Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Critical Access Hospital

William Newton Hospital

Winfield, Kansas · Cowley County · Emergency services listed

Summary

William Newton Hospital is a critical access hospital in Winfield, Kansas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 51 services, specialties and programs. Medicare lists 212 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

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
51Services listed

Quick answers

Does William Newton Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at William Newton Hospital. In a medical emergency, call 911.
Where is William Newton Hospital?
1300 East Fifth Avenue, Winfield, KS 67156, in Cowley County, Kansas.
What is the phone number of William Newton Hospital?
(620) 221-2300, as listed by Medicare (CMS).
What is the Medicare star rating of William Newton Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][9]

Conditions treated[9][11]

Treatments[8][10][11]

  • Cardiac catheterization
  • Cardioversion
  • Echocardiogram
  • Cardiac stress testing
  • Holter monitoring
  • Coronary angioplasty and stent placement
  • Pacemaker insertion
  • Renal denervation for high blood pressure
  • Coronary artery calcium scoring
  • CT scan
  • MRI
  • DEXA bone density scan
  • Mammography
  • Nuclear medicine
  • Ultrasound
  • Vascular imaging
  • Emergency X-ray (24/7)
  • Paracentesis

Procedures[9]

Programs and centers[4][6]

  • Family Birthing Center
  • Cardiac rehab
  • Prepared childbirth classes

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes

Doctors and clinicians (212)

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

Main specialties

Doctors with a page on this site (212)

And 188 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities 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

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Not reported to Medicare

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)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No different from 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients14%
Deaths within 30 days: pneumonia patients18.8%
Deaths within 30 days: COPD patients9.1%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementToo few cases to report

