Whitman Hospital and Medical Center is a critical access hospital in Colfax, Washington. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 43 services, specialties and programs. Medicare lists 84 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.
What is a critical access hospital?
A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types
Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.
Rural Hospital Achievement of Quality Excellence, gold (WSHA) 2026
Doctors and clinicians (84)
84 doctors and other clinicians list Whitman Hospital and 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.
And 60 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).
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.
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 Whitman Hospital and 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)
Not reported to Medicare
Overall rating of the hospital
Not reported to Medicare
Would recommend the hospital
Not reported to Medicare
Nurses communicated well
Not reported to Medicare
Doctors communicated well
Not reported to Medicare
Staff explained medicines
Not reported to Medicare
Information about recovery at home
Not reported to Medicare
Room and bathroom kept clean
Not reported to Medicare
Quiet at night
Not reported to Medicare
Rated the hospital 9 or 10 out of 10
89%National average: 72%
Would definitely recommend the hospital
88%National average: 71%
Nurses “always” communicated well
90%National average: 80%
Doctors “always” communicated well
83%National average: 80%
Staff “always” explained medicines before giving them
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.
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients
Too few cases to report
Deaths within 30 days: heart failure patients
12.8%
Deaths within 30 days: pneumonia patients
14.3%
Deaths within 30 days: COPD patients
9.1%
Deaths within 30 days: stroke patients
Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)
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
Too few cases to report
Readmitted within 30 days: heart failure
Too few cases to report
Readmitted within 30 days: pneumonia
16.8%
Readmitted within 30 days: COPD
Too few cases to report
Readmitted within 30 days: coronary bypass surgery
Not reported to Medicare
Readmitted within 30 days: hip or knee replacement
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
Emergency room volume (patients per year)
Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)
156 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Whitman Hospital and 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.
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$274
$219.20
$56.17 – $71.57
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $56.17
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $56.17
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $56.17
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $56.17
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $71.57
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $71.57
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$464
$371.20
$91.84 – $117.28
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $91.84
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $91.84
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $91.84
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $91.84
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $117.28
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $117.28
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$599
$479.20
$156.40 – $160.63
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $156.40
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $156.40
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $156.40
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $156.40
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $160.63
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $160.63
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$206
$164.80
$45.45 – $57.88
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $45.45
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $45.45
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $45.45
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $45.45
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $57.88
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $57.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$303
$242.40
$85.05 – $91.37
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $91.37
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $91.37
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $91.37
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $91.37
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $85.05
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $85.05
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more
$288
$230.40
$65.79
Office consultation with a specialist (moderate): rates for 4 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $65.79
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $65.79
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $65.79
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $65.79
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more
$462
$369.60
$76.82
Office consultation with a specialist (moderate to high): rates for 4 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $76.82
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $76.82
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $76.82
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $76.82
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)
$328
$262.40
$328
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $328
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $328
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $328
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $328
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)
$398
$318.40
$398
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $398
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $398
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $398
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $398
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making
$768
$614.40
$414.11 – $752.64
Emergency room visit (moderate): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $744.96
AETNA MCR ADV — AETNA MCR ADV: $468.48
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $702.72
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $435.53
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $691.20
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $435.53
COMM HP MCR — COMM HP MCR: $468.48
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $435.61
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $414.11
MOLINA MCR — MOLINA MCR: $468.48
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$290
$232
$40 – $75.98
Emergency room visit (moderate): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $69.07
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $40
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $40
COMM HP MCR — COMM HP MCR: $69.07
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $40
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $40
MOLINA MCR — MOLINA MCR: $69.07
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $69.07
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $69.07
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $67.69
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$1,277
$1,021.60
$688.56 – $1,251.46
Emergency room visit (moderately high): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,238.69
AETNA MCR ADV — AETNA MCR ADV: $778.97
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $1,168.46
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $724.19
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $1,149.30
