. Gleckman, MDPathology
- Aaron M. Ostrowski, CNACertified Registered Nurse Anesthetist (CRNA)
- Aaron Schneider, MDEmergency Medicine
- Abby M. SwartzNurse Practitioner
- Abdul Abbasi, MDCardiovascular Disease (Cardiology)
- Abdul Tarabishy, MDDiagnostic Radiology
- Abdulkader Farran, MDNephrology
- Abdulmalek Sabbagh, MDCardiovascular Disease (Cardiology)
- Abdulrahman A. Murshid, MDInternal Medicine
- Abdulrazak Alali, MDPediatric Medicine
- Abhinav Seth, MDGeneral Surgery
- Abhishek Chaturvedi, MDCardiovascular Disease (Cardiology)
- Abigail G. Huber, NPNurse Practitioner
- Abigail T. Gregory, MDObstetrics/Gynecology
- Abiy K. Kelil, MDCritical Care (Intensivists)
- Abraham Chileuitt, MDNeurology
- Adam B. CosnerPhysician Assistant
- Adam B. PrattPhysician Assistant
- Adam E. Klein, MDOrthopedic Surgery
- Adam Howard, MDOtolaryngology
And 2,071 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Mon Health Medical Center1.6 mi · Morgantown, WV · Acute Care Hospital
- Preston Memorial Hospital18 mi · Kingwood, WV · Critical Access Hospital
- Mon Health Marion19 mi · Whitehall, WV · Acute Care Hospital
- Grafton City Hospital, Inc20 mi · Grafton, WV · Critical Access Hospital
- UPMC Greene21 mi · Waynesburg, PA · Acute Care Hospital
Other hospitals nearby
- Encompass Health Rehab Hospital of Morgantown0.8 mi · Morgantown, WV · Inpatient Rehabilitation Hospital
- Select Specialty Hospital - Morgantown1.6 mi · Morgantown, WV · Long-Term Acute Care 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
- Morgantown Heights of Journey1.3 mi · Morgantown, WV · 1 of 5 stars
- Morgantown Healthcare Center1.4 mi · Morgantown, WV · 2 of 5 stars
- Sundale Nursing Home1.5 mi · Morgantown, WV · 5 of 5 stars
All nursing homes in the state →
Hospice providers
- Morgantown Hospice, An Amedisys Partner1.4 mi · Morgantown, WV
- Amedisys Hospice Care4.8 mi · Morgantown, WV · 4 of 5 stars
- West Virginia Caring13 mi · Arthurdale, WV · 3 of 5 stars
All hospice providers in the state →
Home health agencies
- Stonerise Home Health1.4 mi · Morgantown, WV
- Care Partners Home Health3.7 mi · Westover, WV · 3 of 5 stars
- Adoration Home Health4.8 mi · Morgantown, WV · 4 of 5 stars
All home health agencies in the state →
Dialysis facilities
- Fresenius Medical Care Monongalia County1.4 mi · Morgantown, WV · 1 of 5 stars
- BMA of Morgantown3.7 mi · Morgantown, WV · 1 of 5 stars
- West Virginia University Hospitals Inc4.8 mi · Morgantown, WV
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Mon Health Center for Outpatient Surgery1.4 mi · Morgantown, WV
- Surgical Eye Center of Morgantown1.4 mi · Morgantown, WV
- Southwestern Endoscopy Center, LLC21 mi · Uniontown, PA
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
- Cornerstone Care Community Health Center and Pharmacy of Mount Morris7.7 mi · Mount Morris, PA · Community health center
- Bobtown Elementary7.9 mi · Bobtown, PA · Community health center
- Mapletown Middle/Senior High School11 mi · Greensboro, PA · Community health center
Clinics and urgent care
- Urgent Care, Inc - West Virginia1.4 mi · Morgantown, WV · Urgent care center
- Medexpress Urgent Care, Inc - West Virginia3.7 mi · Morgantown, WV · Urgent care center
- Waterfront Urgent Care PLLC3.7 mi · Morgantown, WV · Urgent care center
Pharmacies
- West Virginia University Hospitals Inc0.0 mi · Morgantown, WV · Pharmacy
- Kroger Limited Partnership I1.4 mi · Morgantown, WV · Community/retail pharmacy
- Monongalia County General Hospital Company1.4 mi · Morgantown, WV · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Harmony at Morgantown (Alr/Alz)1.4 mi · Morgantown, WV
- The Suites at Heritage Point1.4 mi · Morgantown, WV
- Assisted Living at Evergreen3.7 mi · Morgantown, WV
- Point Hill Living8.2 mi · Point Marion, PA
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 Virginia University Hospitals, Inc reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 4 of 5 stars |
|---|---|
| Overall rating of the hospital | 4 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Quiet at night | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 76%National average: 72% |
| Would definitely recommend the hospital | 76%National average: 71% |
| Nurses “always” communicated well | 82%National average: 80% |
| Doctors “always” communicated well | 78%National average: 80% |
| Staff “always” explained medicines before giving them | 63%National average: 62% |
| Were given information about recovery at home | 88%National average: 86% |
| Room and bathroom “always” clean | 65%National average: 74% |
| Area around the room “always” quiet at night | 51%National average: 60% |
| Completed surveys | 907Response rate: 22% |
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) | 0.568Better than the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.396Better than the national benchmark |