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 attackToo few cases to report
Readmitted within 30 days: heart failure20.2%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD19.2%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)137 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as William Newton Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $82.70 $82.70 $64.23 – $84.70
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $77.75
  • AMBETTER MCAID — AMBETTER MCAID: $84.70
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $95.95
  • BCBSKA TRICARE — BCBSKA TRICARE: $67.61
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $264.25
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $231.03
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $64.23
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $339.75
  • UHC MCAID — UHC MCAID: $84.70
  • UHC MCR ADV — UHC MCR ADV: $135.90
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $300 $300 $95.95 – $300
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $108
  • AMBETTER MCAID — AMBETTER MCAID: $300
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $95.95
  • BCBSKA TRICARE — BCBSKA TRICARE: $108
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $210
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $183.60
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $104.76
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $270
  • UHC MCAID — UHC MCAID: $300
  • UHC MCR ADV — UHC MCR ADV: $108
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier QZ In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $78.80 $78.80 $64.23 – $84.70
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $77.75
  • AMBETTER MCAID — AMBETTER MCAID: $84.70
  • BCBSKA TRICARE — BCBSKA TRICARE: $67.61
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $64.23
  • UHC MCAID — UHC MCAID: $84.70
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 $82.70 $82.70 $105.27 – $127.43
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $127.43
  • AMBETTER MCAID — AMBETTER MCAID: $120.26
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $95.95
  • BCBSKA TRICARE — BCBSKA TRICARE: $110.81
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $205.31
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $179.50
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $105.27
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $263.97
  • UHC MCAID — UHC MCAID: $120.26
  • UHC MCR ADV — UHC MCR ADV: $105.59
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $400 $400 $95.95 – $400
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $144
  • AMBETTER MCAID — AMBETTER MCAID: $400
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $95.95
  • BCBSKA TRICARE — BCBSKA TRICARE: $144
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $280
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $244.80
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $139.68
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $360
  • UHC MCAID — UHC MCAID: $400
  • UHC MCR ADV — UHC MCR ADV: $144
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 25 In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $434 $434 $95.95 – $434
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $156.24
  • AMBETTER MCAID — AMBETTER MCAID: $434
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $95.95
  • BCBSKA TRICARE — BCBSKA TRICARE: $156.24
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $303.80
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $265.61
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $151.55
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $390.60
  • UHC MCAID — UHC MCAID: $434
  • UHC MCR ADV — UHC MCR ADV: $156.24
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 $82.70 $82.70 $143.78 – $174.05
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $174.05
  • AMBETTER MCAID — AMBETTER MCAID: $153.38
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $160.24
  • BCBSKA TRICARE — BCBSKA TRICARE: $151.35
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $333.83
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $291.86
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $143.78
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $429.21
  • UHC MCAID — UHC MCAID: $153.38
  • UHC MCR ADV — UHC MCR ADV: $171.68
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient 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 $500 $500 $160.24 – $500
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $180
  • AMBETTER MCAID — AMBETTER MCAID: $500
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $160.24
  • BCBSKA TRICARE — BCBSKA TRICARE: $180
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $350
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $306
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $174.60
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $450
  • UHC MCAID — UHC MCAID: $500
  • UHC MCR ADV — UHC MCR ADV: $180
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 $324.40 $324.40 $113.28 – $324.40
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $116.78
  • AMBETTER MCAID — AMBETTER MCAID: $324.40
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $126.82
  • BCBSKA TRICARE — BCBSKA TRICARE: $116.78
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $227.08
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $198.53
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $113.28
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $291.96
  • UHC MCAID — UHC MCAID: $324.40
  • UHC MCR ADV — UHC MCR ADV: $116.78
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $300 $300 $104.76 – $300
