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Critical Access Hospital

Wyandot Memorial Hospital

Upper Sandusky, Ohio · Wyandot County · Emergency services listed

Summary

Wyandot Memorial Hospital is a critical access hospital in Upper Sandusky, Ohio. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 35 services, specialties and programs. Medicare lists 140 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(419) 294‑4991 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
140Doctors and clinicians
35Services listed

Quick answers

Does Wyandot Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Wyandot Memorial Hospital. In a medical emergency, call 911.
Where is Wyandot Memorial Hospital?
885 North Sandusky Avenue, Upper Sandusky, OH 43351, in Wyandot County, Ohio.
What is the phone number of Wyandot Memorial Hospital?
(419) 294-4991, as listed by Medicare (CMS).
What is the Medicare star rating of Wyandot Memorial Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5]

Conditions treated[5]

Treatments[5]

Procedures[5]

Programs and centers[5]

  • Swing Bed Program
  • Ohio State Wexner Medical Center Telestroke Network
  • STEMI partnership with Ohio State Ross Heart Hospital

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Stroke designationAcute Stroke Ready Hospital

Visiting and practical information

VisitingVisitors encouraged 9 a.m.-9 p.m.; main entrance locks at 8 p.m.; overnight entry through the ED[6]
Patient portalMyChart

Recognition[5]

  • Acute Stroke Ready Hospital

Doctors and clinicians (140)

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

Main specialties

Doctors with a page on this site (140)

And 116 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 Wyandot Memorial Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well82%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home91%National average: 86%
Room and bathroom “always” clean79%National average: 74%
Area around the room “always” quiet at night61%National average: 60%
Completed surveys121Response rate: 29%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patients11.8%
Deaths within 30 days: pneumonia patients14.7%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD19%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)132 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)41%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 OhioBest hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Wyandot Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 90 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 · Inpatient or outpatient In the file: WMHC PR OFFICE OUTPATIENT NEW 30 MINUTES $227.46 $204.71 $131.81 – $216.08
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • AETNA — Medicare Advantage: $75.06
  • FRONTPATH HEALTH COALITION — HMO: $197.89
  • Medical Mutual — Northern Ohio HMO: $131.92
  • Medical Mutual — Traditional, SuperMed/HMO: $197.89
  • Multiplan — PPO: $216.08
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: WMHC LEVEL 3 NEW OFFICE $49.26 $44.34 $28.55 – $46.80
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • AETNA — Medicare Advantage: $16.26
  • FRONTPATH HEALTH COALITION — HMO: $42.86
  • Medical Mutual — Northern Ohio HMO: $28.57
  • Medical Mutual — Traditional, SuperMed/HMO: $42.86
  • Multiplan — PPO: $46.80
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: WMHC NEW PT LEVEL 3/OFFICE $49.26 $44.34 $28.55 – $46.80
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • AETNA — Medicare Advantage: $16.26
  • FRONTPATH HEALTH COALITION — HMO: $42.86
  • Medical Mutual — Northern Ohio HMO: $28.57
  • Medical Mutual — Traditional, SuperMed/HMO: $42.86
  • Multiplan — PPO: $46.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: WMHC PR OFFICE OUTPATIENT NEW 45 MINUTES $307.34 $276.61 $178.10 – $291.97
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • AETNA — HMO: $267.38
  • AETNA — Medicare Advantage: $101.42
  • FRONTPATH HEALTH COALITION — HMO: $267.38
  • Medical Mutual — Northern Ohio HMO: $178.26
  • Medical Mutual — Traditional, SuperMed/HMO: $267.38
  • Multiplan — PPO: $291.97
  • UNITED HEALTHCARE — PPO, Commercial: $267.38
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: WMHC LEVEL 4 NEW OFFICE $66.59 $59.94 $38.59 – $63.26
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • AETNA — HMO: $57.94
  • AETNA — Medicare Advantage: $21.98
  • FRONTPATH HEALTH COALITION — HMO: $57.94
  • Medical Mutual — Northern Ohio HMO: $38.63
  • Medical Mutual — Traditional, SuperMed/HMO: $57.94
  • Multiplan — PPO: $63.26
  • UNITED HEALTHCARE — PPO, Commercial: $57.94
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: WMHC NEW PT LEVEL 4/OFFICE $66.59 $59.94 $38.59 – $63.26
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • AETNA — HMO: $57.94
  • AETNA — Medicare Advantage: $21.98
  • FRONTPATH HEALTH COALITION — HMO: $57.94
  • Medical Mutual — Northern Ohio HMO: $38.63
  • Medical Mutual — Traditional, SuperMed/HMO: $57.94
  • Multiplan — PPO: $63.26
  • UNITED HEALTHCARE — PPO, Commercial: $57.94
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: WMHC PR OFFICE OUTPATIENT NEW 60 MINUTES $372.44 $335.20 $215.83 – $353.82
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • AETNA — HMO: $324.02
  • AETNA — Medicare Advantage: $122.91
  • ANTHEM — PPO & HMO: $324.02
  • FRONTPATH HEALTH COALITION — HMO: $324.02
  • HUMANA — PPO: $324.02
  • Multiplan — PPO: $353.82
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: WMHC NEW PT LEVEL 5/OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • AETNA — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ANTHEM — PPO & HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • HUMANA — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: WMHC LEVEL 5 NEW OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • AETNA — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ANTHEM — PPO & HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • HUMANA — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: WMHC PR OFFICE OUTPATIENT VISIT 15 MINUTES $129.03 $116.13 $74.78 – $122.58
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • AETNA — Medicare Advantage: $42.58
  • FRONTPATH HEALTH COALITION — HMO: $112.26
  • Medical Mutual — Northern Ohio HMO: $74.84
  • Medical Mutual — Traditional, SuperMed/HMO: $112.26
  • Multiplan — PPO: $122.58
  • UNITED HEALTHCARE — PPO, Commercial: $112.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: WMHC LEVEL 3 EST OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Northern Ohio HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Traditional, SuperMed/HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — PPO, Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: WMHC EST PT LEVEL 3/OFFICE $267.27 $240.54 $154.89 – $253.91
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • AETNA — Medicare Advantage: $88.20
  • FRONTPATH HEALTH COALITION — HMO: $232.52
  • Medical Mutual — Northern Ohio HMO: $155.01
  • Medical Mutual — Traditional, SuperMed/HMO: $232.52
  • Multiplan — PPO: $253.91
  • UNITED HEALTHCARE — PPO, Commercial: $232.52
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: WMHC PR OFFICE OUTPATIENT VISIT 25 MINUTES $179.82 $161.83 $104.21 – $170.83
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • AETNA — Medicare Advantage: $59.34
  • FRONTPATH HEALTH COALITION — HMO: $156.44
  • Multiplan — PPO: $170.83
  • OHIO HEALTH CHOICE — Commercial: $156.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: WMHC OFFICE OP VISIT/RAM888 $187.01 $168.31 $108.38 – $177.66
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • AETNA — Medicare Advantage: $61.71
  • FRONTPATH HEALTH COALITION — HMO: $162.70
  • Multiplan — PPO: $177.66
  • OHIO HEALTH CHOICE — Commercial: $162.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: WMHC LEVEL 4 EST OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • OHIO HEALTH CHOICE — Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: WMHC PR OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN $333.75 $300.37 $193.40 – $317.05
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • AETNA — HMO: $290.36
  • AETNA — Medicare Advantage: $110.14
  • FRONTPATH HEALTH COALITION — HMO: $290.36
  • HUMANA — PPO: $290.36
  • Medical Mutual — Northern Ohio HMO: $193.58
  • Medical Mutual — Traditional, SuperMed/HMO: $290.36
  • Multiplan — PPO: $317.05
  • OHIO HEALTH CHOICE — Commercial: $290.36
  • UNITED HEALTHCARE — PPO, Commercial: $290.36
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: WMHC CONSULT LVL 3-OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • AETNA — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • HUMANA — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Northern Ohio HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Traditional, SuperMed/HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • OHIO HEALTH CHOICE — Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — PPO, Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: WMHC CONSULT 3/OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • AETNA — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • HUMANA — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Northern Ohio HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Traditional, SuperMed/HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • OHIO HEALTH CHOICE — Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — PPO, Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: WMHC PR OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN $346.51 $311.85 $200.80 – $329.18
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
  • AETNA — HMO: $301.46
  • AETNA — Medicare Advantage: $114.35
  • ANTHEM — PPO & HMO: $301.46
  • FRONTPATH HEALTH COALITION — HMO: $301.46
  • HUMANA — PPO: $301.46
  • Medical Mutual — Northern Ohio HMO: $200.97
  • Medical Mutual — Traditional, SuperMed/HMO: $301.46
  • Multiplan — PPO: $329.18
  • UNITED HEALTHCARE — PPO, Commercial: $301.46
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: WMHC CONSLLT LVL 4-OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
  • AETNA — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ANTHEM — PPO & HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • HUMANA — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Northern Ohio HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Traditional, SuperMed/HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — PPO, Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: WMHC CONSULT 4/OFFICE $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): rates for 9 insurance plans
  • AETNA — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA — Medicare Advantage: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ANTHEM — PPO & HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • FRONTPATH HEALTH COALITION — HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • HUMANA — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Northern Ohio HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Medical Mutual — Traditional, SuperMed/HMO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Multiplan — PPO: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE — PPO, Commercial: $1.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: WMHC PR PREVENTIVE VISIT,NEW,18-39 $262.83 $236.55 $152.31 – $249.68
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • AETNA — HMO: $228.66
  • AETNA — Medicare Advantage: $86.74
  • ANTHEM — PPO & HMO: $228.66
  • FRONTPATH HEALTH COALITION — HMO: $228.66
  • HUMANA — PPO: $228.66
  • Medical Mutual — Northern Ohio HMO: $152.44
  • Medical Mutual — Traditional, SuperMed/HMO: $228.66
  • Multiplan — PPO: $249.68
  • OHIO HEALTH CHOICE — Commercial: $228.66
  • UNITED HEALTHCARE — PPO, Commercial: $228.66
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: WMHC PR PREVENTIVE VISIT,NEW,40-64 $297.47 $267.73 $172.39 – $282.60
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
  • AETNA — HMO: $258.80
  • AETNA — Medicare Advantage: $98.17
  • ANTHEM — PPO & HMO: $258.80
  • FRONTPATH HEALTH COALITION — HMO: $258.80
  • HUMANA — PPO: $258.80
  • Medical Mutual — Northern Ohio HMO: $172.54
  • Medical Mutual — Traditional, SuperMed/HMO: $258.80
  • Multiplan — PPO: $282.60
  • OHIO HEALTH CHOICE — Commercial: $258.80
  • UNITED HEALTHCARE — PPO, Commercial: $258.80
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: WMHC PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY $297.24 $267.52 $172.26 – $282.38
Emergency room visit (moderate): rates for 8 insurance plans
  • AETNA — HMO: $258.60
  • ANTHEM — PPO & HMO: $258.60
  • FRONTPATH HEALTH COALITION — HMO: $258.60
  • HUMANA — PPO: $258.60
  • Medical Mutual — Northern Ohio HMO: $172.40
  • Medical Mutual — Traditional, SuperMed/HMO: $258.60
  • Multiplan — PPO: $282.38
  • OHIO HEALTH CHOICE — Commercial: $258.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC ER LEVEL 3 $364.01 $327.61 $210.94 – $345.81
Emergency room visit (moderate): rates for 8 insurance plans
  • AETNA — HMO: $316.69
  • ANTHEM — PPO & HMO: $316.69
  • FRONTPATH HEALTH COALITION — HMO: $316.69
  • HUMANA — PPO: $316.69
  • Medical Mutual — Northern Ohio HMO: $211.13
  • Medical Mutual — Traditional, SuperMed/HMO: $316.69
  • Multiplan — PPO: $345.81
  • OHIO HEALTH CHOICE — Commercial: $316.69
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: WMHC LEVEL III-ER/MD $269.58 $242.62 $156.22 – $256.10
Emergency room visit (moderate): rates for 8 insurance plans
  • AETNA — HMO: $234.53
  • ANTHEM — PPO & HMO: $234.53
  • FRONTPATH HEALTH COALITION — HMO: $234.53
  • HUMANA — PPO: $234.53
  • Medical Mutual — Northern Ohio HMO: $156.35
  • Medical Mutual — Traditional, SuperMed/HMO: $234.53
  • Multiplan — PPO: $256.10
  • OHIO HEALTH CHOICE — Commercial: $234.53
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: WMHC PR EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY $366.66 $329.99 $212.48 – $348.33
Emergency room visit (moderately high): rates for 4 insurance plans
  • ANTHEM — PPO & HMO: $319
  • FRONTPATH HEALTH COALITION — HMO: $319
  • HUMANA — PPO: $319
  • Multiplan — PPO: $348.33
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC ER LEVEL 4 $559.06 $503.15 $323.97 – $531.11
Emergency room visit (moderately high): rates for 4 insurance plans
  • ANTHEM — PPO & HMO: $486.39
  • FRONTPATH HEALTH COALITION — HMO: $486.39
  • HUMANA — PPO: $486.39
  • Multiplan — PPO: $531.11
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: WMHC LEVEL IV-ER/MD $381.89 $343.70 $221.30 – $362.79
Emergency room visit (moderately high): rates for 4 insurance plans
  • ANTHEM — PPO & HMO: $332.24
  • FRONTPATH HEALTH COALITION — HMO: $332.24
  • HUMANA — PPO: $332.24
  • Multiplan — PPO: $362.79
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: WMHC PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ $501.70 $451.53 $290.73 – $476.61
Emergency room visit (high): rates for 6 insurance plans
  • AETNA — Medicare Advantage: $165.56
  • FRONTPATH HEALTH COALITION — HMO: $436.48
  • HUMANA — PPO: $436.48
  • Medical Mutual — Northern Ohio HMO: $290.98
  • Medical Mutual — Traditional, SuperMed/HMO: $436.48
  • Multiplan — PPO: $476.61
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ER LEVEL 5 $786.79 $708.12 $455.95 – $747.45
Emergency room visit (high): rates for 6 insurance plans
  • AETNA — Medicare Advantage: $259.64
  • FRONTPATH HEALTH COALITION — HMO: $684.51
  • HUMANA — PPO: $684.51
  • Medical Mutual — Northern Ohio HMO: $456.34
  • Medical Mutual — Traditional, SuperMed/HMO: $684.51
  • Multiplan — PPO: $747.45
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: WMHC LEVEL V-ER/MD $505.28 $454.76 $292.81 – $480.02
Emergency room visit (high): rates for 6 insurance plans
  • AETNA — Medicare Advantage: $166.74
  • FRONTPATH HEALTH COALITION — HMO: $439.60
  • HUMANA — PPO: $439.60
  • Medical Mutual — Northern Ohio HMO: $293.06
  • Medical Mutual — Traditional, SuperMed/HMO: $439.60
  • Multiplan — PPO: $480.02

