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Acute Care Hospital

Woodhull Medical & Mental Health Center

Brooklyn, New York · Kings County · Emergency services listed

Summary

Woodhull Medical & Mental Health Center is an acute care hospital in Brooklyn, New York. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 52 services, specialties and programs. Medicare lists 79 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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

Call(718) 963‑8100 Directions Website Medicare profile
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Exterior of Woodhull Medical & Mental Health Center
Photo: Jim.henderson, Public domain, via Wikimedia Commons · source

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). 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)
310Beds (hospital website)
79Doctors and clinicians
52Services listed

Quick answers

Does Woodhull Medical & Mental Health Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Woodhull Medical & Mental Health Center. In a medical emergency, call 911.
Where is Woodhull Medical & Mental Health Center?
760 Broadway, Brooklyn, NY 11206, in Kings County, New York.
What is the phone number of Woodhull Medical & Mental Health Center?
(718) 963-8100, as listed by Medicare (CMS).
What is the Medicare star rating of Woodhull Medical & Mental Health Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6]

Conditions treated[6]

  • Refractive errors
  • Diabetic retinopathy
  • Glaucoma
  • Cataracts
  • Pediatric eye disease
  • Degenerative spine conditions
  • Knee meniscus injuries
  • Shoulder rotator cuff disorders
  • Hand diseases and injuries
  • Back pain
  • Complex regional pain syndrome
  • Fibromyalgia
  • Trigeminal neuralgia
  • Arterial and venous diseases

Treatments[5][6]

  • Spinal and peripheral nerve blocks
  • Joint injections
  • Trigger point injections
  • Epidural PCA
  • Cardiac pacemaker and defibrillator service
  • Rapid HIV testing (Emergency Department)
  • Sexual assault forensic examination

Procedures[6]

  • Hip replacement (primary and revision)
  • Knee replacement (primary and revision)
  • Pacemaker and defibrillator implantation
  • Fiber optic endoscopic assessment of nose and throat
  • Noninvasive vascular testing

Programs and centers[4][5][6]

  • Weight Loss Surgery Center
  • Pride Health Center
  • WIC Program
  • Center of Excellence for Victims of Sexual Assault (NYS DOH designation)
  • Internal Medicine Residency Program
  • Pediatric Residency Program
  • Oral & Maxillofacial Surgery Residency Program
  • IAC-accredited Non-Invasive Vascular Laboratory

Emergency care (hospital website)[5]

Emergency roomYes

Visiting and practical information

VisitingVisiting hours are posted in a PDF linked from the Woodhull page; hours not stated on the page itself[4]
ParkingParking lot on Throop Avenue, just past Park Avenue[7]
Interpreters and languagesThe site has Language Assistance pages for patients; details were not opened[4]
Patient portalMyChart

Recognition[4][5]

  • Get With The Guidelines - Stroke Gold Plus (AHA)
  • Get With The Guidelines - Heart Failure Gold Plus (AHA)
  • AACN Beacon Award for Excellence
  • ACS Surgical Quality Partner
  • Baby-Friendly Hospital
  • LGBTQ+ Healthcare Equality Leader
  • IPRO Quality Award
  • NYS DOH Center of Excellence for sexual assault care (Emergency Department)

Doctors and clinicians (79)

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

Main specialties

Doctors with a page on this site (79)

And 55 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 →

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home1 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1055%National average: 72%
Would definitely recommend the hospital55%National average: 71%
Nurses “always” communicated well68%National average: 80%
Doctors “always” communicated well74%National average: 80%
Staff “always” explained medicines before giving them50%National average: 62%
Were given information about recovery at home78%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night45%National average: 60%
Completed surveys402Response rate: 8%

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)1.243No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.371No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.901No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.239Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients8.8%
Deaths within 30 days: pneumonia patients18%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patients11.6%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.4No different from the national rate
Complications after hip or knee replacement4.8%

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 failure22.9%
Readmitted within 30 days: pneumonia17.9%
Readmitted within 30 days: COPD22.5%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.5%

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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)198 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)60%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in BrooklynBest hospitals in Brooklyn

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Woodhull Medical & Mental Health Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 17 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.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $658.10 Not listed in the file $43.01 – $645
New patient office visit (about 30–44 minutes): 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $91.79
  • Amidacare — Managed Medicaid: $559.39
  • ANTHEM — Blue Access Large Group: $253.41
  • ANTHEM — Blue Access Small Group: $245.49
  • ANTHEM — EPO: $273.65
  • ANTHEM — HMO: $273.65
  • ANTHEM — INDEMNITY: $273.65
  • ANTHEM — PPO: $273.65
  • ANTHEM — Small Group EPO_PPO: $245.49
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $206 Not listed in the file $40.85 – $83
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $57.06
  • PB - AETNA — MEDICARE ADVANTAGE: $80.63
  • PB - AFFINITY — CHP: $144.20
  • PB - AFFINITY — ESSENTIAL: $144.20
  • PB - ANTHEM — EXCHANGE: $40.85
  • PB - CENTERLIGHT — PACE: $103
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $103
  • PB - LOCAL 1199 — ALL PRODUCTS: $83
  • PB - OSCAR — ALL PRODUCTS: $113.30
  • PB - UNITED BH — ALL PRODUCTS: $44.31
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $1,218 Not listed in the file $71.25 – $645
New patient office visit (about 45–59 minutes): 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $149.04
  • Amidacare — Managed Medicaid: $1,035.30
  • ANTHEM — Blue Access Large Group: $425.43
  • ANTHEM — Blue Access Small Group: $412.14
  • ANTHEM — EPO: $459.41
  • ANTHEM — HMO: $459.41
  • ANTHEM — INDEMNITY: $459.41
  • ANTHEM — PPO: $459.41
  • ANTHEM — Small Group EPO_PPO: $412.14
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $335 Not listed in the file $67.88 – $142
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $92.04
  • PB - AETNA — MEDICARE ADVANTAGE: $118
  • PB - AFFINITY — CHP: $234.50
  • PB - AFFINITY — ESSENTIAL: $234.50
  • PB - ANTHEM — EXCHANGE: $67.88
  • PB - CENTERLIGHT — PACE: $167.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $167.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $142
  • PB - OSCAR — ALL PRODUCTS: $184.25
  • PB - UNITED BH — ALL PRODUCTS: $73.40
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $1,218 Not listed in the file $100.77 – $645
New patient office visit (about 60–74 minutes): 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $203.31
  • Amidacare — Managed Medicaid: $1,035.30
  • ANTHEM — Blue Access Large Group: $555.81
  • ANTHEM — Blue Access Small Group: $538.44
  • ANTHEM — EPO: $600.20
  • ANTHEM — HMO: $600.20
  • ANTHEM — INDEMNITY: $600.20
  • ANTHEM — PPO: $600.20
  • ANTHEM — Small Group EPO_PPO: $538.44
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $462 Not listed in the file $88.31 – $182
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $113.40
  • PB - AETNA — MEDICARE ADVANTAGE: $140
  • PB - AFFINITY — CHP: $323.40
  • PB - AFFINITY — ESSENTIAL: $323.40
  • PB - ANTHEM — EXCHANGE: $88.31
  • PB - CENTERLIGHT — PACE: $231
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $231
  • PB - LOCAL 1199 — ALL PRODUCTS: $182
  • PB - OSCAR — ALL PRODUCTS: $254.10
  • PB - UNITED BH — ALL PRODUCTS: $103.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $534.80 Not listed in the file $56.81 – $645
Established patient office visit (about 20–29 minutes): 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $73.09
  • Amidacare — Managed Medicaid: $454.58
  • ANTHEM — Blue Access Large Group: $167.67
  • ANTHEM — Blue Access Small Group: $162.43
  • ANTHEM — EPO: $181.06
  • ANTHEM — HMO: $181.06
  • ANTHEM — INDEMNITY: $181.06
  • ANTHEM — PPO: $181.06
  • ANTHEM — Small Group EPO_PPO: $162.43
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $163 Not listed in the file $26.11 – $58.53
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $39.90
  • PB - AETNA — MEDICARE ADVANTAGE: $57
  • PB - AFFINITY — CHP: $114.10
  • PB - AFFINITY — ESSENTIAL: $114.10
  • PB - ANTHEM — EXCHANGE: $26.11
  • PB - CENTERLIGHT — PACE: $81.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $81.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $55
  • PB - OSCAR — ALL PRODUCTS: $89.65
  • PB - UNITED BH — ALL PRODUCTS: $58.53
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $663.06 Not listed in the file $70 – $645
Established patient office visit (about 30–39 minutes): 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $107.63
  • Amidacare — Managed Medicaid: $563.60
  • ANTHEM — Blue Access Large Group: $256.20
  • ANTHEM — Blue Access Small Group: $248.20
  • ANTHEM — EPO: $276.67
  • ANTHEM — HMO: $276.67
  • ANTHEM — INDEMNITY: $276.67
  • ANTHEM — PPO: $276.67
  • ANTHEM — Small Group EPO_PPO: $248.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $240 Not listed in the file $40.84 – $84
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $54
  • PB - AETNA — MEDICARE ADVANTAGE: $75
  • PB - AFFINITY — CHP: $168
  • PB - AFFINITY — ESSENTIAL: $168
  • PB - ANTHEM — EXCHANGE: $40.84
  • PB - CENTERLIGHT — PACE: $120
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $120
  • PB - LOCAL 1199 — ALL PRODUCTS: $84
  • PB - OSCAR — ALL PRODUCTS: $132
  • PB - UNITED BH — ALL PRODUCTS: $81.67
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION FOR NEW/EST PATIENT WHICH REQUIRES 3 KEY $308.77 Not listed in the file $250 – $1,707
Office consultation with a specialist (moderate): 10 of 64 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $96.99
  • Amidacare — Managed Medicaid: $493
  • ANTHEM — Blue Access Large Group: $1,579
  • ANTHEM — Blue Access Small Group: $1,536
  • ANTHEM — EPO: $1,707
  • ANTHEM — HMO: $1,707
  • ANTHEM — INDEMNITY: $1,707
  • ANTHEM — PPO: $1,707
  • ANTHEM — Small Group EPO_PPO: $1,536
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $247 Not listed in the file $57.96 – $134
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $70.38
  • PB - AETNA — MEDICARE ADVANTAGE: $90.92
  • PB - AFFINITY — CHP: $172.90
  • PB - AFFINITY — ESSENTIAL: $172.90
  • PB - ANTHEM — EXCHANGE: $57.96
  • PB - CENTERLIGHT — PACE: $123.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $123.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $134
  • PB - OSCAR — ALL PRODUCTS: $135.85
  • PB - UNITED BH — ALL PRODUCTS: $98.53
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION FOR NEW/EST PATIENT WHICH REQUIRES 3 KEY $308.79 Not listed in the file $95.64 – $645
Office consultation with a specialist (moderate to high): 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $146.81
  • Amidacare — Managed Medicaid: $262.47
  • ANTHEM — Blue Access Large Group: $247.03
  • ANTHEM — Blue Access Small Group: $247.03
  • ANTHEM — EPO: $247.03
  • ANTHEM — HMO: $247.03
  • ANTHEM — INDEMNITY: $247.03
  • ANTHEM — PPO: $247.03
  • ANTHEM — Small Group EPO_PPO: $247.03
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $379 Not listed in the file $90.74 – $189
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $113.18
  • PB - AETNA — MEDICARE ADVANTAGE: $135.64
  • PB - AFFINITY — CHP: $265.30
  • PB - AFFINITY — ESSENTIAL: $265.30
  • PB - ANTHEM — EXCHANGE: $90.74
  • PB - CENTERLIGHT — PACE: $189.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $189.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $189
  • PB - OSCAR — ALL PRODUCTS: $208.45
  • PB - UNITED BH — ALL PRODUCTS: $98.53
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INITIAL PREVENTIVE MEDICINE EVALUATION AND MANAGEMENT, PREV V $751.51 Not listed in the file $103.29 – $645
Preventive checkup, new patient, age 18–39: 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $103.29
  • Amidacare — Managed Medicaid: $638.78
  • ANTHEM — Blue Access Large Group: $601.21
  • ANTHEM — Blue Access Small Group: $601.21
  • ANTHEM — EPO: $601.21
  • ANTHEM — HMO: $601.21
  • ANTHEM — INDEMNITY: $601.21
  • ANTHEM — PPO: $601.21
  • ANTHEM — Small Group EPO_PPO: $601.21
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $231 Not listed in the file $44.64 – $156.39
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $72.57
  • PB - AETNA — MEDICARE ADVANTAGE: $98.28
  • PB - AFFINITY — CHP: $161.70
  • PB - AFFINITY — ESSENTIAL: $161.70
  • PB - ANTHEM — EXCHANGE: $44.64
  • PB - CENTERLIGHT — PACE: $115.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $115.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $134
  • PB - OSCAR — ALL PRODUCTS: $127.05
  • PB - UNITED BH — ALL PRODUCTS: $156.39
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANA $1,050.54 Not listed in the file $124.86 – $645
Preventive checkup, new patient, age 40–64: 10 of 54 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $124.86
  • Amidacare — Managed Medicaid: $892.96
  • ANTHEM — Blue Access Large Group: $840.43
  • ANTHEM — Blue Access Small Group: $840.43
  • ANTHEM — EPO: $840.43
  • ANTHEM — HMO: $840.43
  • ANTHEM — INDEMNITY: $840.43
  • ANTHEM — PPO: $840.43
  • ANTHEM — Small Group EPO_PPO: $840.43
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $281 Not listed in the file $54.85 – $157
Preventive checkup, new patient, age 40–64: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $88.46
  • PB - AETNA — MEDICARE ADVANTAGE: $114.17
  • PB - AFFINITY — CHP: $196.70
  • PB - AFFINITY — ESSENTIAL: $196.70
  • PB - ANTHEM — EXCHANGE: $54.85
  • PB - CENTERLIGHT — PACE: $140.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $140.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $157
  • PB - OSCAR — ALL PRODUCTS: $154.55
  • PB - UNITED BH — ALL PRODUCTS: $156.39
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL III $870.32 $327.66 $78.59 – $1,016
Emergency room visit (moderate): 10 of 71 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $78.59
  • Amidacare — Managed Medicaid: $493
  • ANTHEM — Blue Access Large Group: $1,781
  • ANTHEM — Blue Access Small Group: $1,733
  • ANTHEM — EPO: $1,925
  • ANTHEM — HMO: $1,925
  • ANTHEM — INDEMNITY: $1,925
  • ANTHEM — MEDICARE ADVANTAGE: $327.66
  • ANTHEM — PPO: $1,925
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM $202 $278.89 $46.39 – $245.66
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $46.39
  • PB - AETNA — MEDICARE ADVANTAGE: $46.39
  • PB - AFFINITY — CHP: $141.40
  • PB - AFFINITY — ESSENTIAL: $141.40
  • PB - ANTHEM — EXCHANGE: $79.08
  • PB - CENTERLIGHT — PACE: $101
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $101
  • PB - LOCAL 1199 — ALL PRODUCTS: $66
  • PB - OSCAR — ALL PRODUCTS: $111.10
  • PB - UNITED BH — ALL PRODUCTS: $245.66
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPT VISIT LOW MDM Not listed in the file $327.66 $66
Emergency room visit (moderate): rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $66
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL IV $1,816.51 $503.90 $134.44 – $1,016
Emergency room visit (moderately high): 10 of 74 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $134.44
  • Amidacare — Managed Medicaid: $493
  • ANTHEM — Blue Access Large Group: $1,906
  • ANTHEM — Blue Access Small Group: $1,854
  • ANTHEM — EPO: $2,060
  • ANTHEM — HMO: $2,060
  • ANTHEM — INDEMNITY: $2,060
  • ANTHEM — MEDICARE ADVANTAGE: $503.90
  • ANTHEM — PPO: $2,060
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL IV TRAUMA $1,816.51 $503.90 $134.44 – $3,310.42
Emergency room visit (moderately high): 10 of 64 insurance plan rates
  • Aetna — ALL PRODUCTS: $235.27
  • Aetna — MEDICARE ADVANTAGE: $134.44
  • Amidacare — Managed Medicaid: $520.86
  • ANTHEM — Blue Access Large Group: $382.58
  • ANTHEM — Blue Access Small Group: $370.62
  • ANTHEM — EPO: $413.13
  • ANTHEM — HMO: $413.13
  • ANTHEM — INDEMNITY: $413.13
  • ANTHEM — MEDICARE ADVANTAGE: $503.90
  • ANTHEM — PPO: $413.13
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $344 $426.30 $87.99 – $245.66
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $87.99
  • PB - AETNA — MEDICARE ADVANTAGE: $87.99
  • PB - AFFINITY — CHP: $240.80
  • PB - AFFINITY — ESSENTIAL: $240.80
  • PB - ANTHEM — EXCHANGE: $135
  • PB - CENTERLIGHT — PACE: $172
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $172
  • PB - LOCAL 1199 — ALL PRODUCTS: $104
  • PB - OSCAR — ALL PRODUCTS: $189.20
  • PB - UNITED BH — ALL PRODUCTS: $245.66
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL V $1,832.24 $725.52 $195.04 – $1,030.24
Emergency room visit (high): 10 of 75 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $195.04
  • Amidacare — Managed Medicaid: $493
  • ANTHEM — Blue Access Large Group: $2,006
  • ANTHEM — Blue Access Small Group: $1,952
  • ANTHEM — EPO: $2,168
  • ANTHEM — HMO: $2,168
  • ANTHEM — INDEMNITY: $2,168
  • ANTHEM — MEDICARE ADVANTAGE: $725.52
  • ANTHEM — PPO: $2,168
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL V TRAUMA $1,832.24 $725.52 $195.04 – $3,310.42
Emergency room visit (high): 10 of 65 insurance plan rates
  • Aetna — ALL PRODUCTS: $341.32
  • Aetna — MEDICARE ADVANTAGE: $195.04
  • Amidacare — Managed Medicaid: $743.39
  • ANTHEM — Blue Access Large Group: $563.16
  • ANTHEM — Blue Access Small Group: $545.56
  • ANTHEM — EPO: $608.13
  • ANTHEM — HMO: $608.13
  • ANTHEM — INDEMNITY: $608.13
  • ANTHEM — MEDICARE ADVANTAGE: $725.52
  • ANTHEM — PPO: $608.13
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM $497 $608.43 $129.95 – $245.66
Emergency room visit (high): 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $129.95
  • PB - AETNA — MEDICARE ADVANTAGE: $129.95
  • PB - AFFINITY — CHP: $347.90
  • PB - AFFINITY — ESSENTIAL: $347.90
  • PB - ANTHEM — EXCHANGE: $195.76
  • PB - CENTERLIGHT — PACE: $248.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $248.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $161
  • PB - OSCAR — ALL PRODUCTS: $273.35
  • PB - UNITED BH — ALL PRODUCTS: $245.66

