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Acute Care Hospital

Wilson Memorial Hospital

Also listed as: Wilson Health (Wilson Memorial Hospital)

Sidney, Ohio · Shelby County · Emergency services listed

Wilson Memorial Hospital is an acute care hospital at 915 West Michigan Street, Sidney, OH 45365. Phone: (937) 498-5405. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Wilson Memorial Hospital is an acute care hospital in Sidney, Ohio. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 58 services, specialties and programs. Medicare lists 335 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
58Services listed

Quick answers

Does Wilson Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Wilson Memorial Hospital. In a medical emergency, call 911.
Where is Wilson Memorial Hospital?
915 West Michigan Street, Sidney, OH 45365, in Shelby County, Ohio.
What is the phone number of Wilson Memorial Hospital?
(937) 498-5405, as listed by Medicare (CMS).
What is the Medicare star rating of Wilson Memorial Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Wilson Memorial Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Wilson Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.2764; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[7][8][10][12]

Conditions treated[8][12]

Treatments[7][8][12]

  • Balloon angioplasty
  • Vascular stenting
  • Pacemaker insertion
  • Cardioversion
  • Transesophageal echocardiogram (TEE)
  • Diagnostic heart catheterization
  • Diagnostic angiography
  • Vena cava filter placement
  • Central venous access (PICC lines, mediports)
  • Dialysis catheter insertion
  • Epidural injections
  • Lumbar puncture
  • Mammography (3D digital)
  • Stereotactic breast biopsy
  • CT scans
  • CT heart screening with calcium scoring
  • Magnetic resonance imaging (MRI)
  • Ultrasound

Procedures[8]

Programs and centers[6][8][9][10][12]

  • Level II Cardiac Catheterization Lab (24/7 heart attack care)
  • Interventional Radiology Lab
  • Same-Day Surgery
  • Family Birth Center
  • Emergency Department
  • Patient Advocate

Emergency care (hospital website)[6][13]

Emergency roomYes
Open 24/7Yes
Stroke designationACHC Stroke Ready Certification

Visiting and practical information

VisitingVaries by unit: ICU 8:30 AM-8:30 PM; Family Birth Center 24 hours; limits of two visitors in some areas[10]
Patient portalMyChart

Recognition[13]

  • Healthcare Facility Accreditation Program (HFAP) accreditation
  • Accreditation Commission for Health Care (ACHC) patient quality and safety accreditation
  • ACHC Stroke Ready Certification
  • American College of Radiology accreditation for mammography
  • American College of Radiology accreditation for MRI
  • Designated Blue Distinction Maternity Care Center+
  • Cribs For Kids Certified Safe
  • Accredited by the American Academy of Sleep Medicine (sleep hospital)

Doctors and clinicians (335)

335 doctors and other clinicians list Wilson Memorial 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 (335)