| Surgical site infections after colon surgery | 0.905No different from the national benchmark |
| Surgical site infections after abdominal hysterectomy | 1.588No different from the national benchmark |
| MRSA bloodstream infections | 0.689No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.379Better than the national benchmark |
Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 12.1% |
|---|---|
| Deaths within 30 days: heart failure patients | 9.4% |
| Deaths within 30 days: pneumonia patients | 14.8% |
| Deaths within 30 days: COPD patients | 9.9% |
| Deaths within 30 days: stroke patients | 9.8% |
| Deaths within 30 days: coronary bypass surgery (CABG) | 1.9% |
| Serious complications (patient safety indicator PSI-90) | 2.06Worse than the national rate |
| Complications after hip or knee replacement | 3.5% |
Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | Not reported to Medicare |
|---|---|
| Readmitted within 30 days: heart attack | 15% |
| Readmitted within 30 days: heart failure | 22.3% |
| Readmitted within 30 days: pneumonia | 16.8% |
| Readmitted within 30 days: COPD | 19.5% |
| Readmitted within 30 days: coronary bypass surgery | 9% |
| Readmitted within 30 days: hip or knee replacement | 5.2% |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | High (40,000–59,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 190 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 2%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 62%National average: 65% |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as West Virginia University Hospitals, Inc 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 →
$! 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $135 | $67.50 | $46.88 – $113.95 |
New patient office visit (about 30–44 minutes): 10 of 60 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $135 | $67.50 | $46.88 – $113.95 |
New patient office visit (about 30–44 minutes): 10 of 47 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_U9 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $135 | $67.50 | $46.88 – $113.95 |
New patient office visit (about 30–44 minutes): 10 of 47 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $129 | $64.50 | $76.36 – $185.60 |
New patient office visit (about 45–59 minutes): 10 of 60 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $140 | $70 | $76.36 – $185.60 |
New patient office visit (about 45–59 minutes): 10 of 47 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier U9 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $129 | $64.50 | $76.36 – $185.60 |
New patient office visit (about 45–59 minutes): 10 of 47 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $135 | $67.50 | $37.24 – $90.53 |
Established patient office visit (about 20–29 minutes): 10 of 60 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $135 | $67.50 | $37.24 – $90.53 |
Established patient office visit (about 20–29 minutes): 10 of 47 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27_EP In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $129 | $64.50 | $37.24 – $90.53 |
Established patient office visit (about 20–29 minutes): 10 of 47 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $140 | $70 | $54.90 – $133.45 |
Established patient office visit (about 30–39 minutes): 10 of 60 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $140 | $70 | $54.90 – $133.45 |
Established patient office visit (about 30–39 minutes): 10 of 47 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_U9 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $140 | $70 | $54.90 – $133.45 |
Established patient office visit (about 30–39 minutes): 10 of 47 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | $212 | $106 | $66.14 – $67.40 |
Office consultation with a specialist (moderate): 10 of 31 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | $200 | $100 | $99.86 – $101.76 |
Office consultation with a specialist (moderate to high): 10 of 31 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 | $165 | $82.50 | $70.52 – $316.96 |
Preventive checkup, new patient, age 18–39: 10 of 37 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $175 | $87.50 | $70.52 – $316.96 |
Preventive checkup, new patient, age 18–39: 10 of 37 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $175 | $87.50 | Not listed in the file |
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 | $220 | $110 | $85.19 – $316.96 |
Preventive checkup, new patient, age 40–64: 10 of 37 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $204 | $102 | $85.19 – $316.96 |
Preventive checkup, new patient, age 40–64: 10 of 37 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $204 | $102 | Not listed in the file |