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL (CALCIUM, TOTAL) $26.78 $8.46 $8.29 – $108.99
Basic metabolic panel (blood test): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $8.25
  • Aetna — MEDICARE ADVANTAGE: $8.46
  • Affinity — CHP: $50.86
  • Affinity — Essential Plan 1-2: $108.99
  • Affinity — Essential Plan 200-250: $108.99
  • Affinity — Essential Plan 3-4: $108.99
  • Affinity — HARP_Managed Medicaid: $49.41
  • Amidacare — Managed Medicaid: $8.46
  • ANTHEM — Blue Access Large Group: $30.07
  • ANTHEM — Blue Access Small Group: $29.13
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL $21 $8.46 $4.74 – $20.99
Basic metabolic panel (blood test): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $4.74
  • PB - AETNA — MEDICARE ADVANTAGE: $4.74
  • PB - AFFINITY — CHP: $14.70
  • PB - AFFINITY — ESSENTIAL: $14.70
  • PB - CENTERLIGHT — PACE: $10.50
  • PB - CIGNA — ALL PRODUCTS: $20.99
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $10.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $9
  • PB - OSCAR — ALL PRODUCTS: $11.55
  • PB - WELLCARE — MEDICARE ADVANTAGE: $12.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $40.08 $10.56 $10.35 – $108.99
Comprehensive metabolic panel (blood test): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $12.35
  • Aetna — MEDICARE ADVANTAGE: $10.56
  • Affinity — CHP: $50.86
  • Affinity — Essential Plan 1-2: $108.99
  • Affinity — Essential Plan 200-250: $108.99
  • Affinity — Essential Plan 3-4: $108.99
  • Affinity — HARP_Managed Medicaid: $49.41
  • Amidacare — Managed Medicaid: $10.56
  • ANTHEM — Blue Access Large Group: $37.56
  • ANTHEM — Blue Access Small Group: $36.38
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL $26 $10.56 $7.10 – $26.64
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $7.10
  • PB - AETNA — MEDICARE ADVANTAGE: $7.10
  • PB - AFFINITY — CHP: $18.20
  • PB - AFFINITY — ESSENTIAL: $18.20
  • PB - CENTERLIGHT — PACE: $13
  • PB - CIGNA — ALL PRODUCTS: $26.64
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $13
  • PB - LOCAL 1199 — ALL PRODUCTS: $12
  • PB - OSCAR — ALL PRODUCTS: $14.30
  • PB - WELLCARE — MEDICARE ADVANTAGE: $15.60
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $170.88 $47.81 $40.21 – $108.99
Obstetric blood test panel: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $61.75
  • Aetna — MEDICARE ADVANTAGE: $47.81
  • Affinity — CHP: $50.86
  • Affinity — Essential Plan 1-2: $108.99
  • Affinity — Essential Plan 200-250: $108.99
  • Affinity — Essential Plan 3-4: $108.99
  • Affinity — HARP_Managed Medicaid: $49.41
  • Amidacare — Managed Medicaid: $47.81
  • ANTHEM — Blue Access Large Group: $169.98
  • ANTHEM — Blue Access Small Group: $164.67
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG OBSTETRIC PANEL $120 $47.81 $35.49 – $119.45
Obstetric blood test panel: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $35.49
  • PB - AETNA — MEDICARE ADVANTAGE: $35.49
  • PB - AFFINITY — CHP: $84
  • PB - AFFINITY — ESSENTIAL: $84
  • PB - CENTERLIGHT — PACE: $60
  • PB - CIGNA — ALL PRODUCTS: $119.45
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $60
  • PB - LOCAL 1199 — ALL PRODUCTS: $43
  • PB - OSCAR — ALL PRODUCTS: $66
  • PB - WELLCARE — MEDICARE ADVANTAGE: $72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $56.16 $13.39 $13.12 – $108.99
Cholesterol panel (lipid panel): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $17.30
  • Aetna — MEDICARE ADVANTAGE: $13.39
  • Affinity — CHP: $50.86
  • Affinity — Essential Plan 1-2: $108.99
  • Affinity — Essential Plan 200-250: $108.99
  • Affinity — Essential Plan 3-4: $108.99
  • Affinity — HARP_Managed Medicaid: $49.41
  • Amidacare — Managed Medicaid: $13.39
  • ANTHEM — Blue Access Large Group: $47.61
  • ANTHEM — Blue Access Small Group: $46.12
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG LIPID PANEL $33 $13.39 $9.94 – $33.09
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $9.94
  • PB - AETNA — MEDICARE ADVANTAGE: $9.94
  • PB - AFFINITY — CHP: $23.10
  • PB - AFFINITY — ESSENTIAL: $23.10
  • PB - CENTERLIGHT — PACE: $16.50
  • PB - CIGNA — ALL PRODUCTS: $33.09
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $16.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $19
  • PB - OSCAR — ALL PRODUCTS: $18.15
  • PB - WELLCARE — MEDICARE ADVANTAGE: $19.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $33.60 $8.68 $8.51 – $108.99
Kidney function panel: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $10.35
  • Aetna — MEDICARE ADVANTAGE: $8.68
  • Affinity — CHP: $50.86
  • Affinity — Essential Plan 1-2: $108.99
  • Affinity — Essential Plan 200-250: $108.99
  • Affinity — Essential Plan 3-4: $108.99
  • Affinity — HARP_Managed Medicaid: $49.41
  • Amidacare — Managed Medicaid: $8.68
  • ANTHEM — Blue Access Large Group: $30.87
  • ANTHEM — Blue Access Small Group: $29.91
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL $22 $8.68 $5.95 – $21.79
Kidney function panel: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $5.95
  • PB - AETNA — MEDICARE ADVANTAGE: $5.95
  • PB - AFFINITY — CHP: $15.40
  • PB - AFFINITY — ESSENTIAL: $15.40
  • PB - CENTERLIGHT — PACE: $11
  • PB - CIGNA — ALL PRODUCTS: $21.79
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $11
  • PB - LOCAL 1199 — ALL PRODUCTS: $12
  • PB - OSCAR — ALL PRODUCTS: $12.10
  • PB - WELLCARE — MEDICARE ADVANTAGE: $13.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $26.78 $8.17 $8.01 – $108.99
Liver function panel: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $8.25
  • Aetna — MEDICARE ADVANTAGE: $8.17
  • Affinity — CHP: $50.86
  • Affinity — Essential Plan 1-2: $108.99
  • Affinity — Essential Plan 200-250: $108.99
  • Affinity — Essential Plan 3-4: $108.99
  • Affinity — HARP_Managed Medicaid: $49.41
  • Amidacare — Managed Medicaid: $8.17
  • ANTHEM — Blue Access Large Group: $29.06
  • ANTHEM — Blue Access Small Group: $28.15
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL $20 $8.17 $4.74 – $20.18
Liver function panel: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $4.74
  • PB - AETNA — MEDICARE ADVANTAGE: $4.74
  • PB - AFFINITY — CHP: $14
  • PB - AFFINITY — ESSENTIAL: $14
  • PB - CENTERLIGHT — PACE: $10
  • PB - CIGNA — ALL PRODUCTS: $20.18
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $10
  • PB - LOCAL 1199 — ALL PRODUCTS: $11
  • PB - OSCAR — ALL PRODUCTS: $11
  • PB - WELLCARE — MEDICARE ADVANTAGE: $12
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/ MICRO $15.04 $3.17 $3.11 – $62.33
Urine test (automated, with microscope): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $4.09
  • Aetna — MEDICARE ADVANTAGE: $3.17
  • Affinity — CHP: $29.09
  • Affinity — Essential Plan 1-2: $62.33
  • Affinity — Essential Plan 200-250: $62.33
  • Affinity — Essential Plan 3-4: $62.33
  • Affinity — HARP_Managed Medicaid: $28.25
  • Amidacare — Managed Medicaid: $3.17
  • ANTHEM — Blue Access Large Group: $11.29
  • ANTHEM — Blue Access Small Group: $10.94
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $8 $3.17 $2.35 – $8.07
Urine test (automated, with microscope): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $2.35
  • PB - AETNA — MEDICARE ADVANTAGE: $2.35
  • PB - AFFINITY — CHP: $5.60
  • PB - AFFINITY — ESSENTIAL: $5.60
  • PB - CENTERLIGHT — PACE: $4
  • PB - CIGNA — ALL PRODUCTS: $8.07
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $4
  • PB - LOCAL 1199 — ALL PRODUCTS: $5
  • PB - OSCAR — ALL PRODUCTS: $4.40
  • PB - WELLCARE — MEDICARE ADVANTAGE: $4.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI $10.72 $3.48 $1 – $10.82
Urine test (manual, without microscope): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $3.31
  • Aetna — MEDICARE ADVANTAGE: $3.48
  • Affinity — CHP: $29.09
  • Affinity — Essential Plan 1-2: $62.33
  • Affinity — Essential Plan 200-250: $62.33
  • Affinity — Essential Plan 3-4: $62.33
  • Affinity — HARP_Managed Medicaid: $28.25
  • Amidacare — Managed Medicaid: $3.48
  • ANTHEM — Blue Access Large Group: $10.02
  • ANTHEM — Blue Access Small Group: $9.71
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POC UA MANUAL $10.72 $3.48 $1 – $10.82
Urine test (manual, without microscope): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $3.31
  • Aetna — MEDICARE ADVANTAGE: $3.48
  • Affinity — CHP: $29.09
  • Affinity — Essential Plan 1-2: $62.33
  • Affinity — Essential Plan 200-250: $62.33
  • Affinity — Essential Plan 3-4: $62.33
  • Affinity — HARP_Managed Medicaid: $28.25
  • Amidacare — Managed Medicaid: $3.48
  • ANTHEM — Blue Access Large Group: $10.02
  • ANTHEM — Blue Access Small Group: $9.71
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $9 $3.48 $1.90 – $8.88
Urine test (manual, without microscope): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $1.90
  • PB - AETNA — MEDICARE ADVANTAGE: $1.90
  • PB - AFFINITY — CHP: $6.30
  • PB - AFFINITY — ESSENTIAL: $6.30
  • PB - CENTERLIGHT — PACE: $4.50
  • PB - CIGNA — ALL PRODUCTS: $8.88
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $4.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $4
  • PB - OSCAR — ALL PRODUCTS: $4.95
  • PB - WELLCARE — MEDICARE ADVANTAGE: $5.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O MICRO $9.42 $2.25 $1 – $8.61
Urine test (automated, without microscope): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $2.91
  • Aetna — MEDICARE ADVANTAGE: $2.25
  • Affinity — CHP: $29.09
  • Affinity — Essential Plan 1-2: $62.33
  • Affinity — Essential Plan 200-250: $62.33
  • Affinity — Essential Plan 3-4: $62.33
  • Affinity — HARP_Managed Medicaid: $28.25
  • Amidacare — Managed Medicaid: $2.25
  • ANTHEM — Blue Access Large Group: $7.98
  • ANTHEM — Blue Access Small Group: $7.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC KETONES URINE $9.42 $2.25 $1 – $8.61
Urine test (automated, without microscope): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $2.91
  • Aetna — MEDICARE ADVANTAGE: $2.25
  • Affinity — CHP: $29.09
  • Affinity — Essential Plan 1-2: $62.33
  • Affinity — Essential Plan 200-250: $62.33
  • Affinity — Essential Plan 3-4: $62.33
  • Affinity — HARP_Managed Medicaid: $28.25
  • Amidacare — Managed Medicaid: $2.25
  • ANTHEM — Blue Access Large Group: $7.98
  • ANTHEM — Blue Access Small Group: $7.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POC URINALYSIS $9.42 $2.25 $1 – $8.61
Urine test (automated, without microscope): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $2.91
  • Aetna — MEDICARE ADVANTAGE: $2.25
  • Affinity — CHP: $29.09
  • Affinity — Essential Plan 1-2: $62.33
  • Affinity — Essential Plan 200-250: $62.33
  • Affinity — Essential Plan 3-4: $62.33
  • Affinity — HARP_Managed Medicaid: $28.25
  • Amidacare — Managed Medicaid: $2.25
  • ANTHEM — Blue Access Large Group: $7.98
  • ANTHEM — Blue Access Small Group: $7.73
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL $77.10 $18.39 $18.02 – $62.96
PSA (prostate specific antigen) blood test: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $23.77
  • Aetna — MEDICARE ADVANTAGE: $18.39
  • Affinity — CHP: $29.38
  • Affinity — Essential Plan 1-2: $62.96
  • Affinity — Essential Plan 200-250: $62.96
  • Affinity — Essential Plan 3-4: $62.96
  • Affinity — HARP_Managed Medicaid: $28.54
  • Amidacare — Managed Medicaid: $18.39
  • ANTHEM — Blue Access Large Group: $65.40
  • ANTHEM — Blue Access Small Group: $63.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL, SCREEN $77.10 $18.39 $18.02 – $62.96
PSA (prostate specific antigen) blood test: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $23.77
  • Aetna — MEDICARE ADVANTAGE: $18.39
  • Affinity — CHP: $29.38
  • Affinity — Essential Plan 1-2: $62.96
  • Affinity — Essential Plan 200-250: $62.96
  • Affinity — Essential Plan 3-4: $62.96
  • Affinity — HARP_Managed Medicaid: $28.54
  • Amidacare — Managed Medicaid: $18.39
  • ANTHEM — Blue Access Large Group: $65.40
  • ANTHEM — Blue Access Small Group: $63.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL, FREE $77.10 $18.39 $18.02 – $62.96
PSA (prostate specific antigen) blood test: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $23.77
  • Aetna — MEDICARE ADVANTAGE: $18.39
  • Affinity — CHP: $29.38
  • Affinity — Essential Plan 1-2: $62.96
  • Affinity — Essential Plan 200-250: $62.96
  • Affinity — Essential Plan 3-4: $62.96
  • Affinity — HARP_Managed Medicaid: $28.54
  • Amidacare — Managed Medicaid: $18.39
  • ANTHEM — Blue Access Large Group: $65.40
  • ANTHEM — Blue Access Small Group: $63.36
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH) $70.42 $16.80 $1 – $64.53
Thyroid stimulating hormone (TSH) test: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $21.72
  • Aetna — MEDICARE ADVANTAGE: $16.80
  • Affinity — CHP: $50.02
  • Affinity — Essential Plan 1-2: $107.19
  • Affinity — Essential Plan 200-250: $107.19
  • Affinity — Essential Plan 3-4: $107.19
  • Affinity — HARP_Managed Medicaid: $48.59
  • Amidacare — Managed Medicaid: $16.80
  • ANTHEM — Blue Access Large Group: $59.76
  • ANTHEM — Blue Access Small Group: $57.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH), ADDITIONAL $70.42 $16.80 $1 – $64.53
Thyroid stimulating hormone (TSH) test: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $21.72
  • Aetna — MEDICARE ADVANTAGE: $16.80
  • Affinity — CHP: $50.02
  • Affinity — Essential Plan 1-2: $107.19
  • Affinity — Essential Plan 200-250: $107.19
  • Affinity — Essential Plan 3-4: $107.19
  • Affinity — HARP_Managed Medicaid: $48.59
  • Amidacare — Managed Medicaid: $16.80
  • ANTHEM — Blue Access Large Group: $59.76
  • ANTHEM — Blue Access Small Group: $57.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH/REFLEX TO FT4 $70.42 $16.80 $1 – $64.53
Thyroid stimulating hormone (TSH) test: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $21.72
  • Aetna — MEDICARE ADVANTAGE: $16.80
  • Affinity — CHP: $50.02
  • Affinity — Essential Plan 1-2: $107.19
  • Affinity — Essential Plan 200-250: $107.19
  • Affinity — Essential Plan 3-4: $107.19
  • Affinity — HARP_Managed Medicaid: $48.59
  • Amidacare — Managed Medicaid: $16.80
  • ANTHEM — Blue Access Large Group: $59.76
  • ANTHEM — Blue Access Small Group: $57.89
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT;COMPLETE(CBC), AUTOMATED (HGB, HCT, RBC, WBC AND $32.58 $7.77 $1 – $29.82
Complete blood count (CBC) with differential: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $10.04
  • Aetna — MEDICARE ADVANTAGE: $7.77
  • Affinity — CHP: $29.82
  • Affinity — Essential Plan 1-2: $63.90
  • Affinity — Essential Plan 200-250: $63.90
  • Affinity — Essential Plan 3-4: $63.90
  • Affinity — HARP_Managed Medicaid: $28.97
  • Amidacare — Managed Medicaid: $7.77
  • ANTHEM — Blue Access Large Group: $27.62
  • ANTHEM — Blue Access Small Group: $26.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $19 $7.77 $5.77 – $19.37
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $5.77
  • PB - AETNA — MEDICARE ADVANTAGE: $5.77
  • PB - AFFINITY — CHP: $13.30
  • PB - AFFINITY — ESSENTIAL: $13.30
  • PB - CENTERLIGHT — PACE: $9.50
  • PB - CIGNA — ALL PRODUCTS: $19.37
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $9.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $11
  • PB - OSCAR — ALL PRODUCTS: $10.45
  • PB - WELLCARE — MEDICARE ADVANTAGE: $11.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AN $34 $6.47 $1 – $24.82
Complete blood count (CBC), automated: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $7.52
  • Aetna — MEDICARE ADVANTAGE: $6.47
  • Affinity — CHP: $29.82
  • Affinity — Essential Plan 1-2: $63.90
  • Affinity — Essential Plan 200-250: $63.90
  • Affinity — Essential Plan 3-4: $63.90
  • Affinity — HARP_Managed Medicaid: $28.97
  • Amidacare — Managed Medicaid: $6.47
  • ANTHEM — Blue Access Large Group: $22.98
  • ANTHEM — Blue Access Small Group: $22.26
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED $16 $6.47 $4.32 – $16.14
Complete blood count (CBC), automated: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $4.32
  • PB - AETNA — MEDICARE ADVANTAGE: $4.32
  • PB - AFFINITY — CHP: $11.20
  • PB - AFFINITY — ESSENTIAL: $11.20
  • PB - CENTERLIGHT — PACE: $8
  • PB - CIGNA — ALL PRODUCTS: $16.14
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $8
  • PB - LOCAL 1199 — ALL PRODUCTS: $9
  • PB - OSCAR — ALL PRODUCTS: $8.80
  • PB - WELLCARE — MEDICARE ADVANTAGE: $9.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $14.36 $4.29 $4.20 – $70.74
Blood clotting time test (prothrombin time, PT): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $5.08
  • Aetna — MEDICARE ADVANTAGE: $4.29
  • Affinity — CHP: $33.01
  • Affinity — Essential Plan 1-2: $70.74
  • Affinity — Essential Plan 200-250: $70.74
  • Affinity — Essential Plan 3-4: $70.74
  • Affinity — HARP_Managed Medicaid: $32.07
  • Amidacare — Managed Medicaid: $4.29
  • ANTHEM — Blue Access Large Group: $13.97
  • ANTHEM — Blue Access Small Group: $13.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME $11 $4.29 $2.92 – $10.49
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $2.92
  • PB - AETNA — MEDICARE ADVANTAGE: $2.92
  • PB - AFFINITY — CHP: $7.70
  • PB - AFFINITY — ESSENTIAL: $7.70
  • PB - CENTERLIGHT — PACE: $5.50
  • PB - CIGNA — ALL PRODUCTS: $10.49
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $5.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $6
  • PB - OSCAR — ALL PRODUCTS: $6.05
  • PB - WELLCARE — MEDICARE ADVANTAGE: $6.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD $25.14 $6.01 $5.89 – $70.74
Blood clotting test (partial thromboplastin time, PTT): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $7.76
  • Aetna — MEDICARE ADVANTAGE: $6.01
  • Affinity — CHP: $33.01
  • Affinity — Essential Plan 1-2: $70.74
  • Affinity — Essential Plan 200-250: $70.74
  • Affinity — Essential Plan 3-4: $70.74
  • Affinity — HARP_Managed Medicaid: $32.07
  • Amidacare — Managed Medicaid: $6.01
  • ANTHEM — Blue Access Large Group: $21.37
  • ANTHEM — Blue Access Small Group: $20.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT HEPARIN THERAPY $25.14 $6.01 $5.89 – $70.74
Blood clotting test (partial thromboplastin time, PTT): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $7.76
  • Aetna — MEDICARE ADVANTAGE: $6.01
  • Affinity — CHP: $33.01
  • Affinity — Essential Plan 1-2: $70.74
  • Affinity — Essential Plan 200-250: $70.74
  • Affinity — Essential Plan 3-4: $70.74
  • Affinity — HARP_Managed Medicaid: $32.07
  • Amidacare — Managed Medicaid: $6.01
  • ANTHEM — Blue Access Large Group: $21.37
  • ANTHEM — Blue Access Small Group: $20.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $15 $6.01 $4.46 – $15.34
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $4.46
  • PB - AETNA — MEDICARE ADVANTAGE: $4.46
  • PB - AFFINITY — CHP: $10.50
  • PB - AFFINITY — ESSENTIAL: $10.50
  • PB - CENTERLIGHT — PACE: $7.50
  • PB - CIGNA — ALL PRODUCTS: $15.34
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $7.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $9
  • PB - OSCAR — ALL PRODUCTS: $8.25
  • PB - WELLCARE — MEDICARE ADVANTAGE: $9