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $108
  • AMBETTER MCAID — AMBETTER MCAID: $300
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $126.82
  • BCBSKA TRICARE — BCBSKA TRICARE: $108
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $210
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $183.60
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $104.76
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $270
  • UHC MCAID — UHC MCAID: $300
  • UHC MCR ADV — UHC MCR ADV: $108
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 $423.80 $423.80 $147.99 – $423.80
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $152.57
  • AMBETTER MCAID — AMBETTER MCAID: $423.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $179.14
  • BCBSKA TRICARE — BCBSKA TRICARE: $152.57
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $296.66
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $259.37
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $147.99
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $381.42
  • UHC MCAID — UHC MCAID: $423.80
  • UHC MCR ADV — UHC MCR ADV: $152.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $400 $400 $139.68 – $400
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $144
  • AMBETTER MCAID — AMBETTER MCAID: $400
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $179.14
  • BCBSKA TRICARE — BCBSKA TRICARE: $144
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $280
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $244.80
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $139.68
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $360
  • UHC MCAID — UHC MCAID: $400
  • UHC MCR ADV — UHC MCR ADV: $144
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 $55.10 $55.10 $16.53 – $76.93
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $16.53
  • AMBETTER MCAID — AMBETTER MCAID: $76.93
  • UHC MCAID — UHC MCAID: $76.93
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · modifier GF In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more $55.10 $55.10 $16.53 – $76.93
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $16.53
  • AMBETTER MCAID — AMBETTER MCAID: $76.93
  • UHC MCAID — UHC MCAID: $76.93
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 $82.70 $82.70 $24.81 – $120.56
Office consultation with a specialist (moderate to high): rates for 3 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $24.81
  • AMBETTER MCAID — AMBETTER MCAID: $120.56
  • UHC MCAID — UHC MCAID: $120.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making $330.80 $330.80 $40.48 – $75.05
Emergency room visit (moderate): rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $75.05
  • AMBETTER MCAID — AMBETTER MCAID: $40.48
  • BCBSKA TRICARE — BCBSKA TRICARE: $65.26
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $62
  • UHC MCAID — UHC MCAID: $40.48
  • UHC MCR ADV — UHC MCR ADV: $65.26
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with low level of medical decision making $802.30 $802.30 $280.16 – $802.30
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $288.83
  • AMBETTER MCAID — AMBETTER MCAID: $802.30
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $387.40
  • BCBSKA TRICARE — BCBSKA TRICARE: $288.83
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $561.61
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $491.01
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $280.16
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $722.07
  • UHC MCAID — UHC MCAID: $802.30
  • UHC MCR ADV — UHC MCR ADV: $288.83
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making $275.60 $275.60 $98.48 – $127.65
Emergency room visit (moderately high): rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $127.65
  • AMBETTER MCAID — AMBETTER MCAID: $98.48
  • BCBSKA TRICARE — BCBSKA TRICARE: $111
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $105.45
  • UHC MCAID — UHC MCAID: $98.48
  • UHC MCR ADV — UHC MCR ADV: $111
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with moderate level of medical decision making $867.90 $867.90 $303.07 – $867.90
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $312.44
  • AMBETTER MCAID — AMBETTER MCAID: $867.90
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $660.48
  • BCBSKA TRICARE — BCBSKA TRICARE: $312.44
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $607.53
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $531.15
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $303.07
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $781.11
  • UHC MCAID — UHC MCAID: $867.90
  • UHC MCR ADV — UHC MCR ADV: $312.44
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making $992.30 $992.30 $346.51 – $1,026.51
Emergency room visit (high): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $357.23
  • AMBETTER MCAID — AMBETTER MCAID: $992.30
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $1,026.51
  • BCBSKA TRICARE — BCBSKA TRICARE: $357.23
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $694.61
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $607.29
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $346.51
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $893.07
  • UHC MCAID — UHC MCAID: $992.30
  • UHC MCR ADV — UHC MCR ADV: $357.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making $330.80 $330.80 $98.48 – $185.51
Emergency room visit (high): rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $185.51
  • AMBETTER MCAID — AMBETTER MCAID: $98.48
  • BCBSKA TRICARE — BCBSKA TRICARE: $161.31
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $153.24
  • UHC MCAID — UHC MCAID: $98.48
  • UHC MCR ADV — UHC MCR ADV: $161.31

