Does White County Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at White County Medical Center. In a medical emergency, call 911.

Where is White County Medical Center?

3214 East Race Avenue, Searcy, AR 72143, in White County, Arkansas.

What is the phone number of White County Medical Center?

(501) 278-3100, as listed by Medicare (CMS).

What is the Medicare star rating of White County Medical Center?

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

White County Medical Center — Searcy, AR

Quick answers

Does White County Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at White County Medical Center. In a medical emergency, call 911.
Where is White County Medical Center?: 3214 East Race Avenue, Searcy, AR 72143, in White County, Arkansas.
What is the phone number of White County Medical Center?: (501) 278-3100, as listed by Medicare (CMS).
What is the Medicare star rating of White County Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Programs and centers^[5]

Emergency Medicine Residency (ACGME-accredited, 3-year)

Emergency care (hospital website)^[5][6][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III

Visiting and practical information

Visiting	Visitor access is limited to the Main Entrance weekdays 5:30 a.m.-5:30 p.m. and the Emergency Department 24/7. CCU visits are not allowed 6-8 a.m. and 6-8 p.m.; ages 12+, two at a time^[6]
Patient portal	My Records (Unity Health Patient Portal)

Recognition^[8]

Leapfrog Hospital Safety Grade A (Spring 2026)

Doctors and clinicians (323)

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

Main specialties

Doctors with a page on this site (323)

Abby T. Rice, PAPhysician Assistant
Abhimanyu Aggarwal, MDDiagnostic Radiology
Abid Mohiuddin, MDHematology
Abigail G. Connerly, NPNurse Practitioner
Adam L. Reno, DOFamily Practice
Adam M. Berry, DOInterventional Radiology
Adam Rogg, MDEmergency Medicine
Adrienne E. Friedly, NPNurse Practitioner
Ahmad R. Tarawneh, MDPulmonary Disease
Alena N. Nichols, NPNurse Practitioner
Alex Baker, PTPhysician Assistant
Ali Krisht, MDNeurosurgery
Alicia P. Moore, PAPhysician Assistant
Alison L. Green, MDFamily Practice
Allison M. Shaw-Devine, MDCardiovascular Disease (Cardiology)
Alyssa Haulcroft, NPNurse Practitioner
Amit K. Sharma, MDDiagnostic Radiology
Amy M. Daniel, MDFamily Practice
Andrew J. Powell, MDPsychiatry
Andrew M. Clothier, DPMPodiatry
Andrew M. Fisher, MDDiagnostic Radiology
Angela K. Nutt, MDGastroenterology
Anil K. Badhwar, MDAllergy/Immunology
Anil K. Madadi, MDHospitalist

And 299 more: the button below opens the full list.

Other emergency rooms nearby

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

Baptist Health Medical Center Heber Springs22 mi · Heber Springs, AR · Critical Access Hospital
Unity Health - Newport35 mi · Newport, AR · Critical Access Hospital
Unity Health - Jacksonville36 mi · Jacksonville, AR · Acute Care Hospital
White River Medical Center36 mi · Batesville, AR · Acute Care Hospital
St Vincent Medical Center/North42 mi · Sherwood, AR · Acute Care Hospital

Other hospitals nearby

Advanced Care Hospital White County0.0 mi · Searcy, AR · 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

The Crossing at Riverside Health and Rehabilitatio0.7 mi · Searcy, AR · 5 of 5 stars
The Blossoms at Oakdale Rehab & Nursing Center2.1 mi · Judsonia, AR · 3 of 5 stars
The Springs Searcy3.5 mi · Searcy, AR · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Elite Hospice2.8 mi · Searcy, AR · 3 of 5 stars

All hospice providers in the state →

Home health agencies

UAMS Health-Home Health2.8 mi · Searcy, AR · 4 of 5 stars
Unity Health Home Homecare2.8 mi · Searcy, AR · 3 of 5 stars
Baptist Health Home Health - Heber Springs22 mi · Heber Springs, AR · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Searcy Dialysis2.8 mi · Searcy, AR · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Center Ambulatory Surgery Center, LLC2.8 mi · Searcy, AR
Lowery Eye Clinic & Surgery Center2.8 mi · Searcy, AR

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

ARcare - 0720.2 mi · Searcy, AR · Community health center
ARcare - 0530.2 mi · Searcy, AR · Community health center
ARcare - 801.7 mi · Kensett, AR · Community health center

Clinics and urgent care

Fast Pace Health2.8 mi · Searcy, AR · Rural health clinic
J.P. Wornock M.D. P.A.2.8 mi · Searcy, AR · Urgent care center
Sherwood Urgent Care2.8 mi · Searcy, AR · Rural health clinic

Pharmacies

Arcare2.8 mi · Searcy, AR · Pharmacy
Arcare2.8 mi · Searcy, AR · Pharmacy
Eagle RX2.8 mi · Searcy, AR · Community/retail pharmacy

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	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	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	60%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	637Response rate: 32%

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)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	0.508No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.799No different from the national benchmark
MRSA bloodstream infections	1.252No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.346Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	13.3%
Deaths within 30 days: heart failure patients	11.5%
Deaths within 30 days: pneumonia patients	16.6%
Deaths within 30 days: COPD patients	9%
Deaths within 30 days: stroke patients	14.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.85No different from the national rate
Complications after hip or knee replacement	4.2%