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) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WITHOUT DYE $1,332.90 $125.84 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,290
CT scan of the head or brain, without contrast: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $123.59
  • Affinity — CHP: $457.54
  • Affinity — Essential Plan 1-2: $980.44
  • Affinity — Essential Plan 200-250: $980.44
  • Affinity — Essential Plan 3-4: $980.44
  • Affinity — HARP_Managed Medicaid: $444.47
  • Amidacare — Managed Medicaid: $130.50
  • ANTHEM — Blue Access Large Group: $253.70
  • ANTHEM — Blue Access Small Group: $245.77
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $318 $106.81 $119.70 – $295
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $119.70
  • PB - AETNA — MEDICARE ADVANTAGE: $119.70
  • PB - AFFINITY — CHP: $222.60
  • PB - AFFINITY — ESSENTIAL: $222.60
  • PB - ANTHEM — EXCHANGE: $152.74
  • PB - CENTERLIGHT — PACE: $159
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $159
  • PB - LOCAL 1199 — ALL PRODUCTS: $295
  • PB - OSCAR — ALL PRODUCTS: $174.90
  • PB - WELLCARE — MEDICARE ADVANTAGE: $190.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE Not listed in the file $125.84 $79.80 – $241
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $133.09
  • Aetna — MEDICARE ADVANTAGE: $79.80
  • Fidelis — MAP: $114.91
  • Local 1199 — ALL PRODUCTS: $241
  • MetroPlus — Essential Plan 1-2: $101.74
  • MetroPlus — Essential Plan 200-250: $101.74
  • MetroPlus — Essential Plan 3-4: $101.74
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST, FOLLOWED $2,642.62 $422.61 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,787
MRI of the brain, before and after contrast: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $370.58
  • Affinity — CHP: $833.13
  • Affinity — Essential Plan 1-2: $1,785.29
  • Affinity — Essential Plan 200-250: $1,785.29
  • Affinity — Essential Plan 3-4: $1,785.29
  • Affinity — HARP_Managed Medicaid: $809.33
  • Amidacare — Managed Medicaid: $435.49
  • ANTHEM — Blue Access Large Group: $913.56
  • ANTHEM — Blue Access Small Group: $885.02
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $1,287 $356.43 $370.50 – $1,417
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $370.50
  • PB - AETNA — MEDICARE ADVANTAGE: $370.50
  • PB - AFFINITY — CHP: $900.90
  • PB - AFFINITY — ESSENTIAL: $900.90
  • PB - ANTHEM — EXCHANGE: $617.81
  • PB - CENTERLIGHT — PACE: $643.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $643.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $1,417
  • PB - OSCAR — ALL PRODUCTS: $707.85
  • PB - WELLCARE — MEDICARE ADVANTAGE: $772.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file $422.61 $251.83 – $1,268
MRI of the brain, before and after contrast: rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $451.27
  • Aetna — MEDICARE ADVANTAGE: $251.83
  • Fidelis — MAP: $362.64
  • Local 1199 — ALL PRODUCTS: $1,268
  • MetroPlus — Essential Plan 1-2: $327.33
  • MetroPlus — Essential Plan 200-250: $327.33
  • MetroPlus — Essential Plan 3-4: $327.33
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS $331.18 $104.19 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Chest X-ray, 2 views: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $38.70
  • Affinity — CHP: $57.31
  • Affinity — Essential Plan 1-2: $122.81
  • Affinity — Essential Plan 200-250: $122.81
  • Affinity — Essential Plan 3-4: $122.81
  • Affinity — HARP_Managed Medicaid: $55.67
  • Amidacare — Managed Medicaid: $108.63
  • ANTHEM — Blue Access Large Group: $67.74
  • ANTHEM — Blue Access Small Group: $65.62
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $98 $88.91 $23.90 – $56.84
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $23.90
  • PB - AETNA — MEDICARE ADVANTAGE: $23.90
  • PB - AFFINITY — CHP: $68.60
  • PB - AFFINITY — ESSENTIAL: $68.60
  • PB - ANTHEM — EXCHANGE: $29.88
  • PB - CENTERLIGHT — PACE: $49
  • PB - CIGNA — ALL PRODUCTS: $56.84
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $49
  • PB - LOCAL 1199 — ALL PRODUCTS: $83.30
  • PB - OSCAR — ALL PRODUCTS: $53.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file $104.19 $24 – $39.46
Chest X-ray, 2 views: rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $27.30
  • Aetna — MEDICARE ADVANTAGE: $27.40
  • Fidelis — MAP: $39.46
  • Local 1199 — ALL PRODUCTS: $24
  • MetroPlus — Essential Plan 1-2: $34.25
  • MetroPlus — Essential Plan 200-250: $34.25
  • MetroPlus — Essential Plan 3-4: $34.25
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; MINIMUM OF 4 VIEW $472.55 $125.84 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
X-ray of the lower spine, at least 4 views: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $59.88
  • Affinity — CHP: $57.31
  • Affinity — Essential Plan 1-2: $122.81
  • Affinity — Essential Plan 200-250: $122.81
  • Affinity — Essential Plan 3-4: $122.81
  • Affinity — HARP_Managed Medicaid: $55.67
  • Amidacare — Managed Medicaid: $130.50
  • ANTHEM — Blue Access Large Group: $114.22
  • ANTHEM — Blue Access Small Group: $110.65
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $159 $106.81 $37.78 – $95.58
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $37.78
  • PB - AETNA — MEDICARE ADVANTAGE: $37.78
  • PB - AFFINITY — CHP: $111.30
  • PB - AFFINITY — ESSENTIAL: $111.30
  • PB - ANTHEM — EXCHANGE: $43.19
  • PB - CENTERLIGHT — PACE: $79.50
  • PB - CIGNA — ALL PRODUCTS: $95.58
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $79.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $67
  • PB - OSCAR — ALL PRODUCTS: $87.45
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file $125.84 $44.89 – $66.28
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $44.89
  • Aetna — MEDICARE ADVANTAGE: $46.03
  • Fidelis — MAP: $66.28
  • Local 1199 — ALL PRODUCTS: $47
  • MetroPlus — Essential Plan 1-2: $57.08
  • MetroPlus — Essential Plan 200-250: $57.08
  • MetroPlus — Essential Plan 3-4: $57.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAGNETIC RESONANCE(EG, PROTON) IMAGING, SPINAL CANAL AND CONT $1,593.18 $286.04 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,787
MRI of the lower back (lumbar spine), without contrast: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $221.51
  • Affinity — CHP: $557.13
  • Affinity — Essential Plan 1-2: $1,193.85
  • Affinity — Essential Plan 200-250: $1,193.85
  • Affinity — Essential Plan 3-4: $1,193.85
  • Affinity — HARP_Managed Medicaid: $541.21
  • Amidacare — Managed Medicaid: $297.84
  • ANTHEM — Blue Access Large Group: $520.39
  • ANTHEM — Blue Access Small Group: $504.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $837 $243.77 $370.50 – $727
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $370.50
  • PB - AETNA — MEDICARE ADVANTAGE: $370.50
  • PB - AFFINITY — CHP: $585.90
  • PB - AFFINITY — ESSENTIAL: $585.90
  • PB - ANTHEM — EXCHANGE: $401.52
  • PB - CENTERLIGHT — PACE: $418.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $418.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $727
  • PB - OSCAR — ALL PRODUCTS: $460.35
  • PB - WELLCARE — MEDICARE ADVANTAGE: $502.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file $286.04 $145.24 – $634
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $451.27
  • Aetna — MEDICARE ADVANTAGE: $145.24
  • Fidelis — MAP: $209.15
  • Local 1199 — ALL PRODUCTS: $634
  • MetroPlus — Essential Plan 1-2: $187.94
  • MetroPlus — Essential Plan 200-250: $187.94
  • MetroPlus — Essential Plan 3-4: $187.94
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $1,506.30 $210.66 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,290
CT scan of the pelvis, with contrast: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $264.37
  • Affinity — CHP: $457.54
  • Affinity — Essential Plan 1-2: $980.44
  • Affinity — Essential Plan 200-250: $980.44
  • Affinity — Essential Plan 3-4: $980.44
  • Affinity — HARP_Managed Medicaid: $444.47
  • Amidacare — Managed Medicaid: $218.95
  • ANTHEM — Blue Access Large Group: $579.11
  • ANTHEM — Blue Access Small Group: $561.01
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL $668 $179.20 $228.86 – $422
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $233.95
  • PB - AETNA — MEDICARE ADVANTAGE: $233.95
  • PB - AFFINITY — CHP: $467.60
  • PB - AFFINITY — ESSENTIAL: $467.60
  • PB - ANTHEM — EXCHANGE: $228.86
  • PB - CENTERLIGHT — PACE: $334
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $334
  • PB - LOCAL 1199 — ALL PRODUCTS: $422
  • PB - OSCAR — ALL PRODUCTS: $367.40
  • PB - WELLCARE — MEDICARE ADVANTAGE: $400.80
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE Not listed in the file $210.66 $205.02 – $349
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $304.71
  • Aetna — MEDICARE ADVANTAGE: $205.02
  • Fidelis — MAP: $295.23
  • Local 1199 — ALL PRODUCTS: $349
  • MetroPlus — Essential Plan 1-2: $258.82
  • MetroPlus — Essential Plan 200-250: $258.82
  • MetroPlus — Essential Plan 3-4: $258.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAGNETIC RESONANCE(EG, PROTON)IMAGING,ANY JOINT OF LOWER EXTR $1,635.76 $286.04 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,787
MRI of a leg joint (such as the knee), without contrast: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $236.44
  • Affinity — CHP: $557.13
  • Affinity — Essential Plan 1-2: $1,193.85
  • Affinity — Essential Plan 200-250: $1,193.85
  • Affinity — Essential Plan 3-4: $1,193.85
  • Affinity — HARP_Managed Medicaid: $541.21
  • Amidacare — Managed Medicaid: $297.84
  • ANTHEM — Blue Access Large Group: $586.92
  • ANTHEM — Blue Access Small Group: $568.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAGNETIC RESONANCE(EG, PROTON)IMAGING, ANY JOINT OF LOWER EXT $1,635.76 $286.04 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,787
MRI of a leg joint (such as the knee), without contrast: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $236.44
  • Affinity — CHP: $557.13
  • Affinity — Essential Plan 1-2: $1,193.85
  • Affinity — Essential Plan 200-250: $1,193.85
  • Affinity — Essential Plan 3-4: $1,193.85
  • Affinity — HARP_Managed Medicaid: $541.21
  • Amidacare — Managed Medicaid: $297.84
  • ANTHEM — Blue Access Large Group: $586.92
  • ANTHEM — Blue Access Small Group: $568.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $825 $243.77 $370.50 – $651
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $370.50
  • PB - AETNA — MEDICARE ADVANTAGE: $370.50
  • PB - AFFINITY — CHP: $577.50
  • PB - AFFINITY — ESSENTIAL: $577.50
  • PB - ANTHEM — EXCHANGE: $396.02
  • PB - CENTERLIGHT — PACE: $412.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $412.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $651
  • PB - OSCAR — ALL PRODUCTS: $453.75
  • PB - WELLCARE — MEDICARE ADVANTAGE: $495
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W/CONTRAST $2,511.46 $422.61 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,290
CT scan of the abdomen and pelvis, with contrast: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $351.53
  • Affinity — CHP: $457.54
  • Affinity — Essential Plan 1-2: $980.44
  • Affinity — Essential Plan 200-250: $980.44
  • Affinity — Essential Plan 3-4: $980.44
  • Affinity — HARP_Managed Medicaid: $444.47
  • Amidacare — Managed Medicaid: $435.49
  • ANTHEM — Blue Access Large Group: $761.41
  • ANTHEM — Blue Access Small Group: $737.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $887 $356.43 $247.25 – $321.03
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $321.03
  • PB - AETNA — MEDICARE ADVANTAGE: $321.03
  • PB - AFFINITY — CHP: $620.90
  • PB - AFFINITY — ESSENTIAL: $620.90
  • PB - ANTHEM — EXCHANGE: $247.25
  • PB - CENTERLIGHT — PACE: $443.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $443.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $318
  • PB - OSCAR — ALL PRODUCTS: $487.85
  • PB - WELLCARE — MEDICARE ADVANTAGE: $532.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: CT ABD & PELVIS W/CONTRAST Not listed in the file $422.61 $94.50 – $159.98
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Aetna — ALL PRODUCTS: $159.98
  • Aetna — MEDICARE ADVANTAGE: $94.50
  • Fidelis — MAP: $136.08
  • MetroPlus — Essential Plan 1-2: $118.78
  • MetroPlus — Essential Plan 200-250: $118.78
  • MetroPlus — Essential Plan 3-4: $118.78
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM, ABDOM, COMPLETE $1,495.20 $125.84 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Ultrasound of the abdomen, complete: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $132.15
  • Affinity — CHP: $810.26
  • Affinity — Essential Plan 1-2: $1,736.28
  • Affinity — Essential Plan 200-250: $1,736.28
  • Affinity — Essential Plan 3-4: $1,736.28
  • Affinity — HARP_Managed Medicaid: $787.11
  • Amidacare — Managed Medicaid: $130.50
  • ANTHEM — Blue Access Large Group: $286.73
  • ANTHEM — Blue Access Small Group: $277.77
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; CO $1,495.20 $125.84 $101 – $1,193
Ultrasound of the abdomen, complete: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $132.15
  • Affinity — CHP: $810.26
  • Affinity — Essential Plan 1-2: $1,736.28
  • Affinity — Essential Plan 200-250: $1,736.28
  • Affinity — Essential Plan 3-4: $1,736.28
  • Affinity — HARP_Managed Medicaid: $787.11
  • Amidacare — Managed Medicaid: $130.50
  • ANTHEM — Blue Access Large Group: $286.73
  • ANTHEM — Blue Access Small Group: $277.77
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $336 $106.81 $95.26 – $187.93
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $95.26
  • PB - AETNA — MEDICARE ADVANTAGE: $95.26
  • PB - AFFINITY — CHP: $235.20
  • PB - AFFINITY — ESSENTIAL: $235.20
  • PB - ANTHEM — EXCHANGE: $128.10
  • PB - CENTERLIGHT — PACE: $168
  • PB - CIGNA — ALL PRODUCTS: $187.93
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $168
  • PB - LOCAL 1199 — ALL PRODUCTS: $152
  • PB - OSCAR — ALL PRODUCTS: $184.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS, SNGL FETUS $893.14 $125.84 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Pregnancy ultrasound (after the first trimester): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $153.10
  • Affinity — CHP: $172.68
  • Affinity — Essential Plan 1-2: $370.04
  • Affinity — Essential Plan 200-250: $370.04
  • Affinity — Essential Plan 3-4: $370.04
  • Affinity — HARP_Managed Medicaid: $167.75
  • Amidacare — Managed Medicaid: $130.50
  • ANTHEM — Blue Access Large Group: $320.98
  • ANTHEM — Blue Access Small Group: $310.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND, PREGNANT UTERUS, AFTER FIRST TRIMESTER, TRANSABD $893.14 $125.84 $108 – $1,193
Pregnancy ultrasound (after the first trimester): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $153.10
  • Affinity — CHP: $172.68
  • Affinity — Essential Plan 1-2: $370.04
  • Affinity — Essential Plan 200-250: $370.04
  • Affinity — Essential Plan 3-4: $370.04
  • Affinity — HARP_Managed Medicaid: $167.75
  • Amidacare — Managed Medicaid: $130.50
  • ANTHEM — Blue Access Large Group: $320.98
  • ANTHEM — Blue Access Small Group: $310.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $399 $106.81 $110.81 – $211.34
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $110.81
  • PB - AETNA — MEDICARE ADVANTAGE: $110.81
  • PB - AFFINITY — CHP: $279.30
  • PB - AFFINITY — ESSENTIAL: $279.30
  • PB - ANTHEM — EXCHANGE: $183.20
  • PB - CENTERLIGHT — PACE: $199.50
  • PB - CIGNA — ALL PRODUCTS: $211.34
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $199.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $171
  • PB - OSCAR — ALL PRODUCTS: $219.45
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND TRANSVAGINAL $834.30 $125.84 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Transvaginal ultrasound: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $135.16
  • Affinity — CHP: $197.62
  • Affinity — Essential Plan 1-2: $423.47
  • Affinity — Essential Plan 200-250: $423.47
  • Affinity — Essential Plan 3-4: $423.47
  • Affinity — HARP_Managed Medicaid: $191.97
  • Amidacare — Managed Medicaid: $130.50
  • ANTHEM — Blue Access Large Group: $305.08
  • ANTHEM — Blue Access Small Group: $295.54
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG US TRANSVAGINAL $348 $106.81 $95.31 – $206.49
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $95.31
  • PB - AETNA — MEDICARE ADVANTAGE: $95.31
  • PB - AFFINITY — CHP: $243.60
  • PB - AFFINITY — ESSENTIAL: $243.60
  • PB - ANTHEM — EXCHANGE: $97.02
  • PB - CENTERLIGHT — PACE: $174
  • PB - CIGNA — ALL PRODUCTS: $206.49
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $174
  • PB - LOCAL 1199 — ALL PRODUCTS: $123
  • PB - OSCAR — ALL PRODUCTS: $191.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: TRANSVAGINAL US NON-OB Not listed in the file $125.84 $78 – $143.19
Transvaginal ultrasound: rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $120.13
  • Aetna — MEDICARE ADVANTAGE: $99.44
  • Fidelis — MAP: $143.19
  • Local 1199 — ALL PRODUCTS: $78
  • MetroPlus — Essential Plan 1-2: $127.46
  • MetroPlus — Essential Plan 200-250: $127.46
  • MetroPlus — Essential Plan 3-4: $127.46
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $479.82 $144.18 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Diagnostic mammogram, one breast: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $144.18
  • Affinity — CHP: $166.56
  • Affinity — Essential Plan 1-2: $356.92
  • Affinity — Essential Plan 200-250: $356.92
  • Affinity — Essential Plan 3-4: $356.92
  • Affinity — HARP_Managed Medicaid: $161.80
  • Amidacare — Managed Medicaid: $145.38
  • ANTHEM — Blue Access Large Group: $327.11
  • ANTHEM — Blue Access Small Group: $316.89
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAG MAMMOGRAM DIGITAL RGHT $479.82 $144.18 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Diagnostic mammogram, one breast: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $144.18
  • Affinity — CHP: $166.56
  • Affinity — Essential Plan 1-2: $356.92
  • Affinity — Essential Plan 200-250: $356.92
  • Affinity — Essential Plan 3-4: $356.92
  • Affinity — HARP_Managed Medicaid: $161.80
  • Amidacare — Managed Medicaid: $145.38
  • ANTHEM — Blue Access Large Group: $327.11
  • ANTHEM — Blue Access Small Group: $316.89
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $365 $145.38 $104.04 – $212.95
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $104.04
  • PB - AETNA — MEDICARE ADVANTAGE: $104.04
  • PB - AFFINITY — CHP: $255.50
  • PB - AFFINITY — ESSENTIAL: $255.50
  • PB - ANTHEM — EXCHANGE: $124.85
  • PB - CENTERLIGHT — PACE: $182.50
  • PB - CIGNA — ALL PRODUCTS: $212.95
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $182.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $310.25
  • PB - OSCAR — ALL PRODUCTS: $200.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $603.48 $181.39 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Diagnostic mammogram, both breasts: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $181.39
  • Affinity — CHP: $166.56
  • Affinity — Essential Plan 1-2: $356.92
  • Affinity — Essential Plan 200-250: $356.92
  • Affinity — Essential Plan 3-4: $356.92
  • Affinity — HARP_Managed Medicaid: $161.80
  • Amidacare — Managed Medicaid: $184.35
  • ANTHEM — Blue Access Large Group: $417.63
  • ANTHEM — Blue Access Small Group: $404.58
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $463 $184.35 $132 – $271.06
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $132
  • PB - AETNA — MEDICARE ADVANTAGE: $132
  • PB - AFFINITY — CHP: $324.10
  • PB - AFFINITY — ESSENTIAL: $324.10
  • PB - ANTHEM — EXCHANGE: $152.66
  • PB - CENTERLIGHT — PACE: $231.50
  • PB - CIGNA — ALL PRODUCTS: $271.06
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $231.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $393.55
  • PB - OSCAR — ALL PRODUCTS: $254.65
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD BI Not listed in the file $181.39 $130.49 – $187.91
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — ALL PRODUCTS: $130.49
  • Aetna — MEDICARE ADVANTAGE: $130.49
  • EMBLEM — HIP_GHI_CHP: $130.49
  • EMBLEM — PPO_Commercial: $130.49
  • Fidelis — MAP: $187.91
  • Local 1199 — ALL PRODUCTS: $143
  • MetroPlus — Essential Plan 1-2: $162.42
  • MetroPlus — Essential Plan 200-250: $162.42
  • MetroPlus — Essential Plan 3-4: $162.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $490.90 $147.27 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Screening mammogram, both breasts: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $147.27
  • Affinity — CHP: $166.56
  • Affinity — Essential Plan 1-2: $356.92
  • Affinity — Essential Plan 200-250: $356.92
  • Affinity — Essential Plan 3-4: $356.92
  • Affinity — HARP_Managed Medicaid: $161.80
  • Amidacare — Managed Medicaid: $148.14
  • ANTHEM — Blue Access Large Group: $345.46
  • ANTHEM — Blue Access Small Group: $334.66
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ADDITIONAL SCREENING VIEW NO CHARGE $490.90 $147.27 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,193
Screening mammogram, both breasts: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,193
  • Aetna — MEDICARE ADVANTAGE: $147.27
  • Affinity — CHP: $166.56
  • Affinity — Essential Plan 1-2: $356.92
  • Affinity — Essential Plan 200-250: $356.92
  • Affinity — Essential Plan 3-4: $356.92
  • Affinity — HARP_Managed Medicaid: $161.80
  • Amidacare — Managed Medicaid: $148.14
  • ANTHEM — Blue Access Large Group: $345.46
  • ANTHEM — Blue Access Small Group: $334.66
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $372 $148.14 $106.59 – $223.91
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $106.59
  • PB - AETNA — MEDICARE ADVANTAGE: $106.59
  • PB - AFFINITY — CHP: $260.40
  • PB - AFFINITY — ESSENTIAL: $260.40
  • PB - ANTHEM — EXCHANGE: $125.30
  • PB - CENTERLIGHT — PACE: $186
  • PB - CIGNA — ALL PRODUCTS: $223.91
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $186
  • PB - LOCAL 1199 — ALL PRODUCTS: $316.20
  • PB - OSCAR — ALL PRODUCTS: $204.60