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $724.19
COMM HP MCR — COMM HP MCR: $778.97
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $724.31
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $688.56
MOLINA MCR — MOLINA MCR: $778.97
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$542
$433.60
$68.22 – $129.17
Emergency room visit (moderately high): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $117.43
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $68.22
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $68.22
COMM HP MCR — COMM HP MCR: $117.43
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $68.22
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $68.22
MOLINA MCR — MOLINA MCR: $117.43
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $117.43
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $117.43
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $115.08
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making
$1,402
$1,121.60
$755.96 – $1,373.96
Emergency room visit (high): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,359.94
AETNA MCR ADV — AETNA MCR ADV: $855.22
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $1,282.83
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $795.07
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $1,261.80
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $795.07
COMM HP MCR — COMM HP MCR: $855.22
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $795.21
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $755.96
MOLINA MCR — MOLINA MCR: $855.22
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$804
$643.20
$98.69 – $187.44
Emergency room visit (high): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $170.40
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $98.69
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $98.69
COMM HP MCR — COMM HP MCR: $170.40
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $98.69
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $98.69
MOLINA MCR — MOLINA MCR: $170.40
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $170.40
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $170.40
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $166.99
Lab tests
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)
$84
$67.20
$45.29 – $82.32
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $81.48
AETNA MCR ADV — AETNA MCR ADV: $51.24
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $76.86
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $47.64
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $75.60
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $47.64
COMM HP MCR — COMM HP MCR: $51.24
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $47.64
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $45.29
MOLINA MCR — MOLINA MCR: $51.24
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals
$93
$74.40
$50.15 – $91.14
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $90.21
AETNA MCR ADV — AETNA MCR ADV: $56.73
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $85.10
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $52.74
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $83.70
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $52.74
COMM HP MCR — COMM HP MCR: $56.73
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $52.75
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $50.15
MOLINA MCR — MOLINA MCR: $56.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)
$91
$72.80
$49.07 – $89.18
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $88.27
AETNA MCR ADV — AETNA MCR ADV: $55.51
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $83.27
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $51.61
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $81.90
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $51.61
COMM HP MCR — COMM HP MCR: $55.51
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $51.62
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $49.07
MOLINA MCR — MOLINA MCR: $55.51
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel
$87
$69.60
$46.91 – $85.26
Kidney function panel: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $84.39
AETNA MCR ADV — AETNA MCR ADV: $53.07
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $79.61
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $49.34
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $78.30
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $49.34
COMM HP MCR — COMM HP MCR: $53.07
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $49.35
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $46.91
MOLINA MCR — MOLINA MCR: $53.07
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel
$82
$65.60
$44.21 – $80.36
Liver function panel: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $79.54
AETNA MCR ADV — AETNA MCR ADV: $50.02
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $75.03
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $46.50
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $73.80
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $46.50
COMM HP MCR — COMM HP MCR: $50.02
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $46.51
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $44.21
MOLINA MCR — MOLINA MCR: $50.02
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$32
$25.60
$17.25 – $31.36
Urine test (automated, with microscope): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $31.04
AETNA MCR ADV — AETNA MCR ADV: $19.52
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $29.28
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $18.15
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $28.80
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $18.15
COMM HP MCR — COMM HP MCR: $19.52
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $18.15
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $17.25
MOLINA MCR — MOLINA MCR: $19.52
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test
$22
$17.60
$11.86 – $21.56
Urine test (manual, without microscope): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $21.34
AETNA MCR ADV — AETNA MCR ADV: $13.42
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $20.13
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $12.48
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $19.80
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $12.48
COMM HP MCR — COMM HP MCR: $13.42
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $12.48
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $11.86
MOLINA MCR — MOLINA MCR: $13.42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test
$34
$27.20
$18.33 – $33.32
Urine test (automated, without microscope): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $32.98
AETNA MCR ADV — AETNA MCR ADV: $20.74
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $31.11
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $19.28
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $30.60
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $19.28
COMM HP MCR — COMM HP MCR: $20.74
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $19.28
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $18.33
MOLINA MCR — MOLINA MCR: $20.74
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total
$100
$80
$53.92 – $98
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $97
AETNA MCR ADV — AETNA MCR ADV: $61
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $91.50
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $56.71
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $90
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $56.71
COMM HP MCR — COMM HP MCR: $61
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $56.72
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $53.92
MOLINA MCR — MOLINA MCR: $61
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)
$80
$64
$43.14 – $78.40
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $77.60
