Compare real prices at Mount Carmel East in Columbus, GA. Taven tracks 257 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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257
Procedures Tracked
with pricing data
⭐
3/5
Star Rating
CMS Care Compare
🏥
Grade D
Data Quality
Limited data coverage
✓
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: JOHNETTA TRAYLOROrg NPI: 1033228168
🔒 De-identification Notice: All pricing data shown on this page is derived from publicly available hospital machine-readable files and insurer transparency data as mandated by federal law. No individual patient data, protected health information (PHI), or personally identifiable information is collected, stored, or displayed. Aggregate statistics (such as allowed amount medians and percentiles) are calculated from de-identified claim payment data reported by hospitals per CMS requirements.
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Procedure Prices at Mount Carmel East
257 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Columbus, GA metro average. Includes actual allowed amounts from insurer remittance data (CMS v3.0).
Last updated: March 26, 2026
| Procedure | Cash Price | Avg Negotiated | Median Allowed | Range (10th–90th) | Columbus Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Skin Biopsy (Punch, Single Lesion) CPT 11104 Skin punch biopsy — removal of a small, full-thickness circular sample of skin for laboratory analysis to diagnose skin conditions. |
$772 | $772 | — | — | $561 | +38% | — |
| Breast Excision CPT 19120 Surgical removal of a breast lump or abnormal tissue. This procedure removes a specific area of concern while preserving as much healthy breast tissue as possible. |
$8,476 | $8,476 | — | — | $5,660 | +50% | — |
| Joint Injection with Ultrasound (Major Joint) CPT 20611 Ultrasound — joint injection with ultrasound (major joint). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$1,527 | $1,527 | — | — | $1,114 | +37% | — |
| Trigger Finger Release CPT 26055 Trigger finger release — a procedure to free a finger tendon that has become stuck, causing the finger to catch or lock when bending. |
$4,967 | $4,967 | — | — | $3,664 | +36% | — |
| Knee Arthroscopy (Meniscus Surgery) CPT 29881 Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions. |
$9,646 | $9,646 | — | — | $7,513 | +28% | — |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
$2,300 | $2,300 | — | — | $2,019 | +14% | — |
| Central Venous Access Device CPT 36571 Central Venous Access Device — CPT code 36571 covers central venous access device performed in a clinical or hospital setting. |
$5,929 | $5,929 | — | — | $3,929 | +51% | — |
| Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting. |
$3,777 | $3,777 | — | — | $2,611 | +45% | — |
| Lumbar Epidural - Fluoroscopic CPT 62323 Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement. |
$5,611 | $5,611 | — | — | $3,207 | +75% | — |
| Chest X-Ray (single view) CPT 71045 X-ray imaging — chest x-ray (single view). A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $35 | $35 | $35–$35 | $111 | -68% | 1 |
| Chest X-Ray (2 views) CPT 71046 Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions. |
— | $48 | $48 | $48–$48 | $143 | -67% | 1 |
| Lumbar Spine X-Ray CPT 72100 X-ray imaging — lumbar spine x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $59 | $59 | $59–$59 | $191 | -69% | 1 |
| Shoulder X-Ray CPT 73030 X-ray imaging — shoulder x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $52 | $52 | $52–$52 | $178 | -71% | 1 |
| Hand X-Ray CPT 73130 X-ray imaging — hand x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $59 | $59 | $59–$59 | $159 | -63% | 1 |
| Knee X-Ray CPT 73560 X-ray imaging — knee x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $53 | $53 | $53–$53 | $170 | -69% | 1 |
| Ankle X-Ray CPT 73610 X-ray imaging — ankle x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $57 | $57 | $57–$57 | $187 | -70% | 1 |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $106 | $106 | $106–$106 | $191 | -44% | 1 |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
— | $157 | $157 | $157–$157 | $409 | -62% | 1 |
| OB Ultrasound (first trimester) CPT 76801 Ultrasound — ob ultrasound (first trimester). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $142 | $142 | $142–$142 | $237 | -40% | 1 |
| OB Ultrasound (complete) CPT 76805 Ultrasound — ob ultrasound (complete). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $177 | $177 | $177–$177 | $328 | -46% | 1 |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