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; WITH I $212.55 Not listed in the file $16.41 – $645
Electrocardiogram (ECG/EKG) with reading: 10 of 86 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $16.41
  • Affinity — CHP: $66.27
  • Affinity — Essential Plan 1-2: $142
  • Affinity — Essential Plan 200-250: $142
  • Affinity — Essential Plan 3-4: $142
  • Affinity — HARP_Managed Medicaid: $64.37
  • Amidacare — Managed Medicaid: $180.67
  • ANTHEM — Blue Access Large Group: $57.37
  • ANTHEM — Blue Access Small Group: $55.58
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $45 Not listed in the file $15.04 – $32
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $15.04
  • PB - AETNA — MEDICARE ADVANTAGE: $15.04
  • PB - AFFINITY — CHP: $31.50
  • PB - AFFINITY — ESSENTIAL: $31.50
  • PB - ANTHEM — EXCHANGE: $18.18
  • PB - CENTERLIGHT — PACE: $22.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $22.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $32
  • PB - OSCAR — ALL PRODUCTS: $24.75
  • PB - WELLCARE — MEDICARE ADVANTAGE: $27
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HEART CATHETERIZATION INCLUDING INTRAPROCEDURAL INJECTIO $11,684.82 $3,806.17 $586 – $6,586
Left heart catheterization (diagnostic): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $6,586
  • Aetna — MEDICARE ADVANTAGE: $996.37
  • Affinity — CHP: $2,253.30
  • Affinity — Essential Plan 1-2: $4,828.50
  • Affinity — Essential Plan 200-250: $4,828.50
  • Affinity — Essential Plan 3-4: $4,828.50
  • Affinity — HARP_Managed Medicaid: $2,188.92
  • Amidacare — Managed Medicaid: $4,046.85
  • ANTHEM — Blue Access Large Group: $5,736
  • ANTHEM — Blue Access Small Group: $5,581
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $2,624 $3,312.15 $490.93 – $795.77
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $795.77
  • PB - AETNA — MEDICARE ADVANTAGE: $795.77
  • PB - AFFINITY — CHP: $1,836.80
  • PB - AFFINITY — ESSENTIAL: $1,836.80
  • PB - ANTHEM — EXCHANGE: $490.93
  • PB - CENTERLIGHT — PACE: $1,312
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $1,312
  • PB - LOCAL 1199 — ALL PRODUCTS: $2,230.40
  • PB - OSCAR — ALL PRODUCTS: $1,443.20
  • PB - WELLCARE — MEDICARE ADVANTAGE: $1,574.40
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file $3,806.17 $266.88 – $402.46
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • Aetna — ALL PRODUCTS: $402.46
  • Aetna — MEDICARE ADVANTAGE: $266.88
  • Fidelis — MAP: $384.31
  • MetroPlus — Essential Plan 1-2: $331.97
  • MetroPlus — Essential Plan 200-250: $331.97
  • MetroPlus — Essential Plan 3-4: $331.97
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ELECTROPHYSIOLOGY $20,362.84 $8,979.45 $538.45 – $14,604.29
Heart rhythm study (electrophysiology evaluation): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $5,125
  • Aetna — MEDICARE ADVANTAGE: $8,979.45
  • Affinity — CHP: $681.16
  • Affinity — Essential Plan 1-2: $1,459.62
  • Affinity — Essential Plan 200-250: $1,459.62
  • Affinity — Essential Plan 3-4: $1,459.62
  • Affinity — HARP_Managed Medicaid: $661.69
  • Amidacare — Managed Medicaid: $9,736.19
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $2,243 $7,968.60 $659.29 – $816
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $659.29
  • PB - AETNA — MEDICARE ADVANTAGE: $659.29
  • PB - AFFINITY — CHP: $1,570.10
  • PB - AFFINITY — ESSENTIAL: $1,570.10
  • PB - ANTHEM — EXCHANGE: $682.50
  • PB - CENTERLIGHT — PACE: $1,121.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $1,121.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $816
  • PB - OSCAR — ALL PRODUCTS: $1,233.65
  • PB - WELLCARE — MEDICARE ADVANTAGE: $1,345.80
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION Not listed in the file $8,979.45 $432.80 – $647.54
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans
  • Aetna — ALL PRODUCTS: $647.54
  • Aetna — MEDICARE ADVANTAGE: $432.80
  • Fidelis — MAP: $623.23
  • MetroPlus — Essential Plan 1-2: $547.09
  • MetroPlus — Essential Plan 200-250: $547.09
  • MetroPlus — Essential Plan 3-4: $547.09
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $2,455 $26,703.99 $687.96 – $1,224
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $1,055.33
  • PB - AETNA — MEDICARE ADVANTAGE: $1,055.33
  • PB - AFFINITY — CHP: $1,718.50
  • PB - AFFINITY — ESSENTIAL: $1,718.50
  • PB - ANTHEM — EXCHANGE: $687.96
  • PB - CENTERLIGHT — PACE: $1,227.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $1,227.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $1,224
  • PB - OSCAR — ALL PRODUCTS: $1,350.25
  • PB - WELLCARE — MEDICARE ADVANTAGE: $1,473
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib Not listed in the file $29,030.54 $917.67 – $65,254.94
Heart rhythm study with ablation for atrial fibrillation: 10 of 44 insurance plan rates
  • Affinity — CHP: $1,160.90
  • Affinity — Essential Plan 1-2: $2,487.65
  • Affinity — Essential Plan 200-250: $2,487.65
  • Affinity — Essential Plan 3-4: $2,487.65
  • Affinity — HARP_Managed Medicaid: $1,127.73
  • Anthem HealthPlus — CHP: $1,216.18
  • Anthem HealthPlus — Essential Plan 1-2: $2,487.65
  • Anthem HealthPlus — Essential Plan 200-250: $2,487.65
  • Anthem HealthPlus — Essential Plan 3-4: $2,487.65
  • Anthem HealthPlus — EXCHANGE: $1,105.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file $29,030.54 $1,089.36 – $41,223.37
Heart rhythm study with ablation for atrial fibrillation: 10 of 32 insurance plan rates
  • Aetna — MEDICARE ADVANTAGE: $1,089.36
  • ANTHEM — MEDICARE ADVANTAGE: $29,030.54
  • Centerlight — PACE: $32,627.47
  • Elderplan — MAP_Medicare Advantage_MLTC: $65,254.94
  • EMBLEM — MEDICARE ADVANTAGE: $43,545.81
  • Fidelis — EXCHANGE: $41,223.37
  • Fidelis — MAP: $29,030.54
  • Hamaspik — MEDICARE ADVANTAGE: $23,224.43
  • Healthfirst — MAP: $31,974.92
  • Healthfirst — MEDICARE ADVANTAGE: $31,974.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY; 6 YEARS OR OLDER, SLEEP STAGNG W/4 OR MORE A $5,393.14 $1,203.94 $225 – $1,892.75
Sleep study (overnight, in a sleep lab): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,268.28
  • Aetna — MEDICARE ADVANTAGE: $724.73
  • Affinity — CHP: $1,080.94
  • Affinity — Essential Plan 1-2: $2,316.31
  • Affinity — Essential Plan 200-250: $2,316.31
  • Affinity — Essential Plan 3-4: $2,316.31
  • Affinity — HARP_Managed Medicaid: $1,050.06
  • Amidacare — Managed Medicaid: $1,071.95
  • ANTHEM — Blue Access Large Group: $1,752.77
  • ANTHEM — Blue Access Small Group: $1,697.99
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $2,004 $877.34 $555.68 – $969
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $555.68
  • PB - AETNA — MEDICARE ADVANTAGE: $555.68
  • PB - AFFINITY — CHP: $1,402.80
  • PB - AFFINITY — ESSENTIAL: $1,402.80
  • PB - ANTHEM — EXCHANGE: $785.16
  • PB - CENTERLIGHT — PACE: $1,002
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $1,002
  • PB - LOCAL 1199 — ALL PRODUCTS: $969
  • PB - OSCAR — ALL PRODUCTS: $1,102.20
  • PB - WELLCARE — MEDICARE ADVANTAGE: $1,202.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file $1,203.94 $599.11 – $862.72
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
  • Aetna — ALL PRODUCTS: $786.17
  • Aetna — MEDICARE ADVANTAGE: $599.11
  • Fidelis — MAP: $862.72
  • Local 1199 — ALL PRODUCTS: $772
  • MetroPlus — Essential Plan 1-2: $716.46
  • MetroPlus — Essential Plan 200-250: $716.46
  • MetroPlus — Essential Plan 3-4: $716.46

