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Acute Care Hospital

Acmh Hospital

Kittanning, Pennsylvania · Armstrong County · Emergency services listed

Summary

Acmh Hospital is an acute care hospital in Kittanning, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 126 services, specialties and programs. Medicare lists 233 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(724) 543‑8500 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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
95Beds (hospital website)
233Doctors and clinicians
126Services listed

Quick answers

Does Acmh Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Acmh Hospital. In a medical emergency, call 911.
Where is Acmh Hospital?
One Nolte Drive, Kittanning, PA 16201, in Armstrong County, Pennsylvania.
What is the phone number of Acmh Hospital?
(724) 543-8500, as listed by Medicare (CMS).
What is the Medicare star rating of Acmh Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][10][11][12][14][15][16][17][18]

Conditions treated[6][9][10][13][14]

Treatments[10][12][13][14][16][18]

Procedures[4][12][15][16][17][18]

Programs and centers[4][5][6][7][9][10][14][16][17]

  • Hospitalist program (24/7)
  • Primary stroke center
  • Concussion care
  • Stroke support group
  • Stroke rehab
  • Maternity care and labor and delivery
  • Laube Cancer Center
  • STAT MedEvac helicopter transport
  • Express Care
  • Walk-in orthopedic clinic
  • Infusion center
  • Wound clinic
  • Diabetes wellness
  • Condition H
  • Prenatal and breastfeeding classes

Emergency care (hospital website)[6][7][9]

Emergency roomYes
Open 24/7Yes
Stroke designationCertified Primary Stroke Center

Visiting and practical information

VisitingMed/surg visiting 11 a.m.-8 p.m.; ICU/CCU, OB and behavioral health units have their own hours[5]
ParkingFree parking in Lot 2; enter through Entrance E for patient check-in[5]
Patient portalACMH Hospital Patient Portal

Recognition[4][11]

  • Platinum Level Recognition, Donate Life Hospital Challenge 2026
  • College of American Pathologists (CAP) accreditation (hospital laboratory)
  • Clinical Laboratory Improvement Amendments (CLIA) certification (hospital laboratory)

Doctors and clinicians (233)

233 doctors and other clinicians list Acmh 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 (233)

And 209 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 Acmh Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1064%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well76%National average: 80%
Staff “always” explained medicines before giving them53%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean66%National average: 74%
Area around the room “always” quiet at night54%National average: 60%
Completed surveys292Response rate: 23%