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL $80.88 $72.79 $46.87 – $76.84
Basic metabolic panel (blood test): rates for 6 insurance plans
  • AETNA — HMO: $70.37
  • FRONTPATH HEALTH COALITION — HMO: $70.37
  • Medical Mutual — Northern Ohio HMO: $46.91
  • Medical Mutual — Traditional, SuperMed/HMO: $70.37
  • Multiplan — PPO: $76.84
  • UNITED HEALTHCARE — PPO, Commercial: $70.37
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier QW In the file: HC BASIC METABOLIC PANEL $80.88 $72.79 $46.87 – $76.84
Basic metabolic panel (blood test): rates for 2 insurance plans
  • AETNA — Medicare Advantage: $26.69
  • ANTHEM — PPO & HMO: $70.37
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: HC BASIC METABOLIC PANEL $80.88 $72.79 $46.87 – $76.84
Basic metabolic panel (blood test): rates for 2 insurance plans
  • HUMANA — PPO: $70.37
  • OHIO HEALTH CHOICE — Commercial: $70.37
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL $107.14 $96.43 $62.09 – $101.78
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • AETNA — HMO: $93.22
  • ANTHEM — PPO & HMO: $93.22
  • FRONTPATH HEALTH COALITION — HMO: $93.22
  • Multiplan — PPO: $101.78
  • UNITED HEALTHCARE — PPO, Commercial: $93.22
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: WMHC CHG METABOLIC PANEL,COMPREHENSIVE $57.31 $51.58 $33.21 – $54.44
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • AETNA — HMO: $49.87
  • ANTHEM — PPO & HMO: $49.87
  • FRONTPATH HEALTH COALITION — HMO: $49.87
  • Multiplan — PPO: $54.44
  • UNITED HEALTHCARE — PPO, Commercial: $49.87
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier QW In the file: HC COMPREHENSIVE METABOLIC PANEL $107.14 $96.43 $62.09 – $101.78
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • HUMANA — PPO: $93.22
  • Medical Mutual — Northern Ohio HMO: $62.14
  • Medical Mutual — Traditional, SuperMed/HMO: $93.22
  • OHIO HEALTH CHOICE — Commercial: $93.22
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: WMHC OBSTETRIC PANEL $701.80 $631.62 $406.69 – $666.71
Obstetric blood test panel: rates for 10 insurance plans
  • AETNA — HMO: $610.56
  • AETNA — Medicare Advantage: $231.60
  • ANTHEM — PPO & HMO: $610.56
  • FRONTPATH HEALTH COALITION — HMO: $610.56
  • HUMANA — PPO: $610.56
  • Medical Mutual — Northern Ohio HMO: $407.05
  • Medical Mutual — Traditional, SuperMed/HMO: $610.56
  • Multiplan — PPO: $666.71
  • OHIO HEALTH CHOICE — Commercial: $610.56
  • UNITED HEALTHCARE — PPO, Commercial: $610.56
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC OBSTETRIC PANEL $701.80 $631.62 $406.69 – $666.71
Obstetric blood test panel: rates for 10 insurance plans
  • AETNA — HMO: $610.56
  • AETNA — Medicare Advantage: $231.60
  • ANTHEM — PPO & HMO: $610.56
  • FRONTPATH HEALTH COALITION — HMO: $610.56
  • HUMANA — PPO: $610.56
  • Medical Mutual — Northern Ohio HMO: $407.05
  • Medical Mutual — Traditional, SuperMed/HMO: $610.56
  • Multiplan — PPO: $666.71
  • OHIO HEALTH CHOICE — Commercial: $610.56
  • UNITED HEALTHCARE — PPO, Commercial: $610.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $149.04 $134.14 $86.37 – $141.59
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • AETNA — HMO: $129.67
  • AETNA — Medicare Advantage: $49.18
  • FRONTPATH HEALTH COALITION — HMO: $129.67
  • Medical Mutual — Northern Ohio HMO: $86.44
  • Medical Mutual — Traditional, SuperMed/HMO: $129.67
  • Multiplan — PPO: $141.59
  • OHIO HEALTH CHOICE — Commercial: $129.67
  • UNITED HEALTHCARE — PPO, Commercial: $129.67
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier 91 In the file: HC LIPID PANEL $149.04 $134.14 $86.37 – $141.59
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • ANTHEM — PPO & HMO: $129.67
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier QW In the file: HC LIPID PANEL $149.04 $134.14 $86.37 – $141.59
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • HUMANA — PPO: $129.67
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL $98.31 $88.48 $56.97 – $93.39
Kidney function panel: rates for 6 insurance plans
  • AETNA — HMO: $85.53
  • FRONTPATH HEALTH COALITION — HMO: $85.53
  • Medical Mutual — Northern Ohio HMO: $57.02
  • Medical Mutual — Traditional, SuperMed/HMO: $85.53
  • Multiplan — PPO: $93.39
  • UNITED HEALTHCARE — PPO, Commercial: $85.53
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier QW In the file: HC RENAL FUNCTION PANEL $98.31 $88.48 $56.97 – $93.39
Kidney function panel: rates for 4 insurance plans
  • AETNA — Medicare Advantage: $32.44
  • ANTHEM — PPO & HMO: $85.53
  • HUMANA — PPO: $85.53
  • OHIO HEALTH CHOICE — Commercial: $85.53
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC LIVER PROFILE-HEPATIC PANEL $67.27 $60.54 $38.98 – $63.91
Liver function panel: rates for 6 insurance plans
  • AETNA — HMO: $58.52
  • FRONTPATH HEALTH COALITION — HMO: $58.52
  • Medical Mutual — Northern Ohio HMO: $39.01
  • Medical Mutual — Traditional, SuperMed/HMO: $58.52
  • Multiplan — PPO: $63.91
  • UNITED HEALTHCARE — PPO, Commercial: $58.52
Liver function panel CPT 80076 · Inpatient or outpatient · modifier XU In the file: HC LIVER PROFILE-HEPATIC PANEL $67.27 $60.54 $38.98 – $63.91
Liver function panel: rates for 4 insurance plans
  • AETNA — Medicare Advantage: $22.19
  • ANTHEM — PPO & HMO: $58.52
  • HUMANA — PPO: $58.52
  • OHIO HEALTH CHOICE — Commercial: $58.52
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS W/ MICROSCOPY $54.78 $49.30 $31.74 – $52.04
Urine test (automated, with microscope): rates for 6 insurance plans
  • AETNA — HMO: $47.65
  • AETNA — Medicare Advantage: $18.08
  • FRONTPATH HEALTH COALITION — HMO: $47.65
  • Medical Mutual — Northern Ohio HMO: $31.77
  • Medical Mutual — Traditional, SuperMed/HMO: $47.65
  • Multiplan — PPO: $52.04
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: WMHC CHG URINALYSIS, AUTO, W/SCOPE $54.89 $49.40 $31.81 – $52.15
Urine test (automated, with microscope): rates for 6 insurance plans
  • AETNA — HMO: $47.76
  • AETNA — Medicare Advantage: $18.12
  • FRONTPATH HEALTH COALITION — HMO: $47.76
  • Medical Mutual — Northern Ohio HMO: $31.83
  • Medical Mutual — Traditional, SuperMed/HMO: $47.76
  • Multiplan — PPO: $52.15
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XU In the file: HC URINALYSIS W/ MICROSCOPY $54.78 $49.30 $31.74 – $52.04
Urine test (automated, with microscope): rates for 3 insurance plans
  • ANTHEM — PPO & HMO: $47.65
  • OHIO HEALTH CHOICE — Commercial: $47.65
  • UNITED HEALTHCARE — PPO, Commercial: $47.65
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC NON-AUTO,URINE W/O MICROSCOPY $27.61 $24.86 $16 – $26.23
Urine test (manual, without microscope): rates for 10 insurance plans
  • AETNA — HMO: $24.02
  • AETNA — Medicare Advantage: $9.11
  • ANTHEM — PPO & HMO: $24.02
  • FRONTPATH HEALTH COALITION — HMO: $24.02
  • HUMANA — PPO: $24.02
  • Medical Mutual — Northern Ohio HMO: $16.02
  • Medical Mutual — Traditional, SuperMed/HMO: $24.02
  • Multiplan — PPO: $26.23
  • OHIO HEALTH CHOICE — Commercial: $24.02
  • UNITED HEALTHCARE — PPO, Commercial: $24.02
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: WMHC URINE-SHC $27.61 $24.86 $16 – $26.23
Urine test (manual, without microscope): rates for 10 insurance plans
  • AETNA — HMO: $24.02
  • AETNA — Medicare Advantage: $9.11
  • ANTHEM — PPO & HMO: $24.02
  • FRONTPATH HEALTH COALITION — HMO: $24.02
  • HUMANA — PPO: $24.02
  • Medical Mutual — Northern Ohio HMO: $16.02
  • Medical Mutual — Traditional, SuperMed/HMO: $24.02
  • Multiplan — PPO: $26.23
  • OHIO HEALTH CHOICE — Commercial: $24.02
  • UNITED HEALTHCARE — PPO, Commercial: $24.02
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: WMHC CHG URINALYSIS NONAUTO W/O SCOPE $21.41 $19.27 $12.41 – $20.34
Urine test (manual, without microscope): rates for 10 insurance plans
  • AETNA — HMO: $18.63
  • AETNA — Medicare Advantage: $7.06
  • ANTHEM — PPO & HMO: $18.63
  • FRONTPATH HEALTH COALITION — HMO: $18.63
  • HUMANA — PPO: $18.63
  • Medical Mutual — Northern Ohio HMO: $12.42
  • Medical Mutual — Traditional, SuperMed/HMO: $18.63
  • Multiplan — PPO: $20.34
  • OHIO HEALTH CHOICE — Commercial: $18.63
  • UNITED HEALTHCARE — PPO, Commercial: $18.63
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS, AUTO, W/O SCOPE $35.10 $31.60 $20.34 – $33.34
Urine test (automated, without microscope): rates for 9 insurance plans
  • AETNA — HMO: $30.53
  • AETNA — Medicare Advantage: $11.59
  • ANTHEM — PPO & HMO: $30.53
  • FRONTPATH HEALTH COALITION — HMO: $30.53
  • Medical Mutual — Northern Ohio HMO: $20.36
  • Medical Mutual — Traditional, SuperMed/HMO: $30.53
  • Multiplan — PPO: $33.34
  • OHIO HEALTH CHOICE — Commercial: $30.53
  • UNITED HEALTHCARE — PPO, Commercial: $30.53
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: WMHC URINE DIP-ONC $27.61 $24.86 $16 – $26.23
Urine test (automated, without microscope): rates for 9 insurance plans
  • AETNA — HMO: $24.02
  • AETNA — Medicare Advantage: $9.11
  • ANTHEM — PPO & HMO: $24.02
  • FRONTPATH HEALTH COALITION — HMO: $24.02
  • Medical Mutual — Northern Ohio HMO: $16.02
  • Medical Mutual — Traditional, SuperMed/HMO: $24.02
  • Multiplan — PPO: $26.23
  • OHIO HEALTH CHOICE — Commercial: $24.02
  • UNITED HEALTHCARE — PPO, Commercial: $24.02
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: WMHC CHG URINALYSIS, AUTO, W/O SCOPE $21.41 $19.27 $12.41 – $20.34
Urine test (automated, without microscope): rates for 9 insurance plans
  • AETNA — HMO: $18.63
  • AETNA — Medicare Advantage: $7.06
  • ANTHEM — PPO & HMO: $18.63
  • FRONTPATH HEALTH COALITION — HMO: $18.63
  • Medical Mutual — Northern Ohio HMO: $12.42
  • Medical Mutual — Traditional, SuperMed/HMO: $18.63
  • Multiplan — PPO: $20.34
  • OHIO HEALTH CHOICE — Commercial: $18.63
  • UNITED HEALTHCARE — PPO, Commercial: $18.63
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC ASSAY OF PSA TOTAL $164.62 $148.16 $95.40 – $156.40
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • AETNA — HMO: $143.22
  • AETNA — Medicare Advantage: $54.33
  • ANTHEM — PPO & HMO: $143.22
  • FRONTPATH HEALTH COALITION — HMO: $143.22
  • HUMANA — PPO: $143.22
  • Medical Mutual — Northern Ohio HMO: $95.48
  • Medical Mutual — Traditional, SuperMed/HMO: $143.22
  • Multiplan — PPO: $156.40
  • OHIO HEALTH CHOICE — Commercial: $143.22
  • UNITED HEALTHCARE — PPO, Commercial: $143.22
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC SO1 ASSAY OF PSA TOTAL $164.62 $148.16 $95.40 – $156.40
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • AETNA — HMO: $143.22
  • AETNA — Medicare Advantage: $54.33
  • ANTHEM — PPO & HMO: $143.22
  • FRONTPATH HEALTH COALITION — HMO: $143.22
  • HUMANA — PPO: $143.22
  • Medical Mutual — Northern Ohio HMO: $95.48
  • Medical Mutual — Traditional, SuperMed/HMO: $143.22
  • Multiplan — PPO: $156.40
  • OHIO HEALTH CHOICE — Commercial: $143.22
  • UNITED HEALTHCARE — PPO, Commercial: $143.22
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: WMHC Thyroid Cascading Reflex $6.13 $5.51 $3.56 – $5.82
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • AETNA — HMO: $5.32
  • AETNA — Medicare Advantage: $2.02
  • ANTHEM — PPO & HMO: $5.32
  • FRONTPATH HEALTH COALITION — HMO: $5.32
  • HUMANA — PPO: $5.32
  • Medical Mutual — Northern Ohio HMO: $3.56
  • Medical Mutual — Traditional, SuperMed/HMO: $5.32
  • Multiplan — PPO: $5.82
  • OHIO HEALTH CHOICE — Commercial: $5.32
  • UNITED HEALTHCARE — PPO, Commercial: $5.32
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORMONE $198.65 $178.79 $115.12 – $188.72
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • AETNA — HMO: $172.83
  • AETNA — Medicare Advantage: $65.55
  • ANTHEM — PPO & HMO: $172.83
  • FRONTPATH HEALTH COALITION — HMO: $172.83
  • HUMANA — PPO: $172.83
  • Medical Mutual — Northern Ohio HMO: $115.22
  • Medical Mutual — Traditional, SuperMed/HMO: $172.83
  • Multiplan — PPO: $188.72
  • OHIO HEALTH CHOICE — Commercial: $172.83
  • UNITED HEALTHCARE — PPO, Commercial: $172.83
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC $92.47 $83.22 $53.58 – $87.84
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • AETNA — HMO: $80.44
  • FRONTPATH HEALTH COALITION — HMO: $80.44
  • HUMANA — PPO: $80.44
  • Medical Mutual — Northern Ohio HMO: $53.63
  • Medical Mutual — Traditional, SuperMed/HMO: $80.44
  • Multiplan — PPO: $87.84
  • UNITED HEALTHCARE — PPO, Commercial: $80.44
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: WMHC CHG COMPLETE CBC & AUTO DIFF WBC $92.47 $83.22 $53.58 – $87.84
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • AETNA — HMO: $80.44
  • FRONTPATH HEALTH COALITION — HMO: $80.44
  • HUMANA — PPO: $80.44
  • Medical Mutual — Northern Ohio HMO: $53.63
  • Medical Mutual — Traditional, SuperMed/HMO: $80.44
  • Multiplan — PPO: $87.84
  • UNITED HEALTHCARE — PPO, Commercial: $80.44
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 91 In the file: HC CBC $92.47 $83.22 $53.58 – $87.84
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • AETNA — Medicare Advantage: $30.51
  • ANTHEM — PPO & HMO: $80.44
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC CBC (HEMOGRAM) $76.61 $68.94 $44.40 – $72.78
Complete blood count (CBC), automated: rates for 9 insurance plans
  • AETNA — HMO: $66.64
  • AETNA — Medicare Advantage: $25.28
  • FRONTPATH HEALTH COALITION — HMO: $66.64
  • HUMANA — PPO: $66.64
  • Medical Mutual — Northern Ohio HMO: $44.43
  • Medical Mutual — Traditional, SuperMed/HMO: $66.64
  • Multiplan — PPO: $72.78
  • OHIO HEALTH CHOICE — Commercial: $66.64
  • UNITED HEALTHCARE — PPO, Commercial: $66.64
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: HC CBC (HEMOGRAM) $76.61 $68.94 $44.40 – $72.78
Complete blood count (CBC), automated: rates for 1 insurance plan
  • ANTHEM — PPO & HMO: $66.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC SO PROTHROMBIN TIME $63.50 $57.15 $36.81 – $60.33
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • AETNA — HMO: $55.24
  • FRONTPATH HEALTH COALITION — HMO: $55.24
  • HUMANA — PPO: $55.24
  • Medical Mutual — Northern Ohio HMO: $36.83
  • Medical Mutual — Traditional, SuperMed/HMO: $55.24
  • Multiplan — PPO: $60.33
  • OHIO HEALTH CHOICE — Commercial: $55.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: WMHC PROTHROMBIN TIME $47.41 $42.67 $27.48 – $45.04
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • AETNA — HMO: $41.25
  • FRONTPATH HEALTH COALITION — HMO: $41.25
  • HUMANA — PPO: $41.25
  • Medical Mutual — Northern Ohio HMO: $27.50
  • Medical Mutual — Traditional, SuperMed/HMO: $41.25
  • Multiplan — PPO: $45.04
  • OHIO HEALTH CHOICE — Commercial: $41.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: WMHC PT/INR (POINT-OF-CARE) $47.41 $42.67 $27.48 – $45.04
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • AETNA — HMO: $41.25
  • FRONTPATH HEALTH COALITION — HMO: $41.25
  • HUMANA — PPO: $41.25
  • Medical Mutual — Northern Ohio HMO: $27.50
  • Medical Mutual — Traditional, SuperMed/HMO: $41.25
  • Multiplan — PPO: $45.04
  • OHIO HEALTH CHOICE — Commercial: $41.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: WMHC PTT-LA $22.21 $19.99 $12.88 – $21.10
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • AETNA — HMO: $19.32
  • AETNA — Medicare Advantage: $7.33
  • ANTHEM — PPO & HMO: $19.32
  • FRONTPATH HEALTH COALITION — HMO: $19.32
  • HUMANA — PPO: $19.32
  • Medical Mutual — Northern Ohio HMO: $12.89
  • Medical Mutual — Traditional, SuperMed/HMO: $19.32
  • Multiplan — PPO: $21.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: WMHC PTT-LA INCUBATED MIX $21.04 $18.94 $12.19 – $19.99
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • AETNA — HMO: $18.30
  • AETNA — Medicare Advantage: $6.95
  • ANTHEM — PPO & HMO: $18.30
  • FRONTPATH HEALTH COALITION — HMO: $18.30
  • HUMANA — PPO: $18.30
  • Medical Mutual — Northern Ohio HMO: $12.20
  • Medical Mutual — Traditional, SuperMed/HMO: $18.30
  • Multiplan — PPO: $19.99
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: WMHC: VON WILLEBRAND PANEL: THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD $113.89 $102.50 $66 – $108.19
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • AETNA — HMO: $99.08
  • AETNA — Medicare Advantage: $37.59
  • ANTHEM — PPO & HMO: $99.08
  • FRONTPATH HEALTH COALITION — HMO: $99.08
  • HUMANA — PPO: $99.08
  • Medical Mutual — Northern Ohio HMO: $66.06
  • Medical Mutual — Traditional, SuperMed/HMO: $99.08
  • Multiplan — PPO: $108.19