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISES $315.75 $32.81 $32.81 – $1,707
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $32.81
  • Affinity — CHP: $102.72
  • Affinity — Essential Plan 1-2: $220.12
  • Affinity — Essential Plan 200-250: $220.12
  • Affinity — Essential Plan 3-4: $220.12
  • Affinity — HARP_Managed Medicaid: $99.79
  • Amidacare — Managed Medicaid: $493
  • ANTHEM — Blue Access Large Group: $1,579
  • ANTHEM — Blue Access Small Group: $1,536
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT - THERAPEUTIC EXERCISES $91.97 $32.81 $32.81 – $645
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $32.81
  • Affinity — CHP: $102.72
  • Affinity — Essential Plan 1-2: $220.12
  • Affinity — Essential Plan 200-250: $220.12
  • Affinity — Essential Plan 3-4: $220.12
  • Affinity — HARP_Managed Medicaid: $99.79
  • Amidacare — Managed Medicaid: $32.90
  • ANTHEM — Blue Access Large Group: $101.38
  • ANTHEM — Blue Access Small Group: $98.21
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $83 $32.90 $19.41 – $50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans
  • PB - AETNA — ALL PRODUCTS: $19.41
  • PB - AETNA — MEDICARE ADVANTAGE: $19.41
  • PB - AFFINITY — CHP: $58.10
  • PB - AFFINITY — ESSENTIAL: $58.10
  • PB - CENTERLIGHT — PACE: $41.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $41.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $50
  • PB - OSCAR — ALL PRODUCTS: $45.65
  • PB - WELLCARE — MEDICARE ADVANTAGE: $49.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX 20 MIN $478.50 $111.81 $111.81 – $299.65
Physical therapy evaluation (low complexity): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $203
  • Aetna — MEDICARE ADVANTAGE: $111.81
  • Affinity — CHP: $169.73
  • Affinity — Essential Plan 1-2: $363.71
  • Affinity — Essential Plan 200-250: $363.71
  • Affinity — Essential Plan 3-4: $363.71
  • Affinity — HARP_Managed Medicaid: $164.88
  • Amidacare — Managed Medicaid: $110.15
  • ANTHEM — Blue Access Large Group: $277.49
  • ANTHEM — Blue Access Small Group: $268.82
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $278 $110.15 $49.11
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • PB - AETNA — ALL PRODUCTS: $49.11
  • PB - AETNA — MEDICARE ADVANTAGE: $49.11
  • PB - AFFINITY — CHP: $194.60
  • PB - AFFINITY — ESSENTIAL: $194.60
  • PB - CENTERLIGHT — PACE: $139
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $139
  • PB - LOCAL 1199 — ALL PRODUCTS: $236.30
  • PB - OSCAR — ALL PRODUCTS: $152.90
  • PB - WELLCARE — MEDICARE ADVANTAGE: $166.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX 30 MIN $478.50 $111.81 $111.81 – $299.65
Physical therapy evaluation (moderate complexity): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $203
  • Aetna — MEDICARE ADVANTAGE: $111.81
  • Affinity — CHP: $169.73
  • Affinity — Essential Plan 1-2: $363.71
  • Affinity — Essential Plan 200-250: $363.71
  • Affinity — Essential Plan 3-4: $363.71
  • Affinity — HARP_Managed Medicaid: $164.88
  • Amidacare — Managed Medicaid: $110.15
  • ANTHEM — Blue Access Large Group: $277.49
  • ANTHEM — Blue Access Small Group: $268.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $278 $110.15 $49.11
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • PB - AETNA — ALL PRODUCTS: $49.11
  • PB - AETNA — MEDICARE ADVANTAGE: $49.11
  • PB - AFFINITY — CHP: $194.60
  • PB - AFFINITY — ESSENTIAL: $194.60
  • PB - CENTERLIGHT — PACE: $139
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $139
  • PB - LOCAL 1199 — ALL PRODUCTS: $236.30
  • PB - OSCAR — ALL PRODUCTS: $152.90
  • PB - WELLCARE — MEDICARE ADVANTAGE: $166.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN $478.50 $111.81 $111.81 – $299.65
Physical therapy evaluation (high complexity): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $203
  • Aetna — MEDICARE ADVANTAGE: $111.81
  • Affinity — CHP: $169.73
  • Affinity — Essential Plan 1-2: $363.71
  • Affinity — Essential Plan 200-250: $363.71
  • Affinity — Essential Plan 3-4: $363.71
  • Affinity — HARP_Managed Medicaid: $164.88
  • Amidacare — Managed Medicaid: $110.15
  • ANTHEM — Blue Access Large Group: $277.49
  • ANTHEM — Blue Access Small Group: $268.82
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $278 $110.15 $49.11
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • PB - AETNA — ALL PRODUCTS: $49.11
  • PB - AETNA — MEDICARE ADVANTAGE: $49.11
  • PB - AFFINITY — CHP: $194.60
  • PB - AFFINITY — ESSENTIAL: $194.60
  • PB - CENTERLIGHT — PACE: $139
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $139
  • PB - LOCAL 1199 — ALL PRODUCTS: $236.30
  • PB - OSCAR — ALL PRODUCTS: $152.90
  • PB - WELLCARE — MEDICARE ADVANTAGE: $166.80
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER $698.07 $190.13 $70.93 – $1,016
Psychotherapy, 30 minutes: 10 of 99 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $75.48
  • Affinity — CHP: $155.58
  • Affinity — Essential Plan 1-2: $333.38
  • Affinity — Essential Plan 200-250: $333.38
  • Affinity — Essential Plan 3-4: $333.38
  • Affinity — HARP_Managed Medicaid: $151.13
  • Amidacare — Managed Medicaid: $221.56
  • ANTHEM — Blue Access Large Group: $1,579
  • ANTHEM — Blue Access Small Group: $1,536
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $188 $181.34 $30.25 – $88.17
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $88.17
  • PB - AETNA — MEDICARE ADVANTAGE: $88.17
  • PB - AFFINITY — CHP: $131.60
  • PB - AFFINITY — ESSENTIAL: $131.60
  • PB - ANTHEM — EXCHANGE: $30.25
  • PB - CENTERLIGHT — PACE: $94
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $94
  • PB - LOCAL 1199 — ALL PRODUCTS: $159.80
  • PB - OSCAR — ALL PRODUCTS: $103.40
  • PB - UNITED BH — ALL PRODUCTS: $73.07
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 45 MINUTES WITH PATIENT AND/OR FAMILY MEMBER $980.50 $190.13 $99.52 – $1,016
Psychotherapy, 45 minutes: 10 of 99 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $99.52
  • Affinity — CHP: $202.76
  • Affinity — Essential Plan 1-2: $434.48
  • Affinity — Essential Plan 200-250: $434.48
  • Affinity — Essential Plan 3-4: $434.48
  • Affinity — HARP_Managed Medicaid: $196.96
  • Amidacare — Managed Medicaid: $221.56
  • ANTHEM — Blue Access Large Group: $1,579
  • ANTHEM — Blue Access Small Group: $1,536
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 45 MINUTES WITH PATIENT $807.47 $190.13 $99.52 – $358
Psychotherapy, 45 minutes: 10 of 99 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $99.52
  • Affinity — CHP: $202.76
  • Affinity — Essential Plan 1-2: $434.48
  • Affinity — Essential Plan 200-250: $434.48
  • Affinity — Essential Plan 3-4: $434.48
  • Affinity — HARP_Managed Medicaid: $196.96
  • Amidacare — Managed Medicaid: $221.56
  • ANTHEM — Blue Access Large Group: $184
  • ANTHEM — Blue Access Small Group: $179
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $249 $181.34 $45.35 – $126.74
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $126.74
  • PB - AETNA — MEDICARE ADVANTAGE: $126.74
  • PB - AFFINITY — CHP: $174.30
  • PB - AFFINITY — ESSENTIAL: $174.30
  • PB - ANTHEM — EXCHANGE: $45.35
  • PB - CENTERLIGHT — PACE: $124.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $124.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $211.65
  • PB - OSCAR — ALL PRODUCTS: $136.95
  • PB - UNITED BH — ALL PRODUCTS: $111.43
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER $895.13 $190.13 $113.61 – $269.98
Psychotherapy, 60 minutes: 10 of 99 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $147.46
  • Affinity — CHP: $202.76
  • Affinity — Essential Plan 1-2: $434.48
  • Affinity — Essential Plan 200-250: $434.48
  • Affinity — Essential Plan 3-4: $434.48
  • Affinity — HARP_Managed Medicaid: $196.96
  • Amidacare — Managed Medicaid: $221.56
  • ANTHEM — Blue Access Large Group: $184
  • ANTHEM — Blue Access Small Group: $179
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT $895.13 $190.13 $134.60 – $358
Psychotherapy, 60 minutes: 10 of 99 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $147.46
  • Affinity — CHP: $202.76
  • Affinity — Essential Plan 1-2: $434.48
  • Affinity — Essential Plan 200-250: $434.48
  • Affinity — Essential Plan 3-4: $434.48
  • Affinity — HARP_Managed Medicaid: $196.96
  • Amidacare — Managed Medicaid: $221.56
  • ANTHEM — Blue Access Large Group: $184
  • ANTHEM — Blue Access Small Group: $179
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $366 $181.34 $68.46 – $160.89
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $160.89
  • PB - AETNA — MEDICARE ADVANTAGE: $160.89
  • PB - AFFINITY — CHP: $256.20
  • PB - AFFINITY — ESSENTIAL: $256.20
  • PB - ANTHEM — EXCHANGE: $68.46
  • PB - CENTERLIGHT — PACE: $183
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $183
  • PB - LOCAL 1199 — ALL PRODUCTS: $311.10
  • PB - OSCAR — ALL PRODUCTS: $201.30
  • PB - UNITED BH — ALL PRODUCTS: $117.04
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) $1,202.68 $190.13 $107.90 – $269.98
Family psychotherapy, without the patient: 10 of 99 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $107.90
  • Affinity — CHP: $155.58
  • Affinity — Essential Plan 1-2: $333.38
  • Affinity — Essential Plan 200-250: $333.38
  • Affinity — Essential Plan 3-4: $333.38
  • Affinity — HARP_Managed Medicaid: $151.13
  • Amidacare — Managed Medicaid: $221.56
  • ANTHEM — Blue Access Large Group: $184
  • ANTHEM — Blue Access Small Group: $179
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $269 $181.34 $52.02 – $132.25
Family psychotherapy, without the patient: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $132.25
  • PB - AETNA — MEDICARE ADVANTAGE: $132.25
  • PB - AFFINITY — CHP: $188.30
  • PB - AFFINITY — ESSENTIAL: $188.30
  • PB - ANTHEM — EXCHANGE: $52.02
  • PB - CENTERLIGHT — PACE: $134.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $134.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $228.65
  • PB - OSCAR — ALL PRODUCTS: $147.95
  • PB - UNITED BH — ALL PRODUCTS: $112.09
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT P $1,213.25 $190.13 $75 – $645
Family psychotherapy, with the patient: 10 of 98 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $112.46
  • Affinity — CHP: $155.58
  • Affinity — Essential Plan 1-2: $333.38
  • Affinity — Essential Plan 200-250: $333.38
  • Affinity — Essential Plan 3-4: $333.38
  • Affinity — HARP_Managed Medicaid: $151.13
  • Amidacare — Managed Medicaid: $221.56
  • ANTHEM — Blue Access Large Group: $335.46
  • ANTHEM — Blue Access Small Group: $324.98
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $278 $181.34 $62.44 – $132.25
Family psychotherapy, with the patient: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $132.25
  • PB - AETNA — MEDICARE ADVANTAGE: $132.25
  • PB - AFFINITY — CHP: $194.60
  • PB - AFFINITY — ESSENTIAL: $194.60
  • PB - ANTHEM — EXCHANGE: $62.44
  • PB - CENTERLIGHT — PACE: $139
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $139
  • PB - LOCAL 1199 — ALL PRODUCTS: $65
  • PB - OSCAR — ALL PRODUCTS: $152.90
  • PB - UNITED BH — ALL PRODUCTS: $111.76
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) $335.40 $109.46 $26.73 – $257
Group psychotherapy: 10 of 99 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $26.73
  • Affinity — CHP: $87.18
  • Affinity — Essential Plan 1-2: $186.82
  • Affinity — Essential Plan 200-250: $186.82
  • Affinity — Essential Plan 3-4: $186.82
  • Affinity — HARP_Managed Medicaid: $84.69
  • Amidacare — Managed Medicaid: $126.81
  • ANTHEM — Blue Access Large Group: $110
  • ANTHEM — Blue Access Small Group: $107
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY $66 $103.79 $17.63 – $67.12
Group psychotherapy: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $66.13
  • PB - AETNA — MEDICARE ADVANTAGE: $66.13
  • PB - AFFINITY — CHP: $46.20
  • PB - AFFINITY — ESSENTIAL: $46.20
  • PB - ANTHEM — EXCHANGE: $17.63
  • PB - CENTERLIGHT — PACE: $33
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $33
  • PB - LOCAL 1199 — ALL PRODUCTS: $35
  • PB - OSCAR — ALL PRODUCTS: $36.30
  • PB - UNITED BH — ALL PRODUCTS: $67.12