And 311 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Sidney

Hospitals in Shelby County · Hospitals near me

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 →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1062%National average: 72%
Would definitely recommend the hospital57%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well75%National average: 80%
“Always” got help as soon as they wanted57%National average: 64%
Staff “always” explained medicines before giving them51%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean70%National average: 73%
Completed surveys287Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Clostridioides difficile (C. diff) intestinal infections0.747No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients11.9%
Deaths within 30 days: heart failure patients12.5%
Deaths within 30 days: pneumonia patients14.7%
Deaths within 30 days: COPD patients8.7%
Deaths within 30 days: stroke patients15.8%
Serious complications (patient safety indicator PSI-90)0.94No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportComplications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16.3%
Readmitted within 30 days: heart attack14.3%
Readmitted within 30 days: heart failure20.8%
Readmitted within 30 days: pneumonia16.8%
Readmitted within 30 days: COPD20.6%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)162 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)55%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Wilson Memorial Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.2764Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0196More readmissions than expected
Heart failure1.0046More readmissions than expected
Pneumonia0.9413Fewer readmissions than expected
COPD (chronic lung disease)1.0135More readmissions than expected
No result publishedHip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score18.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)20.00 out of 100
Person and community engagement (patient survey)33.00 out of 100
Safety (infections and sepsis care)0.00 out of 100
Efficiency and cost reduction (Medicare spending)20.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.01Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 52 common services exactly as Wilson Memorial 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 52 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Clinic Visit New Pt Level 3 $302.72 $151.36 $45.41 – $272.45
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $239.15
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $219.17
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $260.04
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $219.17
  • Cigna [30700] — WIL HB CIGNA: $272.45
  • Medical Mutual [30400] — WIL HB MMO: $169.04
  • Medicare [10100] — WIL HB MEDICARE: $129.64
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $129.64
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $129.64
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $191.62
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Clinic Visit New Pt Level 4 $452.44 $226.22 $67.87 – $407.20
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $357.43
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $327.57
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $388.65
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $327.57
  • Cigna [30700] — WIL HB CIGNA: $407.20
  • Medical Mutual [30400] — WIL HB MMO: $252.64
  • Medicare [10100] — WIL HB MEDICARE: $129.64
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $129.64
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $129.64
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $286.39
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Clinic Visit Established Pt Level 3 $244.15 $122.07 $36.62 – $219.74
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $192.88
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $176.76
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $209.72
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $176.76
  • Cigna [30700] — WIL HB CIGNA: $219.74
  • Medical Mutual [30400] — WIL HB MMO: $136.33
  • Medicare [10100] — WIL HB MEDICARE: $129.64
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $129.64
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $129.64
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $154.55
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Clinic Visit Established Pt Level 4 $344.59 $172.29 $51.69 – $310.13
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $272.23
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $249.48
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $296
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $249.48
  • Cigna [30700] — WIL HB CIGNA: $310.13
  • Medical Mutual [30400] — WIL HB MMO: $192.42
  • Medicare [10100] — WIL HB MEDICARE: $129.64
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $129.64
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $129.64
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $218.13
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Emergency Room Level 3 $896 $448 $134.40 – $806.40
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $707.84
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $791
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $769.66
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $791
  • Cigna [30700] — WIL HB CIGNA: $806.40
  • Medical Mutual [30400] — WIL HB MMO: $500.33
  • Medicare [10100] — WIL HB MEDICARE: $265.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $265.80
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $265.80
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $952
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Room Level 3 Not listed in the file $655.32 $98.30 – $589.79
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $517.70
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $791
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $562.92
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $791
  • Anthem Medicaid [21900] — WIL HB MEDICAID: $98.30
  • Cigna [30700] — WIL HB CIGNA: $589.79
  • Medicaid [20100] — WIL HB MEDICAID: $98.30
  • Medical Mutual [30400] — WIL HB MMO: $365.93
  • Medicare [10100] — WIL HB MEDICARE: $265.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $265.80
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Emergency Room Level 4 $1,250.24 $625.12 $187.54 – $1,125.22
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $987.69
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,185
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $1,073.96
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,185
  • Cigna [30700] — WIL HB CIGNA: $1,125.22
  • Medical Mutual [30400] — WIL HB MMO: $698.13
  • Medicare [10100] — WIL HB MEDICARE: $406.30
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $406.30
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $406.30
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,259
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Room Level 4 Not listed in the file $1,498.49 $224.77 – $1,348.64
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $1,183.81
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,185
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $1,287.20
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,185
  • Anthem Medicaid [21900] — WIL HB MEDICAID: $224.77
  • Cigna [30700] — WIL HB CIGNA: $1,348.64
  • Medicaid [20100] — WIL HB MEDICAID: $224.77
  • Medical Mutual [30400] — WIL HB MMO: $836.76
  • Medicare [10100] — WIL HB MEDICARE: $406.30
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $406.30
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Emergency Room Level 5 $1,741.07 $870.53 $261.16 – $1,566.96
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $1,375.45
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,931
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $1,495.58
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,931
  • Cigna [30700] — WIL HB CIGNA: $1,566.96
  • Medical Mutual [30400] — WIL HB MMO: $972.21
  • Medicare [10100] — WIL HB MEDICARE: $579.88
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $579.88
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $579.88
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,259
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Emergency Room Level 5 Not listed in the file $3,654.75 $548.21 – $3,289.28
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $2,887.25
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,931
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $3,139.43
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,931
  • Anthem Medicaid [21900] — WIL HB MEDICAID: $9.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna [30700] — WIL HB CIGNA: $3,289.28
  • Medicaid [20100] — WIL HB MEDICAID: $9.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual [30400] — WIL HB MMO: $2,040.81
  • Medicare [10100] — WIL HB MEDICARE: $579.88
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $579.88