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)0No different from the national benchmark
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 infections0Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients13.3%
Deaths within 30 days: pneumonia patients15.3%
Deaths within 30 days: COPD patients7.6%
Deaths within 30 days: stroke patients9.5%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.23No different from the national rate
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 attack14.2%
Readmitted within 30 days: heart failure19.9%
Readmitted within 30 days: pneumonia17.2%
Readmitted within 30 days: COPD19.6%
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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)195 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)45%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 PennsylvaniaBest hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 42 common services exactly as Acmh 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL III ED MOD. SEVERITY $809 $242.70 $38.50 – $809
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • Aetna — Aetna: $845.53
  • Aetna — Aetna Medicare: $261.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $38.50
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $271.21
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $125
  • Centene Corporation — PA H and W Medicaid: $62.31
  • Centene Corporation — PA H and W Medicare: $264.26
  • Cigna — Cigna: $436.86
  • Geisinger — Geisinger: $744.49
  • Geisinger Medicaid — Geisinger Medicaid: $74.78
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 3 MODERATE $809 $242.70 $38.50 – $809
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • Aetna — Aetna: $845.53
  • Aetna — Aetna Medicare: $261.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $38.50
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $271.21
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $125
  • Centene Corporation — PA H and W Medicaid: $62.31
  • Centene Corporation — PA H and W Medicare: $264.26
  • Cigna — Cigna: $436.86
  • Geisinger — Geisinger: $744.49
  • Geisinger Medicaid — Geisinger Medicaid: $74.78
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEVEL III ED MOD. SEVERITY $809 $242.70 $68.59 – $728.10
Emergency room visit (moderate): rates for 5 insurance plans
  • Geisinger — Geisinger: $95.68
  • Geisinger Medicare — Geisinger Medicare: $68.59
  • Multiplan — Multiplan: $728.10
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $85.43
  • The Health Plan Commercial — The Health Plan Commercial: $95.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL IV ED HIGH SEVERITY $1,274 $382.20 $55 – $1,274
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna — Aetna: $1,292.45
  • Aetna — Aetna Medicare: $399.93
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $414.56
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $125
  • Centene Corporation — PA H and W Medicaid: $104.86
  • Centene Corporation — PA H and W Medicare: $403.93
  • Cigna — Cigna: $687.96
  • Geisinger — Geisinger: $1,138
  • Geisinger Medicaid — Geisinger Medicaid: $125.84
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 4 HIGH $1,274 $382.20 $55 – $1,274
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna — Aetna: $1,292.45
  • Aetna — Aetna Medicare: $399.93
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $414.56
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $125
  • Centene Corporation — PA H and W Medicaid: $104.86
  • Centene Corporation — PA H and W Medicare: $403.93
  • Cigna — Cigna: $687.96
  • Geisinger — Geisinger: $1,138
  • Geisinger Medicaid — Geisinger Medicaid: $125.84
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEVEL IV ED HIGH SEVERITY $1,274 $382.20 $116.79 – $1,146.60
Emergency room visit (moderately high): rates for 5 insurance plans
  • Geisinger — Geisinger: $162.90
  • Geisinger Medicare — Geisinger Medicare: $116.79
  • Multiplan — Multiplan: $1,146.60
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $145.45
  • The Health Plan Commercial — The Health Plan Commercial: $162.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL V ED COMPLEX $1,849 $554.70 $55 – $1,849
Emergency room visit (high): 10 of 35 insurance plan rates
  • Aetna — Aetna: $1,844.59
  • Aetna — Aetna Medicare: $570.78
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $591.66
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $125
  • Centene Corporation — PA H and W Medicaid: $152.61
  • Centene Corporation — PA H and W Medicare: $576.49
  • Cigna — Cigna: $998.46
  • Geisinger — Geisinger: $1,624.17
  • Geisinger Medicaid — Geisinger Medicaid: $183.14
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 5 COMPLEX $1,849 $554.70 $55 – $1,849
Emergency room visit (high): 10 of 35 insurance plan rates
  • Aetna — Aetna: $1,844.59
  • Aetna — Aetna Medicare: $570.78
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $591.66
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $125
  • Centene Corporation — PA H and W Medicaid: $152.61
  • Centene Corporation — PA H and W Medicare: $576.49
  • Cigna — Cigna: $998.46
  • Geisinger — Geisinger: $1,624.17
  • Geisinger Medicaid — Geisinger Medicaid: $183.14
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEVEL V ED COMPLEX $1,849 $554.70 $169.30 – $1,664.10
Emergency room visit (high): rates for 5 insurance plans
  • Geisinger — Geisinger: $236.15
  • Geisinger Medicare — Geisinger Medicare: $169.30
  • Multiplan — Multiplan: $1,664.10
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $210.85
  • The Health Plan Commercial — The Health Plan Commercial: $236.15