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISION OF CYST/FIBROADENOMA/BREAST TISSUE/DUCT LESION/NIPPL $5,507.67 $4,531.42 $1,556.18 – $7,331.36
Removal of breast growth (open surgery): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,626
  • Aetna — MEDICARE ADVANTAGE: $503.02
  • Affinity — CHP: $1,968.67
  • Affinity — Essential Plan 1-2: $4,218.57
  • Affinity — Essential Plan 200-250: $4,218.57
  • Affinity — Essential Plan 3-4: $4,218.57
  • Affinity — HARP_Managed Medicaid: $1,912.42
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $3,662
  • ANTHEM — Blue Access Small Group: $3,564
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,239 $4,000.24 $220.58 – $434.61
Removal of breast growth (open surgery): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $366.84
  • PB - AETNA — MEDICARE ADVANTAGE: $434.61
  • PB - AFFINITY — CHP: $867.30
  • PB - AFFINITY — ESSENTIAL: $867.30
  • PB - ANTHEM — EXCHANGE: $220.58
  • PB - CENTERLIGHT — PACE: $619.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $619.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $387
  • PB - OSCAR — ALL PRODUCTS: $681.45
  • PB - WELLCARE — MEDICARE ADVANTAGE: $743.40
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF BREAST LESION Not listed in the file $4,531.42 $578
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $578
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $3,496 $13,116.76 $836.72 – $1,559
Total hip replacement: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $1,401.08
  • PB - AETNA — MEDICARE ADVANTAGE: $1,401.08
  • PB - AFFINITY — CHP: $2,447.20
  • PB - AFFINITY — ESSENTIAL: $2,447.20
  • PB - ANTHEM — EXCHANGE: $836.72
  • PB - CENTERLIGHT — PACE: $1,748
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $1,748
  • PB - LOCAL 1199 — ALL PRODUCTS: $1,559
  • PB - OSCAR — ALL PRODUCTS: $1,922.80
  • PB - WELLCARE — MEDICARE ADVANTAGE: $2,097.60
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file $15,226.08 $3,447.45 – $32,052.64
Total hip replacement: 10 of 46 insurance plan rates
  • Affinity — CHP: $4,361.23
  • Affinity — Essential Plan 1-2: $9,345.49
  • Affinity — Essential Plan 200-250: $9,345.49
  • Affinity — Essential Plan 3-4: $9,345.49
  • Affinity — HARP_Managed Medicaid: $4,236.62
  • Anthem HealthPlus — CHP: $4,568.91
  • Anthem HealthPlus — Essential Plan 1-2: $9,345.49
  • Anthem HealthPlus — Essential Plan 200-250: $9,345.49
  • Anthem HealthPlus — Essential Plan 3-4: $9,345.49
  • Anthem HealthPlus — EXCHANGE: $4,153.55
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file $15,226.08 $1,517.27 – $21,621.03
Total hip replacement: 10 of 33 insurance plan rates
  • Aetna — MEDICARE ADVANTAGE: $1,517.27
  • Amidacare — Managed Medicaid: $16,026.32
  • ANTHEM — MEDICARE ADVANTAGE: $15,226.08
  • Centerlight — PACE: $16,026.32
  • Elderplan — MAP_Medicare Advantage_MLTC: $32,052.64
  • EMBLEM — MEDICARE ADVANTAGE: $22,839.12
  • Fidelis — EXCHANGE: $21,621.03
  • Fidelis — MAP: $15,226.08
  • Hamaspik — MEDICARE ADVANTAGE: $12,180.86
  • Healthfirst — MAP: $15,705.79
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL & LATERAL COM $39,054.30 $15,226.08 $1,515.10 – $21,621.03
Total knee replacement: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $4,162
  • Aetna — MEDICARE ADVANTAGE: $1,515.10
  • Affinity — CHP: $4,361.23
  • Affinity — Essential Plan 1-2: $9,345.49
  • Affinity — Essential Plan 200-250: $9,345.49
  • Affinity — Essential Plan 3-4: $9,345.49
  • Affinity — HARP_Managed Medicaid: $4,236.62
  • Amidacare — Managed Medicaid: $16,026.32
  • ANTHEM — Blue Access Large Group: $5,248
  • ANTHEM — Blue Access Small Group: $5,106
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $3,489 $13,116.76 $898.91 – $1,679
Total knee replacement: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $1,400.72
  • PB - AETNA — MEDICARE ADVANTAGE: $1,400.72
  • PB - AFFINITY — CHP: $2,442.30
  • PB - AFFINITY — ESSENTIAL: $2,442.30
  • PB - ANTHEM — EXCHANGE: $898.91
  • PB - CENTERLIGHT — PACE: $1,744.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $1,744.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $1,679
  • PB - OSCAR — ALL PRODUCTS: $1,918.95
  • PB - WELLCARE — MEDICARE ADVANTAGE: $2,093.40
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file $15,226.08 $2,518.50
Total knee replacement: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $2,518.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ARTHROSCOPY, SHOULDER, SRGCL; DCMPRSSN SBCRML SPC W/PRTL ACRM $5,785.38 Not listed in the file $200.37 – $288.53
Shoulder arthroscopy: shaving of shoulder bone: 10 of 86 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,626
  • Aetna — MEDICARE ADVANTAGE: $200.37
  • Affinity — CHP: $2,283.05
  • Affinity — Essential Plan 1-2: $4,892.24
  • Affinity — Essential Plan 200-250: $4,892.24
  • Affinity — Essential Plan 3-4: $4,892.24
  • Affinity — HARP_Managed Medicaid: $2,217.82
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $3,662
  • ANTHEM — Blue Access Small Group: $3,564
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $817 Not listed in the file $182.32 – $769
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $182.32
  • PB - AETNA — MEDICARE ADVANTAGE: $182.32
  • PB - AFFINITY — CHP: $571.90
  • PB - AFFINITY — ESSENTIAL: $571.90
  • PB - ANTHEM — EXCHANGE: $392.23
  • PB - CENTERLIGHT — PACE: $408.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $408.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $769
  • PB - OSCAR — ALL PRODUCTS: $449.35
  • PB - WELLCARE — MEDICARE ADVANTAGE: $490.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,153.50
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $1,153.50
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ARTHROSCOPY, KNEE; W/MENISCECTOMY INC DBRDMNT/SHVNG ARTCLR CA $11,625.70 $3,839.54 $225 – $5,452.15
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $647.16
  • Affinity — CHP: $2,283.05
  • Affinity — Essential Plan 1-2: $4,892.24
  • Affinity — Essential Plan 200-250: $4,892.24
  • Affinity — Essential Plan 3-4: $4,892.24
  • Affinity — HARP_Managed Medicaid: $2,217.82
  • Amidacare — Managed Medicaid: $4,084.39
  • ANTHEM — Blue Access Large Group: $1,877.01
  • ANTHEM — Blue Access Small Group: $1,818.35
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $1,548 $3,342.87 $369.68 – $686
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $558.48
  • PB - AETNA — MEDICARE ADVANTAGE: $558.48
  • PB - AFFINITY — CHP: $1,083.60
  • PB - AFFINITY — ESSENTIAL: $1,083.60
  • PB - ANTHEM — EXCHANGE: $369.68
  • PB - CENTERLIGHT — PACE: $774
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $774
  • PB - LOCAL 1199 — ALL PRODUCTS: $686
  • PB - OSCAR — ALL PRODUCTS: $851.40
  • PB - WELLCARE — MEDICARE ADVANTAGE: $928.80
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file $3,839.54 $1,029
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $1,029
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 $15,833.82 $7,000.36 $225 – $9,940.51
Removal of tonsils and adenoids (under age 12): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $340.67
  • Affinity — CHP: $1,808.91
  • Affinity — Essential Plan 1-2: $3,876.23
  • Affinity — Essential Plan 200-250: $3,876.23
  • Affinity — Essential Plan 3-4: $3,876.23
  • Affinity — HARP_Managed Medicaid: $1,757.23
  • Amidacare — Managed Medicaid: $7,389.63
  • ANTHEM — Blue Access Large Group: $980.38
  • ANTHEM — Blue Access Small Group: $949.74
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $769 $6,048.05 $169.25 – $363
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $337.70
  • PB - AETNA — MEDICARE ADVANTAGE: $337.70
  • PB - AFFINITY — CHP: $538.30
  • PB - AFFINITY — ESSENTIAL: $538.30
  • PB - ANTHEM — EXCHANGE: $169.25
  • PB - CENTERLIGHT — PACE: $384.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $384.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $363
  • PB - OSCAR — ALL PRODUCTS: $422.95
  • PB - WELLCARE — MEDICARE ADVANTAGE: $461.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UPPER GASTROINTESTINAL ENDOSCOPY; DIAGNOSTIC, W/WO COLLECTION $3,073.01 $1,109.47 $138.76 – $1,575.45
Upper GI endoscopy (diagnostic): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $138.76
  • Affinity — CHP: $1,016.33
  • Affinity — Essential Plan 1-2: $2,177.84
  • Affinity — Essential Plan 200-250: $2,177.84
  • Affinity — Essential Plan 3-4: $2,177.84
  • Affinity — HARP_Managed Medicaid: $987.29
  • Amidacare — Managed Medicaid: $493
  • ANTHEM — Blue Access Large Group: $1,579
  • ANTHEM — Blue Access Small Group: $1,536
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $322 $926.63 $96.96 – $355.25
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $149.20
  • PB - AETNA — MEDICARE ADVANTAGE: $355.25
  • PB - AFFINITY — CHP: $225.40
  • PB - AFFINITY — ESSENTIAL: $225.40
  • PB - ANTHEM — EXCHANGE: $96.96
  • PB - CENTERLIGHT — PACE: $161
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $161
  • PB - LOCAL 1199 — ALL PRODUCTS: $147
  • PB - OSCAR — ALL PRODUCTS: $177.10
  • PB - WELLCARE — MEDICARE ADVANTAGE: $193.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UPPER GI ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, & DUODENUM/J $3,125.68 $1,109.47 $155.38 – $1,575.45
Upper GI endoscopy with biopsy: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,235
  • Aetna — MEDICARE ADVANTAGE: $155.38
  • Affinity — CHP: $1,016.33
  • Affinity — Essential Plan 1-2: $2,177.84
  • Affinity — Essential Plan 200-250: $2,177.84
  • Affinity — Essential Plan 3-4: $2,177.84
  • Affinity — HARP_Managed Medicaid: $987.29
  • Amidacare — Managed Medicaid: $493
  • ANTHEM — Blue Access Large Group: $1,579
  • ANTHEM — Blue Access Small Group: $1,536
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $360 $926.63 $121.20 – $453.64
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $168.25
  • PB - AETNA — MEDICARE ADVANTAGE: $453.64
  • PB - AFFINITY — CHP: $252
  • PB - AFFINITY — ESSENTIAL: $252
  • PB - ANTHEM — EXCHANGE: $121.20
  • PB - CENTERLIGHT — PACE: $180
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $180
  • PB - LOCAL 1199 — ALL PRODUCTS: $174
  • PB - OSCAR — ALL PRODUCTS: $198
  • PB - WELLCARE — MEDICARE ADVANTAGE: $216
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; DIAGNOSTI $3,355.48 $1,078.88 $772.19 – $5,014
Colonoscopy (diagnostic): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,297
  • Aetna — MEDICARE ADVANTAGE: $208.36
  • Affinity — CHP: $976.86
  • Affinity — Essential Plan 1-2: $2,093.27
  • Affinity — Essential Plan 200-250: $2,093.27
  • Affinity — Essential Plan 3-4: $2,093.27
  • Affinity — HARP_Managed Medicaid: $948.95
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $1,696
  • ANTHEM — Blue Access Small Group: $1,650
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $482 $950.10 $123.89 – $432.39
Colonoscopy (diagnostic): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $222.29
  • PB - AETNA — MEDICARE ADVANTAGE: $432.39
  • PB - AFFINITY — CHP: $337.40
  • PB - AFFINITY — ESSENTIAL: $337.40
  • PB - ANTHEM — EXCHANGE: $123.89
  • PB - CENTERLIGHT — PACE: $241
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $241
  • PB - LOCAL 1199 — ALL PRODUCTS: $232
  • PB - OSCAR — ALL PRODUCTS: $265.10
  • PB - WELLCARE — MEDICARE ADVANTAGE: $289.20
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file $1,078.88 $104.69 – $244.56
Colonoscopy (diagnostic): rates for 6 insurance plans
  • Aetna — ALL PRODUCTS: $193.40
  • Aetna — MEDICARE ADVANTAGE: $104.69
  • Fidelis — MAP: $150.75
  • MetroPlus — Essential Plan 1-2: $244.56
  • MetroPlus — Essential Plan 200-250: $244.56
  • MetroPlus — Essential Plan 3-4: $244.56
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH BIOP $4,252.80 $1,395.28 $772.19 – $5,014
Colonoscopy with biopsy: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,297
  • Aetna — MEDICARE ADVANTAGE: $226.61
  • Affinity — CHP: $976.86
  • Affinity — Essential Plan 1-2: $2,093.27
  • Affinity — Essential Plan 200-250: $2,093.27
  • Affinity — Essential Plan 3-4: $2,093.27
  • Affinity — HARP_Managed Medicaid: $948.95
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $518 $1,222.56 $193.92 – $534.21
Colonoscopy with biopsy: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $240.32
  • PB - AETNA — MEDICARE ADVANTAGE: $534.21
  • PB - AFFINITY — CHP: $362.60
  • PB - AFFINITY — ESSENTIAL: $362.60
  • PB - ANTHEM — EXCHANGE: $193.92
  • PB - CENTERLIGHT — PACE: $259
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $259
  • PB - LOCAL 1199 — ALL PRODUCTS: $274
  • PB - OSCAR — ALL PRODUCTS: $284.90
  • PB - WELLCARE — MEDICARE ADVANTAGE: $310.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/REMOVL $4,446.54 $1,395.28 $284.43 – $1,981.30
Colonoscopy with removal of polyps (snare): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,297
  • Aetna — MEDICARE ADVANTAGE: $284.43
  • Affinity — CHP: $976.86
  • Affinity — Essential Plan 1-2: $2,093.27
  • Affinity — Essential Plan 200-250: $2,093.27
  • Affinity — Essential Plan 3-4: $2,093.27
  • Affinity — HARP_Managed Medicaid: $948.95
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $649 $1,222.56 $176.24 – $559.36
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $303.51
  • PB - AETNA — MEDICARE ADVANTAGE: $559.36
  • PB - AFFINITY — CHP: $454.30
  • PB - AFFINITY — ESSENTIAL: $454.30
  • PB - ANTHEM — EXCHANGE: $176.24
  • PB - CENTERLIGHT — PACE: $324.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $324.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $325
  • PB - OSCAR — ALL PRODUCTS: $356.95
  • PB - WELLCARE — MEDICARE ADVANTAGE: $389.40
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ENDO $4,453.78 $1,395.28 $225 – $1,981.30
Ultrasound of the lower bowel by endoscope: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $287.55
  • Affinity — CHP: $976.86
  • Affinity — Essential Plan 1-2: $2,093.27
  • Affinity — Essential Plan 200-250: $2,093.27
  • Affinity — Essential Plan 3-4: $2,093.27
  • Affinity — HARP_Managed Medicaid: $948.95
  • Amidacare — Managed Medicaid: $1,493.75
  • ANTHEM — Blue Access Large Group: $892.37
  • ANTHEM — Blue Access Small Group: $864.48
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $655 $1,222.56 $171.30 – $311.94
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $306.46
  • PB - AETNA — MEDICARE ADVANTAGE: $306.46
  • PB - AFFINITY — CHP: $458.50
  • PB - AFFINITY — ESSENTIAL: $458.50
  • PB - ANTHEM — EXCHANGE: $171.30
  • PB - CENTERLIGHT — PACE: $327.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $327.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $311.94
  • PB - OSCAR — ALL PRODUCTS: $360.25
  • PB - WELLCARE — MEDICARE ADVANTAGE: $393
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT ME $1,839.88 $1,078.88 $208.98 – $1,532.01
Screening colonoscopy (not high risk): 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $208.98
  • Affinity — CHP: $976.86
  • Affinity — Essential Plan 1-2: $2,093.27
  • Affinity — Essential Plan 200-250: $2,093.27
  • Affinity — Essential Plan 3-4: $2,093.27
  • Affinity — HARP_Managed Medicaid: $948.95
  • Amidacare — Managed Medicaid: $1,160.85
  • ANTHEM — Blue Access Large Group: $643.48
  • ANTHEM — Blue Access Small Group: $623.37
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND $483 $950.10 $121.71 – $365
Screening colonoscopy (not high risk): rates for 9 insurance plans
  • PB - AETNA — ALL PRODUCTS: $121.71
  • PB - AETNA — MEDICARE ADVANTAGE: $236.74
  • PB - AFFINITY — CHP: $338.10
  • PB - AFFINITY — ESSENTIAL: $338.10
  • PB - CENTERLIGHT — PACE: $241.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $241.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $365
  • PB - OSCAR — ALL PRODUCTS: $265.65
  • PB - WELLCARE — MEDICARE ADVANTAGE: $289.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind Not listed in the file $1,078.88 $104.69 – $245.31
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • Aetna — ALL PRODUCTS: $105.69
  • Aetna — MEDICARE ADVANTAGE: $104.69
  • Fidelis — MAP: $150.75
  • MetroPlus — Essential Plan 1-2: $245.31
  • MetroPlus — Essential Plan 200-250: $245.31
  • MetroPlus — Essential Plan 3-4: $245.31
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY $18,723.51 $6,904.15 $2,662.52 – $11,319.80
Gallbladder removal by laparoscope: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $5,669
  • Aetna — MEDICARE ADVANTAGE: $793.18
  • Affinity — CHP: $3,368.23
  • Affinity — Essential Plan 1-2: $7,217.64
  • Affinity — Essential Plan 200-250: $7,217.64
  • Affinity — Essential Plan 3-4: $7,217.64
  • Affinity — HARP_Managed Medicaid: $3,272
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $4,881
  • ANTHEM — Blue Access Small Group: $4,749
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $1,929 $6,176.47 $400.30 – $780.71
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $780.71
  • PB - AETNA — MEDICARE ADVANTAGE: $780.71
  • PB - AFFINITY — CHP: $1,350.30
  • PB - AFFINITY — ESSENTIAL: $1,350.30
  • PB - ANTHEM — EXCHANGE: $400.30
  • PB - CENTERLIGHT — PACE: $964.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $964.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $719
  • PB - OSCAR — ALL PRODUCTS: $1,060.95
  • PB - WELLCARE — MEDICARE ADVANTAGE: $1,157.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIB $12,900.04 $4,176.15 $2,060.59 – $6,704.03
Groin (inguinal) hernia repair, age 5 or older: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $3,245
  • Aetna — MEDICARE ADVANTAGE: $629.73
  • Affinity — CHP: $2,606.76
  • Affinity — Essential Plan 1-2: $5,585.92
  • Affinity — Essential Plan 200-250: $5,585.92
  • Affinity — Essential Plan 3-4: $5,585.92
  • Affinity — HARP_Managed Medicaid: $2,532.28
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $3,662
  • ANTHEM — Blue Access Small Group: $3,564
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $1,550 $3,657.95 $280.50 – $616.88
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $616.88
  • PB - AETNA — MEDICARE ADVANTAGE: $616.88
  • PB - AFFINITY — CHP: $1,085
  • PB - AFFINITY — ESSENTIAL: $1,085
  • PB - ANTHEM — EXCHANGE: $280.50
  • PB - CENTERLIGHT — PACE: $775
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $775
  • PB - LOCAL 1199 — ALL PRODUCTS: $513
  • PB - OSCAR — ALL PRODUCTS: $852.50
  • PB - WELLCARE — MEDICARE ADVANTAGE: $930
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file $4,176.15 $1,035
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $1,035
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY AP $6,262.40 $2,424.12 $145.58 – $3,442.25
Prostate biopsy: 10 of 93 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,297
  • Aetna — MEDICARE ADVANTAGE: $145.58
  • Affinity — CHP: $2,491.85
  • Affinity — Essential Plan 1-2: $5,339.68
  • Affinity — Essential Plan 200-250: $5,339.68
  • Affinity — Essential Plan 3-4: $5,339.68
  • Affinity — HARP_Managed Medicaid: $2,420.65
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INC $23,180.36 $12,320.22 $1,352.99 – $17,494.71
Prostate removal by laparoscope (radical prostatectomy): 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $5,669
  • Aetna — MEDICARE ADVANTAGE: $1,352.99
  • Affinity — CHP: $3,365.73
  • Affinity — Essential Plan 1-2: $7,212.29
  • Affinity — Essential Plan 200-250: $7,212.29
  • Affinity — Essential Plan 3-4: $7,212.29
  • Affinity — HARP_Managed Medicaid: $3,269.57
  • Amidacare — Managed Medicaid: $13,269.05
  • ANTHEM — Blue Access Large Group: $5,248
  • ANTHEM — Blue Access Small Group: $5,106
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $3,159 $10,860.07 $1,057.69 – $1,793
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $1,655.42
  • PB - AETNA — MEDICARE ADVANTAGE: $1,655.42
  • PB - AFFINITY — CHP: $2,211.30
  • PB - AFFINITY — ESSENTIAL: $2,211.30
  • PB - ANTHEM — EXCHANGE: $1,057.69
  • PB - CENTERLIGHT — PACE: $1,579.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $1,579.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $1,793
  • PB - OSCAR — ALL PRODUCTS: $1,737.45
  • PB - WELLCARE — MEDICARE ADVANTAGE: $1,895.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY, SURGICAL; W/SAMPLING (BIOPSY) OF ENDOMETRIUM AN $9,634.26 $3,762.53 $267.50 – $5,342.79
Hysteroscopy with biopsy of the uterus lining: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,626
  • Aetna — MEDICARE ADVANTAGE: $267.50
  • Affinity — CHP: $1,751.93
  • Affinity — Essential Plan 1-2: $3,754.13
  • Affinity — Essential Plan 200-250: $3,754.13
  • Affinity — Essential Plan 3-4: $3,754.13
  • Affinity — HARP_Managed Medicaid: $1,701.87
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY, BIOPSY $9,634.26 $3,762.53 $267.50 – $5,342.79
Hysteroscopy with biopsy of the uterus lining: 10 of 96 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,626
  • Aetna — MEDICARE ADVANTAGE: $267.50
  • Affinity — CHP: $1,751.93
  • Affinity — Essential Plan 1-2: $3,754.13
  • Affinity — Essential Plan 200-250: $3,754.13
  • Affinity — Essential Plan 3-4: $3,754.13
  • Affinity — HARP_Managed Medicaid: $1,701.87
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $608 $3,307.24 $158 – $501.48
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $328.84
  • PB - AETNA — MEDICARE ADVANTAGE: $501.48
  • PB - AFFINITY — CHP: $425.60
  • PB - AFFINITY — ESSENTIAL: $425.60
  • PB - ANTHEM — EXCHANGE: $158
  • PB - CENTERLIGHT — PACE: $304
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $304
  • PB - LOCAL 1199 — ALL PRODUCTS: $307
  • PB - OSCAR — ALL PRODUCTS: $334.40
  • PB - WELLCARE — MEDICARE ADVANTAGE: $364.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $2,552.10 $819.50 $556.23 – $4,677
Spinal injection, lower back (epidural), with imaging guidance: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,715
  • Aetna — MEDICARE ADVANTAGE: $111.33
  • Affinity — CHP: $703.66
  • Affinity — Essential Plan 1-2: $1,507.84
  • Affinity — Essential Plan 200-250: $1,507.84
  • Affinity — Essential Plan 3-4: $1,507.84
  • Affinity — HARP_Managed Medicaid: $683.55
  • Amidacare — Managed Medicaid: $881.14
  • ANTHEM — Blue Access Large Group: $1,696
  • ANTHEM — Blue Access Small Group: $1,650
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX INTERLAMINAR LMBR/SAC $2,552.10 $819.50 $111.33 – $1,163.69
Spinal injection, lower back (epidural), with imaging guidance: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $111.33
  • Affinity — CHP: $703.66
  • Affinity — Essential Plan 1-2: $1,507.84
  • Affinity — Essential Plan 200-250: $1,507.84
  • Affinity — Essential Plan 3-4: $1,507.84
  • Affinity — HARP_Managed Medicaid: $683.55
  • Amidacare — Managed Medicaid: $881.14
  • ANTHEM — Blue Access Large Group: $332.01
  • ANTHEM — Blue Access Small Group: $321.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $257 $721.17 $66.49 – $282.05
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $115.24
  • PB - AETNA — MEDICARE ADVANTAGE: $282.05
  • PB - AFFINITY — CHP: $179.90
  • PB - AFFINITY — ESSENTIAL: $179.90
  • PB - ANTHEM — EXCHANGE: $66.49
  • PB - CENTERLIGHT — PACE: $128.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $128.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $218.45
  • PB - OSCAR — ALL PRODUCTS: $141.35
  • PB - WELLCARE — MEDICARE ADVANTAGE: $154.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDU $3,253.26 $1,053.53 $556.23 – $5,014
Nerve root injection, lower back, with imaging guidance: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $1,715
  • Aetna — MEDICARE ADVANTAGE: $124.64
  • Affinity — CHP: $703.66
  • Affinity — Essential Plan 1-2: $1,507.84
  • Affinity — Essential Plan 200-250: $1,507.84
  • Affinity — Essential Plan 3-4: $1,507.84
  • Affinity — HARP_Managed Medicaid: $683.55
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $1,696
  • ANTHEM — Blue Access Small Group: $1,650
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $287 $903.63 $61.22 – $252.17
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $128.81
  • PB - AETNA — MEDICARE ADVANTAGE: $252.17
  • PB - AFFINITY — CHP: $200.90
  • PB - AFFINITY — ESSENTIAL: $200.90
  • PB - ANTHEM — EXCHANGE: $61.22
  • PB - CENTERLIGHT — PACE: $143.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $143.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $110
  • PB - OSCAR — ALL PRODUCTS: $157.85
  • PB - WELLCARE — MEDICARE ADVANTAGE: $172.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file $1,053.53 $165
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $165
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNN $7,632.78 $2,310.83 $1,316.38 – $5,014
Carpal tunnel release: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,297
  • Aetna — MEDICARE ADVANTAGE: $524.69
  • Affinity — CHP: $1,665.29
  • Affinity — Essential Plan 1-2: $3,568.48
  • Affinity — Essential Plan 200-250: $3,568.48
  • Affinity — Essential Plan 3-4: $3,568.48
  • Affinity — HARP_Managed Medicaid: $1,617.71
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $1,269 $1,995.02 $240.80 – $505.60
Carpal tunnel release: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $502.32
  • PB - AETNA — MEDICARE ADVANTAGE: $505.60
  • PB - AFFINITY — CHP: $888.30
  • PB - AFFINITY — ESSENTIAL: $888.30
  • PB - ANTHEM — EXCHANGE: $240.80
  • PB - CENTERLIGHT — PACE: $634.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $634.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $460
  • PB - OSCAR — ALL PRODUCTS: $697.95
  • PB - WELLCARE — MEDICARE ADVANTAGE: $761.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: CARPAL TUNNEL SURGERY Not listed in the file $2,310.83 $690
Carpal tunnel release: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $690
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCISSION OF SECONDARY MEMBRANOUS CATARACT; LASER SURGERY (E $2,260.85 $649.19 $569.84 – $5,014
Laser treatment of clouding after cataract surgery: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,297
  • Aetna — MEDICARE ADVANTAGE: $349.47
  • Affinity — CHP: $2,018.55
  • Affinity — Essential Plan 1-2: $4,325.47
  • Affinity — Essential Plan 200-250: $4,325.47
  • Affinity — Essential Plan 3-4: $4,325.47
  • Affinity — HARP_Managed Medicaid: $1,960.88
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $1,696
  • ANTHEM — Blue Access Small Group: $1,650
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY $801 $561.91 $158.34 – $393.51
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $371.07
  • PB - AETNA — MEDICARE ADVANTAGE: $393.51
  • PB - AFFINITY — CHP: $560.70
  • PB - AFFINITY — ESSENTIAL: $560.70
  • PB - ANTHEM — EXCHANGE: $158.34
  • PB - CENTERLIGHT — PACE: $400.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $400.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $251
  • PB - OSCAR — ALL PRODUCTS: $440.55
  • PB - WELLCARE — MEDICARE ADVANTAGE: $480.60
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: AFTER CATARACT LASER SURGERY Not listed in the file $649.19 $376.50
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $376.50
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXTRACAPSULAR CATARACT REMOVAL W/INSERTION INTRAOCULAR LENS P $8,849.48 $2,698.92 $606.65 – $3,832.47
Cataract removal with lens implant: 10 of 97 insurance plan rates
  • Aetna — ALL PRODUCTS: $3,695
  • Aetna — MEDICARE ADVANTAGE: $606.65
  • Affinity — CHP: $2,550.01
  • Affinity — Essential Plan 1-2: $5,464.31
  • Affinity — Essential Plan 200-250: $5,464.31
  • Affinity — Essential Plan 3-4: $5,464.31
  • Affinity — HARP_Managed Medicaid: $2,477.15
  • Amidacare — Managed Medicaid: $2,764
  • ANTHEM — Blue Access Large Group: $2,441
  • ANTHEM — Blue Access Small Group: $2,375
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $1,338 $2,357.81 $533.28 – $766
Cataract removal with lens implant: rates for 10 insurance plans
  • PB - AETNA — ALL PRODUCTS: $758.50
  • PB - AETNA — MEDICARE ADVANTAGE: $758.50
  • PB - AFFINITY — CHP: $936.60
  • PB - AFFINITY — ESSENTIAL: $936.60
  • PB - ANTHEM — EXCHANGE: $533.28
  • PB - CENTERLIGHT — PACE: $669
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $669
  • PB - LOCAL 1199 — ALL PRODUCTS: $766
  • PB - OSCAR — ALL PRODUCTS: $735.90
  • PB - WELLCARE — MEDICARE ADVANTAGE: $802.80
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file $2,698.92 $1,149
Cataract removal with lens implant: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $1,149