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	14.5%
Readmitted within 30 days: heart failure	23.3%
Readmitted within 30 days: pneumonia	20.1%
Readmitted within 30 days: COPD	21.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.9%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	182 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	59%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 Arkansas Best hospitals in Arkansas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as White County Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$73.58
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Blue Cross — Blue Advantage: $73.58 Blue Cross — Health Advantage HMO: $73.58 Blue Cross — Metallic Exchange Based Product: $73.58 Blue Cross — PPO: $73.58 Blue Cross — True Blue PPO: $73.58
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit New Level 3-C	$232	$58	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit New Level 3CAH	$132	$33	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$125.88
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Blue Cross — Blue Advantage: $125.88 Blue Cross — Health Advantage HMO: $125.88 Blue Cross — Metallic Exchange Based Product: $125.88 Blue Cross — PPO: $125.88 Blue Cross — True Blue PPO: $125.88
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit New Level 4-C	$286	$71.50	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit New Level 4CAH	$132	$33	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$164.48
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Blue Cross — Blue Advantage: $164.48 Blue Cross — Health Advantage HMO: $164.48 Blue Cross — Metallic Exchange Based Product: $164.48 Blue Cross — PPO: $164.48 Blue Cross — True Blue PPO: $164.48
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit New Level 5-C	$364	$91	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit New Level 5CAH	$132	$33	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$74.12
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Blue Cross — Blue Advantage: $74.12 Blue Cross — Health Advantage HMO: $74.12 Blue Cross — Metallic Exchange Based Product: $74.12 Blue Cross — PPO: $74.12 Blue Cross — True Blue PPO: $74.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit Est Level 3-C	$200	$50	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit Est Level 3CAH	$132	$33	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$108
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Blue Cross — Blue Advantage: $108 Blue Cross — Health Advantage HMO: $108 Blue Cross — Metallic Exchange Based Product: $108 Blue Cross — PPO: $108 Blue Cross — True Blue PPO: $108
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit Est Level 4-C	$232	$58	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/OP Visit Est Level 4CAH	$132	$33	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: New/Est OP ConsLow30-39m	$177	$44.25	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE CONSULTATION 40 MIN	$177	$44.25	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: New/Est OP ConsComp40-54m	$263	$65.75	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE CONSULTATION 60 MIN	$263	$65.75	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: New Prev Med E/M 18-39	$192	$48	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	$206	$51.50	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: New Prev Med E/M 40-64	$224	$56	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	$240	$60	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$203.66 – $563.79
Emergency room visit (moderate): rates for 10 insurance plans Aetna — Medicare Advantage: $248.55 Allwell — Medicare Advantage: $251.04 Ambetter — All Plans: $360.40 Blue Cross — Blue Advantage: $203.66 Blue Cross — Health Advantage HMO: $203.66 Blue Cross — Metallic Exchange Based Product: $203.66 Blue Cross — PPO: $203.66 Blue Cross — True Blue PPO: $203.66 Cigna — Commercial: $563.79 Cigna Healthspring — Medicare Advantage: $258.49
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Level 3 Profee	$530	$132.50	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM SERVICE LEVEL 3	$1,094	$273.50	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$248.05 – $861.80
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — Medicare Advantage: $379.93 Allwell — Medicare Advantage: $383.73 Ambetter — All Plans: $550.89 Blue Cross — Blue Advantage: $248.05 Blue Cross — Health Advantage HMO: $248.05 Blue Cross — Metallic Exchange Based Product: $248.05 Blue Cross — PPO: $248.05 Blue Cross — True Blue PPO: $248.05 Cigna — Commercial: $861.80 Cigna Healthspring — Medicare Advantage: $395.12
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Level 4 Profee	$936	$234	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM SERVICE LEVEL 4	$1,631.99	$408	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$320.24 – $1,229.97
Emergency room visit (high): rates for 10 insurance plans Aetna — Medicare Advantage: $542.24 Allwell — Medicare Advantage: $547.67 Ambetter — All Plans: $786.26 Blue Cross — Blue Advantage: $320.24 Blue Cross — Health Advantage HMO: $320.24 Blue Cross — Metallic Exchange Based Product: $320.24 Blue Cross — PPO: $320.24 Blue Cross — True Blue PPO: $320.24 Cigna — Commercial: $1,229.97 Cigna Healthspring — Medicare Advantage: $563.93
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Level 5 Profee	$1,176	$294	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM SERVICE LEVEL 5	$2,085.65	$521.41	Not listed in the file