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $338 $101.40 $7.63 – $338
Basic metabolic panel (blood test): 10 of 35 insurance plan rates
  • Aetna — Aetna: $26.90
  • Aetna — Aetna Medicare: $8.29
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.36
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $8.63
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $169
  • Centene Corporation — PA H and W Medicaid: $10.30
  • Centene Corporation — PA H and W Medicare: $8.37
  • Cigna — Cigna: $182.52
  • Geisinger — Geisinger: $23.69
  • Geisinger Medicaid — Geisinger Medicaid: $12.36
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BASIC METABOLIC PANEL $338 $101.40 $8.46 – $304.20
Basic metabolic panel (blood test): rates for 5 insurance plans
  • Geisinger — Geisinger: $11.84
  • Geisinger Medicare — Geisinger Medicare: $8.46
  • Multiplan — Multiplan: $304.20
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $10.58
  • The Health Plan Commercial — The Health Plan Commercial: $11.84
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $338 $101.40 $304.20
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Multiplan — Multiplan: $304.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $396 $118.80 $9.53 – $396
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • Aetna — Aetna: $33.58
  • Aetna — Aetna Medicare: $10.35
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $11.69
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $10.77
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $198
  • Centene Corporation — PA H and W Medicaid: $12.86
  • Centene Corporation — PA H and W Medicare: $10.45
  • Cigna — Cigna: $213.84
  • Geisinger — Geisinger: $29.57
  • Geisinger Medicaid — Geisinger Medicaid: $15.43
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $396 $118.80 $10.56 – $356.40
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • Geisinger — Geisinger: $14.78
  • Geisinger Medicare — Geisinger Medicare: $10.56
  • Multiplan — Multiplan: $356.40
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $13.20
  • The Health Plan Commercial — The Health Plan Commercial: $14.78
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $396 $118.80 $356.40
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Multiplan — Multiplan: $356.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $91 $27.30 $12.08 – $91
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
  • Aetna — Aetna: $42.58
  • Aetna — Aetna Medicare: $13.12
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $14
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $13.66
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $45.50
  • Centene Corporation — PA H and W Medicaid: $15.40
  • Centene Corporation — PA H and W Medicare: $13.25
  • Cigna — Cigna: $49.14
  • Geisinger — Geisinger: $37.49
  • Geisinger Medicaid — Geisinger Medicaid: $18.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LIPID PROFILE $91 $27.30 $13.38 – $81.90
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • Geisinger — Geisinger: $18.75
  • Geisinger Medicare — Geisinger Medicare: $13.38
  • Multiplan — Multiplan: $81.90
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $16.74
  • The Health Plan Commercial — The Health Plan Commercial: $18.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE $91 $27.30 $81.90
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • Multiplan — Multiplan: $81.90
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $86 $25.80 $7.83 – $86
Kidney function panel: 10 of 35 insurance plan rates
  • Aetna — Aetna: $27.60
  • Aetna — Aetna Medicare: $8.51
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.60
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $8.85
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $43
  • Centene Corporation — PA H and W Medicaid: $10.56
  • Centene Corporation — PA H and W Medicare: $8.60
  • Cigna — Cigna: $46.44
  • Geisinger — Geisinger: $24.30
  • Geisinger Medicaid — Geisinger Medicaid: $12.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RENAL FUNCTION PANEL $86 $25.80 $8.68 – $77.40
Kidney function panel: rates for 5 insurance plans
  • Geisinger — Geisinger: $12.15
  • Geisinger Medicare — Geisinger Medicare: $8.68
  • Multiplan — Multiplan: $77.40
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $10.85
  • The Health Plan Commercial — The Health Plan Commercial: $12.15
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $86 $25.80 $77.40
Kidney function panel: rates for 1 insurance plan
  • Multiplan — Multiplan: $77.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $71 $21.30 $7.37 – $71
Liver function panel: 10 of 35 insurance plan rates
  • Aetna — Aetna: $25.98
  • Aetna — Aetna Medicare: $8.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.03
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $8.33
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $35.50
  • Centene Corporation — PA H and W Medicaid: $9.93
  • Centene Corporation — PA H and W Medicare: $8.09
  • Cigna — Cigna: $38.34
  • Geisinger — Geisinger: $22.88
  • Geisinger Medicaid — Geisinger Medicaid: $11.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL $71 $21.30 $8.17 – $63.90
Liver function panel: rates for 5 insurance plans
  • Geisinger — Geisinger: $11.44
  • Geisinger Medicare — Geisinger Medicare: $8.17
  • Multiplan — Multiplan: $63.90
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $10.21
  • The Health Plan Commercial — The Health Plan Commercial: $11.44
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $71 $21.30 $63.90
Liver function panel: rates for 1 insurance plan
  • Multiplan — Multiplan: $63.90
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ROUTINE URINALYSIS $50 $15 $2.45 – $50
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • Aetna — Aetna: $10.08
  • Aetna — Aetna Medicare: $3.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $3.23
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $25
  • Centene Corporation — PA H and W Medicaid: $3.30
  • Centene Corporation — PA H and W Medicare: $3.14
  • Cigna — Cigna: $27
  • Geisinger — Geisinger: $8.88
  • Geisinger Medicaid — Geisinger Medicaid: $3.96
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ROUTINE URINALYSIS $50 $15 $3.17 – $45
Urine test (automated, with microscope): rates for 5 insurance plans
  • Geisinger — Geisinger: $4.44
  • Geisinger Medicare — Geisinger Medicare: $3.17
  • Multiplan — Multiplan: $45
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $3.96
  • The Health Plan Commercial — The Health Plan Commercial: $4.44
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ROUTINE URINALYSIS $50 $15 $45
Urine test (automated, with microscope): rates for 1 insurance plan