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Metabolic Panel Total Ca $178.27 $89.13 $26.74 – $160.44
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $140.83
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $8.46
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $8.46
  • Cigna [30700] — WIL HB CIGNA: $160.44
  • Medical Mutual [30400] — WIL HB MMO: $99.55
  • Medicare [10100] — WIL HB MEDICARE: $8.46
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $8.46
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $8.46
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $13.92
  • United Health Care [30500] — WIL HB UHC OPTIONS: $13.92
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehen Metabolic Panel $304.46 $152.23 $45.67 – $274.01
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $240.52
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $10.56
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $10.56
  • Cigna [30700] — WIL HB CIGNA: $274.01
  • Medical Mutual [30400] — WIL HB MMO: $170.01
  • Medicare [10100] — WIL HB MEDICARE: $10.56
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $10.56
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $10.56
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $17.39
  • United Health Care [30500] — WIL HB UHC OPTIONS: $17.39
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Obstetric Panel $371.60 $185.80 $55.74 – $334.44
Obstetric blood test panel: rates for 8 insurance plans
  • Aetna [30200] — WIL HB AETNA: $293.56
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $269.04
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $319.20
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $269.04
  • Cigna [30700] — WIL HB CIGNA: $334.44
  • Medical Mutual [30400] — WIL HB MMO: $207.50
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $78.70
  • United Health Care [30500] — WIL HB UHC OPTIONS: $78.70
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC So Lipid Panel $226.89 $113.44 $34.03 – $204.20
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $5.20
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $13.39
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $13.39
  • Cigna [30700] — WIL HB CIGNA: $204.20
  • Medical Mutual [30400] — WIL HB MMO: $126.70
  • Medicare [10100] — WIL HB MEDICARE: $13.39
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $13.39
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $13.39
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $22.04
  • United Health Care [30500] — WIL HB UHC OPTIONS: $22.04
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel $226.89 $113.44 $34.03 – $204.20
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $5.20
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $13.39
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $13.39
  • Cigna [30700] — WIL HB CIGNA: $204.20
  • Medical Mutual [30400] — WIL HB MMO: $126.70
  • Medicare [10100] — WIL HB MEDICARE: $13.39
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $13.39
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $13.39
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $22.04
  • United Health Care [30500] — WIL HB UHC OPTIONS: $22.04
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel $493.15 $246.57 $73.97 – $443.84
Kidney function panel: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $389.59
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $8.68
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $8.68
  • Cigna [30700] — WIL HB CIGNA: $443.84
  • Medical Mutual [30400] — WIL HB MMO: $275.37
  • Medicare [10100] — WIL HB MEDICARE: $8.68
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $8.68
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $8.68
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $14.29
  • United Health Care [30500] — WIL HB UHC OPTIONS: $14.29
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel $167.86 $83.93 $25.18 – $151.07
Liver function panel: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $132.61
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $8.17
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $8.17
  • Cigna [30700] — WIL HB CIGNA: $151.07
  • Medical Mutual [30400] — WIL HB MMO: $93.73
  • Medicare [10100] — WIL HB MEDICARE: $8.17
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $8.17
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $8.17
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $13.45
  • United Health Care [30500] — WIL HB UHC OPTIONS: $13.45
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Total Automated W/ Micro $86.82 $43.41 $13.02 – $78.14
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $3.50
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $3.17
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $3.17
  • Cigna [30700] — WIL HB CIGNA: $78.14
  • Medical Mutual [30400] — WIL HB MMO: $48.48
  • Medicare [10100] — WIL HB MEDICARE: $3.17
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $3.17
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $3.17
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $5.22
  • United Health Care [30500] — WIL HB UHC OPTIONS: $5.22
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Total Non-Automated W/O Micro $47.46 $23.73 $7.12 – $42.71
Urine test (manual, without microscope): rates for 7 insurance plans
  • Aetna [30200] — WIL HB AETNA: $37.49
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $3.48
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $3.48
  • Cigna [30700] — WIL HB CIGNA: $42.71
  • Medical Mutual [30400] — WIL HB MMO: $26.50
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $4.20
  • United Health Care [30500] — WIL HB UHC OPTIONS: $4.20
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Total Automated W/O Micro $40.52 $20.26 $6.08 – $36.47
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $32.01
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $2.25
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $2.25
  • Cigna [30700] — WIL HB CIGNA: $36.47
  • Medical Mutual [30400] — WIL HB MMO: $22.63