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: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $12.27
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Medicare Advantage: $8.46 Allwell — Medicare Advantage: $8.54 Ambetter — All Plans: $12.27 Blue Cross — Blue Advantage: $9.64 Blue Cross — Health Advantage HMO: $9.64 Blue Cross — Metallic Exchange Based Product: $9.64 Blue Cross — PPO: $9.64 Blue Cross — True Blue PPO: $9.64 Cigna Healthspring — Medicare Advantage: $8.80 United Healthcare — Commercial: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$415	$103.75	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $15.31
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — Medicare Advantage: $10.56 Allwell — Medicare Advantage: $10.67 Ambetter — All Plans: $15.31 Blue Cross — Blue Advantage: $12.04 Blue Cross — Health Advantage HMO: $12.04 Blue Cross — Metallic Exchange Based Product: $12.04 Blue Cross — PPO: $12.04 Blue Cross — True Blue PPO: $12.04 Cigna Healthspring — Medicare Advantage: $10.98 United Healthcare — Commercial: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$467	$116.75	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $69.32
Obstetric blood test panel: rates for 10 insurance plans Aetna — Medicare Advantage: $47.81 Allwell — Medicare Advantage: $48.29 Ambetter — All Plans: $69.32 Blue Cross — Blue Advantage: $54.50 Blue Cross — Health Advantage HMO: $54.50 Blue Cross — Metallic Exchange Based Product: $54.50 Blue Cross — PPO: $54.50 Blue Cross — True Blue PPO: $54.50 Cigna Healthspring — Medicare Advantage: $49.72 United Healthcare — Commercial: $47.81
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: OBSTETRIC PANEL	$365	$91.25	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $19.42
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — Medicare Advantage: $13.39 Allwell — Medicare Advantage: $13.52 Ambetter — All Plans: $19.42 Blue Cross — Blue Advantage: $15.26 Blue Cross — Health Advantage HMO: $15.26 Blue Cross — Metallic Exchange Based Product: $15.26 Blue Cross — PPO: $15.26 Blue Cross — True Blue PPO: $15.26 Cigna Healthspring — Medicare Advantage: $13.93 United Healthcare — Commercial: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL	$345	$86.25	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $12.59
Kidney function panel: rates for 10 insurance plans Aetna — Medicare Advantage: $8.68 Allwell — Medicare Advantage: $8.77 Ambetter — All Plans: $12.59 Blue Cross — Blue Advantage: $9.90 Blue Cross — Health Advantage HMO: $9.90 Blue Cross — Metallic Exchange Based Product: $9.90 Blue Cross — PPO: $9.90 Blue Cross — True Blue PPO: $9.90 Cigna Healthspring — Medicare Advantage: $9.03 United Healthcare — Commercial: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$150	$37.50	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $11.85
Liver function panel: rates for 10 insurance plans Aetna — Medicare Advantage: $8.17 Allwell — Medicare Advantage: $8.25 Ambetter — All Plans: $11.85 Blue Cross — Blue Advantage: $9.31 Blue Cross — Health Advantage HMO: $9.31 Blue Cross — Metallic Exchange Based Product: $9.31 Blue Cross — PPO: $9.31 Blue Cross — True Blue PPO: $9.31 Cigna Healthspring — Medicare Advantage: $8.50 United Healthcare — Commercial: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$395	$98.75	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $4.60
Urine test (automated, with microscope): rates for 10 insurance plans Aetna — Medicare Advantage: $3.17 Allwell — Medicare Advantage: $3.20 Ambetter — All Plans: $4.60 Blue Cross — Blue Advantage: $3.61 Blue Cross — Health Advantage HMO: $3.61 Blue Cross — Metallic Exchange Based Product: $3.61 Blue Cross — PPO: $3.61 Blue Cross — True Blue PPO: $3.61 Cigna Healthspring — Medicare Advantage: $3.30 United Healthcare — Commercial: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC	$92	$23	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $5.05
Urine test (manual, without microscope): rates for 10 insurance plans Aetna — Medicare Advantage: $3.48 Allwell — Medicare Advantage: $3.51 Ambetter — All Plans: $5.05 Blue Cross — Blue Advantage: $3.97 Blue Cross — Health Advantage HMO: $3.97 Blue Cross — Metallic Exchange Based Product: $3.97 Blue Cross — PPO: $3.97 Blue Cross — True Blue PPO: $3.97 Cigna Healthspring — Medicare Advantage: $3.62 United Healthcare — Commercial: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS NONAUTO	$40	$10	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $3.26
Urine test (automated, without microscope): rates for 10 insurance plans Aetna — Medicare Advantage: $2.25 Allwell — Medicare Advantage: $2.27 Ambetter — All Plans: $3.26 Blue Cross — Blue Advantage: $2.57 Blue Cross — Health Advantage HMO: $2.57 Blue Cross — Metallic Exchange Based Product: $2.57 Blue Cross — PPO: $2.57 Blue Cross — True Blue PPO: $2.57 Cigna Healthspring — Medicare Advantage: $2.34 United Healthcare — Commercial: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS	$65	$16.25	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $26.67
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna — Medicare Advantage: $18.39 Allwell — Medicare Advantage: $18.57 Ambetter — All Plans: $26.67 Blue Cross — Blue Advantage: $20.96 Blue Cross — Health Advantage HMO: $20.96 Blue Cross — Metallic Exchange Based Product: $20.96 Blue Cross — PPO: $20.96 Blue Cross — True Blue PPO: $20.96 Cigna Healthspring — Medicare Advantage: $19.13 United Healthcare — Commercial: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA PROSTATE SPECIFIC ANTIGEN	$141	$35.25	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $24.36
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Medicare Advantage: $16.80 Allwell — Medicare Advantage: $16.97 Ambetter — All Plans: $24.36 Blue Cross — Blue Advantage: $19.15 Blue Cross — Health Advantage HMO: $19.15 Blue Cross — Metallic Exchange Based Product: $19.15 Blue Cross — PPO: $19.15 Blue Cross — True Blue PPO: $19.15 Cigna Healthspring — Medicare Advantage: $17.47 United Healthcare — Commercial: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH	$134.40	$33.60	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: NEONATAL TSH	$134	$33.50	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $11.27
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — Medicare Advantage: $7.77 Allwell — Medicare Advantage: $7.85 Ambetter — All Plans: $11.27 Blue Cross — Blue Advantage: $8.86 Blue Cross — Health Advantage HMO: $8.86 Blue Cross — Metallic Exchange Based Product: $8.86 Blue Cross — PPO: $8.86 Blue Cross — True Blue PPO: $8.86 Cigna Healthspring — Medicare Advantage: $8.08 United Healthcare — Commercial: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/ AUTO DIFF	$124	$31	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $9.38
Complete blood count (CBC), automated: rates for 10 insurance plans Aetna — Medicare Advantage: $6.47 Allwell — Medicare Advantage: $6.53 Ambetter — All Plans: $9.38 Blue Cross — Blue Advantage: $7.38 Blue Cross — Health Advantage HMO: $7.38 Blue Cross — Metallic Exchange Based Product: $7.38 Blue Cross — PPO: $7.38 Blue Cross — True Blue PPO: $7.38 Cigna Healthspring — Medicare Advantage: $6.73 United Healthcare — Commercial: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC	$72	$18	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $6.22
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Medicare Advantage: $4.29 Allwell — Medicare Advantage: $4.33 Ambetter — All Plans: $6.22 Blue Cross — Blue Advantage: $4.89 Blue Cross — Health Advantage HMO: $4.89 Blue Cross — Metallic Exchange Based Product: $4.89 Blue Cross — PPO: $4.89 Blue Cross — True Blue PPO: $4.89 Cigna Healthspring — Medicare Advantage: $4.46 United Healthcare — Commercial: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTIME	$77	$19.25	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTIME 50/50	$77	$19.25	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $8.71
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna — Medicare Advantage: $6.01 Allwell — Medicare Advantage: $6.07 Ambetter — All Plans: $8.71 Blue Cross — Blue Advantage: $6.85 Blue Cross — Health Advantage HMO: $6.85 Blue Cross — Metallic Exchange Based Product: $6.85 Blue Cross — PPO: $6.85 Blue Cross — True Blue PPO: $6.85 Cigna Healthspring — Medicare Advantage: $6.25 United Healthcare — Commercial: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT	$105	$26.25	Not listed in the file