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM | $1,085 | $542.50 | $25 – $1,200 |
Emergency room visit (moderate): 10 of 60 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,009 | $504.50 | $25 – $1,200 |
Emergency room visit (moderate): 10 of 60 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,009 | $504.50 | $25 – $1,200 |
Emergency room visit (moderate): 10 of 48 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM | $2,118 | $1,059 | $25 – $1,200 |
Emergency room visit (moderately high): 10 of 60 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,970 | $985 | $25 – $1,200 |
Emergency room visit (moderately high): 10 of 60 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,970 | $985 | $25 – $1,200 |
Emergency room visit (moderately high): 10 of 48 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM | $3,536 | $1,768 | $25 – $1,519.06 |
Emergency room visit (high): 10 of 60 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $3,289 | $1,644.50 | $25 – $1,519.06 |
Emergency room visit (high): 10 of 60 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $3,289 | $1,644.50 | $25 – $1,519.06 |
Emergency room visit (high): 10 of 48 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $78 | $39 | $5.50 – $13.37 |
Basic metabolic panel (blood test): 10 of 61 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $78 | $39 | $5.50 – $13.37 |
Basic metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $78 | $39 | $5.50 – $13.37 |
Basic metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $98 | $49 | $6.86 – $16.68 |
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $98 | $49 | $6.86 – $16.68 |
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier EP In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $98 | $49 | $6.86 – $16.68 |
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL | $18 | $9 | $12.60 – $75.54 |
Obstetric blood test panel: 10 of 61 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL | $139 | $69.50 | $8.70 – $21.16 |
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $125 | $62.50 | $8.70 – $21.16 |
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $56.40 | $28.20 | $8.70 – $21.16 |
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $80 | $40 | $5.64 – $13.71 |
Kidney function panel: 10 of 61 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier AY In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $80 | $40 | $5.64 – $13.71 |
Kidney function panel: 10 of 48 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier Q1 In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $80 | $40 | $5.64 – $13.71 |
Kidney function panel: 10 of 48 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL | $76 | $38 | $5.31 – $12.91 |
Liver function panel: 10 of 61 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: LIVER FUNCTION BLOOD TEST PANEL | $76 | $38 | $5.31 – $12.91 |
Liver function panel: 10 of 48 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE | $25 | $12.50 | $2.06 – $5.01 |
Urine test (automated, with microscope): 10 of 61 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $104 | $52 | $2.06 – $5.01 |
Urine test (automated, with microscope): 10 of 61 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $104 | $52 | $2.06 – $5.01 |
Urine test (automated, with microscope): 10 of 48 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE | $23 | $11.50 | $2.26 – $5.50 |
Urine test (manual, without microscope): 10 of 61 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST | $46 | $23 | $2.26 – $5.50 |
Urine test (manual, without microscope): 10 of 61 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: URINALYSIS; MANUAL TEST | $23 | $11.50 | $2.26 – $5.50 |
Urine test (manual, without microscope): 10 of 48 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE | $22 | $11 | $1.46 – $3.72 |
Urine test (automated, without microscope): 10 of 61 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST | $34.20 | $17.10 | $1.46 – $3.72 |
Urine test (automated, without microscope): 10 of 61 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: AUTOMATED URINALYSIS TEST | $57 | $28.50 | $1.46 – $3.56 |
Urine test (automated, without microscope): 10 of 48 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL | $232 | $116 | $11.95 – $29.23 |
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $12.80 | $6.40 | $11.95 – $29.06 |
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $215 | $107.50 | $11.95 – $29.06 |
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE | $96 | $48 | $10.92 – $27.85 |
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $170 | $85 | $10.92 – $27.85 |
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier EP In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $146 | $73 | $10.92 – $26.54 |
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $155 | $77.50 | $5.05 – $12.28 |