  • Medicare [10100] — WIL HB MEDICARE: $2.25
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $2.25
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $2.25
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3.70
  • United Health Care [30500] — WIL HB UHC OPTIONS: $3.70
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psa Total $262.78 $131.39 $39.42 – $236.50
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $9.60
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $18.39
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $18.39
  • Cigna [30700] — WIL HB CIGNA: $236.50
  • Medical Mutual [30400] — WIL HB MMO: $146.74
  • Medicare [10100] — WIL HB MEDICARE: $18.39
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $18.39
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $18.39
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $30.28
  • United Health Care [30500] — WIL HB UHC OPTIONS: $30.28
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC So Psa Total $262.78 $131.39 $39.42 – $236.50
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $9.60
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $18.39
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $18.39
  • Cigna [30700] — WIL HB CIGNA: $236.50
  • Medical Mutual [30400] — WIL HB MMO: $146.74
  • Medicare [10100] — WIL HB MEDICARE: $18.39
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $18.39
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $18.39
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $30.28
  • United Health Care [30500] — WIL HB UHC OPTIONS: $30.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone $240.79 $120.39 $36.12 – $216.71
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $7.90
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $16.80
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $16.80
  • Cigna [30700] — WIL HB CIGNA: $216.71
  • Medical Mutual [30400] — WIL HB MMO: $134.46
  • Medicare [10100] — WIL HB MEDICARE: $16.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $16.80
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $16.80
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $27.66
  • United Health Care [30500] — WIL HB UHC OPTIONS: $27.66
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Ediff & Platelet $118.08 $59.04 $17.71 – $106.27
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $3.20
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $7.77
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $7.77
  • Cigna [30700] — WIL HB CIGNA: $106.27
  • Medical Mutual [30400] — WIL HB MMO: $65.94
  • Medicare [10100] — WIL HB MEDICARE: $7.77
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $7.77
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $7.77
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $12.79
  • United Health Care [30500] — WIL HB UHC OPTIONS: $12.79
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc & Platelet $97.24 $48.62 $14.59 – $87.52
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $2.40
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $6.47
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $6.47
  • Cigna [30700] — WIL HB CIGNA: $87.52
  • Medical Mutual [30400] — WIL HB MMO: $54.30
  • Medicare [10100] — WIL HB MEDICARE: $6.47
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $6.47
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $6.47
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $10.64
  • United Health Care [30500] — WIL HB UHC OPTIONS: $10.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothombin Time $63.67 $31.83 $9.55 – $57.30
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $2.70
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4.29
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4.29
  • Cigna [30700] — WIL HB CIGNA: $57.30
  • Medical Mutual [30400] — WIL HB MMO: $35.55
  • Medicare [10100] — WIL HB MEDICARE: $4.29
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $4.29
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $4.29
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $6.47
  • United Health Care [30500] — WIL HB UHC OPTIONS: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cch So Prothrombin Time $63.67 $31.83 $9.55 – $57.30
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $2.70
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4.29
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4.29
  • Cigna [30700] — WIL HB CIGNA: $57.30
  • Medical Mutual [30400] — WIL HB MMO: $35.55
  • Medicare [10100] — WIL HB MEDICARE: $4.29
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $4.29
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $4.29
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $6.47
  • United Health Care [30500] — WIL HB UHC OPTIONS: $6.47
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cch So Ptt Plasma or Whole Blood $91.46 $45.73 $13.72 – $82.31
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $2.60
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $6.01
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $6.01
  • Cigna [30700] — WIL HB CIGNA: $82.31
  • Medical Mutual [30400] — WIL HB MMO: $51.07
  • Medicare [10100] — WIL HB MEDICARE: $6.01
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $6.01
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $6.01
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $9.89
  • United Health Care [30500] — WIL HB UHC OPTIONS: $9.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ptt Plasma or Whole Blood $91.45 $45.72 $13.72 – $82.31
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $2.60
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $6.01
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $6.01
  • Cigna [30700] — WIL HB CIGNA: $82.31
  • Medical Mutual [30400] — WIL HB MMO: $51.07
  • Medicare [10100] — WIL HB MEDICARE: $6.01
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $6.01
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $6.01
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $9.89
  • United Health Care [30500] — WIL HB UHC OPTIONS: $9.89