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	Not listed in the file	Not listed in the file	$95.19 – $215.92
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $95.19 Allwell — Medicare Advantage: $96.14 Ambetter — All Plans: $138.03 Blue Cross — Blue Advantage: $107.60 Blue Cross — Health Advantage HMO: $107.60 Blue Cross — Metallic Exchange Based Product: $107.60 Blue Cross — PPO: $107.60 Blue Cross — True Blue PPO: $107.60 Cigna — Commercial: $215.92 Cigna Healthspring — Medicare Advantage: $99
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST	$2,320.54	$580.14	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$317.66 – $720.54
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $317.66 Allwell — Medicare Advantage: $320.83 Ambetter — All Plans: $460.60 Blue Cross — Blue Advantage: $366.59 Blue Cross — Health Advantage HMO: $366.59 Blue Cross — Metallic Exchange Based Product: $366.59 Blue Cross — PPO: $366.59 Blue Cross — True Blue PPO: $366.59 Cigna — Commercial: $720.54 Cigna Healthspring — Medicare Advantage: $330.36
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN/HEAD WO& W CONTRAST	$5,149	$1,287.25	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$76.62 – $179.74
Chest X-ray, 2 views: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $79.24 Allwell — Medicare Advantage: $80.03 Ambetter — All Plans: $114.90 Blue Cross — Blue Advantage: $76.62 Blue Cross — Health Advantage HMO: $76.62 Blue Cross — Metallic Exchange Based Product: $76.62 Blue Cross — PPO: $76.62 Blue Cross — True Blue PPO: $76.62 Cigna — Commercial: $179.74 Cigna Healthspring — Medicare Advantage: $82.41
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CR CHEST PA AND LAT-C	$390	$97.50	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CR CHEST PA AND LAT-T	$89	$22.25	Not listed in the file
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	Not listed in the file	Not listed in the file	$95.19 – $215.92
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $95.19 Allwell — Medicare Advantage: $96.14 Ambetter — All Plans: $138.03 Blue Cross — Blue Advantage: $107.60 Blue Cross — Health Advantage HMO: $107.60 Blue Cross — Metallic Exchange Based Product: $107.60 Blue Cross — PPO: $107.60 Blue Cross — True Blue PPO: $107.60 Cigna — Commercial: $215.92 Cigna Healthspring — Medicare Advantage: $99
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: CR LUMBAR SPINE ROUTINE 4>V-C	$661	$165.25	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: CR LUMBAR SPINE ROUTINE 4>V-T	$98	$24.50	Not listed in the file
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	Not listed in the file	Not listed in the file	$217.25 – $492.79
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $217.25 Allwell — Medicare Advantage: $219.43 Ambetter — All Plans: $315.02 Blue Cross — Blue Advantage: $223.73 Blue Cross — Health Advantage HMO: $223.73 Blue Cross — Metallic Exchange Based Product: $223.73 Blue Cross — PPO: $223.73 Blue Cross — True Blue PPO: $223.73 Cigna — Commercial: $492.79 Cigna Healthspring — Medicare Advantage: $225.94
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LUMBAR W/O CONTRAST	$3,357	$839.25	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$159.71 – $362.26
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $159.71 Allwell — Medicare Advantage: $161.30 Ambetter — All Plans: $231.57 Blue Cross — Blue Advantage: $174.94 Blue Cross — Health Advantage HMO: $174.94 Blue Cross — Metallic Exchange Based Product: $174.94 Blue Cross — PPO: $174.94 Blue Cross — True Blue PPO: $174.94 Cigna — Commercial: $362.26 Cigna Healthspring — Medicare Advantage: $166.09
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST	$2,380	$595	Not listed in the file
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	Not listed in the file	Not listed in the file	$217.25 – $492.79
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $217.25 Allwell — Medicare Advantage: $219.43 Ambetter — All Plans: $315.02 Blue Cross — Blue Advantage: $223.73 Blue Cross — Health Advantage HMO: $223.73 Blue Cross — Metallic Exchange Based Product: $223.73 Blue Cross — PPO: $223.73 Blue Cross — True Blue PPO: $223.73 Cigna — Commercial: $492.79 Cigna Healthspring — Medicare Advantage: $225.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MRI JNT OF LWR EXT W/O DYE LT	$3,698	$924.50	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: MRI JNT OF LWR EXT W/O DYE RT	$3,698	$924.50	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$317.66 – $720.54
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $317.66 Allwell — Medicare Advantage: $320.83 Ambetter — All Plans: $460.60 Blue Cross — Blue Advantage: $366.59 Blue Cross — Health Advantage HMO: $366.59 Blue Cross — Metallic Exchange Based Product: $366.59 Blue Cross — PPO: $366.59 Blue Cross — True Blue PPO: $366.59 Cigna — Commercial: $720.54 Cigna Healthspring — Medicare Advantage: $330.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABD/PELVIS WITH CONTRAST	$5,520	$1,380	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$95.19 – $215.92
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $95.19 Allwell — Medicare Advantage: $96.14 Ambetter — All Plans: $138.03 Blue Cross — Blue Advantage: $107.60 Blue Cross — Health Advantage HMO: $107.60 Blue Cross — Metallic Exchange Based Product: $107.60 Blue Cross — PPO: $107.60 Blue Cross — True Blue PPO: $107.60 Cigna — Commercial: $215.92 Cigna Healthspring — Medicare Advantage: $99
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN	$1,015	$253.75	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$95.19 – $215.92
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $95.19 Allwell — Medicare Advantage: $96.14 Ambetter — All Plans: $138.03 Blue Cross — Blue Advantage: $107.60 Blue Cross — Health Advantage HMO: $107.60 Blue Cross — Metallic Exchange Based Product: $107.60 Blue Cross — PPO: $107.60 Blue Cross — True Blue PPO: $107.60 Cigna — Commercial: $215.92 Cigna Healthspring — Medicare Advantage: $99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US FETAL >/= 14 WEEKS	$881	$220.25	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$95.19 – $215.92
Transvaginal ultrasound: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $95.19 Allwell — Medicare Advantage: $96.14 Ambetter — All Plans: $138.03 Blue Cross — Blue Advantage: $107.60 Blue Cross — Health Advantage HMO: $107.60 Blue Cross — Metallic Exchange Based Product: $107.60 Blue Cross — PPO: $107.60 Blue Cross — True Blue PPO: $107.60 Cigna — Commercial: $215.92 Cigna Healthspring — Medicare Advantage: $99
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US PELVIS W/VAGINAL PROBE	$725	$181.25	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$87.72 – $146.27
Diagnostic mammogram, one breast: rates for 6 insurance plans Blue Cross — Blue Advantage: $87.72 Blue Cross — Health Advantage HMO: $87.72 Blue Cross — Metallic Exchange Based Product: $87.72 Blue Cross — PPO: $87.72 Blue Cross — True Blue PPO: $87.72 United Healthcare — Commercial: $146.27
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$73.91 – $107.17
Diagnostic mammogram, one breast: rates for 4 insurance plans Aetna — Medicare Advantage: $73.91 Allwell — Medicare Advantage: $74.65 Ambetter — All Plans: $107.17 Cigna Healthspring — Medicare Advantage: $76.87
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MG DIAG MAMMO INC CAD UNLAT LT	$297.88	$74.47	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$111.86 – $187.02
Diagnostic mammogram, both breasts: rates for 6 insurance plans Blue Cross — Blue Advantage: $111.86 Blue Cross — Health Advantage HMO: $111.86 Blue Cross — Metallic Exchange Based Product: $111.86 Blue Cross — PPO: $111.86 Blue Cross — True Blue PPO: $111.86 United Healthcare — Commercial: $187.02
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MG DIAG MAMMO INC CAD BILAT	$418.89	$104.72	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$94.74 – $137.37
Diagnostic mammogram, both breasts: rates for 4 insurance plans Aetna — Medicare Advantage: $94.74 Allwell — Medicare Advantage: $95.69 Ambetter — All Plans: $137.37 Cigna Healthspring — Medicare Advantage: $98.53
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$92.75 – $154.64
Screening mammogram, both breasts: rates for 6 insurance plans Blue Cross — Blue Advantage: $92.75 Blue Cross — Health Advantage HMO: $92.75 Blue Cross — Metallic Exchange Based Product: $92.75 Blue Cross — PPO: $92.75 Blue Cross — True Blue PPO: $92.75 United Healthcare — Commercial: $154.64
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MG SCRN MAMMO 2 VW CAD BILAT	$250	$62.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$78.21 – $113.40
Screening mammogram, both breasts: rates for 4 insurance plans Aetna — Medicare Advantage: $78.21 Allwell — Medicare Advantage: $78.99 Ambetter — All Plans: $113.40 Cigna Healthspring — Medicare Advantage: $81.34