AETNA MCR ADV — AETNA MCR ADV: $48.80
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $73.20
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $45.37
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $72
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $45.37
COMM HP MCR — COMM HP MCR: $48.80
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $45.38
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $43.14
MOLINA MCR — MOLINA MCR: $48.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$77
$61.60
$41.52 – $75.46
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $74.69
AETNA MCR ADV — AETNA MCR ADV: $46.97
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $70.46
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $43.67
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $69.30
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $43.67
COMM HP MCR — COMM HP MCR: $46.97
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $43.67
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $41.52
MOLINA MCR — MOLINA MCR: $46.97
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test
$65
$52
$35.05 – $63.70
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $63.05
AETNA MCR ADV — AETNA MCR ADV: $39.65
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $59.48
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $36.86
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $58.50
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $36.86
COMM HP MCR — COMM HP MCR: $39.65
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $36.87
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $35.05
MOLINA MCR — MOLINA MCR: $39.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time
$28
$22.40
$15.10 – $27.44
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $27.16
AETNA MCR ADV — AETNA MCR ADV: $17.08
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $25.62
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $15.88
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $25.20
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $15.88
COMM HP MCR — COMM HP MCR: $17.08
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $15.88
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $15.10
MOLINA MCR — MOLINA MCR: $17.08
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$129
$103.20
$69.56 – $126.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $125.13
AETNA MCR ADV — AETNA MCR ADV: $78.69
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $118.04
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $73.16
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $116.10
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $73.16
COMM HP MCR — COMM HP MCR: $78.69
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $73.17
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $69.56
MOLINA MCR — MOLINA MCR: $78.69
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) In the file: CT scan head or brain without contrast
$1,724
$1,379.20
$929.58 – $1,689.52
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,672.28
AETNA MCR ADV — AETNA MCR ADV: $1,051.64
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $1,577.46
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $977.68
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $1,551.60
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $977.68
COMM HP MCR — COMM HP MCR: $1,051.64
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $977.85
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $929.58
MOLINA MCR — MOLINA MCR: $1,051.64
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast
$4,340
$3,472
$2,340.13 – $4,253.20
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $4,209.80
AETNA MCR ADV — AETNA MCR ADV: $2,647.40
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $3,971.10
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $2,461.21
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $3,906
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $2,461.21
COMM HP MCR — COMM HP MCR: $2,647.40
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $2,461.65
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $2,340.13
MOLINA MCR — MOLINA MCR: $2,647.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views
$365
$292
$196.81 – $357.70
Chest X-ray, 2 views: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $354.05
AETNA MCR ADV — AETNA MCR ADV: $222.65
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $333.98
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $206.99
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $328.50
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $206.99
COMM HP MCR — COMM HP MCR: $222.65
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $207.03
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $196.81
MOLINA MCR — MOLINA MCR: $222.65
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views
$393
$314.40
$211.91 – $385.14
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $381.21
AETNA MCR ADV — AETNA MCR ADV: $239.73
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $359.60
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $222.87
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $353.70
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $222.87
COMM HP MCR — COMM HP MCR: $239.73
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $222.91
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $211.91
MOLINA MCR — MOLINA MCR: $239.73
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$2,574
$2,059.20
$1,387.90 – $2,522.52
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,496.78
AETNA MCR ADV — AETNA MCR ADV: $1,570.14
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $2,355.21
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $1,459.72
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $2,316.60
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $1,459.72
COMM HP MCR — COMM HP MCR: $1,570.14
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $1,459.97
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $1,387.90
MOLINA MCR — MOLINA MCR: $1,570.14
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast
$2,190
$1,752
$1,180.85 – $2,146.20
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,124.30
AETNA MCR ADV — AETNA MCR ADV: $1,335.90
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $2,003.85
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $1,241.95
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $1,971
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $1,241.95
COMM HP MCR — COMM HP MCR: $1,335.90
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $1,242.17
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $1,180.85
MOLINA MCR — MOLINA MCR: $1,335.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast
$2,069
$1,655.20
$1,115.60 – $2,027.62
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,006.93
AETNA MCR ADV — AETNA MCR ADV: $1,262.09
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $1,893.14
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $1,173.33
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $1,862.10
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $1,173.33
COMM HP MCR — COMM HP MCR: $1,262.09
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $1,173.54
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $1,115.60
MOLINA MCR — MOLINA MCR: $1,262.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast
$2,485
$1,988
$1,339.91 – $2,435.30
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $2,410.45
AETNA MCR ADV — AETNA MCR ADV: $1,515.85
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $2,273.78
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $1,409.24
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $2,236.50
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $1,409.24
COMM HP MCR — COMM HP MCR: $1,515.85
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $1,409.49