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT BRAIN W/O CONTRAST $1,389.88 $1,250.89 $805.44 – $1,320.38
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • AETNA — Medicare Advantage: $458.66
  • ANTHEM — PPO & HMO: $1,209.20
  • FRONTPATH HEALTH COALITION — HMO: $1,209.20
  • HUMANA — PPO: $1,209.20
  • Medical Mutual — Northern Ohio HMO: $806.12
  • Medical Mutual — Traditional, SuperMed/HMO: $1,209.20
  • Multiplan — PPO: $1,320.38
  • UNITED HEALTHCARE — PPO, Commercial: $1,209.20
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: WMHC CT BRAIN WO-MD3654 $221.60 $199.44 $128.42 – $210.53
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • AETNA — Medicare Advantage: $73.13
  • ANTHEM — PPO & HMO: $192.80
  • FRONTPATH HEALTH COALITION — HMO: $192.80
  • HUMANA — PPO: $192.80
  • Medical Mutual — Northern Ohio HMO: $128.53
  • Medical Mutual — Traditional, SuperMed/HMO: $192.80
  • Multiplan — PPO: $210.53
  • UNITED HEALTHCARE — PPO, Commercial: $192.80
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier XU In the file: HC CT BRAIN W/O CONTRAST $1,389.88 $1,250.89 $805.44 – $1,320.38
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • AETNA — HMO: $1,209.20
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI-BRAIN WO & W CONTRAST $4,981.52 $4,483.37 $2,886.79 – $4,732.44
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • AETNA — HMO: $4,333.92
  • AETNA — Medicare Advantage: $1,643.90
  • ANTHEM — PPO & HMO: $4,333.92
  • FRONTPATH HEALTH COALITION — HMO: $4,333.92
  • HUMANA — PPO: $4,333.92
  • Medical Mutual — Northern Ohio HMO: $2,889.28
  • Medical Mutual — Traditional, SuperMed/HMO: $4,333.92
  • Multiplan — PPO: $4,732.44
  • OHIO HEALTH CHOICE — Commercial: $4,333.92
  • UNITED HEALTHCARE — PPO, Commercial: $4,333.92
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: WMHC MRI BRAIN WO & W/DYE-MD3654 $601.02 $540.91 $348.30 – $570.97
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • AETNA — HMO: $522.88
  • AETNA — Medicare Advantage: $198.34
  • ANTHEM — PPO & HMO: $522.88
  • FRONTPATH HEALTH COALITION — HMO: $522.88
  • HUMANA — PPO: $522.88
  • Medical Mutual — Northern Ohio HMO: $348.59
  • Medical Mutual — Traditional, SuperMed/HMO: $522.88
  • Multiplan — PPO: $570.97
  • OHIO HEALTH CHOICE — Commercial: $522.88
  • UNITED HEALTHCARE — PPO, Commercial: $522.88
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC X-RAY EXAM CHEST 2 VIEWS $342.24 $308.02 $198.33 – $325.14
Chest X-ray, 2 views: rates for 10 insurance plans
  • AETNA — HMO: $297.75
  • AETNA — Medicare Advantage: $112.94
  • ANTHEM — PPO & HMO: $297.75
  • FRONTPATH HEALTH COALITION — HMO: $297.75
  • HUMANA — PPO: $297.75
  • Medical Mutual — Northern Ohio HMO: $198.50
  • Medical Mutual — Traditional, SuperMed/HMO: $297.75
  • Multiplan — PPO: $325.14
  • OHIO HEALTH CHOICE — Commercial: $297.75
  • UNITED HEALTHCARE — PPO, Commercial: $297.75
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: WMHC CHEST P/L 2 VIEW-MD3654 $58.77 $52.89 $34.05 – $55.83
Chest X-ray, 2 views: rates for 10 insurance plans
  • AETNA — HMO: $51.13
  • AETNA — Medicare Advantage: $19.40
  • ANTHEM — PPO & HMO: $51.13
  • FRONTPATH HEALTH COALITION — HMO: $51.13
  • HUMANA — PPO: $51.13
  • Medical Mutual — Northern Ohio HMO: $34.09
  • Medical Mutual — Traditional, SuperMed/HMO: $51.13
  • Multiplan — PPO: $55.83
  • OHIO HEALTH CHOICE — Commercial: $51.13
  • UNITED HEALTHCARE — PPO, Commercial: $51.13
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: WMHC RAD EXAM CHEST 2 VIEWS - MD3654 $112.65 $101.39 $65.28 – $107.02
Chest X-ray, 2 views: rates for 10 insurance plans
  • AETNA — HMO: $98.01
  • AETNA — Medicare Advantage: $37.18
  • ANTHEM — PPO & HMO: $98.01
  • FRONTPATH HEALTH COALITION — HMO: $98.01
  • HUMANA — PPO: $98.01
  • Medical Mutual — Northern Ohio HMO: $65.34
  • Medical Mutual — Traditional, SuperMed/HMO: $98.01
  • Multiplan — PPO: $107.02
  • OHIO HEALTH CHOICE — Commercial: $98.01
  • UNITED HEALTHCARE — PPO, Commercial: $98.01
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC L-SPINE MIN 4 VIEWS $638.86 $574.97 $370.22 – $606.92
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • AETNA — HMO: $555.81
  • AETNA — Medicare Advantage: $210.83
  • ANTHEM — PPO & HMO: $555.81
  • FRONTPATH HEALTH COALITION — HMO: $555.81
  • HUMANA — PPO: $555.81
  • Medical Mutual — Northern Ohio HMO: $370.54
  • Medical Mutual — Traditional, SuperMed/HMO: $555.81
  • Multiplan — PPO: $606.92
  • OHIO HEALTH CHOICE — Commercial: $555.81
  • UNITED HEALTHCARE — PPO, Commercial: $555.81
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: WMHC SPINE,LS W/OBL-MD3654 $84.59 $76.14 $49.02 – $80.36
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • AETNA — HMO: $73.60
  • AETNA — Medicare Advantage: $27.91
  • ANTHEM — PPO & HMO: $73.60
  • FRONTPATH HEALTH COALITION — HMO: $73.60
  • HUMANA — PPO: $73.60
  • Medical Mutual — Northern Ohio HMO: $49.07
  • Medical Mutual — Traditional, SuperMed/HMO: $73.60
  • Multiplan — PPO: $80.36
  • OHIO HEALTH CHOICE — Commercial: $73.60
  • UNITED HEALTHCARE — PPO, Commercial: $73.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI-SPINE LUMBAR WO CONTRAST $2,777.46 $2,499.71 $1,609.54 – $2,638.58
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • AETNA — HMO: $2,416.39
  • AETNA — Medicare Advantage: $916.56
  • ANTHEM — PPO & HMO: $2,416.39
  • FRONTPATH HEALTH COALITION — HMO: $2,416.39
  • HUMANA — PPO: $2,416.39
  • Medical Mutual — Northern Ohio HMO: $1,610.93
  • Medical Mutual — Traditional, SuperMed/HMO: $2,416.39
  • Multiplan — PPO: $2,638.58
  • OHIO HEALTH CHOICE — Commercial: $2,416.39
  • UNITED HEALTHCARE — PPO, Commercial: $2,416.39
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: WMHC MRI LUMBAR SPINE WO-MD3654 $377.05 $339.35 $218.50 – $358.20
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • AETNA — HMO: $328.04
  • AETNA — Medicare Advantage: $124.43
  • ANTHEM — PPO & HMO: $328.04
  • FRONTPATH HEALTH COALITION — HMO: $328.04
  • HUMANA — PPO: $328.04
  • Medical Mutual — Northern Ohio HMO: $218.69
  • Medical Mutual — Traditional, SuperMed/HMO: $328.04
  • Multiplan — PPO: $358.20
  • OHIO HEALTH CHOICE — Commercial: $328.04
  • UNITED HEALTHCARE — PPO, Commercial: $328.04
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W/ CONTRAST $2,318.85 $2,086.96 $1,343.77 – $2,202.91
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • AETNA — HMO: $2,017.39
  • AETNA — Medicare Advantage: $765.22
  • ANTHEM — PPO & HMO: $2,017.39
  • FRONTPATH HEALTH COALITION — HMO: $2,017.39
  • HUMANA — PPO: $2,017.39
  • Medical Mutual — Northern Ohio HMO: $1,344.93
  • Medical Mutual — Traditional, SuperMed/HMO: $2,017.39
  • Multiplan — PPO: $2,202.91
  • OHIO HEALTH CHOICE — Commercial: $2,017.39
  • UNITED HEALTHCARE — PPO, Commercial: $2,017.39
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: WMHC PELVIS w/-CT-MD3654 $303.71 $273.34 $176 – $288.53
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • AETNA — HMO: $264.23
  • AETNA — Medicare Advantage: $100.22
  • ANTHEM — PPO & HMO: $264.23
  • FRONTPATH HEALTH COALITION — HMO: $264.23
  • HUMANA — PPO: $264.23
  • Medical Mutual — Northern Ohio HMO: $176.16
  • Medical Mutual — Traditional, SuperMed/HMO: $264.23
  • Multiplan — PPO: $288.53
  • OHIO HEALTH CHOICE — Commercial: $264.23
  • UNITED HEALTHCARE — PPO, Commercial: $264.23
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI LOWER EXT JNT W/O CONT $3,123.30 $2,810.96 $1,809.95 – $2,967.13
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • AETNA — HMO: $2,717.27
  • FRONTPATH HEALTH COALITION — HMO: $2,717.27
  • Medical Mutual — Northern Ohio HMO: $1,811.51
  • Medical Mutual — Traditional, SuperMed/HMO: $2,717.27
  • Multiplan — PPO: $2,967.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: WMHC MRI JNT LWR EXT RT-MD3654 $289.82 $260.83 $167.95 – $275.33
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • AETNA — HMO: $252.14
  • FRONTPATH HEALTH COALITION — HMO: $252.14
  • Medical Mutual — Northern Ohio HMO: $168.10
  • Medical Mutual — Traditional, SuperMed/HMO: $252.14
  • Multiplan — PPO: $275.33
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: WMHC MRI JNT LWR EXT LT-MD3654 $289.82 $260.83 $167.95 – $275.33
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • AETNA — HMO: $252.14
  • FRONTPATH HEALTH COALITION — HMO: $252.14
  • Medical Mutual — Northern Ohio HMO: $168.10
  • Medical Mutual — Traditional, SuperMed/HMO: $252.14
  • Multiplan — PPO: $275.33
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABD/PEL W CONT $3,773.81 $3,396.42 $2,186.92 – $3,585.12
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • AETNA — HMO: $3,283.21
  • AETNA — Medicare Advantage: $1,245.36
  • ANTHEM — PPO & HMO: $3,283.21
  • FRONTPATH HEALTH COALITION — HMO: $3,283.21
  • HUMANA — PPO: $3,283.21
  • Medical Mutual — Northern Ohio HMO: $2,188.80
  • Medical Mutual — Traditional, SuperMed/HMO: $3,283.21
  • Multiplan — PPO: $3,585.12
  • OHIO HEALTH CHOICE — Commercial: $3,283.21
  • UNITED HEALTHCARE — PPO, Commercial: $3,283.21
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: WMHC CT ABD&PELVIS W/CONT-MD3654 $410.01 $369.01 $237.60 – $389.51
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • AETNA — HMO: $356.71
  • AETNA — Medicare Advantage: $135.30
  • ANTHEM — PPO & HMO: $356.71
  • FRONTPATH HEALTH COALITION — HMO: $356.71
  • HUMANA — PPO: $356.71
  • Medical Mutual — Northern Ohio HMO: $237.81
  • Medical Mutual — Traditional, SuperMed/HMO: $356.71
  • Multiplan — PPO: $389.51
  • OHIO HEALTH CHOICE — Commercial: $356.71
  • UNITED HEALTHCARE — PPO, Commercial: $356.71
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN COMPLETE $854.22 $768.80 $495.02 – $811.51
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • AETNA — HMO: $743.17
  • AETNA — Medicare Advantage: $281.89
  • ANTHEM — PPO & HMO: $743.17
  • FRONTPATH HEALTH COALITION — HMO: $743.17
  • HUMANA — PPO: $743.17
  • Medical Mutual — Northern Ohio HMO: $495.45
  • Medical Mutual — Traditional, SuperMed/HMO: $743.17
  • Multiplan — PPO: $811.51
  • OHIO HEALTH CHOICE — Commercial: $743.17
  • UNITED HEALTHCARE — PPO, Commercial: $743.17
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: WMHC US EXAM,ABD,COMPL-MD3654 $207.43 $186.69 $120.20 – $197.06
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • AETNA — HMO: $180.46
  • AETNA — Medicare Advantage: $68.45
  • ANTHEM — PPO & HMO: $180.46
  • FRONTPATH HEALTH COALITION — HMO: $180.46
  • HUMANA — PPO: $180.46
  • Medical Mutual — Northern Ohio HMO: $120.31
  • Medical Mutual — Traditional, SuperMed/HMO: $180.46
  • Multiplan — PPO: $197.06
  • OHIO HEALTH CHOICE — Commercial: $180.46
  • UNITED HEALTHCARE — PPO, Commercial: $180.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC FETAL EVAL 2-3 TRIM SGL GEST $901.13 $811.01 $522.20 – $856.08
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • AETNA — HMO: $783.98
  • AETNA — Medicare Advantage: $297.38
  • ANTHEM — PPO & HMO: $783.98
  • FRONTPATH HEALTH COALITION — HMO: $783.98
  • HUMANA — PPO: $783.98
  • Medical Mutual — Northern Ohio HMO: $522.65
  • Medical Mutual — Traditional, SuperMed/HMO: $783.98
  • Multiplan — PPO: $856.08
  • OHIO HEALTH CHOICE — Commercial: $783.98
  • UNITED HEALTHCARE — PPO, Commercial: $783.98
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: WMHC PR ECHOGRAPHY,TRANSVAGINAL $358.82 $322.94 $207.94 – $340.88
Transvaginal ultrasound: rates for 10 insurance plans
  • AETNA — HMO: $312.18
  • AETNA — Medicare Advantage: $118.41
  • ANTHEM — PPO & HMO: $312.18
  • FRONTPATH HEALTH COALITION — HMO: $312.18
  • HUMANA — PPO: $312.18
  • Medical Mutual — Northern Ohio HMO: $208.11
  • Medical Mutual — Traditional, SuperMed/HMO: $312.18
  • Multiplan — PPO: $340.88
  • OHIO HEALTH CHOICE — Commercial: $312.18
  • UNITED HEALTHCARE — PPO, Commercial: $312.18
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL, NON OB $507.03 $456.33 $293.82 – $481.68
Transvaginal ultrasound: rates for 10 insurance plans
  • AETNA — HMO: $441.12
  • AETNA — Medicare Advantage: $167.32
  • ANTHEM — PPO & HMO: $441.12
  • FRONTPATH HEALTH COALITION — HMO: $441.12
  • HUMANA — PPO: $441.12
  • Medical Mutual — Northern Ohio HMO: $294.08
  • Medical Mutual — Traditional, SuperMed/HMO: $441.12
  • Multiplan — PPO: $481.68
  • OHIO HEALTH CHOICE — Commercial: $441.12
  • UNITED HEALTHCARE — PPO, Commercial: $441.12
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: WMHC PBB ECHOGRAPHY,TRANSVAGINAL $21.53 $19.38 $12.48 – $20.46
Transvaginal ultrasound: rates for 10 insurance plans
  • AETNA — HMO: $18.73
  • AETNA — Medicare Advantage: $7.10
  • ANTHEM — PPO & HMO: $18.73
  • FRONTPATH HEALTH COALITION — HMO: $18.73
  • HUMANA — PPO: $18.73
  • Medical Mutual — Northern Ohio HMO: $12.49
  • Medical Mutual — Traditional, SuperMed/HMO: $18.73
  • Multiplan — PPO: $20.46
  • OHIO HEALTH CHOICE — Commercial: $18.73
  • UNITED HEALTHCARE — PPO, Commercial: $18.73
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC MAMMO DGX UNILATERAL INCL CAD IF PERF $442.52 $398.27 $256.44 – $420.40
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $385
  • Medical Mutual — Northern Ohio HMO: $256.66
  • Medical Mutual — Traditional, SuperMed/HMO: $385
  • Multiplan — PPO: $420.40
  • OHIO HEALTH CHOICE — Commercial: $385
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: HC MAMMO DGX UNILATERAL INCL CAD IF PERF $442.52 $398.27 $256.44 – $420.40
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • AETNA — HMO: $385
  • AETNA — Medicare Advantage: $146.04
  • HUMANA — PPO: $385
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: HC MAMMO DGX UNILATERAL INCL CAD IF PERF $442.52 $398.27 $256.44 – $420.40
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • ANTHEM — PPO & HMO: $385
  • UNITED HEALTHCARE — PPO, Commercial: $385
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC MAMMO DGX BILATERAL INCL CAD IF PERF $622.67 $560.40 $360.84 – $591.53
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • AETNA — HMO: $541.73
  • AETNA — Medicare Advantage: $205.48
  • ANTHEM — PPO & HMO: $541.73
  • FRONTPATH HEALTH COALITION — HMO: $541.73
  • HUMANA — PPO: $541.73
  • Medical Mutual — Northern Ohio HMO: $361.15
  • Medical Mutual — Traditional, SuperMed/HMO: $541.73
  • Multiplan — PPO: $591.53
  • OHIO HEALTH CHOICE — Commercial: $541.73
  • UNITED HEALTHCARE — PPO, Commercial: $541.73
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: WMHC MAMM BIL DIAG - MD 3654 $499.83 $449.85 $289.65 – $474.84
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • AETNA — HMO: $434.86
  • AETNA — Medicare Advantage: $164.94
  • ANTHEM — PPO & HMO: $434.86
  • FRONTPATH HEALTH COALITION — HMO: $434.86
  • HUMANA — PPO: $434.86
  • Medical Mutual — Northern Ohio HMO: $289.90
  • Medical Mutual — Traditional, SuperMed/HMO: $434.86
  • Multiplan — PPO: $474.84
  • OHIO HEALTH CHOICE — Commercial: $434.86
  • UNITED HEALTHCARE — PPO, Commercial: $434.86
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC MAMMO SCREENING INCL CAD IF PERF $159.39 $143.45 $92.37 – $151.42
Screening mammogram, both breasts: rates for 9 insurance plans
  • AETNA — HMO: $138.67
  • AETNA — Medicare Advantage: $52.60
  • FRONTPATH HEALTH COALITION — HMO: $138.67
  • HUMANA — PPO: $138.67
  • Medical Mutual — Northern Ohio HMO: $92.45
  • Medical Mutual — Traditional, SuperMed/HMO: $138.67
  • Multiplan — PPO: $151.42
  • OHIO HEALTH CHOICE — Commercial: $138.67
  • UNITED HEALTHCARE — PPO, Commercial: $138.67
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: WMHC MAMM INDUSTRIAL BILAT SCR $117.27 $105.54 $67.95 – $111.40
Screening mammogram, both breasts: rates for 9 insurance plans
  • AETNA — HMO: $102.02
  • AETNA — Medicare Advantage: $38.70
  • FRONTPATH HEALTH COALITION — HMO: $102.02
  • HUMANA — PPO: $102.02
  • Medical Mutual — Northern Ohio HMO: $68.02
  • Medical Mutual — Traditional, SuperMed/HMO: $102.02
  • Multiplan — PPO: $111.40
  • OHIO HEALTH CHOICE — Commercial: $102.02
  • UNITED HEALTHCARE — PPO, Commercial: $102.02
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: HC MAMMO SCREENING INCL CAD IF PERF $159.39 $143.45 $92.37 – $151.42
Screening mammogram, both breasts: rates for 1 insurance plan
  • ANTHEM — PPO & HMO: $138.67