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	$101	$25.25	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$2,951.85 – $6,695.67
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $2,951.85 Allwell — Medicare Advantage: $2,981.37 Ambetter — All Plans: $4,280.19 Blue Cross — Blue Advantage: $3,008.86 Blue Cross — Health Advantage HMO: $3,008.86 Blue Cross — Metallic Exchange Based Product: $3,008.86 Blue Cross — PPO: $3,008.86 Blue Cross — True Blue PPO: $3,008.86 Cigna — Commercial: $6,695.67 Cigna Healthspring — Medicare Advantage: $3,069.93
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$6,383 – $16,108.92
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $7,101.78 Allwell — Medicare Advantage: $7,172.79 Ambetter — All Plans: $10,297.57 Blue Cross — Blue Advantage: $6,847.44 Blue Cross — Health Advantage HMO: $6,847.44 Blue Cross — Metallic Exchange Based Product: $6,847.44 Blue Cross — PPO: $6,847.44 Blue Cross — True Blue PPO: $6,847.44 Cigna — Commercial: $16,108.92 Cigna Healthspring — Medicare Advantage: $7,385.85
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: electrophysiology evaluation-P	$1,586	$396.50	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$10,769 – $53,983.44
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $23,799.13 Allwell — Medicare Advantage: $24,037.12 Ambetter — All Plans: $34,508.74 Blue Cross — Blue Advantage: $23,881.25 Blue Cross — Health Advantage HMO: $23,881.25 Blue Cross — Metallic Exchange Based Product: $23,881.25 Blue Cross — PPO: $23,881.25 Blue Cross — True Blue PPO: $23,881.25 Cigna — Commercial: $53,983.44 Cigna Healthspring — Medicare Advantage: $24,751.10
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$781.90 – $1,773.58
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans Aetna — Medicare Advantage: $781.90 Allwell — Medicare Advantage: $789.72 Ambetter — All Plans: $1,133.76 Blue Cross — Blue Advantage: $886.95 Blue Cross — Health Advantage HMO: $886.95 Blue Cross — Metallic Exchange Based Product: $886.95 Blue Cross — PPO: $886.95 Blue Cross — True Blue PPO: $886.95 Cigna — Commercial: $1,773.58 Cigna Healthspring — Medicare Advantage: $813.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNOGRAM-C	$3,709	$927.25	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Polysomnography-T	$3,709	$927.25	Not listed in the file

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	Not listed in the file	Not listed in the file	$26.97 – $39.11
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans Aetna — Medicare Advantage: $26.97 Allwell — Medicare Advantage: $27.24 Ambetter — All Plans: $39.11 Blue Cross — Blue Advantage: $30.32 Blue Cross — Health Advantage HMO: $30.32 Blue Cross — Metallic Exchange Based Product: $30.32 Blue Cross — PPO: $30.32 Blue Cross — True Blue PPO: $30.32 Cigna Healthspring — Medicare Advantage: $28.05
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT THER EXERCISE 15 .	$109	$27.25	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT THER EXERCISES 15 .	$109	$27.25	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$91.20 – $132.24
Physical therapy evaluation (low complexity): rates for 9 insurance plans Aetna — Medicare Advantage: $91.20 Allwell — Medicare Advantage: $92.11 Ambetter — All Plans: $132.24 Blue Cross — Blue Advantage: $103.29 Blue Cross — Health Advantage HMO: $103.29 Blue Cross — Metallic Exchange Based Product: $103.29 Blue Cross — PPO: $103.29 Blue Cross — True Blue PPO: $103.29 Cigna Healthspring — Medicare Advantage: $94.85
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN	$230	$57.50	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT EVAL LOW COMPLEX 20 MIN	$230	$57.50	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$91.20 – $132.24
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Aetna — Medicare Advantage: $91.20 Allwell — Medicare Advantage: $92.11 Ambetter — All Plans: $132.24 Blue Cross — Blue Advantage: $103.29 Blue Cross — Health Advantage HMO: $103.29 Blue Cross — Metallic Exchange Based Product: $103.29 Blue Cross — PPO: $103.29 Blue Cross — True Blue PPO: $103.29 Cigna Healthspring — Medicare Advantage: $94.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN	$284	$71	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT EVAL MOD COMPLEX 30 MIN	$284	$71	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$91.20 – $132.24
Physical therapy evaluation (high complexity): rates for 9 insurance plans Aetna — Medicare Advantage: $91.20 Allwell — Medicare Advantage: $92.11 Ambetter — All Plans: $132.24 Blue Cross — Blue Advantage: $103.29 Blue Cross — Health Advantage HMO: $103.29 Blue Cross — Metallic Exchange Based Product: $103.29 Blue Cross — PPO: $103.29 Blue Cross — True Blue PPO: $103.29 Cigna Healthspring — Medicare Advantage: $94.85
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN	$365	$91.25	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT EVAL HIGH COMPLEX 45 MIN	$365	$91.25	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$138.31 – $366.59
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — Medicare Advantage: $161.61 Allwell — Medicare Advantage: $163.23 Ambetter — All Plans: $234.34 Blue Cross — Blue Advantage: $138.31 Blue Cross — Health Advantage HMO: $138.31 Blue Cross — Metallic Exchange Based Product: $138.31 Blue Cross — PPO: $138.31 Blue Cross — True Blue PPO: $138.31 Cigna — Commercial: $366.59 Cigna Healthspring — Medicare Advantage: $168.08
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psych 30 min-C	$172	$43	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psych 30 min-CAH	$132	$33	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$138.31 – $366.59
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — Medicare Advantage: $161.61 Allwell — Medicare Advantage: $163.23 Ambetter — All Plans: $234.34 Blue Cross — Blue Advantage: $138.31 Blue Cross — Health Advantage HMO: $138.31 Blue Cross — Metallic Exchange Based Product: $138.31 Blue Cross — PPO: $138.31 Blue Cross — True Blue PPO: $138.31 Cigna — Commercial: $366.59 Cigna Healthspring — Medicare Advantage: $168.08
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psych 45 min-C	$192	$48	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psych 45 min-CAH	$132	$33	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$138.31 – $366.59
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — Medicare Advantage: $161.61 Allwell — Medicare Advantage: $163.23 Ambetter — All Plans: $234.34 Blue Cross — Blue Advantage: $138.31 Blue Cross — Health Advantage HMO: $138.31 Blue Cross — Metallic Exchange Based Product: $138.31 Blue Cross — PPO: $138.31 Blue Cross — True Blue PPO: $138.31 Cigna — Commercial: $366.59 Cigna Healthspring — Medicare Advantage: $168.08
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psych 60 min-C	$262	$65.50	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Ind Psych 60 min-CAH	$132	$33	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$138.31 – $366.59
Family psychotherapy, without the patient: rates for 10 insurance plans Aetna — Medicare Advantage: $161.61 Allwell — Medicare Advantage: $163.23 Ambetter — All Plans: $234.34 Blue Cross — Blue Advantage: $138.31 Blue Cross — Health Advantage HMO: $138.31 Blue Cross — Metallic Exchange Based Product: $138.31 Blue Cross — PPO: $138.31 Blue Cross — True Blue PPO: $138.31 Cigna — Commercial: $366.59 Cigna Healthspring — Medicare Advantage: $168.08
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psych w/o pt-C	$200	$50	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psych w/o pt-CAH	$130	$32.50	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$138.31 – $366.59
Family psychotherapy, with the patient: rates for 10 insurance plans Aetna — Medicare Advantage: $161.61 Allwell — Medicare Advantage: $163.23 Ambetter — All Plans: $234.34 Blue Cross — Blue Advantage: $138.31 Blue Cross — Health Advantage HMO: $138.31 Blue Cross — Metallic Exchange Based Product: $138.31 Blue Cross — PPO: $138.31 Blue Cross — True Blue PPO: $138.31 Cigna — Commercial: $366.59 Cigna Healthspring — Medicare Advantage: $168.08
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psych w/ pt-C	$210	$52.50	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psych w/ pt-CAH	$130	$32.50	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$72 – $209.82
Group psychotherapy: rates for 10 insurance plans Aetna — Medicare Advantage: $92.50 Allwell — Medicare Advantage: $93.42 Ambetter — All Plans: $134.12 Blue Cross — Blue Advantage: $72 Blue Cross — Health Advantage HMO: $72 Blue Cross — Metallic Exchange Based Product: $72 Blue Cross — PPO: $72 Blue Cross — True Blue PPO: $72 Cigna — Commercial: $209.82 Cigna Healthspring — Medicare Advantage: $96.20
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Psych Group-C	$106	$26.50	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Psych Group-P	$30	$7.50	Not listed in the file