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC | $70 | $35 | $5.05 – $12.28 |
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $144 | $72 | $5.05 – $12.28 |
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED | $35 | $17.50 | $4.21 – $10.22 |
Complete blood count (CBC), automated: 10 of 61 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $108 | $54 | $4.21 – $10.22 |
Complete blood count (CBC), automated: 10 of 61 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $108 | $54 | $4.21 – $10.22 |
Complete blood count (CBC), automated: 10 of 48 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME | $85 | $42.50 | $2.79 – $6.78 |
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME | $79 | $39.50 | $2.79 – $6.78 |
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; CLOTTING TIME | $79 | $39.50 | $2.79 – $6.78 |
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL | $114 | $57 | $3.91 – $9.50 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $106 | $53 | $3.91 – $9.50 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $106 | $53 | $3.91 – $9.50 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE | $2,113 | $1,056.50 | $30.11 – $266.67 |
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,965 | $982.50 | $30.11 – $266.67 |
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,965 | $982.50 | $65.41 – $266.67 |
CT scan of the head or brain, without contrast: 10 of 48 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $3,786 | $1,893 | $81.59 – $889.90 |
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $3,786 | $1,893 | $218.28 – $889.90 |
MRI of the brain, before and after contrast: 10 of 48 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier Q1 In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $3,786 | $1,893 | $218.28 – $889.90 |
MRI of the brain, before and after contrast: 10 of 48 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $317 | $158.50 | $7.72 – $221.99 |
Chest X-ray, 2 views: 10 of 61 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS | $294 | $147 | $7.72 – $221.99 |
Chest X-ray, 2 views: 10 of 61 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_TC In the file: X-RAY OF CHEST; 2 VIEWS | $294 | $147 | $54.45 – $221.99 |
Chest X-ray, 2 views: 10 of 48 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $592 | $296 | $9.26 – $266.67 |
X-ray of the lower spine, at least 4 views: 10 of 61 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $550 | $275 | $9.26 – $266.67 |
X-ray of the lower spine, at least 4 views: 10 of 61 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91_TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $550 | $275 | $65.41 – $266.67 |
X-ray of the lower spine, at least 4 views: 10 of 48 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE | $2,099 | $1,049.50 | $52.50 – $608.63 |
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,952 | $976 | $52.50 – $608.63 |
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,952 | $976 | $149.29 – $608.63 |
MRI of the lower back (lumbar spine), without contrast: 10 of 48 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST | $3,039 | $1,519.50 | $40.92 – $447.40 |
CT scan of the pelvis, with contrast: 10 of 61 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN OF PELVIS WITH CONTRAST | $3,039 | $1,519.50 | $109.74 – $447.40 |
CT scan of the pelvis, with contrast: 10 of 48 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: CT SCAN OF PELVIS WITH CONTRAST | $3,039 | $1,519.50 | $109.74 – $447.40 |
CT scan of the pelvis, with contrast: 10 of 48 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE | $1,869 | $934.50 | $47.87 – $608.63 |
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $1,738 | $869 | $149.29 – $608.63 |
MRI of a leg joint (such as the knee), without contrast: 10 of 48 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_PO In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $1,738 | $869 | $149.29 – $608.63 |
MRI of a leg joint (such as the knee), without contrast: 10 of 48 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $3,039 | $1,519.50 | $64.86 – $889.90 |
CT scan of the abdomen and pelvis, with contrast: 10 of 61 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $3,039 | $1,519.50 | $218.28 – $889.90 |
CT scan of the abdomen and pelvis, with contrast: 10 of 48 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_TC In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $3,039 | $1,519.50 | $218.28 – $889.90 |
CT scan of the abdomen and pelvis, with contrast: 10 of 48 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $875 | $437.50 | $28.57 – $266.67 |
Ultrasound of the abdomen, complete: 10 of 61 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $875 | $437.50 | $65.41 – $266.67 |