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: WMHC EKG $126.88 $114.19 $73.53 – $120.54
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • AETNA — HMO: $110.39
  • AETNA — Medicare Advantage: $41.87
  • ANTHEM — PPO & HMO: $110.39
  • FRONTPATH HEALTH COALITION — HMO: $110.39
  • HUMANA — PPO: $110.39
  • Medical Mutual — Northern Ohio HMO: $73.59
  • Medical Mutual — Traditional, SuperMed/HMO: $110.39
  • Multiplan — PPO: $120.54
  • OHIO HEALTH CHOICE — Commercial: $110.39
  • UNITED HEALTHCARE — PPO, Commercial: $110.39
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: WMHC ECG AT LEAST 12 LEAD-MD $116.03 $104.43 $67.24 – $110.23
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • AETNA — HMO: $100.95
  • AETNA — Medicare Advantage: $38.29
  • ANTHEM — PPO & HMO: $100.95
  • FRONTPATH HEALTH COALITION — HMO: $100.95
  • HUMANA — PPO: $100.95
  • Medical Mutual — Northern Ohio HMO: $67.30
  • Medical Mutual — Traditional, SuperMed/HMO: $100.95
  • Multiplan — PPO: $110.23
  • OHIO HEALTH CHOICE — Commercial: $100.95
  • UNITED HEALTHCARE — PPO, Commercial: $100.95
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: WMHC PR ELECTROCARDIOGRAM, COMPLETE $117.30 $105.57 $67.97 – $111.44
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
  • AETNA — HMO: $102.06
  • AETNA — Medicare Advantage: $38.71
  • ANTHEM — PPO & HMO: $102.06
  • FRONTPATH HEALTH COALITION — HMO: $102.06
  • HUMANA — PPO: $102.06
  • Medical Mutual — Northern Ohio HMO: $68.04
  • Medical Mutual — Traditional, SuperMed/HMO: $102.06
  • Multiplan — PPO: $111.44
  • OHIO HEALTH CHOICE — Commercial: $102.06
  • UNITED HEALTHCARE — PPO, Commercial: $102.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC SLEEP STUDY (POLYSOMNOGRAM) <5 HRS SLEEP $3,586.18 $3,227.57 $2,078.19 – $3,406.87
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • AETNA — HMO: $3,119.98
  • AETNA — Medicare Advantage: $1,183.44
  • ANTHEM — PPO & HMO: $3,119.98
  • FRONTPATH HEALTH COALITION — HMO: $3,119.98
  • HUMANA — PPO: $3,119.98
  • Medical Mutual — Northern Ohio HMO: $2,079.99
  • Medical Mutual — Traditional, SuperMed/HMO: $3,119.98
  • Multiplan — PPO: $3,406.87
  • OHIO HEALTH CHOICE — Commercial: $3,119.98
  • UNITED HEALTHCARE — PPO, Commercial: $3,119.98
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC ADULT SLEEP STUDY (POLYSOMNOGRAM) $3,586.18 $3,227.57 $2,078.19 – $3,406.87
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • AETNA — HMO: $3,119.98
  • AETNA — Medicare Advantage: $1,183.44
  • ANTHEM — PPO & HMO: $3,119.98
  • FRONTPATH HEALTH COALITION — HMO: $3,119.98
  • HUMANA — PPO: $3,119.98
  • Medical Mutual — Northern Ohio HMO: $2,079.99
  • Medical Mutual — Traditional, SuperMed/HMO: $3,119.98
  • Multiplan — PPO: $3,406.87
  • OHIO HEALTH CHOICE — Commercial: $3,119.98
  • UNITED HEALTHCARE — PPO, Commercial: $3,119.98
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: WMHC PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $720.30 $648.27 $417.41 – $684.29
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • AETNA — HMO: $626.66
  • AETNA — Medicare Advantage: $237.70
  • ANTHEM — PPO & HMO: $626.66
  • FRONTPATH HEALTH COALITION — HMO: $626.66
  • HUMANA — PPO: $626.66
  • Medical Mutual — Northern Ohio HMO: $417.78
  • Medical Mutual — Traditional, SuperMed/HMO: $626.66
  • Multiplan — PPO: $684.29
  • OHIO HEALTH CHOICE — Commercial: $626.66
  • UNITED HEALTHCARE — PPO, Commercial: $626.66