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	Not listed in the file	Not listed in the file	$2,559 – $8,086.68
Removal of breast growth (open surgery): 10 of 12 insurance plan rates Aetna — Medicare Advantage: $3,565.09 Allwell — Medicare Advantage: $3,600.74 Ambetter — All Plans: $5,169.39 Blue Cross — Blue Advantage: $3,496.35 Blue Cross — Health Advantage HMO: $3,496.35 Blue Cross — Metallic Exchange Based Product: $3,496.35 Blue Cross — PPO: $3,496.35 Blue Cross — True Blue PPO: $3,496.35 Cigna — Commercial: $8,086.68 Cigna Healthspring — Medicare Advantage: $3,707.70
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION-C	$2,333	$583.25	Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION-P	$398	$99.50	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$9,680 – $26,516.19
Total hip replacement: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $11,689.92 Allwell — Medicare Advantage: $11,806.82 Ambetter — All Plans: $16,950.38 Blue Cross — Blue Advantage: $13,270.34 Blue Cross — Health Advantage HMO: $13,270.34 Blue Cross — Metallic Exchange Based Product: $13,270.34 Blue Cross — PPO: $13,270.34 Blue Cross — True Blue PPO: $13,270.34 Cigna — Commercial: $26,516.19 Cigna Healthspring — Medicare Advantage: $12,157.52
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthroplasty, total hip	$2,926	$731.50	Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthroplasty, Total Hip - AS	$2,926	$731.50	Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$9,680 – $26,516.19
Total knee replacement: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $11,689.92 Allwell — Medicare Advantage: $11,806.82 Ambetter — All Plans: $16,950.38 Blue Cross — Blue Advantage: $13,270.34 Blue Cross — Health Advantage HMO: $13,270.34 Blue Cross — Metallic Exchange Based Product: $13,270.34 Blue Cross — PPO: $13,270.34 Blue Cross — True Blue PPO: $13,270.34 Cigna — Commercial: $26,516.19 Cigna Healthspring — Medicare Advantage: $12,157.52
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthroplasty, total knee	$6,259	$1,564.75	Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Arthroplasty, Total Knee - AS	$6,259	$1,564.75	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$367 – $4,000
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Municipal Health Benefit Fund — All Plans: $4,000 United Healthcare — Commercial: $367
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: Arth shoulder w/ decompression	$1,338	$334.50	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$2,979.23 – $6,757.78
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates Aetna — Medicare Advantage: $2,979.23 Allwell — Medicare Advantage: $3,009.02 Ambetter — All Plans: $4,319.89 Blue Cross — Blue Advantage: $3,027.36 Blue Cross — Health Advantage HMO: $3,027.36 Blue Cross — Metallic Exchange Based Product: $3,027.36 Blue Cross — PPO: $3,027.36 Blue Cross — True Blue PPO: $3,027.36 Cigna — Commercial: $6,757.78 Cigna Healthspring — Medicare Advantage: $3,098.40
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Arth knee w/ meniscectomy	$1,286	$321.50	Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$2,559 – $12,226.44
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates Aetna — Medicare Advantage: $5,390.14 Allwell — Medicare Advantage: $5,444.04 Ambetter — All Plans: $7,815.71 Blue Cross — Blue Advantage: $5,430.62 Blue Cross — Health Advantage HMO: $5,430.62 Blue Cross — Metallic Exchange Based Product: $5,430.62 Blue Cross — PPO: $5,430.62 Blue Cross — True Blue PPO: $5,430.62 Cigna — Commercial: $12,226.44 Cigna Healthspring — Medicare Advantage: $5,605.75
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: Tonsill/Adenoidectomy <12	$598	$149.50	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$825.83 – $2,500
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare Advantage: $825.83 Allwell — Medicare Advantage: $834.09 Ambetter — All Plans: $1,197.46 Blue Cross — Blue Advantage: $839.58 Blue Cross — Health Advantage HMO: $839.58 Blue Cross — Metallic Exchange Based Product: $839.58 Blue Cross — PPO: $839.58 Blue Cross — True Blue PPO: $839.58 Cigna — Commercial: $1,873.23 Cigna Healthspring — Medicare Advantage: $858.86
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD	$2,432	$608	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD,dx, w/ brush and wash-C	$597	$149.25	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$825.83 – $2,500
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $825.83 Allwell — Medicare Advantage: $834.09 Ambetter — All Plans: $1,197.46 Blue Cross — Blue Advantage: $839.58 Blue Cross — Health Advantage HMO: $839.58 Blue Cross — Metallic Exchange Based Product: $839.58 Blue Cross — PPO: $839.58 Blue Cross — True Blue PPO: $839.58 Cigna — Commercial: $1,873.23 Cigna Healthspring — Medicare Advantage: $858.86
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD WITH BIOPSY	$2,641	$660.25	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD w/biopsy single/multiple-C	$1,556	$389	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$845.19 – $2,500
Colonoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare Advantage: $846.75 Allwell — Medicare Advantage: $855.22 Ambetter — All Plans: $1,227.78 Blue Cross — Blue Advantage: $845.19 Blue Cross — Health Advantage HMO: $845.19 Blue Cross — Metallic Exchange Based Product: $845.19 Blue Cross — PPO: $845.19 Blue Cross — True Blue PPO: $845.19 Cigna — Commercial: $1,920.68 Cigna Healthspring — Medicare Advantage: $880.62
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY	$2,980	$745	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY SCREENING	$1,762	$440.50	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,089.57 – $2,500
Colonoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $1,089.57 Allwell — Medicare Advantage: $1,100.47 Ambetter — All Plans: $1,579.88 Blue Cross — Blue Advantage: $1,101.35 Blue Cross — Health Advantage HMO: $1,101.35 Blue Cross — Metallic Exchange Based Product: $1,101.35 Blue Cross — PPO: $1,101.35 Blue Cross — True Blue PPO: $1,101.35 Cigna — Commercial: $2,471.46 Cigna Healthspring — Medicare Advantage: $1,133.15
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY WITH BIOPSY	$2,564	$641	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,089.57 – $2,500
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates Aetna — Medicare Advantage: $1,089.57 Allwell — Medicare Advantage: $1,100.47 Ambetter — All Plans: $1,579.88 Blue Cross — Blue Advantage: $1,101.35 Blue Cross — Health Advantage HMO: $1,101.35 Blue Cross — Metallic Exchange Based Product: $1,101.35 Blue Cross — PPO: $1,101.35 Blue Cross — True Blue PPO: $1,101.35 Cigna — Commercial: $2,471.46 Cigna Healthspring — Medicare Advantage: $1,133.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONSCPY W POLYPECTOMY SNARE	$2,606	$651.50	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,089.57 – $2,500
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $1,089.57 Allwell — Medicare Advantage: $1,100.47 Ambetter — All Plans: $1,579.88 Blue Cross — Blue Advantage: $1,101.35 Blue Cross — Health Advantage HMO: $1,101.35 Blue Cross — Metallic Exchange Based Product: $1,101.35 Blue Cross — PPO: $1,101.35 Blue Cross — True Blue PPO: $1,101.35 Cigna — Commercial: $2,471.46 Cigna Healthspring — Medicare Advantage: $1,133.15