— | $173 | $173 | $173–$173 | $345 | -50% | 1 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
— | $147 | $147 | $147–$147 | $350 | -58% | 1 |
| Nuclear Stress Test (SPECT MPI) CPT 78452 Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries. |
— | $706 | $706 | $706–$706 | $1,294 | -45% | 1 |
| BMP (Basic Metabolic Panel) CPT 80048 Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance. |
— | $10 | $10 | $10–$10 | $77 | -87% | 1 |
| CMP (Comprehensive Metabolic Panel) CPT 80053 Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels. |
— | $12 | $12 | $12–$12 | $87 | -86% | 1 |
| Lipid Panel CPT 80061 Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk. |
— | $15 | $15 | $15–$15 | $53 | -71% | 1 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $9 | $9 | $9–$9 | $63 | -85% | 1 |
| Urinalysis with Microscopy CPT 81001 Urinalysis with microscopy — a urine test that examines the physical, chemical, and microscopic properties of urine to detect infections, kidney disease, or other conditions. |
— | $4 | $4 | $4–$4 | $37 | -90% | 1 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
— | $3 | $3 | $3–$3 | $23 | -89% | 1 |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
— | $35 | $35 | $35–$35 | $110 | -68% | 1 |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
— | $6 | $6 | $6–$6 | $28 | -78% | 1 |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
— | $16 | $16 | $16–$16 | $45 | -65% | 1 |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
— | $5 | $5 | $5–$5 | $31 | -85% | 1 |
| Hemoglobin A1C CPT 83036 Hemoglobin A1c test — a blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes. |
— | $11 | $11 | $11–$11 | $35 | -68% | 1 |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
— | $6 | $6 | $6–$6 | $25 | -77% | 1 |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
— | $22 | $22 | $22–$22 | $78 | -72% | 1 |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
— | $6 | $6 | $6–$6 | $30 | -81% | 1 |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
— | $20 | $20 | $20–$20 | $41 | -52% | 1 |
| CBC (Complete Blood Count) CPT 85025 Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health. |
— | $9 | $9 | $9–$9 | $42 | -78% | 1 |
| PT/INR (Prothrombin Time) CPT 85610 PT/INR (Prothrombin Time) — CPT code 85610 covers pt/inr (prothrombin time) performed in a clinical or hospital setting. |
— | $5 | $5 | $5–$5 | $25 | -80% | 1 |
| TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting. |
— | $11 | $11 | $11–$11 | $39 | -71% | 1 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
— | $3 | $3 | $3–$3 | $37 | -91% | 1 |
| COVID-19 Test (rapid antigen) CPT 87426 COVID-19 Test (rapid antigen) — CPT code 87426 covers covid-19 test (rapid antigen) performed in a clinical or hospital setting. |
— | $41 | $41 | $41–$41 | $59 | -30% | 1 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
— | $41 | $41 | $41–$41 | $78 | -48% | 1 |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
— | $41 | $41 | $41–$41 | $76 | -46% | 1 |
| COVID-19 Test (PCR) CPT 87635 COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting. |
— | $60 | $60 | $60–$60 | $93 | -35% | 1 |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
— | $19 | $19 | $19–$19 | $54 | -64% | 1 |
| Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting. |
— | $31 | $31 | $31–$31 | $50 | -38% | 1 |
| Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting. |
— | $10,468 | $10,468 | $10,468–$10,468 | $10,264 | +2% | 1 |
| Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting. |
— | $6,189 | $6,189 | $6,189–$6,189 | $6,970 | -11% | 1 |
| PT - Ultrasound Therapy CPT 97035 Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $31 | $31 | $31–$31 | $51 | -39% | 1 |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
— | $65 | $65 | $65–$65 | $65 | avg | 1 |
| PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting. |
— | $65 | $65 | $65–$65 | $60 | +8% | 1 |
| PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching. |
— | $61 | $61 | $61–$61 | $77 | -21% | 1 |
| PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition. |
— | $221 | $221 | $221–$221 | $192 | +15% | 1 |
| PT Evaluation - Moderate Complexity CPT 97162 Physical therapy evaluation, moderate complexity — initial assessment by a physical therapist for a condition requiring moderate clinical decision-making. |
— | $221 | $221 | $221–$221 | $201 | +10% | 1 |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