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC OT THER EX PER 15 MIN $101.07 $90.96 $58.57 – $96.01
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • ANTHEM — PPO & HMO: $87.93
  • FRONTPATH HEALTH COALITION — HMO: $87.93
  • Multiplan — PPO: $96.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC PT THERAPEUTIC EXERCISE,EA 15 MIN $101.07 $90.96 $58.57 – $96.01
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • ANTHEM — PPO & HMO: $87.93
  • FRONTPATH HEALTH COALITION — HMO: $87.93
  • Multiplan — PPO: $96.01
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: HC OT THER EX PER 15 MIN $101.07 $90.96 $58.57 – $96.01
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • AETNA — HMO: $87.93
  • Medical Mutual — Northern Ohio HMO: $58.61
  • Medical Mutual — Traditional, SuperMed/HMO: $87.93
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEX $177.11 $159.40 $102.64 – $168.26
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $154.09
  • Medical Mutual — Northern Ohio HMO: $102.72
  • Medical Mutual — Traditional, SuperMed/HMO: $154.09
  • Multiplan — PPO: $168.26
  • UNITED HEALTHCARE — PPO, Commercial: $154.09
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: HC PT EVAL LOW COMPLEX $177.11 $159.40 $102.64 – $168.26
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • AETNA — HMO: $154.09
  • AETNA — Medicare Advantage: $58.45
  • ANTHEM — PPO & HMO: $154.09
  • HUMANA — PPO: $154.09
  • OHIO HEALTH CHOICE — Commercial: $154.09
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MOD COMPLEX $190.66 $171.60 $110.49 – $181.13
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • AETNA — Medicare Advantage: $62.92
  • FRONTPATH HEALTH COALITION — HMO: $165.88
  • Medical Mutual — Northern Ohio HMO: $110.58
  • Medical Mutual — Traditional, SuperMed/HMO: $165.88
  • Multiplan — PPO: $181.13
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: HC PT EVAL MOD COMPLEX $190.66 $171.60 $110.49 – $181.13
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • HUMANA — PPO: $165.88
  • OHIO HEALTH CHOICE — Commercial: $165.88
  • UNITED HEALTHCARE — PPO, Commercial: $165.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP,KX In the file: HC PT EVAL MOD COMPLEX $190.66 $171.60 $110.49 – $181.13
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • AETNA — HMO: $165.88
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEX $204.28 $183.85 $118.38 – $194.06
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • AETNA — Medicare Advantage: $67.41
  • FRONTPATH HEALTH COALITION — HMO: $177.73
  • HUMANA — PPO: $177.73
  • Medical Mutual — Northern Ohio HMO: $118.48
  • Medical Mutual — Traditional, SuperMed/HMO: $177.73
  • Multiplan — PPO: $194.06
  • OHIO HEALTH CHOICE — Commercial: $177.73
  • UNITED HEALTHCARE — PPO, Commercial: $177.73
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: HC PT EVAL HIGH COMPLEX $204.28 $183.85 $118.38 – $194.06
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • AETNA — HMO: $177.73
  • ANTHEM — PPO & HMO: $177.73
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: WMHC PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $160.30 $144.27 $92.89 – $152.28
Psychotherapy, 45 minutes: rates for 10 insurance plans
  • AETNA — HMO: $139.45
  • AETNA — Medicare Advantage: $52.89
  • ANTHEM — PPO & HMO: $139.45
  • FRONTPATH HEALTH COALITION — HMO: $139.45
  • HUMANA — PPO: $139.45
  • Medical Mutual — Northern Ohio HMO: $92.98
  • Medical Mutual — Traditional, SuperMed/HMO: $139.45
  • Multiplan — PPO: $152.28
  • OHIO HEALTH CHOICE — Commercial: $139.45
  • UNITED HEALTHCARE — PPO, Commercial: $139.45
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: WMHC PBB PSYCHOTHERAPY W/PATIENT 45 MINUTES $9.25 $8.32 $5.36 – $8.79
Psychotherapy, 45 minutes: rates for 10 insurance plans
  • AETNA — HMO: $8.04
  • AETNA — Medicare Advantage: $3.05
  • ANTHEM — PPO & HMO: $8.04
  • FRONTPATH HEALTH COALITION — HMO: $8.04
  • HUMANA — PPO: $8.04
  • Medical Mutual — Northern Ohio HMO: $5.37
  • Medical Mutual — Traditional, SuperMed/HMO: $8.04
  • Multiplan — PPO: $8.79
  • OHIO HEALTH CHOICE — Commercial: $8.04
  • UNITED HEALTHCARE — PPO, Commercial: $8.04