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast $2,117.30 $1,058.65 $317.60 – $1,905.57
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $1,672.67
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $803
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $1,818.76
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $803
  • Cigna [30700] — WIL HB CIGNA: $1,905.57
  • Medical Mutual [30400] — WIL HB MMO: $1,182.30
  • Medicare [10100] — WIL HB MEDICARE: $101.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $101.80
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $101.80
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,226
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/ & W/O Contrast $4,804.14 $2,402.07 $720.62 – $4,323.73
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $3,795.27
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,260
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $4,126.76
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,260
  • Cigna [30700] — WIL HB CIGNA: $4,323.73
  • Medical Mutual [30400] — WIL HB MMO: $2,682.63
  • Medicare [10100] — WIL HB MEDICARE: $339.71
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $339.71
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $339.71
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,709
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Radiology X-Ray Chest 2 Views $497.78 $248.89 $74.67 – $448
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $22.84
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $360.39
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $427.59
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $360.39
  • Cigna [30700] — WIL HB CIGNA: $448
  • Medical Mutual [30400] — WIL HB MMO: $277.96
  • Medicare [10100] — WIL HB MEDICARE: $84.74
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $84.74
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $84.74
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $315.09
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Radiology Exam Lumbosacral Spine Min 4 Views $715.41 $357.70 $107.31 – $643.87
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $565.17
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $517.96
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $614.54
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $517.96
  • Cigna [30700] — WIL HB CIGNA: $643.87
  • Medical Mutual [30400] — WIL HB MMO: $399.48
  • Medicare [10100] — WIL HB MEDICARE: $101.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $101.80
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $101.80
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $452.85
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Spine W/O Contrast Lumbar $3,844.47 $1,922.23 $576.67 – $3,460.02
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $3,037.13
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,260
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $3,302.40
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,260
  • Cigna [30700] — WIL HB CIGNA: $3,460.02
  • Medical Mutual [30400] — WIL HB MMO: $2,146.75
  • Medicare [10100] — WIL HB MEDICARE: $232.33
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $232.33
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $232.33
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,709
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/ Contrast $2,500.47 $1,250.23 $375.07 – $2,250.42
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $252.16
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $803
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $2,147.90
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $803
  • Cigna [30700] — WIL HB CIGNA: $2,250.42
  • Medical Mutual [30400] — WIL HB MMO: $1,396.26
  • Medicare [10100] — WIL HB MEDICARE: $170.79
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $170.79
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $170.79
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,226
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast $3,844.47 $1,922.23 $576.67 – $3,460.02
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $3,037.13
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,260
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $3,302.40
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,260
  • Cigna [30700] — WIL HB CIGNA: $3,460.02
  • Medical Mutual [30400] — WIL HB MMO: $2,146.75
  • Medicare [10100] — WIL HB MEDICARE: $232.33
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $232.33
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $232.33
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,709
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/ Contrast $4,997.47 $2,498.73 $749.62 – $4,497.72
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $3,948
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $803
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $4,292.83
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $803
  • Cigna [30700] — WIL HB CIGNA: $4,497.72
  • Medical Mutual [30400] — WIL HB MMO: $2,790.59
  • Medicare [10100] — WIL HB MEDICARE: $339.71
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $339.71
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $339.71
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $1,226
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdominal Complete $1,544.27 $772.13 $231.64 – $1,389.84
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $72.64
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,118.05
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $1,326.53
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,118.05
  • Cigna [30700] — WIL HB CIGNA: $1,389.84
  • Medical Mutual [30400] — WIL HB MMO: $862.32
  • Medicare [10100] — WIL HB MEDICARE: $101.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $101.80
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $101.80
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $977.52
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB After 1st Trimester Transabdominal Single/First Gestation $1,188.88 $594.44 $178.33 – $1,069.99
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $939.22
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $860.75
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $1,021.25
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $860.75
  • Cigna [30700] — WIL HB CIGNA: $1,069.99
  • Medical Mutual [30400] — WIL HB MMO: $663.87
  • Medicare [10100] — WIL HB MEDICARE: $101.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $101.80
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $101.80
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $752.56
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal $1,301.17 $650.58 $195.18 – $1,171.05
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $1,027.92
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $942.05
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $1,117.71
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $942.05
  • Cigna [30700] — WIL HB CIGNA: $1,171.05
  • Medical Mutual [30400] — WIL HB MMO: $726.57
  • Medicare [10100] — WIL HB MEDICARE: $101.80
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $101.80
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $101.80
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $823.64
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammogram Diagnostic Unilateral Including Cad $428.32 $214.16 $64.25 – $385.49
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $39.10
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $155
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $367.93
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $155
  • Cigna [30700] — WIL HB CIGNA: $385.49
  • Medical Mutual [30400] — WIL HB MMO: $239.17
  • Medicare [10100] — WIL HB MEDICARE: $78.71
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $78.71
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $78.71
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $271.13
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammogram Diagnostic Bilateral Including Cad $814.97 $407.48 $122.25 – $733.47
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $48.09
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $155
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $700.06
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $155
  • Cigna [30700] — WIL HB CIGNA: $733.47
  • Medical Mutual [30400] — WIL HB MMO: $455.08
  • Medicare [10100] — WIL HB MEDICARE: $101
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $101
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $101
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $515.88
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammogram Screening Bilateral Including Cad $354.23 $177.11 $53.13 – $318.81
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $50
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $155
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $304.28
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $155
  • Cigna [30700] — WIL HB CIGNA: $318.81
  • Medical Mutual [30400] — WIL HB MMO: $197.80
  • Medicare [10100] — WIL HB MEDICARE: $83.28
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $83.28
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $83.28
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $224.23