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $875 | $437.50 | $65.41 – $266.67 |
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS | $644 | $322 | $35.26 – $266.67 |
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $875 | $437.50 | $35.26 – $266.67 |
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $875 | $437.50 | $65.41 – $266.67 |
Pregnancy ultrasound (after the first trimester): 10 of 48 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB | $869 | $434.50 | $24.44 – $266.67 |
Transvaginal ultrasound: 10 of 61 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $875 | $437.50 | $24.44 – $266.67 |
Transvaginal ultrasound: 10 of 61 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $875 | $437.50 | $65.41 – $266.67 |
Transvaginal ultrasound: 10 of 48 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI | $442 | $221 | $24.18 – $98.58 |
Diagnostic mammogram, one breast: 10 of 61 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $460 | $230 | $24.18 – $98.58 |
Diagnostic mammogram, one breast: 10 of 61 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_TC In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $460 | $230 | $24.18 – $98.58 |
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI | $584 | $292 | $29.74 – $121.26 |
Diagnostic mammogram, both breasts: 10 of 61 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $608 | $304 | $29.74 – $121.26 |
Diagnostic mammogram, both breasts: 10 of 61 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_TC In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $608 | $304 | $29.74 – $121.26 |
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD | $417 | $208.50 | $22.40 – $91.32 |
Screening mammogram, both breasts: 10 of 61 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY | $537 | $268.50 | $22.40 – $91.32 |
Screening mammogram, both breasts: 10 of 61 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_LT In the file: SCREENING MAMMOGRAPHY | $333 | $166.50 | $22.40 – $91.32 |
Screening mammogram, both breasts: 10 of 48 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY | $14,929 | $7,464.50 | $178.86 – $8,269.35 |
Left heart catheterization (diagnostic): 10 of 60 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB | $23,472 | $11,736 | $721.62 – $66,671.11 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 60 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION | $21,834 | $10,917 | $721.62 – $66,671.11 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 60 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM | $4,810 | $2,405 | $86.98 – $2,190.44 |
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $6,711 | $3,355.50 | $86.98 – $2,190.44 |
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $6,711 | $3,355.50 | $268.63 – $1,095.19 |
Sleep study (overnight, in a sleep lab): 10 of 48 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES | $141 | $70.50 | $17.82 – $43.31 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 55 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_CO_GO_PN In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $304 | $152 | $17.82 – $43.31 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_CQ_GP_KX In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $366 | $183 | $17.82 – $43.31 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | $144 | $72 | $59.78 – $145.31 |
Physical therapy evaluation (low complexity): 10 of 61 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $175 | $87.50 | $59.78 – $145.31 |
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP_GZ In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $175 | $87.50 | $59.78 – $145.31 |
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN | $488 | $244 | $59.78 – $145.31 |
Physical therapy evaluation (moderate complexity): 10 of 61 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier AT_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $488 | $244 | $59.78 – $145.31 |
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $488 | $244 | $59.78 – $145.31 |
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | $900 | $450 | $59.78 – $145.31 |
Physical therapy evaluation (high complexity): 10 of 61 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $900 | $450 | $59.78 – $145.31 |
Physical therapy evaluation (high complexity): 10 of 48 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_GZ_PN In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $900 | $450 | $59.78 – $145.31 |
Physical therapy evaluation (high complexity): 10 of 48 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES | $247 | $123.50 | $54.31 – $452.75 |
Psychotherapy, 30 minutes: 10 of 54 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 30 MINUTES | $223 | $111.50 | $54.31 – $452.75 |