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: WMHC PR REMOVAL OF BREAST LESION $1,692.31 $1,523.08 $980.69 – $1,607.69
Removal of breast growth (open surgery): rates for 9 insurance plans
  • AETNA — HMO: $1,472.31
  • AETNA — Medicare Advantage: $558.46
  • FRONTPATH HEALTH COALITION — HMO: $1,472.31
  • HUMANA — PPO: $1,472.31
  • Medical Mutual — Northern Ohio HMO: $981.54
  • Medical Mutual — Traditional, SuperMed/HMO: $1,472.31
  • Multiplan — PPO: $1,607.69
  • OHIO HEALTH CHOICE — Commercial: $1,472.31
  • UNITED HEALTHCARE — PPO, Commercial: $1,472.31
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: WMHC PBB REMOVAL OF BREAST LESION $97.64 $87.87 $56.59 – $92.76
Removal of breast growth (open surgery): rates for 9 insurance plans
  • AETNA — HMO: $84.95
  • AETNA — Medicare Advantage: $32.22
  • FRONTPATH HEALTH COALITION — HMO: $84.95
  • HUMANA — PPO: $84.95
  • Medical Mutual — Northern Ohio HMO: $56.63
  • Medical Mutual — Traditional, SuperMed/HMO: $84.95
  • Multiplan — PPO: $92.76
  • OHIO HEALTH CHOICE — Commercial: $84.95
  • UNITED HEALTHCARE — PPO, Commercial: $84.95
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier RT In the file: WMHC PR REMOVAL OF BREAST LESION $1,692.31 $1,523.08 $980.69 – $1,607.69
Removal of breast growth (open surgery): rates for 1 insurance plan
  • ANTHEM — PPO & HMO: $1,472.31
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: WMHC PR TOTAL HIP ARTHROPLASTY $6,756.83 $6,081.15 $3,915.58 – $6,418.98
Total hip replacement: rates for 7 insurance plans
  • AETNA — Medicare Advantage: $2,229.75
  • FRONTPATH HEALTH COALITION — HMO: $5,878.44
  • HUMANA — PPO: $5,878.44
  • Medical Mutual — Northern Ohio HMO: $3,918.96
  • Medical Mutual — Traditional, SuperMed/HMO: $5,878.44
  • Multiplan — PPO: $6,418.98
  • UNITED HEALTHCARE — PPO, Commercial: $5,878.44
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: WMHC PBB TOTAL HIP ARTHROPLASTY $405.41 $364.87 $234.94 – $385.14
Total hip replacement: rates for 7 insurance plans
  • AETNA — Medicare Advantage: $133.79
  • FRONTPATH HEALTH COALITION — HMO: $352.71
  • HUMANA — PPO: $352.71
  • Medical Mutual — Northern Ohio HMO: $235.14
  • Medical Mutual — Traditional, SuperMed/HMO: $352.71
  • Multiplan — PPO: $385.14
  • UNITED HEALTHCARE — PPO, Commercial: $352.71
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier LT In the file: WMHC PR TOTAL HIP ARTHROPLASTY $6,756.83 $6,081.15 $3,915.58 – $6,418.98
Total hip replacement: rates for 2 insurance plans
  • AETNA — HMO: $5,878.44
  • ANTHEM — PPO & HMO: $5,878.44
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: WMHC PR TOTAL KNEE ARTHROPLASTY $9,167.08 $8,250.37 $5,312.33 – $8,708.73
Total knee replacement: rates for 7 insurance plans
  • AETNA — HMO: $7,975.36
  • FRONTPATH HEALTH COALITION — HMO: $7,975.36
  • HUMANA — PPO: $7,975.36
  • Medical Mutual — Northern Ohio HMO: $5,316.91
  • Medical Mutual — Traditional, SuperMed/HMO: $7,975.36
  • Multiplan — PPO: $8,708.73
  • UNITED HEALTHCARE — PPO, Commercial: $7,975.36
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: WMHC PBB TOTAL KNEE ARTHROPLASTY $528.87 $475.99 $306.48 – $502.42
Total knee replacement: rates for 7 insurance plans
  • AETNA — HMO: $460.12
  • FRONTPATH HEALTH COALITION — HMO: $460.12
  • HUMANA — PPO: $460.12
  • Medical Mutual — Northern Ohio HMO: $306.75
  • Medical Mutual — Traditional, SuperMed/HMO: $460.12
  • Multiplan — PPO: $502.42
  • UNITED HEALTHCARE — PPO, Commercial: $460.12
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier LT In the file: WMHC PR TOTAL KNEE ARTHROPLASTY $9,167.08 $8,250.37 $5,312.33 – $8,708.73
Total knee replacement: rates for 2 insurance plans
  • ANTHEM — PPO & HMO: $7,975.36
  • OHIO HEALTH CHOICE — Commercial: $7,975.36
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: WMHC PR SHOULDER SCOPE BONE SHAVING $3,022.79 $2,720.52 $1,751.70 – $2,871.65
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
  • AETNA — HMO: $2,629.83
  • AETNA — Medicare Advantage: $997.52
  • ANTHEM — PPO & HMO: $2,629.83
  • FRONTPATH HEALTH COALITION — HMO: $2,629.83
  • HUMANA — PPO: $2,629.83
  • Medical Mutual — Northern Ohio HMO: $1,753.22
  • Medical Mutual — Traditional, SuperMed/HMO: $2,629.83
  • Multiplan — PPO: $2,871.65
  • OHIO HEALTH CHOICE — Commercial: $2,629.83
  • UNITED HEALTHCARE — PPO, Commercial: $2,629.83
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: WMHC PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $4,729.26 $4,256.34 $2,740.61 – $4,492.80
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans
  • AETNA — HMO: $4,114.46
  • AETNA — Medicare Advantage: $1,560.66
  • FRONTPATH HEALTH COALITION — HMO: $4,114.46
  • HUMANA — PPO: $4,114.46
  • Medical Mutual — Northern Ohio HMO: $2,742.97
  • Medical Mutual — Traditional, SuperMed/HMO: $4,114.46
  • Multiplan — PPO: $4,492.80
  • OHIO HEALTH CHOICE — Commercial: $4,114.46
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: WMHC PBB ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $272.84 $245.56 $158.11 – $259.20
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans
  • AETNA — HMO: $237.37
  • AETNA — Medicare Advantage: $90.04
  • FRONTPATH HEALTH COALITION — HMO: $237.37
  • HUMANA — PPO: $237.37
  • Medical Mutual — Northern Ohio HMO: $158.25
  • Medical Mutual — Traditional, SuperMed/HMO: $237.37
  • Multiplan — PPO: $259.20
  • OHIO HEALTH CHOICE — Commercial: $237.37
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier RT In the file: WMHC PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $4,729.26 $4,256.34 $2,740.61 – $4,492.80
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • ANTHEM — PPO & HMO: $4,114.46
  • UNITED HEALTHCARE — PPO, Commercial: $4,114.46
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: WMHC REMOVE TONSILS/ADENOIDS,<12 Y/O $9,268.95 $8,342.06 $5,371.36 – $8,805.50
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • AETNA — HMO: $8,063.98
  • AETNA — Medicare Advantage: $3,058.75
  • ANTHEM — PPO & HMO: $8,063.98
  • FRONTPATH HEALTH COALITION — HMO: $8,063.98
  • HUMANA — PPO: $8,063.98
  • Medical Mutual — Northern Ohio HMO: $5,375.99
  • Medical Mutual — Traditional, SuperMed/HMO: $8,063.98
  • Multiplan — PPO: $8,805.50
  • OHIO HEALTH CHOICE — Commercial: $8,063.98
  • UNITED HEALTHCARE — PPO, Commercial: $8,063.98
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: WMHC PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $1,089.48 $980.53 $631.35 – $1,035.01
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • AETNA — HMO: $947.85
  • AETNA — Medicare Advantage: $359.53
  • ANTHEM — PPO & HMO: $947.85
  • FRONTPATH HEALTH COALITION — HMO: $947.85
  • HUMANA — PPO: $947.85
  • Medical Mutual — Northern Ohio HMO: $631.90
  • Medical Mutual — Traditional, SuperMed/HMO: $947.85
  • Multiplan — PPO: $1,035.01
  • UNITED HEALTHCARE — PPO, Commercial: $947.85
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: WMHC EGD - OR $2,234.99 $2,011.50 $1,295.17 – $2,123.24
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • AETNA — HMO: $1,944.45
  • AETNA — Medicare Advantage: $737.55
  • ANTHEM — PPO & HMO: $1,944.45
  • FRONTPATH HEALTH COALITION — HMO: $1,944.45
  • HUMANA — PPO: $1,944.45
  • Medical Mutual — Northern Ohio HMO: $1,296.30
  • Medical Mutual — Traditional, SuperMed/HMO: $1,944.45
  • Multiplan — PPO: $2,123.24
  • UNITED HEALTHCARE — PPO, Commercial: $1,944.45
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: WMHC EGD-SHC 750 $2,234.99 $2,011.50 $1,295.17 – $2,123.24
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • AETNA — HMO: $1,944.45
  • AETNA — Medicare Advantage: $737.55
  • ANTHEM — PPO & HMO: $1,944.45
  • FRONTPATH HEALTH COALITION — HMO: $1,944.45
  • HUMANA — PPO: $1,944.45
  • Medical Mutual — Northern Ohio HMO: $1,296.30
  • Medical Mutual — Traditional, SuperMed/HMO: $1,944.45
  • Multiplan — PPO: $2,123.24
  • UNITED HEALTHCARE — PPO, Commercial: $1,944.45
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: WMHC PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $1,203.78 $1,083.40 $697.59 – $1,143.59
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • AETNA — HMO: $1,047.29
  • AETNA — Medicare Advantage: $397.25
  • FRONTPATH HEALTH COALITION — HMO: $1,047.29
  • HUMANA — PPO: $1,047.29
  • Medical Mutual — Northern Ohio HMO: $698.19
  • Medical Mutual — Traditional, SuperMed/HMO: $1,047.29
  • Multiplan — PPO: $1,143.59
  • OHIO HEALTH CHOICE — Commercial: $1,047.29
  • UNITED HEALTHCARE — PPO, Commercial: $1,047.29
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: WMHC EGD-TX RM W/BX $2,427.29 $2,184.56 $1,406.61 – $2,305.92
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • AETNA — HMO: $2,111.74
  • AETNA — Medicare Advantage: $801.01
  • FRONTPATH HEALTH COALITION — HMO: $2,111.74
  • HUMANA — PPO: $2,111.74
  • Medical Mutual — Northern Ohio HMO: $1,407.83
  • Medical Mutual — Traditional, SuperMed/HMO: $2,111.74
  • Multiplan — PPO: $2,305.92
  • OHIO HEALTH CHOICE — Commercial: $2,111.74
  • UNITED HEALTHCARE — PPO, Commercial: $2,111.74
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: WMHC EGD-SHC W/BX 750 $2,427.29 $2,184.56 $1,406.61 – $2,305.92
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • AETNA — HMO: $2,111.74
  • AETNA — Medicare Advantage: $801.01
  • FRONTPATH HEALTH COALITION — HMO: $2,111.74
  • HUMANA — PPO: $2,111.74
  • Medical Mutual — Northern Ohio HMO: $1,407.83
  • Medical Mutual — Traditional, SuperMed/HMO: $2,111.74
  • Multiplan — PPO: $2,305.92
  • OHIO HEALTH CHOICE — Commercial: $2,111.74
  • UNITED HEALTHCARE — PPO, Commercial: $2,111.74
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: WMHC COLONSCPY 750 $2,256.31 $2,030.68 $1,307.53 – $2,143.49
Colonoscopy (diagnostic): rates for 9 insurance plans
  • AETNA — Medicare Advantage: $744.58
  • ANTHEM — PPO & HMO: $1,962.99
  • FRONTPATH HEALTH COALITION — HMO: $1,962.99
  • HUMANA — PPO: $1,962.99
  • Medical Mutual — Northern Ohio HMO: $1,308.66
  • Medical Mutual — Traditional, SuperMed/HMO: $1,962.99
  • Multiplan — PPO: $2,143.49
  • OHIO HEALTH CHOICE — Commercial: $1,962.99
  • UNITED HEALTHCARE — PPO, Commercial: $1,962.99
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: WMHC PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,459.96 $1,313.97 $846.05 – $1,386.96
Colonoscopy (diagnostic): rates for 9 insurance plans
  • AETNA — Medicare Advantage: $481.79
  • ANTHEM — PPO & HMO: $1,270.16
  • FRONTPATH HEALTH COALITION — HMO: $1,270.16
  • HUMANA — PPO: $1,270.16
  • Medical Mutual — Northern Ohio HMO: $846.78
  • Medical Mutual — Traditional, SuperMed/HMO: $1,270.16
  • Multiplan — PPO: $1,386.96
  • OHIO HEALTH CHOICE — Commercial: $1,270.16
  • UNITED HEALTHCARE — PPO, Commercial: $1,270.16
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: WMHC COLONOSCOPY 750 $2,256.31 $2,030.68 $1,307.53 – $2,143.49
Colonoscopy (diagnostic): rates for 9 insurance plans
  • AETNA — Medicare Advantage: $744.58
  • ANTHEM — PPO & HMO: $1,962.99
  • FRONTPATH HEALTH COALITION — HMO: $1,962.99
  • HUMANA — PPO: $1,962.99
  • Medical Mutual — Northern Ohio HMO: $1,308.66
  • Medical Mutual — Traditional, SuperMed/HMO: $1,962.99
  • Multiplan — PPO: $2,143.49
  • OHIO HEALTH CHOICE — Commercial: $1,962.99
  • UNITED HEALTHCARE — PPO, Commercial: $1,962.99
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: WMHC COLONSCPY W/BX 750 $2,427.29 $2,184.56 $1,406.61 – $2,305.92
Colonoscopy with biopsy: rates for 4 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $2,111.74
  • Medical Mutual — Northern Ohio HMO: $1,407.83
  • Medical Mutual — Traditional, SuperMed/HMO: $2,111.74
  • Multiplan — PPO: $2,305.92
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: WMHC PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $1,580.72 $1,422.65 $916.02 – $1,501.68
Colonoscopy with biopsy: rates for 4 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $1,375.22
  • Medical Mutual — Northern Ohio HMO: $916.81
  • Medical Mutual — Traditional, SuperMed/HMO: $1,375.22
  • Multiplan — PPO: $1,501.68
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: WMHC COLONOSCOPY WITH BIOPSY $2,427.34 $2,184.60 $1,406.64 – $2,305.97
Colonoscopy with biopsy: rates for 4 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $2,111.78
  • Medical Mutual — Northern Ohio HMO: $1,407.86
  • Medical Mutual — Traditional, SuperMed/HMO: $2,111.78
  • Multiplan — PPO: $2,305.97
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: WMHC COLONSCPY W/POLYP 750 $2,956.71 $2,661.04 $1,713.41 – $2,808.87
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • AETNA — HMO: $2,572.34
  • AETNA — Medicare Advantage: $975.72
  • ANTHEM — PPO & HMO: $2,572.34
  • FRONTPATH HEALTH COALITION — HMO: $2,572.34
  • Medical Mutual — Northern Ohio HMO: $1,714.89
  • Medical Mutual — Traditional, SuperMed/HMO: $2,572.34
  • Multiplan — PPO: $2,808.87
  • OHIO HEALTH CHOICE — Commercial: $2,572.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: WMHC PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $2,098.94 $1,889.05 $1,216.33 – $1,993.99
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • AETNA — HMO: $1,826.07
  • AETNA — Medicare Advantage: $692.65
  • ANTHEM — PPO & HMO: $1,826.07
  • FRONTPATH HEALTH COALITION — HMO: $1,826.07
  • Medical Mutual — Northern Ohio HMO: $1,217.38
  • Medical Mutual — Traditional, SuperMed/HMO: $1,826.07
  • Multiplan — PPO: $1,993.99
  • OHIO HEALTH CHOICE — Commercial: $1,826.07
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: WMHC COLONOSCOPY w/POLYP $2,956.71 $2,661.04 $1,713.41 – $2,808.87
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans
  • AETNA — HMO: $2,572.34
  • AETNA — Medicare Advantage: $975.72
  • ANTHEM — PPO & HMO: $2,572.34
  • FRONTPATH HEALTH COALITION — HMO: $2,572.34
  • Medical Mutual — Northern Ohio HMO: $1,714.89
  • Medical Mutual — Traditional, SuperMed/HMO: $2,572.34
  • Multiplan — PPO: $2,808.87
  • OHIO HEALTH CHOICE — Commercial: $2,572.34
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: WMHC SCREENING COLONOSCOPY - MED $2,256.31 $2,030.68 $1,307.53 – $2,143.49
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • AETNA — HMO: $1,962.99
  • AETNA — Medicare Advantage: $744.58
  • ANTHEM — PPO & HMO: $1,962.99
  • FRONTPATH HEALTH COALITION — HMO: $1,962.99
  • HUMANA — PPO: $1,962.99