Lab tests

ServiceHospital chargeCash priceInsurance 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) $53.10 $53.10 $4.49 – $53.10
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $19.12
  • AMBETTER MCAID — AMBETTER MCAID: $53.10
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $18.67
  • BCBSKA TRICARE — BCBSKA TRICARE: $19.12
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $37.17
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $32.50
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $18.54
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $47.79
  • UHC MCAID — UHC MCAID: $53.10
  • UHC MCR ADV — UHC MCR ADV: $19.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $69.80 $69.80 $7.37 – $69.80
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $25.13
  • AMBETTER MCAID — AMBETTER MCAID: $69.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $21.55
  • BCBSKA TRICARE — BCBSKA TRICARE: $25.13
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $48.86
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $42.72
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $24.37
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $62.82
  • UHC MCAID — UHC MCAID: $69.80
  • UHC MCR ADV — UHC MCR ADV: $25.13
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel $641.70 $641.70 $84.92 – $641.70
Obstetric blood test panel: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $231.01
  • AMBETTER MCAID — AMBETTER MCAID: $641.70
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $84.92
  • BCBSKA TRICARE — BCBSKA TRICARE: $231.01
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $449.19
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $392.72
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $224.08
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $577.53
  • UHC MCAID — UHC MCAID: $641.70
  • UHC MCR ADV — UHC MCR ADV: $231.01
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $69.50 $69.50 $9.31 – $69.50
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $25.02
  • AMBETTER MCAID — AMBETTER MCAID: $69.50
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $41.02
  • BCBSKA TRICARE — BCBSKA TRICARE: $25.02
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $48.65
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $42.53
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $24.27
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $62.55
  • UHC MCAID — UHC MCAID: $69.50
  • UHC MCR ADV — UHC MCR ADV: $25.02
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $53.10 $53.10 $4.61 – $53.10
Kidney function panel: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $19.12
  • AMBETTER MCAID — AMBETTER MCAID: $53.10
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $19.30
  • BCBSKA TRICARE — BCBSKA TRICARE: $19.12
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $37.17
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $32.50
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $18.54
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $47.79
  • UHC MCAID — UHC MCAID: $53.10
  • UHC MCR ADV — UHC MCR ADV: $19.12
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $59.60 $59.60 $4.87 – $59.60
Liver function panel: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $21.46
  • AMBETTER MCAID — AMBETTER MCAID: $59.60
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $30.29
  • BCBSKA TRICARE — BCBSKA TRICARE: $21.46
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $41.72
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $36.48
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $20.81
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $53.64
  • UHC MCAID — UHC MCAID: $59.60
  • UHC MCR ADV — UHC MCR ADV: $21.46
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $60.90 $60.90 $1.93 – $60.90
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $21.92
  • AMBETTER MCAID — AMBETTER MCAID: $60.90
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $9.23
  • BCBSKA TRICARE — BCBSKA TRICARE: $21.92
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $42.63
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $37.27
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $21.27
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $54.81
  • UHC MCAID — UHC MCAID: $60.90
  • UHC MCR ADV — UHC MCR ADV: $21.92
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test $32.20 $32.20 $1.12 – $32.20
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $11.59
  • AMBETTER MCAID — AMBETTER MCAID: $32.20
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $9.84
  • BCBSKA TRICARE — BCBSKA TRICARE: $11.59
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $22.54
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $19.71
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $11.24
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $28.98
  • UHC MCAID — UHC MCAID: $32.20
  • UHC MCR ADV — UHC MCR ADV: $11.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test $23.20 $23.20 $0.52 – $23.20
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $8.35
  • AMBETTER MCAID — AMBETTER MCAID: $23.20
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $8.74
  • BCBSKA TRICARE — BCBSKA TRICARE: $8.35
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $16.24
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $14.20
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $8.10
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $20.88
  • UHC MCAID — UHC MCAID: $23.20
  • UHC MCR ADV — UHC MCR ADV: $8.35
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $107.90 $107.90 $19.84 – $107.90
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $38.84
  • AMBETTER MCAID — AMBETTER MCAID: $107.90
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $64.55
  • BCBSKA TRICARE — BCBSKA TRICARE: $38.84
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $75.53
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $66.03
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $37.68
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $97.11
  • UHC MCAID — UHC MCAID: $107.90
  • UHC MCR ADV — UHC MCR ADV: $38.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $85.90 $85.90 $14.43 – $85.90
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $30.92
  • AMBETTER MCAID — AMBETTER MCAID: $85.90
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $41.77
  • BCBSKA TRICARE — BCBSKA TRICARE: $30.92
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $60.13
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $52.57
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $30
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $77.31
  • UHC MCAID — UHC MCAID: $85.90
  • UHC MCR ADV — UHC MCR ADV: $30.92
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 $64.80 $64.80 $5.04 – $64.80
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $23.33
  • AMBETTER MCAID — AMBETTER MCAID: $64.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $12.69
  • BCBSKA TRICARE — BCBSKA TRICARE: $23.33
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $45.36
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $39.66
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $22.63
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $58.32
  • UHC MCAID — UHC MCAID: $64.80
  • UHC MCR ADV — UHC MCR ADV: $23.33
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 $46.30 $46.30 $3 – $46.30
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $16.67
  • AMBETTER MCAID — AMBETTER MCAID: $46.30
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $13.21
  • BCBSKA TRICARE — BCBSKA TRICARE: $16.67
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $32.41
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $28.34
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $16.17
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $41.67
  • UHC MCAID — UHC MCAID: $46.30
  • UHC MCR ADV — UHC MCR ADV: $16.67
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $39.90 $39.90 $1.71 – $39.90
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $14.36
  • AMBETTER MCAID — AMBETTER MCAID: $39.90
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $15.28
  • BCBSKA TRICARE — BCBSKA TRICARE: $14.36
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $27.93
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $24.42
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $13.93
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $35.91
  • UHC MCAID — UHC MCAID: $39.90
  • UHC MCR ADV — UHC MCR ADV: $14.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $53.10 $53.10 $3.19 – $53.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $19.12
  • AMBETTER MCAID — AMBETTER MCAID: $53.10
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $21.40
  • BCBSKA TRICARE — BCBSKA TRICARE: $19.12
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $37.17
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $32.50
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $18.54
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $47.79
  • UHC MCAID — UHC MCAID: $53.10
  • UHC MCR ADV — UHC MCR ADV: $19.12