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $1,339.91
MOLINA MCR — MOLINA MCR: $1,515.85
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen
$908
$726.40
$489.59 – $889.84
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $880.76
AETNA MCR ADV — AETNA MCR ADV: $553.88
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $830.82
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $514.93
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $817.20
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $514.93
COMM HP MCR — COMM HP MCR: $553.88
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $515.02
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $489.59
MOLINA MCR — MOLINA MCR: $553.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$908
$726.40
$489.59 – $889.84
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $880.76
AETNA MCR ADV — AETNA MCR ADV: $553.88
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $830.82
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $514.93
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $817.20
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $514.93
COMM HP MCR — COMM HP MCR: $553.88
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $515.02
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $489.59
MOLINA MCR — MOLINA MCR: $553.88
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$839
$671.20
$452.39 – $822.22
Transvaginal ultrasound: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $813.83
AETNA MCR ADV — AETNA MCR ADV: $511.79
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $767.69
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $475.80
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $755.10
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $475.80
COMM HP MCR — COMM HP MCR: $511.79
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $475.88
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $452.39
MOLINA MCR — MOLINA MCR: $511.79
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast
$552
$441.60
$297.64 – $540.96
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $535.44
AETNA MCR ADV — AETNA MCR ADV: $336.72
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $505.08
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $313.04
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $496.80
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $313.04
COMM HP MCR — COMM HP MCR: $336.72
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $313.09
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $297.64
MOLINA MCR — MOLINA MCR: $336.72
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts
$690
$552
$372.05 – $676.20
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $669.30
AETNA MCR ADV — AETNA MCR ADV: $420.90
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $631.35
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $391.30
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $621
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $391.30
COMM HP MCR — COMM HP MCR: $420.90
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $391.37
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $372.05
MOLINA MCR — MOLINA MCR: $420.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography
$480
$384
$258.82 – $470.40
Screening mammogram, both breasts: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $465.60
AETNA MCR ADV — AETNA MCR ADV: $292.80
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $439.20
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $272.21
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $432
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $272.21
COMM HP MCR — COMM HP MCR: $292.80
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $272.26
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $258.82
MOLINA MCR — MOLINA MCR: $292.80
Heart tests and sleep study
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report
$59
$47.20
$8.41 – $17.34
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $15.76
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $8.41
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $8.41
COMM HP MCR — COMM HP MCR: $15.76
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $8.41
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $8.41
MOLINA MCR — MOLINA MCR: $15.76
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $15.76
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $15.76
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $15.44
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) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$171
$136.80
$92.20 – $167.58
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $165.87
AETNA MCR ADV — AETNA MCR ADV: $104.31
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $156.47
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $96.97
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $153.90
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $96.97
COMM HP MCR — COMM HP MCR: $104.31
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $96.99
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $92.20
MOLINA MCR — MOLINA MCR: $104.31
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes
$238
$190.40
$128.33 – $233.24
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $230.86
AETNA MCR ADV — AETNA MCR ADV: $145.18
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $217.77
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $134.97
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $214.20
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $134.97
COMM HP MCR — COMM HP MCR: $145.18
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $134.99
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $128.33
MOLINA MCR — MOLINA MCR: $145.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes
$289
$231.20
$155.83 – $283.22
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $280.33
AETNA MCR ADV — AETNA MCR ADV: $176.29
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $264.44
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $163.89
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $260.10
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $163.89
COMM HP MCR — COMM HP MCR: $176.29
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $163.92
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $155.83
MOLINA MCR — MOLINA MCR: $176.29
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes
$316
$252.80
$170.39 – $309.68
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $306.52
AETNA MCR ADV — AETNA MCR ADV: $192.76
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $289.14
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $179.20
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $284.40
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $179.20
COMM HP MCR — COMM HP MCR: $192.76
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $179.24
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $170.39
MOLINA MCR — MOLINA MCR: $192.76
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes
$160
$128
$86.27 – $156.80
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $155.20
AETNA MCR ADV — AETNA MCR ADV: $97.60
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $146.40
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $90.74
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $144
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $90.74
COMM HP MCR — COMM HP MCR: $97.60
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $90.75
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $86.27
MOLINA MCR — MOLINA MCR: $97.60
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes
$211
$168.80
$113.77 – $206.78
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $204.67
AETNA MCR ADV — AETNA MCR ADV: $128.71
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $193.07
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $119.66