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $6,817 Not listed in the file $2,473 – $3,000
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $2,473
  • PB - AETNA — MEDICARE ADVANTAGE: $2,473
  • PB - AFFINITY — CHP: $4,771.90
  • PB - AFFINITY — ESSENTIAL: $4,771.90
  • PB - ANTHEM — CHP: $3,000
  • PB - ANTHEM — ESSENTIAL PLAN 1-4 and 200-250: $3,000
  • PB - ANTHEM — EXCHANGE: $3,180
  • PB - CENTERLIGHT — PACE: $3,408.50
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $3,408.50
  • PB - LOCAL 1199 — ALL PRODUCTS: $3,000
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $1,977.41 – $5,360.45
Vaginal delivery, with care before and after: 10 of 46 insurance plan rates
  • Affinity — CHP: $2,501.54
  • Affinity — Essential Plan 1-2: $5,360.45
  • Affinity — Essential Plan 200-250: $5,360.45
  • Affinity — Essential Plan 3-4: $5,360.45
  • Affinity — HARP_Managed Medicaid: $2,430.07
  • Anthem HealthPlus — CHP: $2,620.66
  • Anthem HealthPlus — Essential Plan 1-2: $5,360.45
  • Anthem HealthPlus — Essential Plan 200-250: $5,360.45
  • Anthem HealthPlus — Essential Plan 3-4: $5,360.45
  • Anthem HealthPlus — EXCHANGE: $2,382.42
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,896.36 – $7,826.35
Vaginal delivery, with care before and after: 10 of 14 insurance plan rates
  • Aetna — ALL PRODUCTS: $4,303.02
  • Aetna — MEDICARE ADVANTAGE: $2,896.36
  • ANTHEM — Blue Access Large Group: $7,247.55
  • ANTHEM — Blue Access Small Group: $7,021.06
  • ANTHEM — EPO: $7,826.35
  • ANTHEM — HMO: $7,826.35
  • ANTHEM — INDEMNITY: $7,826.35
  • ANTHEM — PPO: $7,826.35
  • ANTHEM — Small Group EPO_PPO: $7,021.06
  • Fidelis — MAP: $4,170.76
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $8,939.74 Not listed in the file $1,200 – $4,677
Cesarean delivery (C-section), with care before and after: 10 of 57 insurance plan rates
  • Aetna — ALL PRODUCTS: $2,626
  • Aetna — MEDICARE ADVANTAGE: $3,243.43
  • Amidacare — Managed Medicaid: $7,598.78
  • ANTHEM — Blue Access Large Group: $8,063.25
  • ANTHEM — Blue Access Small Group: $7,811.27
  • ANTHEM — EPO: $8,707.19
  • ANTHEM — HMO: $8,707.19
  • ANTHEM — INDEMNITY: $8,707.19
  • ANTHEM — PPO: $8,707.19
  • ANTHEM — Small Group EPO_PPO: $7,811.27
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $7,688 Not listed in the file $2,295 – $3,000
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $2,295
  • PB - AETNA — MEDICARE ADVANTAGE: $2,295
  • PB - AFFINITY — CHP: $5,381.60
  • PB - AFFINITY — ESSENTIAL: $5,381.60
  • PB - ANTHEM — CHP: $3,000
  • PB - ANTHEM — ESSENTIAL PLAN 1-4 and 200-250: $3,000
  • PB - ANTHEM — EXCHANGE: $3,180
  • PB - CENTERLIGHT — PACE: $3,844
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $3,844
  • PB - LOCAL 1199 — ALL PRODUCTS: $3,000
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 22 In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $3,000
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Local 1199 — ALL PRODUCTS: $3,000
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE $6,563.63 Not listed in the file $225 – $8,267.53
Vaginal delivery after a previous C-section, with care before and after: 10 of 86 insurance plan rates
  • Aetna — ALL PRODUCTS: $257
  • Aetna — MEDICARE ADVANTAGE: $3,061.83
  • Affinity — CHP: $2,501.54
  • Affinity — Essential Plan 1-2: $5,360.45
  • Affinity — Essential Plan 200-250: $5,360.45
  • Affinity — Essential Plan 3-4: $5,360.45
  • Affinity — HARP_Managed Medicaid: $2,430.07
  • Amidacare — Managed Medicaid: $5,579.09
  • ANTHEM — Blue Access Large Group: $7,656.11
  • ANTHEM — Blue Access Small Group: $7,416.85
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $7,254 Not listed in the file $2,523 – $3,000
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates
  • PB - AETNA — ALL PRODUCTS: $2,523
  • PB - AETNA — MEDICARE ADVANTAGE: $2,523
  • PB - AFFINITY — CHP: $5,077.80
  • PB - AFFINITY — ESSENTIAL: $5,077.80
  • PB - ANTHEM — CHP: $3,100
  • PB - ANTHEM — ESSENTIAL PLAN 1-4 and 200-250: $3,100
  • PB - ANTHEM — EXCHANGE: $3,286
  • PB - CENTERLIGHT — PACE: $3,627
  • PB - HAMASPIK — MEDICARE ADVANTAGE: $3,627
  • PB - LOCAL 1199 — ALL PRODUCTS: $3,000