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: CT scan head or brain without contrast $1,118.80 $1,118.80 $390.69 – $1,118.80
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $402.77
  • AMBETTER MCAID — AMBETTER MCAID: $1,118.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $456.39
  • BCBSKA TRICARE — BCBSKA TRICARE: $402.77
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $783.16
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $684.71
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $390.69
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $1,006.92
  • UHC MCAID — UHC MCAID: $1,118.80
  • UHC MCR ADV — UHC MCR ADV: $402.77
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of brain before and after contrast $4,094.30 $4,094.30 $524.89 – $4,094.30
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $1,473.95
  • AMBETTER MCAID — AMBETTER MCAID: $4,094.30
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $524.89
  • BCBSKA TRICARE — BCBSKA TRICARE: $1,473.95
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $2,866.01
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $2,505.71
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $1,429.73
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $3,684.87
  • UHC MCAID — UHC MCAID: $4,094.30
  • UHC MCR ADV — UHC MCR ADV: $1,473.95
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of chest, 2 views $223.80 $223.80 $78.15 – $223.80
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $80.57
  • AMBETTER MCAID — AMBETTER MCAID: $223.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $143.23
  • BCBSKA TRICARE — BCBSKA TRICARE: $80.57
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $156.66
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $136.97
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $78.15
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $201.42
  • UHC MCAID — UHC MCAID: $223.80
  • UHC MCR ADV — UHC MCR ADV: $80.57
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of lower and sacral spine, minimum of 4 views $312 $312 $108.95 – $312
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $112.32
  • AMBETTER MCAID — AMBETTER MCAID: $312
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $235.70
  • BCBSKA TRICARE — BCBSKA TRICARE: $112.32
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $218.40
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $190.94
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $108.95
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $280.80
  • UHC MCAID — UHC MCAID: $312
  • UHC MCR ADV — UHC MCR ADV: $112.32
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of lower spinal canal without contrast $2,583.30 $2,583.30 $524.89 – $2,583.30
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $929.99
  • AMBETTER MCAID — AMBETTER MCAID: $2,583.30
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $524.89
  • BCBSKA TRICARE — BCBSKA TRICARE: $929.99
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $1,808.31
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $1,580.98
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $902.09
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $2,324.97
  • UHC MCAID — UHC MCAID: $2,583.30
  • UHC MCR ADV — UHC MCR ADV: $929.99
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of pelvis with contrast $1,183.30 $1,183.30 $413.21 – $1,183.30
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $425.99
  • AMBETTER MCAID — AMBETTER MCAID: $1,183.30
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $456.39
  • BCBSKA TRICARE — BCBSKA TRICARE: $425.99
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $828.31
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $724.18
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $413.21
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $1,064.97
  • UHC MCAID — UHC MCAID: $1,183.30
  • UHC MCR ADV — UHC MCR ADV: $425.99
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of leg joint without contrast $1,944.90 $1,944.90 $524.89 – $1,944.90
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $700.16
  • AMBETTER MCAID — AMBETTER MCAID: $1,944.90
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $524.89
  • BCBSKA TRICARE — BCBSKA TRICARE: $700.16
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $1,361.43
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $1,190.28
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $679.16
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $1,750.41
  • UHC MCAID — UHC MCAID: $1,944.90
  • UHC MCR ADV — UHC MCR ADV: $700.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of abdomen and pelvis with contrast $2,352.80 $2,352.80 $456.39 – $2,352.80
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $847.01
  • AMBETTER MCAID — AMBETTER MCAID: $2,352.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $456.39
  • BCBSKA TRICARE — BCBSKA TRICARE: $847.01
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $1,646.96
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $1,439.91
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $821.60
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $2,117.52
  • UHC MCAID — UHC MCAID: $2,352.80
  • UHC MCR ADV — UHC MCR ADV: $847.01
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Complete ultrasound scan of abdomen $470.10 $470.10 $143.93 – $470.10
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $169.24
  • AMBETTER MCAID — AMBETTER MCAID: $470.10
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $143.93
  • BCBSKA TRICARE — BCBSKA TRICARE: $169.24
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $329.07
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $287.70
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $164.16
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $423.09
  • UHC MCAID — UHC MCAID: $470.10
  • UHC MCR ADV — UHC MCR ADV: $169.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $804.60 $804.60 $126.28 – $804.60
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $289.66
  • AMBETTER MCAID — AMBETTER MCAID: $804.60
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $126.28
  • BCBSKA TRICARE — BCBSKA TRICARE: $289.66
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $563.22
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $492.42
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $280.97
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $724.14
  • UHC MCAID — UHC MCAID: $804.60
  • UHC MCR ADV — UHC MCR ADV: $289.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $562.80 $562.80 $126.28 – $562.80
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $202.61
  • AMBETTER MCAID — AMBETTER MCAID: $562.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $126.28
  • BCBSKA TRICARE — BCBSKA TRICARE: $202.61
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $393.96
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $344.43
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $196.53
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $506.52
  • UHC MCAID — UHC MCAID: $562.80
  • UHC MCR ADV — UHC MCR ADV: $202.61
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of 1 breast $319.80 $319.80 $111.67 – $319.80
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $115.13
  • AMBETTER MCAID — AMBETTER MCAID: $319.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $117.06
  • BCBSKA TRICARE — BCBSKA TRICARE: $115.13
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $223.86
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $195.72
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $111.67
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $287.82
  • UHC MCAID — UHC MCAID: $319.80
  • UHC MCR ADV — UHC MCR ADV: $115.13
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of both breasts $376.30 $376.30 $117.06 – $376.30
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $135.47
  • AMBETTER MCAID — AMBETTER MCAID: $376.30
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $117.06
  • BCBSKA TRICARE — BCBSKA TRICARE: $135.47
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $263.41
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $230.30
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $131.40
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $338.67
  • UHC MCAID — UHC MCAID: $376.30
  • UHC MCR ADV — UHC MCR ADV: $135.47
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography $215.90 $215.90 $75.39 – $215.90
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $77.72
  • AMBETTER MCAID — AMBETTER MCAID: $215.90
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $152.95
  • BCBSKA TRICARE — BCBSKA TRICARE: $77.72
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $151.13
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $132.13
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $75.39
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $194.31
  • UHC MCAID — UHC MCAID: $215.90
  • UHC MCR ADV — UHC MCR ADV: $77.72