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $189.90
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $119.66
COMM HP MCR — COMM HP MCR: $128.71
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $119.68
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $113.77
MOLINA MCR — MOLINA MCR: $128.71
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour
$316
$252.80
$170.39 – $309.68
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $306.52
AETNA MCR ADV — AETNA MCR ADV: $192.76
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $289.14
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $179.20
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $284.40
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $179.20
COMM HP MCR — COMM HP MCR: $192.76
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $179.24
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $170.39
MOLINA MCR — MOLINA MCR: $192.76
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple
$1,867
$1,493.60
$306.16 – $448.35
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $407.59
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $306.16
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $306.16
COMM HP MCR — COMM HP MCR: $407.59
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $306.16
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $306.16
MOLINA MCR — MOLINA MCR: $407.59
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $407.59
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $407.59
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $399.44
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis
$6,250
$5,000
$746.34 – $1,274.43
Total hip replacement: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $1,158.57
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $746.34
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $746.34
COMM HP MCR — COMM HP MCR: $1,158.57
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $746.34
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $746.34
MOLINA MCR — MOLINA MCR: $1,158.57
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $1,158.57
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $1,158.57
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $1,135.40
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee
$6,249
$4,999.20
$745.41 – $1,271.66
Total knee replacement: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $1,156.05
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $745.41
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $745.41
COMM HP MCR — COMM HP MCR: $1,156.05
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $745.41
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $745.41
MOLINA MCR — MOLINA MCR: $1,156.05
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $1,156.05
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $1,156.05
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $1,132.93
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope
$805
$644
$97.75 – $160.48
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $145.89
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $97.75
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $97.75
COMM HP MCR — COMM HP MCR: $145.89
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $97.75
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $97.75
MOLINA MCR — MOLINA MCR: $145.89
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $145.89
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $145.89
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $142.97
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope
$2,524
$2,019.20
$322.42 – $572.26
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $520.24
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $322.42
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $322.42
COMM HP MCR — COMM HP MCR: $520.24
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $322.42
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $322.42
MOLINA MCR — MOLINA MCR: $520.24
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $520.24
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $520.24
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $509.84
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)
$1,333
$1,066.40
$172.33 – $289.78
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $263.44
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $172.33
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $172.33
COMM HP MCR — COMM HP MCR: $263.44
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $172.33
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $172.33
MOLINA MCR — MOLINA MCR: $263.44
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $263.44
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $263.44
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $258.17
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$1,070
$856
$576.94 – $1,048.60
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,037.90
AETNA MCR ADV — AETNA MCR ADV: $652.70
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $979.05
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $606.80
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $963
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $606.80
COMM HP MCR — COMM HP MCR: $652.70
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $606.90
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $576.94
MOLINA MCR — MOLINA MCR: $652.70
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$574
$459.20
$109.12 – $169.90
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $111.35
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $169.90
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $169.90
COMM HP MCR — COMM HP MCR: $111.35
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $169.90
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $169.90
MOLINA MCR — MOLINA MCR: $111.35
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $111.35
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $111.35
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $109.12
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
$646
$516.80
$78.88 – $136.83
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $124.39
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $78.88
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $78.88
COMM HP MCR — COMM HP MCR: $124.39
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $78.88
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $78.88
MOLINA MCR — MOLINA MCR: $124.39
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $124.39
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $124.39
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $121.90
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope
$863
$690.40
$161.85 – $199.81
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $165.15
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $199.81
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $199.81
COMM HP MCR — COMM HP MCR: $165.15
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $199.81
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $199.81
MOLINA MCR — MOLINA MCR: $165.15
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $165.15
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $165.15
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $161.85
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope
$936
$748.80
$174.81 – $254.01
Colonoscopy with biopsy: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $178.38
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $254.01
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $254.01
COMM HP MCR — COMM HP MCR: $178.38
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $254.01
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $254.01
MOLINA MCR — MOLINA MCR: $178.38
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $178.38