Psychotherapy, 30 minutes: 10 of 54 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25_PO In the file: PSYCHOTHERAPY; 30 MINUTES | $223 | $111.50 | $111.05 – $452.75 |
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES | $486 | $243 | $71.80 – $452.75 |
Psychotherapy, 45 minutes: 10 of 54 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 45 MINUTES | $444 | $222 | $71.80 – $452.75 |
Psychotherapy, 45 minutes: 10 of 54 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 59_95 In the file: PSYCHOTHERAPY; 45 MINUTES | $444 | $222 | $111.05 – $452.75 |
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES | $715 | $357.50 | $106.29 – $452.75 |
Psychotherapy, 60 minutes: 10 of 54 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 1 HOUR | $665 | $332.50 | $106.29 – $452.75 |
Psychotherapy, 60 minutes: 10 of 54 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 59 In the file: PSYCHOTHERAPY; 1 HOUR | $665 | $332.50 | $111.05 – $452.75 |
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN | $610 | $305 | $77.47 – $452.75 |
Family psychotherapy, without the patient: 10 of 55 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES | $568 | $284 | $77.47 – $452.75 |
Family psychotherapy, without the patient: 10 of 55 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN | $611 | $305.50 | $77.47 – $452.75 |
Family psychotherapy, without the patient: 10 of 54 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN | $611 | $305.50 | $80.81 – $452.75 |
Family psychotherapy, with the patient: 10 of 55 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES | $568 | $284 | $80.81 – $452.75 |
Family psychotherapy, with the patient: 10 of 55 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN | $611 | $305.50 | $80.81 – $452.75 |
Family psychotherapy, with the patient: 10 of 54 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY | $410 | $205 | $19.30 – $259.14 |
Group psychotherapy: 10 of 54 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: GROUP PSYCHOTHERAPY | $382 | $191 | $63.56 – $259.14 |
Group psychotherapy: 10 of 47 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GT In the file: GROUP PSYCHOTHERAPY | $382 | $191 | $63.56 – $259.14 |
Group psychotherapy: 10 of 47 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION | $10,534 | $5,267 | $181.65 – $9,987.29 |
Removal of breast growth (open surgery): 10 of 61 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $21,535 | $10,767.50 | $181.65 – $9,987.29 |
Removal of breast growth (open surgery): 10 of 61 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XU In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $6,874.33 | $3,437.17 | $2,449.71 – $9,987.29 |
Removal of breast growth (open surgery): 10 of 48 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY | $18,137 | $9,068.50 | $814.80 – $32,748.28 |
Total hip replacement: 10 of 60 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $71,390 | $35,695 | $814.80 – $32,748.28 |
Total hip replacement: 10 of 60 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 22_RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $51,625 | $25,812.50 | $8,032.60 – $32,748.28 |
Total hip replacement: 10 of 48 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY | $18,137 | $9,068.50 | $205.80 – $32,748.28 |
Total knee replacement: 10 of 60 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $44,080 | $22,040 | $205.80 – $32,748.28 |
Total knee replacement: 10 of 60 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 22_LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $63,430 | $31,715 | $8,032.60 – $32,748.28 |
Total knee replacement: 10 of 48 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $8,007.50 | $4,003.75 | $98.80 – $402.80 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 48 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $20,060 | $10,030 | $98.80 – $402.80 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 48 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $11,117.25 | $5,558.63 | $2,047.14 – $8,346.04 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 48 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XU In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $8,456.66 | $4,228.33 | $2,047.14 – $8,346.04 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 48 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT_XU In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $8,661.12 | $4,330.56 | $2,047.14 – $8,346.04 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 48 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $17,851 | $8,925.50 | $205.80 – $15,099.99 |
Removal of tonsils and adenoids (under age 12): 10 of 60 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $9,447.34 | $4,723.67 | $3,703.77 – $15,099.99 |