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older) $4,605.10 $4,605.10 $1,208.15 – $4,605.10
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $1,657.84
  • AMBETTER MCAID — AMBETTER MCAID: $4,605.10
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $1,208.15
  • BCBSKA TRICARE — BCBSKA TRICARE: $1,657.84
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $3,223.57
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $2,818.32
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $1,608.10
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $4,144.59
  • UHC MCAID — UHC MCAID: $4,605.10
  • UHC MCR ADV — UHC MCR ADV: $1,657.84

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $107.10 $107.10 $37.40 – $107.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $38.56
  • AMBETTER MCAID — AMBETTER MCAID: $107.10
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $54.06
  • BCBSKA TRICARE — BCBSKA TRICARE: $38.56
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $74.97
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $65.55
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $37.40
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $96.39
  • UHC MCAID — UHC MCAID: $107.10
  • UHC MCR ADV — UHC MCR ADV: $38.56
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $105.10 $105.10 $36.70 – $105.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $37.84
  • AMBETTER MCAID — AMBETTER MCAID: $105.10
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $54.06
  • BCBSKA TRICARE — BCBSKA TRICARE: $37.84
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $73.57
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $64.32
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $36.70
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $94.59
  • UHC MCAID — UHC MCAID: $105.10
  • UHC MCR ADV — UHC MCR ADV: $37.84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes $175 $175 $61.11 – $175
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $63
  • AMBETTER MCAID — AMBETTER MCAID: $175
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $131.76
  • BCBSKA TRICARE — BCBSKA TRICARE: $63
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $122.50
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $107.10
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $61.11
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $157.50
  • UHC MCAID — UHC MCAID: $175
  • UHC MCR ADV — UHC MCR ADV: $63
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes $215.40 $215.40 $75.22 – $215.40
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $77.54
  • AMBETTER MCAID — AMBETTER MCAID: $215.40
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $114.57
  • BCBSKA TRICARE — BCBSKA TRICARE: $77.54
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $150.78
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $131.82
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $75.22
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $193.86
  • UHC MCAID — UHC MCAID: $215.40
  • UHC MCR ADV — UHC MCR ADV: $77.54
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes $215.40 $215.40 $75.22 – $215.40
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $77.54
  • AMBETTER MCAID — AMBETTER MCAID: $215.40
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $114.57
  • BCBSKA TRICARE — BCBSKA TRICARE: $77.54
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $150.78
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $131.82
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $75.22
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $193.86
  • UHC MCAID — UHC MCAID: $215.40
  • UHC MCR ADV — UHC MCR ADV: $77.54

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 $1,008 $1,008 $349.41 – $450
Removal of breast growth (open surgery): rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $422.97
  • AMBETTER MCAID — AMBETTER MCAID: $450
  • BCBSKA TRICARE — BCBSKA TRICARE: $367.80
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $349.41
  • UHC MCAID — UHC MCAID: $450
  • UHC MCR ADV — UHC MCR ADV: $367.80
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 $488.50 $488.50 $98.12 – $250
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $118.77
  • AMBETTER MCAID — AMBETTER MCAID: $250
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $1,113.35
  • BCBSKA TRICARE — BCBSKA TRICARE: $103.28
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $1,126.44
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $984.83
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $98.12