— | $221 | $221 | $221–$221 | $217 | +2% | 1 |
| PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities. |
— | $78 | $78 | $78–$78 | $71 | +10% | 1 |
| Clavicle X-Ray CPT 73000 Radiologic examination of clavicle |
— | $50 | $50 | $50–$50 | $63 | -20% | 1 |
| Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views |
— | $50 | $50 | $50–$50 | $62 | -20% | 1 |
| Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views |
— | $43 | $43 | $43–$43 | $54 | -20% | 1 |
| Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views |
— | $50 | $50 | $50–$50 | $61 | -19% | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $52 | $52 | $52–$52 | $65 | -20% | 1 |
| Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views |
— | $67 | $67 | $67–$67 | $84 | -20% | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $75 | $75 | $75–$75 | $94 | -20% | 1 |
| Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views |
— | $55 | $55 | $55–$55 | $69 | -20% | 1 |
| Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views |
— | $64 | $64 | $64–$64 | $79 | -18% | 1 |
| Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views |
— | $49 | $49 | $49–$49 | $60 | -19% | 1 |
| Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views |
— | $43 | $43 | $43–$43 | $52 | -18% | 1 |
| Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views |
— | $53 | $53 | $53–$53 | $64 | -17% | 1 |
| Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view |
— | $43 | $43 | $43–$43 | $54 | -20% | 1 |
| Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views |
— | $53 | $53 | $53–$53 | $65 | -19% | 1 |
| Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image |
— | $168 | $168 | $168–$168 | $206 | -18% | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $63 | $63 | $63–$63 | $79 | -20% | 1 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $148 | $148 | $148–$148 | $186 | -20% | 1 |
| Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited |
— | $68 | $68 | $68–$68 | $85 | -20% | 1 |
| OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited |
— | $102 | $102 | $102–$102 | $127 | -20% | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $115 | $115 | $115–$115 | $143 | -20% | 1 |
| Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up |
— | $54 | $54 | $54–$54 | $67 | -19% | 1 |
| Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents |
— | $142 | $142 | $142–$142 | $171 | -17% | 1 |
| Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time |
— | $22 | $22 | $22–$22 | $26 | -16% | 1 |
| Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation |
— | $64 | $64 | $64–$64 | $81 | -20% | 1 |
| Bone Age Study CPT 77072 Bone age studies |
— | $34 | $34 | $34–$34 | $46 | -26% | 1 |
| Bone Length Studies CPT 77073 Bone length studies |
— | $66 | $66 | $66–$66 | $90 | -27% | 1 |
| Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete |
— | $148 | $148 | $148–$148 | $201 | -26% | 1 |
| DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton |
— | $61 | $61 | $61–$61 | $81 | -25% | 1 |
| DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton |
— | $46 | $46 | $46–$46 | $61 | -24% | 1 |
| DEXA Body Composition CPT 77085 DXA bone density study, body composition |
— | $81 | $81 | $81–$81 | $118 | -31% | 1 |
| Bone Scan (whole body) CPT 78306 Bone imaging, whole body |
— | $456 | $456 | $456–$456 | $650 | -30% | 1 |
| Nuclear Stress Test (Planar MPI) CPT 78451 Myocardial perfusion imaging, planar, single study |
— | $494 | $494 | $494–$494 | $704 | -30% | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $10 | $10 | $10–$10 | $16 | -36% | 1 |
| Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test |
— | $55 | $55 | $55–$55 | $86 | -36% | 1 |
| Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy |
— | $5 | $5 | $5–$5 | $7 | -35% | 1 |
| Urinalysis (non-automated, without microscopy) CPT 81002 Urinalysis without microscopy, non-automated |
— | $4 | $4 | $4–$4 | $6 | -31% | 1 |
| Albumin Level CPT 82040 Albumin, serum, plasma or whole blood |
— | $6 | $6 | $6–$6 | $9 | -37% | 1 |
| Amylase Level CPT 82150 Amylase test |
— | $8 | $8 | $8–$8 | $11 | -31% | 1 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $6 | $6 | $6–$6 | $9 | -33% | 1 |
| Bilirubin Direct CPT 82248 Bilirubin, direct |
— | $6 | $6 | $6–$6 | $9 | -33% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $6 | $6 | $6–$6 | $9 | -33% | 1 |
| CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate) |
— | $6 | $6 | $6–$6 | $9 | -37% | 1 |
| Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total |