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lhc W/ Lv $20,102.16 $10,051.08 $3,015.32 – $18,091.94
Left heart catheterization (diagnostic): rates for 8 insurance plans
  • Aetna [30200] — WIL HB AETNA: $15,880.71
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $5,943
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $17,267.76
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $5,943
  • Cigna [30700] — WIL HB CIGNA: $18,091.94
  • Medical Mutual [30400] — WIL HB MMO: $11,225.05
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $12,724.67
  • United Health Care [30500] — WIL HB UHC OPTIONS: $13,930.80
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography 4+ Parameters $5,566.75 $2,783.37 $835.01 – $5,010.08
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $4,397.73
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,030.33
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $4,781.84
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,030.33
  • Cigna [30700] — WIL HB CIGNA: $5,010.08
  • Medical Mutual [30400] — WIL HB MMO: $3,108.47
  • Medicare [10100] — WIL HB MEDICARE: $836.18
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $836.18
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $836.18
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3,523.75

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Therapeutic Exercises Rom & Flexibility Each 15 Mins $221.11 $110.55 $33.17 – $199
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $19.07
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $160.08
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $189.93
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $160.08
  • Cigna [30700] — WIL HB CIGNA: $199
  • Medical Mutual [30400] — WIL HB MMO: $123.47
  • Medicare [10100] — WIL HB MEDICARE: $27.87
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $27.87
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $27.87
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $139.96
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Therapeutic Exercises Rom & Flexibility Each 15 Mins by Ot $221.11 $110.55 $33.17 – $199
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $19.07
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $160.08
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $189.93
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $160.08
  • Cigna [30700] — WIL HB CIGNA: $199
  • Medical Mutual [30400] — WIL HB MMO: $123.47
  • Medicare [10100] — WIL HB MEDICARE: $27.87
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $27.87
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $27.87
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $139.96
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity $597.33 $298.66 $89.60 – $537.60
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $51.53
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $432.47
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $513.11
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $432.47
  • Cigna [30700] — WIL HB CIGNA: $537.60
  • Medical Mutual [30400] — WIL HB MMO: $333.55
  • Medicare [10100] — WIL HB MEDICARE: $93.86
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $93.86
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $93.86
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $378.11
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity $597.33 $298.66 $89.60 – $537.60
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $51.53
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $432.47
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $513.11
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $432.47
  • Cigna [30700] — WIL HB CIGNA: $537.60
  • Medical Mutual [30400] — WIL HB MMO: $333.55
  • Medicare [10100] — WIL HB MEDICARE: $93.86
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $93.86
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $93.86
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $378.11
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity $597.33 $298.66 $89.60 – $537.60
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $51.53
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $432.47
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $513.11
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $432.47
  • Cigna [30700] — WIL HB CIGNA: $537.60
  • Medical Mutual [30400] — WIL HB MMO: $333.55
  • Medicare [10100] — WIL HB MEDICARE: $93.86
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $93.86
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $93.86
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $378.11