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $1,448.28
  • UHC MCAID — UHC MCAID: $250
  • UHC MCR ADV — UHC MCR ADV: $103.28
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 $700.10 $700.10 $109.80 – $284.80
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $132.92
  • AMBETTER MCAID — AMBETTER MCAID: $284.80
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $1,113.35
  • BCBSKA TRICARE — BCBSKA TRICARE: $115.58
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $1,317.89
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $1,152.21
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $109.80
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $1,694.43
  • UHC MCAID — UHC MCAID: $284.80
  • UHC MCR ADV — UHC MCR ADV: $115.58
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope $810.40 $810.40 $145.90 – $307.30
Colonoscopy (diagnostic): rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $176.62
  • AMBETTER MCAID — AMBETTER MCAID: $307.30
  • BCBSKA TRICARE — BCBSKA TRICARE: $153.58
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $145.90
  • UHC MCAID — UHC MCAID: $307.30
  • UHC MCR ADV — UHC MCR ADV: $153.58
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope $975.80 $975.80 $157.84 – $391.05
Colonoscopy with biopsy: rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $191.07
  • AMBETTER MCAID — AMBETTER MCAID: $391.05
  • BCBSKA TRICARE — BCBSKA TRICARE: $166.15
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $157.84
  • UHC MCAID — UHC MCAID: $391.05
  • UHC MCR ADV — UHC MCR ADV: $166.15
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 $1,030.90 $1,030.90 $199.02 – $420.88
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $240.91
  • AMBETTER MCAID — AMBETTER MCAID: $420.88
  • BCBSKA TRICARE — BCBSKA TRICARE: $209.49
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $199.02
  • UHC MCAID — UHC MCAID: $420.88
  • UHC MCR ADV — UHC MCR ADV: $209.49
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 $716.60 $716.60 $146.06 – $243.37
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $176.81
  • AMBETTER MCAID — AMBETTER MCAID: $243.37
  • BCBSKA TRICARE — BCBSKA TRICARE: $153.75
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $146.06
  • UHC MCAID — UHC MCAID: $243.37
  • UHC MCR ADV — UHC MCR ADV: $153.75
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope $1,571.10 $1,571.10 $539.92 – $653.59
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $653.59
  • AMBETTER MCAID — AMBETTER MCAID: $583.17
  • BCBSKA TRICARE — BCBSKA TRICARE: $568.34
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $539.92
  • UHC MCAID — UHC MCAID: $583.17
  • UHC MCR ADV — UHC MCR ADV: $568.34
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) $1,275.80 $1,275.80 $433.91 – $525.26
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $525.26
  • AMBETTER MCAID — AMBETTER MCAID: $435
  • BCBSKA TRICARE — BCBSKA TRICARE: $456.75
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $433.91
  • UHC MCAID — UHC MCAID: $435
  • UHC MCR ADV — UHC MCR ADV: $456.75
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 $4,342.50 $4,342.50 $1,516.40 – $4,342.50
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $1,563.30
  • AMBETTER MCAID — AMBETTER MCAID: $4,342.50
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $3,775.69
  • BCBSKA TRICARE — BCBSKA TRICARE: $1,563.30
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $3,039.75
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $2,657.61
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $1,516.40
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $3,908.25
  • UHC MCAID — UHC MCAID: $4,342.50
  • UHC MCR ADV — UHC MCR ADV: $1,563.30
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 80 In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope $233.60 $233.60 $178.81 – $765.46
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $216.45
  • AMBETTER MCAID — AMBETTER MCAID: $765.46
  • BCBSKA TRICARE — BCBSKA TRICARE: $188.22
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $178.81
  • UHC MCAID — UHC MCAID: $765.46
  • UHC MCR ADV — UHC MCR ADV: $188.22
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve $1,071 $1,071 $336.76 – $442.62
Carpal tunnel release: rates for 6 insurance plans
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $442.62
  • AMBETTER MCAID — AMBETTER MCAID: $336.76
  • BCBSKA TRICARE — BCBSKA TRICARE: $384.89
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $365.65
  • UHC MCAID — UHC MCAID: $336.76
  • UHC MCR ADV — UHC MCR ADV: $384.89