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $178.38
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $174.81
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$1,187
$949.60
$143.92 – $246.80
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $224.36
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $143.92
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $143.92
COMM HP MCR — COMM HP MCR: $224.36
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $143.92
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $143.92
MOLINA MCR — MOLINA MCR: $224.36
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $224.36
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $224.36
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $219.87
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK
$863
$690.40
$105.23 – $181.94
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $165.40
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $105.23
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $105.23
COMM HP MCR — COMM HP MCR: $165.40
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $105.23
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $105.23
MOLINA MCR — MOLINA MCR: $165.40
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $165.40
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $165.40
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $162.09
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope
$2,966
$2,372.80
$381.11 – $688.34
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $625.76
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $381.11
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $381.11
COMM HP MCR — COMM HP MCR: $625.76
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $381.11
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $381.11
MOLINA MCR — MOLINA MCR: $625.76
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $625.76
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $625.76
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $613.24
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)
$2,423
$1,938.40
$303.92 – $555.05
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $504.59
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $303.92
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $303.92
COMM HP MCR — COMM HP MCR: $504.59
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $303.92
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $303.92
MOLINA MCR — MOLINA MCR: $504.59
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $504.59
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $504.59
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $494.50
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate gland
$451
$360.80
$140.62
Prostate biopsy: rates for 4 insurance plans
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $140.62
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $140.62
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $140.62
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $140.62
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope
$1,088
$870.40
$132.15 – $223.07
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $202.79
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $132.15
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $132.15
COMM HP MCR — COMM HP MCR: $202.79
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $132.15
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $132.15
MOLINA MCR — MOLINA MCR: $202.79
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $202.79
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $202.79
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $198.73
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$1,365
$1,092
$736.01 – $1,337.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates
AETNA COMM - ALL OTHER PLANS — AETNA COMM - ALL OTHER PLANS: $1,324.05
AETNA MCR ADV — AETNA MCR ADV: $832.65
AMBETTER - ALL PLANS — AMBETTER - ALL PLANS: $1,248.98
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $774.09
COMM HP CASCADE SELECT - ALL OTHER PLANS — COMM HP CASCADE SELECT - ALL OTHER PLANS: $1,228.50
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $774.09
COMM HP MCR — COMM HP MCR: $832.65
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $774.23
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $736.01
MOLINA MCR — MOLINA MCR: $832.65
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$482
$385.60
$64.48 – $110.75
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $100.68
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $64.48
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $64.48
COMM HP MCR — COMM HP MCR: $100.68
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $64.48
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $64.48
MOLINA MCR — MOLINA MCR: $100.68
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $100.68
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $100.68
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $98.67
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve
$1,998
$1,598.40
$263.17 – $472.43
Carpal tunnel release: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $429.48
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $263.17
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $263.17
COMM HP MCR — COMM HP MCR: $429.48
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $263.17
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $263.17
MOLINA MCR — MOLINA MCR: $429.48
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $429.48
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $429.48
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $420.89
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) In the file: Vaginal delivery with care before and after delivery
$9,742
$7,793.60
$2,136.03 – $2,406.07
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $2,179.62
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $2,406.07
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $2,406.07
COMM HP MCR — COMM HP MCR: $2,179.62
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $2,406.07
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $2,406.07
MOLINA MCR — MOLINA MCR: $2,179.62
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $2,179.62
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $2,179.62
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $2,136.03
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery
$10,800
$8,640
$2,374.33 – $2,665.07
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $2,422.79
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $2,406.07
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $2,406.07
COMM HP MCR — COMM HP MCR: $2,422.79
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $2,406.07
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $2,406.07
MOLINA MCR — MOLINA MCR: $2,422.79
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $2,422.79
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $2,422.79
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $2,374.33
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery
$10,434
$8,347.20
$2,235.58 – $2,512.99
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates
AETNA MCR ADV — AETNA MCR ADV: $2,281.20
AMERIGROUP MCAID - ALL PLANS — AMERIGROUP MCAID - ALL PLANS: $2,512.99
COMM HP HLTHY OPTIONS — COMM HP HLTHY OPTIONS: $2,512.99
COMM HP MCR — COMM HP MCR: $2,281.20
COORDINATED CARE MCAID - ALL PLANS — COORDINATED CARE MCAID - ALL PLANS: $2,512.99
MOLINA MCAID - ALL OTHER PLANS — MOLINA MCAID - ALL OTHER PLANS: $2,512.99
MOLINA MCR — MOLINA MCR: $2,281.20
TRICARE/HNFS - ALL PLANS — TRICARE/HNFS - ALL PLANS: $2,281.20
TRIWEST/VA - ALL PLANS — TRIWEST/VA - ALL PLANS: $2,281.20
UHC MCR ADV - ALL PLANS — UHC MCR ADV - ALL PLANS: $2,235.58
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.