— | $5 | $5 | $5–$5 | $8 | -39% | 1 |
| CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total |
— | $8 | $8 | $8–$8 | $11 | -31% | 1 |
| CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction |
— | $14 | $14 | $14–$14 | $20 | -32% | 1 |
| Creatinine Level CPT 82565 Creatinine; blood |
— | $6 | $6 | $6–$6 | $9 | -33% | 1 |
| Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12) |
— | $18 | $18 | $18–$18 | $27 | -34% | 1 |
| Estradiol Level CPT 82670 Estradiol |
— | $32 | $32 | $32–$32 | $50 | -35% | 1 |
| Folic Acid Level CPT 82746 Folic acid, serum |
— | $17 | $17 | $17–$17 | $27 | -37% | 1 |
| IgA Level CPT 82784 Gammaglobulin IgA |
— | $11 | $11 | $11–$11 | $17 | -36% | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $31 | $31 | $31–$31 | $47 | -35% | 1 |
| Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device |
— | $4 | $4 | $4–$4 | $6 | -37% | 1 |
| FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH) |
— | $22 | $22 | $22–$22 | $33 | -35% | 1 |
| LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH) |
— | $22 | $22 | $22–$22 | $33 | -35% | 1 |
| Iron Level CPT 83540 Iron |
— | $8 | $8 | $8–$8 | $11 | -31% | 1 |
| Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total |
— | $10 | $10 | $10–$10 | $15 | -32% | 1 |
| LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH) |
— | $7 | $7 | $7–$7 | $11 | -35% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $8 | $8 | $8–$8 | $12 | -34% | 1 |
| Magnesium Level CPT 83735 Magnesium |
— | $8 | $8 | $8–$8 | $12 | -34% | 1 |
| BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP) |
— | $46 | $46 | $46–$46 | $68 | -33% | 1 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $48 | $48 | $48–$48 | $75 | -36% | 1 |
| Alkaline Phosphatase CPT 84075 Phosphatase, alkaline |
— | $6 | $6 | $6–$6 | $9 | -33% | 1 |
| Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate) |
— | $6 | $6 | $6–$6 | $8 | -29% | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $17 | $17 | $17–$17 | $26 | -35% | 1 |
| Progesterone Level CPT 84144 Progesterone |
— | $24 | $24 | $24–$24 | $38 | -36% | 1 |
| Prolactin Level CPT 84146 Prolactin |
— | $23 | $23 | $23–$23 | $34 | -33% | 1 |
| Testosterone Total CPT 84403 Testosterone, total |
— | $30 | $30 | $30–$30 | $46 | -34% | 1 |
| Thyroxine Total (T4) CPT 84436 Thyroxine, total |
— | $8 | $8 | $8–$8 | $12 | -34% | 1 |
| Free Thyroxine (Free T4) CPT 84439 Thyroxine, free |
— | $11 | $11 | $11–$11 | $16 | -34% | 1 |
| Transferrin Level CPT 84466 Transferrin |
— | $15 | $15 | $15–$15 | $22 | -33% | 1 |
| Triglycerides CPT 84478 Triglycerides |
— | $7 | $7 | $7–$7 | $10 | -32% | 1 |
| T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total |
— | $17 | $17 | $17–$17 | $25 | -34% | 1 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $20 | $20 | $20–$20 | $30 | -35% | 1 |
| Troponin (Cardiac) CPT 84484 Troponin, quantitative |
— | $15 | $15 | $15–$15 | $23 | -36% | 1 |
| BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN) |
— | $5 | $5 | $5–$5 | $7 | -35% | 1 |
| Uric Acid Level CPT 84550 Uric acid, blood |
— | $5 | $5 | $5–$5 | $8 | -34% | 1 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $8 | $8 | $8–$8 | $12 | -37% | 1 |
| D-Dimer CPT 85379 Fibrin degradation products, D-dimer |
— | $12 | $12 | $12–$12 | $18 | -35% | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $3 | $3 | $3–$3 | $5 | -40% | 1 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $7 | $7 | $7–$7 | $11 | -35% | 1 |
| Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen |
— | $6 | $6 | $6–$6 | $9 | -33% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $6 | $6 | $6–$6 | $9 | -33% | 1 |
| Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody |
— | $15 | $15 | $15–$15 | $23 | -34% | 1 |
| Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody |
— | $21 | $21 | $21–$21 | $32 | -35% | 1 |
| CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125 |
— | $24 | $24 | $24–$24 | $36 | -33% | 1 |
| CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9 |
— | $24 | $24 | $24–$24 | $38 | -36% | 1 |
| Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative |
— | $7 | $7 | $7–$7 | $10 | -32% | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $72 | $72 | $72–$72 | $133 | -46% | 1 |
| Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative |
— | $5 | $5 | $5–$5 | $8 | -39% | 1 |
| Helicobacter Pylori Antibody CPT 86677 Antibody, Helicobacter pylori |
— | $20 | $20 | $20–$20 | $29 | -32% | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $15 | $15 | $15–$15 | $29 | -47% | 1 |