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Egd Flexible Transoral Diagnostic $5,407.50 $2,703.75 $811.13 – $4,866.75
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $4,271.93
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $1,917
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $4,645.04
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $1,917
  • Cigna [30700] — WIL HB CIGNA: $4,866.75
  • Medical Mutual [30400] — WIL HB MMO: $3,019.55
  • Medicare [10100] — WIL HB MEDICARE: $883.15
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $883.15
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $883.15
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3,311
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/ Bx $5,538.75 $2,769.37 $830.81 – $4,984.88
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $4,375.61
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $4,757.79
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,017
  • Cigna [30700] — WIL HB CIGNA: $4,984.88
  • Medical Mutual [30400] — WIL HB MMO: $3,092.84
  • Medicare [10100] — WIL HB MEDICARE: $883.15
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $883.15
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $883.15
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3,311
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Flexible Diagnostic $6,037.50 $3,018.75 $905.63 – $5,433.75
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $4,769.63
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $5,186.21
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,017
  • Cigna [30700] — WIL HB CIGNA: $5,433.75
  • Medical Mutual [30400] — WIL HB MMO: $3,371.34
  • Medicare [10100] — WIL HB MEDICARE: $905.52
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $905.52
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $905.52
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3,311
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Flexible W/ Bx $6,825 $3,412.50 $1,023.75 – $6,142.50
Colonoscopy with biopsy: rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $5,391.75
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $5,862.68
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,017
  • Cigna [30700] — WIL HB CIGNA: $6,142.50
  • Medical Mutual [30400] — WIL HB MMO: $3,811.08
  • Medicare [10100] — WIL HB MEDICARE: $1,165.20
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $1,165.20
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $1,165.20
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3,311
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Flexible W/ Removal Tumor Polyp Lesion by Snare $15,225 $7,612.50 $2,283.75 – $13,702.50
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $12,027.75
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $13,078.28
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,017
  • Cigna [30700] — WIL HB CIGNA: $13,702.50
  • Medical Mutual [30400] — WIL HB MMO: $8,501.64
  • Medicare [10100] — WIL HB MEDICARE: $1,165.20
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $1,165.20
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $1,165.20
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3,311
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Screening $4,725 $2,362.50 $708.75 – $4,252.50
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • Aetna [30200] — WIL HB AETNA: $3,732.75
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $4,058.78
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,017
  • Cigna [30700] — WIL HB CIGNA: $4,252.50
  • Medical Mutual [30400] — WIL HB MMO: $2,638.44
  • Medicare [10100] — WIL HB MEDICARE: $905.52
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $905.52
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $905.52
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $3,311
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Needle Biopsy Any Approach Not listed in the file $9,213.42 $1,382.01 – $8,292.08
Prostate biopsy: 10 of 12 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $7,278.60
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $7,914.33
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem Medicaid [21900] — WIL HB MEDICAID: $1,382.01
  • Cigna [30700] — WIL HB CIGNA: $8,292.08
  • Medicaid [20100] — WIL HB MEDICAID: $1,382.01
  • Medical Mutual [30400] — WIL HB MMO: $5,144.77
  • Medicare [10100] — WIL HB MEDICARE: $349.03
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $349.03
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C Not listed in the file $10,820.51 $1,623.08 – $9,738.46
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $8,548.20
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $5,943
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $9,294.82
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $5,943
  • Anthem Medicaid [21900] — WIL HB MEDICAID: $1,623.08
  • Cigna [30700] — WIL HB CIGNA: $9,738.46
  • Medicaid [20100] — WIL HB MEDICAID: $1,623.08
  • Medical Mutual [30400] — WIL HB MMO: $6,042.17
  • Medicare [10100] — WIL HB MEDICARE: $3,152.06
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $3,152.06
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne Not listed in the file $5,240.38 $786.06 – $4,716.34
Carpal tunnel release: 10 of 12 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $4,139.90
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $4,501.49
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $4,017
  • Anthem Medicaid [21900] — WIL HB MEDICAID: $786.06
  • Cigna [30700] — WIL HB CIGNA: $4,716.34
  • Medicaid [20100] — WIL HB MEDICAID: $786.06
  • Medical Mutual [30400] — WIL HB MMO: $2,926.23
  • Medicare [10100] — WIL HB MEDICARE: $1,901.41
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $1,901.41