Removal of tonsils and adenoids (under age 12): 10 of 48 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_XU In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $13,539 | $6,769.50 | $3,703.77 – $15,099.99 |
Removal of tonsils and adenoids (under age 12): 10 of 48 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,658 | $1,329 | $25 – $2,313.48 |
Upper GI endoscopy (diagnostic): 10 of 61 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $11,823 | $5,911.50 | $567.46 – $2,313.48 |
Upper GI endoscopy (diagnostic): 10 of 48 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $31,911 | $15,955.50 | $567.46 – $2,313.48 |
Upper GI endoscopy (diagnostic): 10 of 48 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE | $2,465 | $1,232.50 | $156.01 – $2,313.48 |
Upper GI endoscopy with biopsy: 10 of 61 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,101.33 | $550.67 | $156.01 – $2,313.48 |
Upper GI endoscopy with biopsy: 10 of 61 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,229.34 | $1,114.67 | $567.46 – $2,313.48 |
Upper GI endoscopy with biopsy: 10 of 48 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY | $2,823 | $1,411.50 | $105 – $2,372.09 |
Colonoscopy (diagnostic): 10 of 61 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,029.33 | $514.67 | $105 – $2,372.09 |
Colonoscopy (diagnostic): 10 of 61 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_PT In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,552 | $776 | $581.83 – $2,372.09 |
Colonoscopy (diagnostic): 10 of 48 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY | $3,081 | $1,540.50 | $205.80 – $3,052.35 |
Colonoscopy with biopsy: 10 of 61 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $916 | $458 | $205.80 – $3,052.35 |
Colonoscopy with biopsy: 10 of 61 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 22 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,664 | $1,832 | $748.69 – $3,052.35 |
Colonoscopy with biopsy: 10 of 48 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL | $3,211 | $1,605.50 | $205.80 – $3,052.35 |
Colonoscopy with removal of polyps (snare): 10 of 61 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,304.01 | $1,652.01 | $205.80 – $3,052.35 |
Colonoscopy with removal of polyps (snare): 10 of 61 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_52 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $2,256 | $1,128 | $374.34 – $1,526.16 |
Colonoscopy with removal of polyps (snare): 10 of 48 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,843.66 | $921.83 | $205.80 – $3,052.35 |
Ultrasound of the lower bowel by endoscope: 10 of 61 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,692 | $1,846 | $748.69 – $3,052.35 |
Ultrasound of the lower bowel by endoscope: 10 of 48 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,570.67 | $1,285.34 | $748.69 – $3,052.35 |
Ultrasound of the lower bowel by endoscope: 10 of 48 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $804 | $402 | $138.72 – $2,372.09 |
Screening colonoscopy (not high risk): 10 of 55 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $730.66 | $365.33 | $581.83 – $2,372.09 |
Screening colonoscopy (not high risk): 10 of 48 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier KX In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,384 | $1,192 | $581.83 – $2,372.09 |
Screening colonoscopy (not high risk): 10 of 48 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $74,019 | $37,009.50 | $205.80 – $15,420.64 |
Gallbladder removal by laparoscope: 10 of 60 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 79 In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $8,384 | $4,192 | $3,782.42 – $15,420.64 |
Gallbladder removal by laparoscope: 10 of 48 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $8,392.52 | $4,196.26 | $66.68 – $9,132.70 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 61 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $6,846.50 | $3,423.25 | $3,798.29 – $15,485.35 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 48 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $21,877 | $10,938.50 | $2,240.09 – $9,132.70 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 48 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE GLAND | $7,533 | $3,766.50 | $93.98 – $209.72 |
Prostate biopsy: 10 of 37 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE | $43,754 | $21,877 | $906.15 – $27,114.06 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 55 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY | $9,508 | $4,754 | $205.80 – $8,257.11 |
Hysteroscopy with biopsy of the uterus lining: 10 of 60 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $9,317 | $4,658.50 | $205.80 – $8,257.11 |
Hysteroscopy with biopsy of the uterus lining: 10 of 60 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $12,307 | $6,153.50 | $2,025.33 – $8,257.11 |