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $73,412 – $269,075.91
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 39 insurance plan rates
  • Aetna — ALL PRODUCTS: $219,379.29
  • Aetna — MEDICARE ADVANTAGE: $160,700.89
  • ANTHEM — MEDICARE ADVANTAGE: $160,700.89
  • Centerlight — PACE: $157,486.87
  • CIGNA — ALL PRODUCTS: $192,099.37
  • Elderplan — MAP_Medicare Advantage_MLTC: $160,700.89
  • EMBLEM — HIP_GHI_CHP: $194,560.33
  • EMBLEM — MEDICARE ADVANTAGE: $160,700.89
  • EMBLEM — PPO_Commercial: $194,560.33
  • Fidelis — EXCHANGE: $228,195.26
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $25,424.83 – $84,496.93
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates
  • Aetna — MEDICARE ADVANTAGE: $59,504.88
  • ANTHEM — MEDICARE ADVANTAGE: $59,504.88
  • Centerlight — PACE: $58,314.78
  • Elderplan — MAP_Medicare Advantage_MLTC: $59,504.88
  • EMBLEM — MEDICARE ADVANTAGE: $59,504.88
  • Fidelis — EXCHANGE: $84,496.93
  • Fidelis — MAP: $49,299.61
  • Hamaspik — MEDICARE ADVANTAGE: $59,504.88
  • Healthfirst — MAP: $55,339.54
  • Healthfirst — MEDICARE ADVANTAGE: $55,339.54
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $25,424.83 – $84,496.93
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
  • Aetna — ALL PRODUCTS: $43,255.58
  • CIGNA — ALL PRODUCTS: $37,876.73
  • EMBLEM — HIP_GHI_CHP: $38,361.96
  • EMBLEM — PPO_Commercial: $38,361.96
  • Local 1199 — ALL PRODUCTS: $25,424.83
  • MULTIPLAN — ALL PRODUCTS: $50,072.32
  • OSCAR — ALL PRODUCTS: $36,174.59
  • OXFORD — Freedom: $40,802.02
  • OXFORD — Liberty: $36,004.85
  • UNITED — ALL PRODUCTS: $53,054.39
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $32,178.78 – $93,872.03
Neck (cervical) spinal fusion, without complications: 10 of 35 insurance plan rates
  • Aetna — ALL PRODUCTS: $54,746.15
  • Aetna — MEDICARE ADVANTAGE: $66,107.06
  • ANTHEM — MEDICARE ADVANTAGE: $66,107.06
  • Centerlight — PACE: $64,784.92
  • CIGNA — ALL PRODUCTS: $47,938.44
  • Elderplan — MAP_Medicare Advantage_MLTC: $66,107.06
  • EMBLEM — HIP_GHI_CHP: $48,552.57
  • EMBLEM — MEDICARE ADVANTAGE: $66,107.06
  • EMBLEM — PPO_Commercial: $48,552.57
  • Fidelis — EXCHANGE: $93,872.03
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $16,353.67 – $71,905.34
Uterus and ovary surgery (not for cancer), without complications: 10 of 35 insurance plan rates
  • Aetna — ALL PRODUCTS: $27,822.70
  • Aetna — MEDICARE ADVANTAGE: $50,637.56
  • ANTHEM — MEDICARE ADVANTAGE: $50,637.56
  • Centerlight — PACE: $49,624.81
  • CIGNA — ALL PRODUCTS: $24,362.93
  • Elderplan — MAP_Medicare Advantage_MLTC: $50,637.56
  • EMBLEM — HIP_GHI_CHP: $24,675.04
  • EMBLEM — MEDICARE ADVANTAGE: $50,637.56
  • EMBLEM — PPO_Commercial: $24,675.04
  • Fidelis — EXCHANGE: $71,905.34

Source: Woodhull Medical & Mental Health Center’s standard charges file (nychh.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 5, 2026; retrieved November 5, 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
Address760 Broadway, Brooklyn, NY 11206
CountyKings County
StateNew York
Phone(718) 963‑8100
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330396
Name in Medicare recordsWOODHULL MEDICAL & MENTAL HEALTH CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(718) 963‑8000[4]
Name on the hospital’s websiteNYC Health + Hospitals/Woodhull
Official websitenychealthandhospitals.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 2026-11-02.

  1. NYC Health + Hospitals/Woodhull - NYC Health + Hospitals — nychealthandhospitals.org
  2. Emergency Room - NYC Health + Hospitals — nychealthandhospitals.org
  3. Department of Surgery - NYC Health + Hospitals — nychealthandhospitals.org
  4. Directions - NYC Health + Hospitals — nychealthandhospitals.org