| Hepatitis A Antibody CPT 86696 Antibody, hepatitis A |
— | $23 | $23 | $23–$23 | $42 | -46% | 1 |
| Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total |
— | $14 | $14 | $14–$14 | $22 | -37% | 1 |
| Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb) |
— | $12 | $12 | $12–$12 | $19 | -34% | 1 |
| Rubella Antibody CPT 86762 Antibody, rubella |
— | $17 | $17 | $17–$17 | $25 | -34% | 1 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $15 | $15 | $15–$15 | $23 | -34% | 1 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $15 | $15 | $15–$15 | $23 | -34% | 1 |
| Hepatitis C Antibody CPT 86803 Hepatitis C antibody |
— | $17 | $17 | $17–$17 | $25 | -34% | 1 |
| Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique |
— | $11 | $11 | $11–$11 | $19 | -40% | 1 |
| Rh Blood Type CPT 86901 Blood typing, Rh (D) |
— | $3 | $3 | $3–$3 | $6 | -43% | 1 |
| Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool |
— | $10 | $10 | $10–$10 | $16 | -36% | 1 |
| Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods |
— | $9 | $9 | $9–$9 | $14 | -33% | 1 |
| Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only |
— | $8 | $8 | $8–$8 | $11 | -31% | 1 |
| Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine |
— | $9 | $9 | $9–$9 | $15 | -37% | 1 |
| Chlamydia Culture CPT 87110 Culture, chlamydia |
— | $23 | $23 | $23–$23 | $35 | -34% | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $10 | $10 | $10–$10 | $16 | -36% | 1 |
| Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain |
— | $5 | $5 | $5–$5 | $8 | -39% | 1 |
| Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg) |
— | $12 | $12 | $12–$12 | $19 | -36% | 1 |
| HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay |
— | $28 | $28 | $28–$28 | $37 | -25% | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $112 | $112 | $112–$112 | $169 | -34% | 1 |
| Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe |
— | $23 | $23 | $23–$23 | $35 | -33% | 1 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $41 | $41 | $41–$41 | $76 | -46% | 1 |
| Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A |
— | $19 | $19 | $19–$19 | $30 | -36% | 1 |
| Electroconvulsive Therapy (ECT) CPT 90870 Electroconvulsive therapy |
— | $405 | $405 | $405–$405 | $1,078 | -62% | 1 |
| Fluoroscopic Guidance CPT 77003 Fluoroscopic guidance and localization of needle or catheter tip |
— | $152 | $152 | $152–$152 | $221 | -31% | 1 |
| Coronary Angioplasty (single vessel) CPT 92920 Percutaneous transluminal coronary angioplasty, single vessel |
— | $10,468 | $10,468 | $10,468–$10,468 | $10,875 | -4% | 1 |
| Right Heart Catheterization CPT 93451 Right heart catheterization |
— | $6,189 | $6,189 | $6,189–$6,189 | $7,705 | -20% | 1 |
| Coronary Angiography CPT 93454 Catheter placement in coronary artery for coronary angiography |
— | $6,189 | $6,189 | $6,189–$6,189 | $7,725 | -20% | 1 |
| Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation |
— | $60 | $60 | $60–$60 | $100 | -40% | 1 |
| Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation |
— | $55 | $55 | $55–$55 | $120 | -54% | 1 |
| Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation |
— | $46 | $46 | $46–$46 | $77 | -40% | 1 |
| Pap Smear - Physician Interpretation CPT 88141 Cytopathology, cervical or vaginal, requiring interpretation by physician |
— | $28 | $28 | $28–$28 | $64 | -56% | 1 |
| Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer |
— | $24 | $24 | $24–$24 | $43 | -45% | 1 |
| Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation |
— | $66 | $66 | $66–$66 | $96 | -31% | 1 |
| Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker |
— | $88 | $88 | $88–$88 | $181 | -51% | 1 |
| Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker |
— | $26 | $26 | $26–$26 | $98 | -74% | 1 |
| Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only |
— | $14 | $14 | $14–$14 | $22 | -36% | 1 |
| Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination |
— | $30 | $30 | $30–$30 | $52 | -42% | 1 |
| Surgical Pathology (Level III) CPT 88304 Level III surgical pathology |
— | $36 | $36 | $36–$36 | $68 | -47% | 1 |
| Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen |
— | $40 | $40 | $40–$40 | $71 | -43% | 1 |
| Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen |
— | $235 | $235 | $235–$235 | $449 | -48% | 1 |
| Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen |
— | $327 | $327 | $327–$327 | $608 | -46% | 1 |
| Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I |
— | $97 | $97 | $97–$97 | $156 | -38% | 1 |
| Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain |
— | $89 | $89 | $89–$89 | $123 | -28% | 1 |
| PT - Traction (mechanical) CPT 97012 Application of modality, traction, mechanical |
— | $32 | $32 | $32–$32 | $46 | -30% | 1 |
| PT - Electrical Stimulation (attended) CPT 97014 Application of modality, electrical stimulation, attended |
— | $28 | $28 | $28–$28 | $41 | -32% | 1 |
| PT - Electrical Stimulation (manual) CPT 97032 Application of modality, electrical stimulation, manual |
— | $32 | $32 | $32–$32 | $50 | -36% | 1 |
| PT - Neuromuscular Re-education CPT 97112 Therapeutic procedure, neuromuscular reeducation |
— | $72 | $72 | $72–$72 | $86 | -16% | 1 |
| PT - Aquatic Therapy CPT 97113 Therapeutic procedure, aquatic therapy with therapeutic exercises |
— | $82 | $82 | $82–$82 | $100 | -18% | 1 |
| PT - Massage Therapy CPT 97124 Therapeutic procedure, massage, including effleurage and petrissage |
— | $67 | $67 | $67–$67 | $72 | -7% | 1 |
| PT - Group Therapeutic Procedures CPT 97150 Therapeutic procedure(s), group (2 or more individuals) |
— | $39 | $39 | $39–$39 | $50 | -21% | 1 |
| PT Re-evaluation CPT 97164 Re-evaluation of physical therapy established plan of care |
— | $152 | $152 | $152–$152 | $187 | -19% | 1 |
| Wheelchair Management Training CPT 97542 Wheelchair management/propulsion training |
— | $69 | $69 | $69–$69 | $82 | -16% | 1 |
| Orthotic Management/Training CPT 97760 Orthotic(s) management and training, initial encounter |
— | $103 | $103 | $103–$103 | $118 | -12% | 1 |
| Prosthetic Training CPT 97761 Prosthetic(s) training, initial encounter |
— | $91 | $91 | $91–$91 | $104 | -13% | 1 |
| Orthotic/Prosthetic Checkout CPT 97763 Orthotic/prosthetic management, subsequent encounter |
— | $113 | $113 | $113–$113 | $152 | -26% | 1 |
| Medical Nutrition Therapy (initial) CPT 97802 Medical nutrition therapy, initial assessment and intervention, individual |
— | $71 | $71 | $71–$71 | $92 | -23% | 1 |
| Medical Nutrition Therapy (follow-up) CPT 97803 Medical nutrition therapy, re-assessment and intervention, individual |
— | $60 | $60 | $60–$60 | $79 | -24% | 1 |
| OT Evaluation - Low Complexity CPT 97165 Occupational therapy evaluation, low complexity |
— | $226 | $226 | $226–$226 | $271 | -16% | 1 |
| OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity |
— | $226 | $226 | $226–$226 | $271 | -16% | 1 |
| OT Evaluation - High Complexity CPT 97167 Occupational therapy evaluation, high complexity |
— | $226 | $226 | $226–$226 | $271 | -16% | 1 |
| OT Re-evaluation CPT 97168 Re-evaluation of occupational therapy established plan of care |
— | $157 | $157 | $157–$157 | $183 | -14% | 1 |
| Speech Therapy (individual) CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual |
— | $169 | $169 | $169–$169 | $149 | +13% | 1 |
| Evaluation of Speech Fluency CPT 92521 Evaluation of speech fluency (stuttering, cluttering) |
— | $294 | $294 | $294–$294 | $402 | -27% | 1 |
| Evaluation of Speech Production CPT 92522 Evaluation of speech sound production |
— | $245 | $245 | $245–$245 | $329 | -26% | 1 |
| Evaluation of Speech and Language CPT 92523 Evaluation of speech sound production with evaluation of language comprehension |
— | $503 | $503 | $503–$503 | $682 | -26% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $38,610 | $38,610 | $38,610–$38,610 | $49,140 | -21% | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $24,553 | $24,553 | $24,553–$24,553 | $32,728 | -25% | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $34,979 | $34,979 | $34,979–$34,979 | $44,011 | -21% | 1 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $37,071 | $37,071 | $37,071–$37,071 | $45,576 | -19% | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $26,661 | $26,661 | $26,661–$26,661 | $33,263 | -20% | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $23,662 | $23,662 | $23,662–$23,662 | $29,115 | -19% | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $31,075 | $31,075 | $31,075–$31,075 | $36,830 | -16% | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $37,501 | $37,501 | $37,501–$37,501 | $45,504 | -18% | 1 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $61,465 | $61,465 | $61,465–$61,465 | $71,218 | -14% | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $70,302 | $70,302 | $70,302–$70,302 | $88,751 | -21% | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $36,546 | $36,546 | $36,546–$36,546 | $59,451 | -39% | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $36,546 | $36,546 | $36,546–$36,546 | $77,025 | -53% | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $16,341 | $16,341 | $16,341–$16,341 | $20,099 | -19% | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $10,807 | $10,807 | $10,807–$10,807 | $14,034 | -23% | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $7,205 | $7,205 | $7,205–$7,205 | $10,492 | -31% | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $36,546 | $36,546 | $36,546–$36,546 | $109,576 | -67% | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $12,336 | $12,336 | $12,336–$12,336 | $15,162 | -19% | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $19,892 | $19,892 | $19,892–$19,892 | $26,201 | -24% | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $12,424 | $12,424 | $12,424–$12,424 | $18,430 | -33% | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $16,731 | $16,731 | $16,731–$16,731 | $20,169 | -17% | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $10,258 | $10,258 | $10,258–$10,258 | $12,917 | -21% | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $8,000 | $8,000 | $8,000–$8,000 | $10,404 | -23% | 1 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $58,509 | $58,509 | $58,509–$58,509 | $73,373 | -20% | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $30,514 | $30,514 | $30,514–$30,514 | $39,925 | -24% | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $21,422 | $21,422 | $21,422–$21,422 | $27,720 | -23% | 1 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $23,269 | $23,269 | $23,269–$23,269 | $27,122 | -14% | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $12,483 | $12,483 | $12,483–$12,483 | $15,594 | -20% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $25,598 | $25,598 | $25,598–$25,598 | $31,078 | -18% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $12,860 | $12,860 | $12,860–$12,860 | $17,752 | -28% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $8,712 | $8,712 | $8,712–$8,712 | $12,745 | -32% | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $18,852 | $18,852 | $18,852–$18,852 | $23,413 | -19% | 1 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $11,148 | $11,148 | $11,148–$11,148 | $14,710 | -24% | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $7,641 | $7,641 | $7,641–$7,641 | $10,453 | -27% | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $87,980 | $87,980 | $87,980–$87,980 | $113,160 | -22% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $24,726 | $24,726 | $24,726–$24,726 | $29,528 | -16% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $13,026 | $13,026 | $13,026–$13,026 | $17,172 | -24% | 1 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $19,712 | $19,712 | $19,712–$19,712 | $24,919 | -21% | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $14,598 | $14,598 | $14,598–$14,598 | $19,292 | -24% | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $36,535 | $36,535 | $36,535–$36,535 | $46,347 | -21% | 1 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $26,956 | $26,956 | $26,956–$26,956 | $34,752 | -22% | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $81,907 | $81,907 | $81,907–$81,907 | $101,903 | -20% | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $34,988 | $34,988 | $34,988–$34,988 | $42,421 | -18% | 1 |
| Embryo Culture (IVF Lab) CPT 89250 Embryo Culture (IVF Lab) — CPT code 89250 covers embryo culture (ivf lab) performed in a clinical or hospital setting. |
— | $1,265 | $1,265 | $1,265–$1,265 | $1,253 | +1% | 1 |
Prices are typical ranges based on Mount Carmel East's published transparency data, including actual allowed amounts calculated from insurer remittance (ERA) data per CMS v3.0 requirements. Your actual cost depends on your specific plan, deductible status, and clinical details.
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Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 1 insurer at Mount Carmel East. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.
Cash Price
Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.
Financial Assistance at Mount Carmel East
As a nonprofit hospital, Mount Carmel East is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").
Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.
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Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.
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▸ Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Emergency Services
No
Metro Area
Columbus, GA
Procedures Tracked
257
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