• Print:
  • Text Size:

Managing Health Care Costs

Outpatient Facilities & Labs Costs

Outpatient Facilities & Labs

The choices you and your doctor make about where you have lab work and outpatient surgeries performed can help reduce your health care costs. The information below shows the cost differences between freestanding and hospital-based facilities.



Expand All | Collapse All

National Laboratories

The following table represents a sample of the most frequently performed tests.

Diagnostic Test
Outpatient
Hospital
National
(Freestanding)
Laboratory
Potential
Savings
Assay Thyroid Stimulating Hormone $45 $16 65%
Comprehensive Metabolic Panel $38 $10 74%
Glycosylated Hemoglobin Test $41 $9 78%
Urine Culture/Colony Count $37 $8 78%
This information does not take into account the severity of a member's illness. Costs are based on average CareFirst member's costs in 2012 and may not represent your actual cost of care for the same services.

LabCorp and Quest Diagnostics are the national laboratories for CareFirst and are a cost-effective choice. You can easily schedule appointments online through LabCorp and Quest Diagnostics websites.

LabCorp (Available for HMO and PPO members)
LabCorp is the only network national lab that BlueChoice (HMO) members can use.

Quest Diagnostics (Available for PPO members only)


Radiology Centers

The costs of common radiology procedures vary widely between outpatient hospital and CareFirst-contracted freestanding radiology centers. The following table represents a sample of the most frequently performed tests.

Diagnostic Test
Outpatient Hospital
Radiology (Freestanding) Center
Potential Savings
CAT Scan, Head/Brain without Dye $307 $200 35%
MRI, Joint of Lower Extremity without Dye $1,061 $389 63%
X-Ray, Chest (2 views) $113 $35 69%
This information does not take into account the severity of a member's illness. Costs are based on average CareFirst member's costs in 2012 and may not represent your actual cost of care for the same services.

Ambulatory Surgery Centers

Ambulatory surgery centers (ASC) are health care facilities that specialize in providing surgery and diagnostic services in an outpatient setting. The following table represents a sample of the most frequently performed procedures.

Procedure
Outpatient Hospital
Ambulatory Surgery Center
Potential Saving
Cataract Removal 3,560 $1,682 53%
Colonoscopy $1,557 $846 46%
Decompression, Carpal Tunnel $2,753 $1,212 56%
Repair of Inguinal Hernia $3,654 $1,936 47%
This information does not take into account the severity of a member's illness. Costs are based on average CareFirst member's costs in 2012 and may not represent your actual cost of care for the same services. Outpatient Surgery represents the total cost of all services except anesthesia.

CareFirst offers a wide range of accredited Ambulatory Surgery Centers that are appropriate in various clinical situations.

To find a facility or other network provider, click here.

Expand All | Collapse All