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: colonoscopy w/endoscope us	$625	$156.25	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$845.19 – $2,500
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates Aetna — Medicare Advantage: $846.75 Allwell — Medicare Advantage: $855.22 Ambetter — All Plans: $1,227.78 Blue Cross — Blue Advantage: $845.19 Blue Cross — Health Advantage HMO: $845.19 Blue Cross — Metallic Exchange Based Product: $845.19 Blue Cross — PPO: $845.19 Blue Cross — True Blue PPO: $845.19 Cigna — Commercial: $1,920.68 Cigna Healthspring — Medicare Advantage: $880.62
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$5,300.93 – $12,486.05
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $5,504.59 Allwell — Medicare Advantage: $5,559.64 Ambetter — All Plans: $7,981.66 Blue Cross — Blue Advantage: $5,300.93 Blue Cross — Health Advantage HMO: $5,300.93 Blue Cross — Metallic Exchange Based Product: $5,300.93 Blue Cross — PPO: $5,300.93 Blue Cross — True Blue PPO: $5,300.93 Cigna — Commercial: $12,486.05 Cigna Healthspring — Medicare Advantage: $5,724.78
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparoscopy, cholecystectomy	$1,485	$371.25	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,192 – $7,394.74
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $3,260.04 Allwell — Medicare Advantage: $3,292.64 Ambetter — All Plans: $4,727.06 Blue Cross — Blue Advantage: $3,602.26 Blue Cross — Health Advantage HMO: $3,602.26 Blue Cross — Metallic Exchange Based Product: $3,602.26 Blue Cross — PPO: $3,602.26 Blue Cross — True Blue PPO: $3,602.26 Cigna — Commercial: $7,394.74 Cigna Healthspring — Medicare Advantage: $3,390.44
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Repair int inguinal hernia, >5	$1,030	$257.50	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$2,500
Prostate biopsy: rates for 1 insurance plan Municipal Health Benefit Fund — All Plans: $2,500
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BIOPSY OF PROSTATE-C	$1,143	$285.75	Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BIOPSY OF PROSTATE-P	$139	$34.75	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$9,242.09 – $21,954.18
Prostate removal by laparoscope (radical prostatectomy): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $9,678.71 Allwell — Medicare Advantage: $9,775.50 Ambetter — All Plans: $14,034.13 Blue Cross — Blue Advantage: $9,242.09 Blue Cross — Health Advantage HMO: $9,242.09 Blue Cross — Metallic Exchange Based Product: $9,242.09 Blue Cross — PPO: $9,242.09 Blue Cross — True Blue PPO: $9,242.09 Cigna — Commercial: $21,954.18 Cigna Healthspring — Medicare Advantage: $10,065.86
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: laparo radical prostatectomy	$3,842	$960.50	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$2,559 – $6,685.75
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $2,947.48 Allwell — Medicare Advantage: $2,976.95 Ambetter — All Plans: $4,273.84 Blue Cross — Blue Advantage: $2,875.60 Blue Cross — Health Advantage HMO: $2,875.60 Blue Cross — Metallic Exchange Based Product: $2,875.60 Blue Cross — PPO: $2,875.60 Blue Cross — True Blue PPO: $2,875.60 Cigna — Commercial: $6,685.75 Cigna Healthspring — Medicare Advantage: $3,065.38
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	$5,861	$1,465.25	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hysteroscopy w/ sampling -C	$700	$175	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$642.72 – $1,457.89
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $642.72 Allwell — Medicare Advantage: $649.15 Ambetter — All Plans: $931.95 Blue Cross — Blue Advantage: $655.31 Blue Cross — Health Advantage HMO: $655.31 Blue Cross — Metallic Exchange Based Product: $655.31 Blue Cross — PPO: $655.31 Blue Cross — True Blue PPO: $655.31 Cigna — Commercial: $1,457.89 Cigna Healthspring — Medicare Advantage: $668.43
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Epidural Steroid - L&S w/image	$1,385	$346.25	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$805.33 – $1,826.73
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $805.33 Allwell — Medicare Advantage: $813.39 Ambetter — All Plans: $1,167.73 Blue Cross — Blue Advantage: $866.69 Blue Cross — Health Advantage HMO: $866.69 Blue Cross — Metallic Exchange Based Product: $866.69 Blue Cross — PPO: $866.69 Blue Cross — True Blue PPO: $866.69 Cigna — Commercial: $1,826.73 Cigna Healthspring — Medicare Advantage: $837.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	$1,642	$410.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: njx aa&/strd tfrm epi l/s 1	$897	$224.25	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,778 – $4,033.04
Carpal tunnel release: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $1,778 Allwell — Medicare Advantage: $1,795.78 Ambetter — All Plans: $2,578.10 Blue Cross — Blue Advantage: $1,828.15 Blue Cross — Health Advantage HMO: $1,828.15 Blue Cross — Metallic Exchange Based Product: $1,828.15 Blue Cross — PPO: $1,828.15 Blue Cross — True Blue PPO: $1,828.15 Cigna — Commercial: $4,033.04 Cigna Healthspring — Medicare Advantage: $1,849.12
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Neuroplasty, carpal tunnel	$2,105	$526.25	Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Neuroplasty, carpal tunnel-Bil	$2,105	$526.25	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$500.79 – $2,500
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $500.79 Allwell — Medicare Advantage: $505.79 Ambetter — All Plans: $726.14 Blue Cross — Blue Advantage: $539.81 Blue Cross — Health Advantage HMO: $539.81 Blue Cross — Metallic Exchange Based Product: $539.81 Blue Cross — PPO: $539.81 Blue Cross — True Blue PPO: $539.81 Cigna — Commercial: $1,135.93 Cigna Healthspring — Medicare Advantage: $520.82
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: YAG LASER SURG 1 OR MORE STAGE	$1,412	$353	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,101.33 – $8,400
Cataract removal with lens implant: 10 of 12 insurance plan rates Aetna — Medicare Advantage: $2,101.33 Allwell — Medicare Advantage: $2,122.34 Ambetter — All Plans: $3,046.92 Blue Cross — Blue Advantage: $2,196.23 Blue Cross — Health Advantage HMO: $2,196.23 Blue Cross — Metallic Exchange Based Product: $2,196.23 Blue Cross — PPO: $2,196.23 Blue Cross — True Blue PPO: $2,196.23 Cigna — Commercial: $4,766.44 Cigna Healthspring — Medicare Advantage: $2,185.38
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: xcapsl ctrc rmvl w/o ecp	$1,484	$371	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: Vaginal Delivery, Global	$3,716	$929	Not listed in the file
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: OB Global, Delivery Dr-Split	$3,716	$929	Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: Cesarean Delivery, Global	$4,212	$1,053	Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: Cesarean Del, Primary Dr-Split	$4,212	$1,053	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Hospital (facility) fee In the file: vbac delivery	$3,917	$979.25	Not listed in the file