  • Medical Mutual — Northern Ohio HMO: $1,308.66
  • Medical Mutual — Traditional, SuperMed/HMO: $1,962.99
  • Multiplan — PPO: $2,143.49
  • OHIO HEALTH CHOICE — Commercial: $1,962.99
  • UNITED HEALTHCARE — PPO, Commercial: $1,962.99
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: WMHC PR COLON CA SCRN NOT HI RSK IND $396.29 $356.67 $229.65 – $376.48
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • AETNA — HMO: $344.77
  • AETNA — Medicare Advantage: $130.78
  • ANTHEM — PPO & HMO: $344.77
  • FRONTPATH HEALTH COALITION — HMO: $344.77
  • HUMANA — PPO: $344.77
  • Medical Mutual — Northern Ohio HMO: $229.85
  • Medical Mutual — Traditional, SuperMed/HMO: $344.77
  • Multiplan — PPO: $376.48
  • OHIO HEALTH CHOICE — Commercial: $344.77
  • UNITED HEALTHCARE — PPO, Commercial: $344.77
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: WMHC SCREENING COLONOSCOPY - OR $2,256.31 $2,030.68 $1,307.53 – $2,143.49
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • AETNA — HMO: $1,962.99
  • AETNA — Medicare Advantage: $744.58
  • ANTHEM — PPO & HMO: $1,962.99
  • FRONTPATH HEALTH COALITION — HMO: $1,962.99
  • HUMANA — PPO: $1,962.99
  • Medical Mutual — Northern Ohio HMO: $1,308.66
  • Medical Mutual — Traditional, SuperMed/HMO: $1,962.99
  • Multiplan — PPO: $2,143.49
  • OHIO HEALTH CHOICE — Commercial: $1,962.99
  • UNITED HEALTHCARE — PPO, Commercial: $1,962.99
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: WMHC PR LAP,CHOLECYSTECTOMY $4,694.57 $4,225.11 $2,720.50 – $4,459.84
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • AETNA — HMO: $4,084.28
  • AETNA — Medicare Advantage: $1,549.20
  • ANTHEM — PPO & HMO: $4,084.28
  • FRONTPATH HEALTH COALITION — HMO: $4,084.28
  • HUMANA — PPO: $4,084.28
  • Medical Mutual — Northern Ohio HMO: $2,722.86
  • Medical Mutual — Traditional, SuperMed/HMO: $4,084.28
  • Multiplan — PPO: $4,459.84
  • OHIO HEALTH CHOICE — Commercial: $4,084.28
  • UNITED HEALTHCARE — PPO, Commercial: $4,084.28
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: WMHC PBB LAP,CHOLECYSTECTOMY $270.84 $243.76 $156.95 – $257.30
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • AETNA — HMO: $235.63
  • AETNA — Medicare Advantage: $89.38
  • ANTHEM — PPO & HMO: $235.63
  • FRONTPATH HEALTH COALITION — HMO: $235.63
  • HUMANA — PPO: $235.63
  • Medical Mutual — Northern Ohio HMO: $157.08
  • Medical Mutual — Traditional, SuperMed/HMO: $235.63
  • Multiplan — PPO: $257.30
  • OHIO HEALTH CHOICE — Commercial: $235.63
  • UNITED HEALTHCARE — PPO, Commercial: $235.63
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: WMHC PR REPAIR ING HERNIA,5+Y/O,REDUCIBL $2,652.26 $2,387.04 $1,536.98 – $2,519.65
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • AETNA — Medicare Advantage: $875.24
  • FRONTPATH HEALTH COALITION — HMO: $2,307.47
  • HUMANA — PPO: $2,307.47
  • Medical Mutual — Northern Ohio HMO: $1,538.32
  • Medical Mutual — Traditional, SuperMed/HMO: $2,307.47
  • Multiplan — PPO: $2,519.65
  • UNITED HEALTHCARE — PPO, Commercial: $2,307.47
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: WMHC PBB REPAIR ING HERNIA,5+Y/O,REDUCIBL $153.02 $137.72 $88.67 – $145.36
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • AETNA — Medicare Advantage: $50.49
  • FRONTPATH HEALTH COALITION — HMO: $133.12
  • HUMANA — PPO: $133.12
  • Medical Mutual — Northern Ohio HMO: $88.75
  • Medical Mutual — Traditional, SuperMed/HMO: $133.12
  • Multiplan — PPO: $145.36
  • UNITED HEALTHCARE — PPO, Commercial: $133.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier LT In the file: WMHC PR REPAIR ING HERNIA,5+Y/O,REDUCIBL $2,652.26 $2,387.04 $1,536.98 – $2,519.65
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • AETNA — HMO: $2,307.47
  • OHIO HEALTH CHOICE — Commercial: $2,307.47
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: WMHC PR BIOPSY OF PROSTATE,NEEDLE/PUNCH $1,415.19 $1,273.67 $820.10 – $1,344.43
Prostate biopsy: rates for 8 insurance plans
  • AETNA — HMO: $1,231.21
  • AETNA — Medicare Advantage: $467.01
  • FRONTPATH HEALTH COALITION — HMO: $1,231.21
  • HUMANA — PPO: $1,231.21
  • Medical Mutual — Northern Ohio HMO: $820.81
  • Medical Mutual — Traditional, SuperMed/HMO: $1,231.21
  • Multiplan — PPO: $1,344.43
  • UNITED HEALTHCARE — PPO, Commercial: $1,231.21
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: WMHC PROSTATE NEEDLE BX ANY APPROACH $4,667.68 $4,200.91 $2,704.92 – $4,434.29
Prostate biopsy: rates for 8 insurance plans
  • AETNA — HMO: $4,060.88
  • AETNA — Medicare Advantage: $1,540.33
  • FRONTPATH HEALTH COALITION — HMO: $4,060.88
  • HUMANA — PPO: $4,060.88
  • Medical Mutual — Northern Ohio HMO: $2,707.26
  • Medical Mutual — Traditional, SuperMed/HMO: $4,060.88
  • Multiplan — PPO: $4,434.29
  • UNITED HEALTHCARE — PPO, Commercial: $4,060.88
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: HC BIOPSY PROSTATE NEEDLE OR PUNC $4,667.68 $4,200.91 $2,704.92 – $4,434.29
Prostate biopsy: rates for 8 insurance plans
  • AETNA — HMO: $4,060.88
  • AETNA — Medicare Advantage: $1,540.33
  • FRONTPATH HEALTH COALITION — HMO: $4,060.88
  • HUMANA — PPO: $4,060.88
  • Medical Mutual — Northern Ohio HMO: $2,707.26
  • Medical Mutual — Traditional, SuperMed/HMO: $4,060.88
  • Multiplan — PPO: $4,434.29
  • UNITED HEALTHCARE — PPO, Commercial: $4,060.88
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: WMHC PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC $5,956.94 $5,361.25 $3,452.05 – $5,659.10
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
  • AETNA — HMO: $5,182.54
  • AETNA — Medicare Advantage: $1,965.79
  • ANTHEM — PPO & HMO: $5,182.54
  • FRONTPATH HEALTH COALITION — HMO: $5,182.54
  • HUMANA — PPO: $5,182.54
  • Medical Mutual — Northern Ohio HMO: $3,455.03
  • Medical Mutual — Traditional, SuperMed/HMO: $5,182.54
  • Multiplan — PPO: $5,659.10
  • OHIO HEALTH CHOICE — Commercial: $5,182.54
  • UNITED HEALTHCARE — PPO, Commercial: $5,182.54
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: WMHC PBB LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC $343.67 $309.31 $199.16 – $326.49
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
  • AETNA — HMO: $298.99
  • AETNA — Medicare Advantage: $113.41
  • ANTHEM — PPO & HMO: $298.99
  • FRONTPATH HEALTH COALITION — HMO: $298.99
  • HUMANA — PPO: $298.99
  • Medical Mutual — Northern Ohio HMO: $199.33
  • Medical Mutual — Traditional, SuperMed/HMO: $298.99
  • Multiplan — PPO: $326.49
  • OHIO HEALTH CHOICE — Commercial: $298.99
  • UNITED HEALTHCARE — PPO, Commercial: $298.99
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: WMHC PR HYSTEROSCOPY,W/ENDO BX $2,272.34 $2,045.11 $1,316.82 – $2,158.72
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • AETNA — HMO: $1,976.94
  • AETNA — Medicare Advantage: $749.87
  • ANTHEM — PPO & HMO: $1,976.94
  • FRONTPATH HEALTH COALITION — HMO: $1,976.94
  • HUMANA — PPO: $1,976.94
  • Medical Mutual — Northern Ohio HMO: $1,317.96
  • Medical Mutual — Traditional, SuperMed/HMO: $1,976.94
  • Multiplan — PPO: $2,158.72
  • OHIO HEALTH CHOICE — Commercial: $1,976.94
  • UNITED HEALTHCARE — PPO, Commercial: $1,976.94
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: WMHC HYSTEROSCOPY W/WO W/BX $4,647.82 $4,183.04 $2,693.41 – $4,415.43
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • AETNA — HMO: $4,043.60
  • AETNA — Medicare Advantage: $1,533.78
  • ANTHEM — PPO & HMO: $4,043.60
  • FRONTPATH HEALTH COALITION — HMO: $4,043.60
  • HUMANA — PPO: $4,043.60
  • Medical Mutual — Northern Ohio HMO: $2,695.73
  • Medical Mutual — Traditional, SuperMed/HMO: $4,043.60
  • Multiplan — PPO: $4,415.43
  • OHIO HEALTH CHOICE — Commercial: $4,043.60
  • UNITED HEALTHCARE — PPO, Commercial: $4,043.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: WMHC PBB HYSTEROSCOPY,W/ENDO BX $131.09 $117.99 $75.97 – $124.54
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • AETNA — HMO: $114.05
  • AETNA — Medicare Advantage: $43.26
  • ANTHEM — PPO & HMO: $114.05
  • FRONTPATH HEALTH COALITION — HMO: $114.05
  • HUMANA — PPO: $114.05
  • Medical Mutual — Northern Ohio HMO: $76.03
  • Medical Mutual — Traditional, SuperMed/HMO: $114.05
  • Multiplan — PPO: $124.54
  • OHIO HEALTH CHOICE — Commercial: $114.05
  • UNITED HEALTHCARE — PPO, Commercial: $114.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC NJX INTERLAMINAR L/S $2,091.18 $1,882.07 $1,211.84 – $1,986.62
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • AETNA — HMO: $1,819.32
  • AETNA — Medicare Advantage: $690.09
  • ANTHEM — PPO & HMO: $1,819.32
  • FRONTPATH HEALTH COALITION — HMO: $1,819.32
  • HUMANA — PPO: $1,819.32
  • Medical Mutual — Northern Ohio HMO: $1,212.89
  • Medical Mutual — Traditional, SuperMed/HMO: $1,819.32
  • Multiplan — PPO: $1,986.62
  • UNITED HEALTHCARE — PPO, Commercial: $1,819.32
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: WMHC PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $858.22 $772.40 $497.34 – $815.31
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • AETNA — HMO: $746.65
  • AETNA — Medicare Advantage: $283.21
  • ANTHEM — PPO & HMO: $746.65
  • FRONTPATH HEALTH COALITION — HMO: $746.65
  • HUMANA — PPO: $746.65
  • Medical Mutual — Northern Ohio HMO: $497.76
  • Medical Mutual — Traditional, SuperMed/HMO: $746.65
  • Multiplan — PPO: $815.31
  • UNITED HEALTHCARE — PPO, Commercial: $746.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: WMHC INJ EPI LESI-ANES STEROID $2,091.18 $1,882.07 $1,211.84 – $1,986.62
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • AETNA — HMO: $1,819.32
  • AETNA — Medicare Advantage: $690.09
  • ANTHEM — PPO & HMO: $1,819.32
  • FRONTPATH HEALTH COALITION — HMO: $1,819.32
  • HUMANA — PPO: $1,819.32
  • Medical Mutual — Northern Ohio HMO: $1,212.89
  • Medical Mutual — Traditional, SuperMed/HMO: $1,819.32
  • Multiplan — PPO: $1,986.62
  • UNITED HEALTHCARE — PPO, Commercial: $1,819.32
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: WMHC PR INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL $1,011.71 $910.54 $586.29 – $961.13
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $880.19
  • Medical Mutual — Northern Ohio HMO: $586.79
  • Medical Mutual — Traditional, SuperMed/HMO: $880.19
  • Multiplan — PPO: $961.13
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC TRANS, ESB, L/S, SINGLE $1,000.23 $900.20 $579.63 – $950.22
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $870.20
  • Medical Mutual — Northern Ohio HMO: $580.13
  • Medical Mutual — Traditional, SuperMed/HMO: $870.20
  • Multiplan — PPO: $950.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: WMHC TRANS LUMB EPI INJ $1,408.56 $1,267.70 $816.25 – $1,338.13
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • FRONTPATH HEALTH COALITION — HMO: $1,225.44
  • Medical Mutual — Northern Ohio HMO: $816.96
  • Medical Mutual — Traditional, SuperMed/HMO: $1,225.44
  • Multiplan — PPO: $1,338.13
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: WMHC PR REVISE MEDIAN N/CARPAL TUNNEL SURG $1,727.17 $1,554.46 $1,000.90 – $1,640.81
Carpal tunnel release: rates for 7 insurance plans
  • AETNA — HMO: $1,502.63
  • FRONTPATH HEALTH COALITION — HMO: $1,502.63
  • Medical Mutual — Northern Ohio HMO: $1,001.76
  • Medical Mutual — Traditional, SuperMed/HMO: $1,502.63
  • Multiplan — PPO: $1,640.81
  • OHIO HEALTH CHOICE — Commercial: $1,502.63
  • UNITED HEALTHCARE — PPO, Commercial: $1,502.63
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: WMHC PBB REVISE MEDIAN N/CARPAL TUNNEL SURG $103.63 $93.27 $60.05 – $98.45
Carpal tunnel release: rates for 7 insurance plans
  • AETNA — HMO: $90.16
  • FRONTPATH HEALTH COALITION — HMO: $90.16
  • Medical Mutual — Northern Ohio HMO: $60.10
  • Medical Mutual — Traditional, SuperMed/HMO: $90.16
  • Multiplan — PPO: $98.45
  • OHIO HEALTH CHOICE — Commercial: $90.16
  • UNITED HEALTHCARE — PPO, Commercial: $90.16
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier LT In the file: WMHC PR REVISE MEDIAN N/CARPAL TUNNEL SURG $1,727.17 $1,554.46 $1,000.90 – $1,640.81
Carpal tunnel release: rates for 3 insurance plans
  • AETNA — Medicare Advantage: $569.96
  • ANTHEM — PPO & HMO: $1,502.63
  • HUMANA — PPO: $1,502.63
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: WMHC CAPSULOTOMY $1,480.71 $1,332.64 $858.07 – $1,406.67
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans
  • ANTHEM — PPO & HMO: $1,288.22
  • FRONTPATH HEALTH COALITION — HMO: $1,288.22
  • Medical Mutual — Northern Ohio HMO: $858.81
  • Medical Mutual — Traditional, SuperMed/HMO: $1,288.22
  • Multiplan — PPO: $1,406.67
  • UNITED HEALTHCARE — PPO, Commercial: $1,288.22
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · modifier LT In the file: WMHC CAPSULOTOMY $1,480.71 $1,332.64 $858.07 – $1,406.67
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans
  • AETNA — HMO: $1,288.22
  • AETNA — Medicare Advantage: $488.63
  • OHIO HEALTH CHOICE — Commercial: $1,288.22
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · modifier RT In the file: WMHC CAPSULOTOMY $1,480.71 $1,332.64 $858.07 – $1,406.67
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • HUMANA — PPO: $1,288.22
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: WMHC EXTRACAPSULAR CATARACT RE - W INSERTION OF INTRAOCULAR LENS MANUAL OR M $3,858.45 $3,472.61 $2,235.98 – $3,665.53
Cataract removal with lens implant: rates for 6 insurance plans
  • AETNA — Medicare Advantage: $1,273.29
  • FRONTPATH HEALTH COALITION — HMO: $3,356.85
  • Medical Mutual — Northern Ohio HMO: $2,237.90
  • Medical Mutual — Traditional, SuperMed/HMO: $3,356.85
  • Multiplan — PPO: $3,665.53
  • UNITED HEALTHCARE — PPO, Commercial: $3,356.85
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · modifier RT In the file: WMHC EXTRACAPSULAR CATARACT RE - W INSERTION OF INTRAOCULAR LENS MANUAL OR M $3,858.45 $3,472.61 $2,235.98 – $3,665.53
Cataract removal with lens implant: rates for 3 insurance plans
  • AETNA — HMO: $3,356.85
  • ANTHEM — PPO & HMO: $3,356.85
  • OHIO HEALTH CHOICE — Commercial: $3,356.85
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · modifier LT In the file: WMHC EXTRACAPSULAR CATARACT RE - W INSERTION OF INTRAOCULAR LENS MANUAL OR M $3,858.45 $3,472.61 $2,235.98 – $3,665.53
Cataract removal with lens implant: rates for 1 insurance plan
  • HUMANA — PPO: $3,356.85