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $36,334.80 $36,334.80 $7,103.31 – $35,883.80
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
  • AMBETTER COMM/EXCH - ALL OTHER PLANS — AMBETTER COMM/EXCH - ALL OTHER PLANS: $7,323
  • AMBETTER MCAID — AMBETTER MCAID: $10,420.56
  • BCBS - ALL PLANS — BCBS - ALL PLANS: $18,167.40
  • BCBSKA TRICARE — BCBSKA TRICARE: $7,323
  • PROVIDRS CARE - ALL OTHER PLANS — PROVIDRS CARE - ALL OTHER PLANS: $26,784.73
  • PROVIDRS CARE NEXUS — PROVIDRS CARE NEXUS: $18,978.21
  • TRIWEST- ALL PLANS — TRIWEST- ALL PLANS: $7,103.31
  • UHC ALL PAYER - ALL OTHER PLANS — UHC ALL PAYER - ALL OTHER PLANS: $32,701.32
  • UHC MCAID — UHC MCAID: $10,420.56
  • UHC MCR ADV — UHC MCR ADV: $7,323

Source: William Newton Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 18, 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 typeCritical Access Hospital
Address1300 East Fifth Avenue, Winfield, KS 67156
CountyCowley County
StateKansas
Phone(620) 221‑2300
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number171383
Name in Medicare recordsWILLIAM NEWTON HOSPITAL
Profile levelMedicare data + hospital website
Official websitewnhcares.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. William Newton Hospital — wnhcares.org
  2. Emergency Care — wnhcares.org
  3. Family Birthing Center — wnhcares.org
  4. Cardiology — wnhcares.org
  5. Orthopedics — wnhcares.org
  6. Radiology — wnhcares.org
  7. Rehabilitation Services — wnhcares.org