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 And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$81,100.97 – $128,139.53
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates Aetna — Medicare Advantage: $81,100.97 Allwell — Medicare Advantage: $81,911.98 Ambetter — All Plans: $128,139.53 Arkansas Blue Medicare — All Plans: $81,911.98 Blue Cross — Blue Advantage: $94,746.42 Blue Cross — Health Advantage HMO: $94,746.42 Blue Cross — Health Advantage Medicare: $81,911.98 Blue Cross — Metallic Exchange Based Product: $84,953.84 Blue Cross — PPO: $94,746.42 Blue Cross — True Blue PPO: $94,746.42
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Aetna — Commercial: 90% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$16,750.57 – $26,486.66
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates Aetna — Medicare Advantage: $16,763.71 Allwell — Medicare Advantage: $16,931.35 Ambetter — All Plans: $26,486.66 Arkansas Blue Medicare — All Plans: $16,931.35 Blue Cross — Blue Advantage: $18,681.40 Blue Cross — Health Advantage HMO: $18,681.40 Blue Cross — Health Advantage Medicare: $16,931.35 Blue Cross — Metallic Exchange Based Product: $16,750.57 Blue Cross — PPO: $18,681.40 Blue Cross — True Blue PPO: $18,681.40
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$20,961.16 – $33,118.63
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates Aetna — Medicare Advantage: $20,961.16 Allwell — Medicare Advantage: $21,170.77 Ambetter — All Plans: $33,118.63 Arkansas Blue Medicare — All Plans: $21,170.77 Blue Cross — Blue Advantage: $23,643.99 Blue Cross — Health Advantage HMO: $23,643.99 Blue Cross — Health Advantage Medicare: $21,170.77 Blue Cross — Metallic Exchange Based Product: $21,200.25 Blue Cross — PPO: $23,643.99 Blue Cross — True Blue PPO: $23,643.99
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$10,774.24 – $17,579.30
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates Aetna — Medicare Advantage: $11,126.14 Allwell — Medicare Advantage: $11,237.40 Ambetter — All Plans: $17,579.30 Arkansas Blue Medicare — All Plans: $11,237.40 Blue Cross — Blue Advantage: $12,016.18 Blue Cross — Health Advantage HMO: $12,016.18 Blue Cross — Health Advantage Medicare: $11,237.40 Blue Cross — Metallic Exchange Based Product: $10,774.24 Blue Cross — PPO: $12,016.18 Blue Cross — True Blue PPO: $12,016.18

Source: White County Medical Center’s standard charges file (unity-health.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	3214 East Race Avenue, Searcy, AR 72143
County	White County
State	Arkansas
Phone	(501) 278‑3100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	040014
Name in Medicare records	WHITE COUNTY MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(501) 268‑6121^[4][7]
Name on the hospital’s website	Unity Health - White County Medical Center
Official website	unity-health.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 Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

Unity Health - White County Medical Center | Unity Health — unity-health.org
Emergency Medicine Residency | Unity Health GME Training — unity-health.org
Visitor Information & Hours | Unity Health — unity-health.org
Contact Unity Health | Unity Health — unity-health.org
About Unity Health | Our Mission, Values & Care — unity-health.org

White County Medical Center

Summary

Profile from official sources

At a glance