Hysteroscopy with biopsy of the uterus lining: 10 of 48 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC | $2,522 | $1,261 | $74.37 – $1,800.52 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $2,217 | $1,108.50 | $74.37 – $1,800.52 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $2,217 | $1,108.50 | $441.64 – $1,800.52 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 48 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | $3,606 | $1,803 | $99.79 – $2,256.08 |
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $3,354 | $1,677 | $99.79 – $2,256.08 |
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $6,708 | $3,354 | $830.06 – $3,384.10 |
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY | $5,836 | $2,918 | $205.80 – $4,980.91 |
Carpal tunnel release: 10 of 61 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $5,842 | $2,921 | $205.80 – $4,980.91 |
Carpal tunnel release: 10 of 61 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $11,684 | $5,842 | $1,221.73 – $4,980.91 |
Carpal tunnel release: 10 of 48 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY | $1,405 | $702.50 | $205.80 – $1,402.91 |
Laser treatment of clouding after cataract surgery: 10 of 61 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER | $1,250 | $625 | $205.80 – $1,402.91 |
Laser treatment of clouding after cataract surgery: 10 of 61 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING A LASER | $2,500 | $1,250 | $516.16 – $2,104.36 |
Laser treatment of clouding after cataract surgery: 10 of 48 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP | $6,802 | $3,401 | $25! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,886.68 |
Cataract removal with lens implant: 10 of 61 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $6,509 | $3,254.50 | $205.80 – $5,886.68 |
Cataract removal with lens implant: 10 of 61 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_54 In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $9,769.34 | $4,884.67 | $1,443.90 – $5,886.68 |
Cataract removal with lens implant: 10 of 48 insurance plan rates
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE | $11,400 | $5,700 | $1,484.68 – $6,052.92 |
Vaginal delivery, with care before and after: 10 of 61 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY | $12,172 | $6,086 | $1,578.38 – $6,434.94 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 61 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY | Not listed in the file | Not listed in the file | $1,482 – $281,548.33 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 58 insurance plan rates
| |||
| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY | Not listed in the file | Not listed in the file | $1,482 – $34,557.42 |
Spinal fusion (not neck), without major complications: 10 of 25 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY | Not listed in the file | Not listed in the file | $1,482 – $49,511.12 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 58 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | Not listed in the file | Not listed in the file | $1,482 – $63,715.81 |
Neck (cervical) spinal fusion, without complications: 10 of 58 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | Not listed in the file | Not listed in the file | $1,482 – $35,840.14 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 58 insurance plan rates
| |||
Source: West Virginia University Hospitals, Inc’s standard charges file (wvumedicine.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 10, 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 | Medical Center Drive, Morgantown, WV 26506 |
| County | Monongalia County |
| State | West Virginia |
| Phone | (304) 598‑4000 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 3 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 510001 |
| Name in Medicare records | WEST VIRGINIA UNIVERSITY HOSPITALS, INC |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | J.W. Ruby Memorial Hospital (WVU Medicine) |
| Official website | wvumedicine.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- J.W. Ruby Memorial Hospital — wvumedicine.org
- Patients & Visitors | J.W. Ruby Memorial Hospital — wvumedicine.org
- During Your Visit | J.W. Ruby Memorial Hospital — wvumedicine.org
- Before Your Visit | J.W. Ruby Memorial Hospital — wvumedicine.org
- Visitation Guidelines | J.W. Ruby Memorial Hospital — wvumedicine.org
- STAT Program | J.W. Ruby Memorial Hospital — wvumedicine.org
- Stroke Center | WVU Rockefeller Neuroscience Institute — wvumedicine.org
- Level 1 and Level 2 Trauma Care | WVU Critical Care & Trauma Institute — wvumedicine.org
- Accreditations and Designations | WVU Cancer Institute — wvumedicine.org
- About | J.W. Ruby Memorial Hospital — wvumedicine.org