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $16,016.14 $2,402.42 – $14,414.53
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates
  • Aetna [30200] — WIL HB AETNA: $12,652.75
  • Anthem [30300] — WIL HB ANTHEM PPO/HMO: $15,393.36
  • Anthem [30300] — WIL HB ANTHEM TRADITIONAL: $12,316.41
  • Anthem Exchange [34700] — WIL HB ANTHEM PPO/HMO: $15,393.36
  • Cigna [30700] — WIL HB CIGNA: $14,414.53
  • Medical Mutual [30400] — WIL HB MMO: $8,943.41
  • Medicare [10100] — WIL HB MEDICARE: $9,327.66
  • Medicare Anthem HMO or PPO [10600] — WIL HB MEDICARE: $9,327.66
  • Medicare Humana HMO PPO [13000] — WIL HB MEDICARE: $9,327.66
  • United Health Care [30500] — WIL HB UHC All (excluding Options): $18,248.22

Source: Wilson Memorial Hospital’s standard charges file (8589329.fs1.hubspotusercontent-na1.net, CSV, CMS template 3; it can be a very large file), last updated by the hospital on March 26, 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 typeAcute Care Hospital
Address915 West Michigan Street, Sidney, OH 45365
CountyShelby County
StateOhio
Phone(937) 498‑5405
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number360013
Name in Medicare recordsWILSON MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(937) 498‑2311[4][6]
Name on the hospital’s websiteWilson Health (Wilson Memorial Hospital)
Official websitewilsonhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. Wilson Health — wilsonhealth.org
  2. Emergency Room - Wilson Health — wilsonhealth.org
  3. Radiology & Imaging | Wilson Health — wilsonhealth.org
  4. Surgical Services | Wilson Health — wilsonhealth.org
  5. Patient Experience | Wilson Health — wilsonhealth.org
  6. Visiting Hours & Policies at Wilson Health Network — wilsonhealth.org
  7. Level II Cardiac Catheterization Lab | Wilson Health — wilsonhealth.org
  8. About Wilson Health Network — wilsonhealth.org