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: WMHC PR ROUT OB CARE,VAG DELIV,PREV C-SEC $5,802.05 $5,221.84 $3,362.29 – $5,511.95
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
  • AETNA — HMO: $5,047.78
  • AETNA — Medicare Advantage: $1,914.67
  • ANTHEM — PPO & HMO: $5,047.78
  • FRONTPATH HEALTH COALITION — HMO: $5,047.78
  • HUMANA — PPO: $5,047.78
  • Medical Mutual — Northern Ohio HMO: $3,365.19
  • Medical Mutual — Traditional, SuperMed/HMO: $5,047.78
  • Multiplan — PPO: $5,511.95
  • OHIO HEALTH CHOICE — Commercial: $5,047.78
  • UNITED HEALTHCARE — PPO, Commercial: $5,047.78

Source: Wyandot Memorial Hospital’s standard charges file (wyandotmemorial.org, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on December 31, 2024; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address885 North Sandusky Avenue, Upper Sandusky, OH 43351
CountyWyandot County
StateOhio
Phone(419) 294‑4991
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating5 of 5 stars
CMS Certification Number361329
Name in Medicare recordsWYANDOT MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Official websitewyandotmemorial.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Medical Services — wyandotmemorial.org
  2. Visitor Information — wyandotmemorial.org