  • Multiplan — Multiplan: $45
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALAYSIS W/O MICROSCOP $34 $10.20 $2.03 – $34
Urine test (automated, without microscope): 10 of 35 insurance plan rates
  • Aetna — Aetna: $7.16
  • Aetna — Aetna Medicare: $2.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.10
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $2.29
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $17
  • Centene Corporation — PA H and W Medicaid: $3.41
  • Centene Corporation — PA H and W Medicare: $2.22
  • Cigna — Cigna: $18.36
  • Geisinger — Geisinger: $6.30
  • Geisinger Medicaid — Geisinger Medicaid: $4.09
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALAYSIS W/O MICROSCOP $34 $10.20 $2.25 – $30.60
Urine test (automated, without microscope): rates for 5 insurance plans
  • Geisinger — Geisinger: $3.15
  • Geisinger Medicare — Geisinger Medicare: $2.25
  • Multiplan — Multiplan: $30.60
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $2.81
  • The Health Plan Commercial — The Health Plan Commercial: $3.15
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALAYSIS W/O MICROSCOP $34 $10.20 $30.60
Urine test (automated, without microscope): rates for 1 insurance plan
  • Multiplan — Multiplan: $30.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATIC SPEC ANTIGEN $217 $65.10 $16.59 – $217
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
  • Aetna — Aetna: $58.48
  • Aetna — Aetna Medicare: $18.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $24.36
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $18.76
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $108.50
  • Centene Corporation — PA H and W Medicaid: $26.80
  • Centene Corporation — PA H and W Medicare: $18.20
  • Cigna — Cigna: $117.18
  • Geisinger — Geisinger: $51.49
  • Geisinger Medicaid — Geisinger Medicaid: $32.16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL $217 $65.10 $16.59 – $217
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
  • Aetna — Aetna: $58.48
  • Aetna — Aetna Medicare: $18.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $24.36
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $18.76
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $108.50
  • Centene Corporation — PA H and W Medicaid: $26.80
  • Centene Corporation — PA H and W Medicare: $18.20
  • Cigna — Cigna: $117.18
  • Geisinger — Geisinger: $51.49
  • Geisinger Medicaid — Geisinger Medicaid: $32.16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROSTATIC SPEC ANTIGEN $217 $65.10 $18.38 – $195.30
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • Geisinger — Geisinger: $25.75
  • Geisinger Medicare — Geisinger Medicare: $18.38
  • Multiplan — Multiplan: $195.30
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $22.99
  • The Health Plan Commercial — The Health Plan Commercial: $25.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $175 $52.50 $15.16 – $175
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
  • Aetna — Aetna: $53.42
  • Aetna — Aetna Medicare: $16.46
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $23.21
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $17.14
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $87.50
  • Centene Corporation — PA H and W Medicaid: $25.53
  • Centene Corporation — PA H and W Medicare: $16.62
  • Cigna — Cigna: $94.50
  • Geisinger — Geisinger: $47.04
  • Geisinger Medicaid — Geisinger Medicaid: $30.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TSH $175 $52.50 $16.79 – $157.50
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • Geisinger — Geisinger: $23.52
  • Geisinger Medicare — Geisinger Medicare: $16.79
  • Multiplan — Multiplan: $157.50
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $21
  • The Health Plan Commercial — The Health Plan Commercial: $23.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH $175 $52.50 $157.50
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • Multiplan — Multiplan: $157.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & DIFFERENTIAL $85 $25.50 $6 – $85
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • Aetna — Aetna: $24.71
  • Aetna — Aetna Medicare: $7.61
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $6
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $7.93
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $42.50
  • Centene Corporation — PA H and W Medicaid: $6.60
  • Centene Corporation — PA H and W Medicare: $7.69
  • Cigna — Cigna: $45.90
  • Geisinger — Geisinger: $21.76
  • Geisinger Medicaid — Geisinger Medicaid: $7.92
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC & DIFFERENTIAL $85 $25.50 $7.77 – $76.50
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • Geisinger — Geisinger: $10.88
  • Geisinger Medicare — Geisinger Medicare: $7.77
  • Multiplan — Multiplan: $76.50
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $9.71
  • The Health Plan Commercial — The Health Plan Commercial: $10.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC & DIFFERENTIAL $85 $25.50 $76.50
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Multiplan — Multiplan: $76.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC $76 $22.80 $4.70 – $76
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • Aetna — Aetna: $20.57
  • Aetna — Aetna Medicare: $6.34
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.52
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $6.60
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $38
  • Centene Corporation — PA H and W Medicaid: $8.27
  • Centene Corporation — PA H and W Medicare: $6.40
  • Cigna — Cigna: $41.04
  • Geisinger — Geisinger: $18.12
  • Geisinger Medicaid — Geisinger Medicaid: $9.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC - REF LAB $76 $22.80 $4.70 – $76
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • Aetna — Aetna: $20.57
  • Aetna — Aetna Medicare: $6.34
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.52
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $6.60
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $38
  • Centene Corporation — PA H and W Medicaid: $8.27
  • Centene Corporation — PA H and W Medicare: $6.40
  • Cigna — Cigna: $41.04
  • Geisinger — Geisinger: $18.12
  • Geisinger Medicaid — Geisinger Medicaid: $9.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC $76 $22.80 $6.47 – $68.40
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Geisinger — Geisinger: $9.06
  • Geisinger Medicare — Geisinger Medicare: $6.47
  • Multiplan — Multiplan: $68.40
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $8.09
  • The Health Plan Commercial — The Health Plan Commercial: $9.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROBIN TIME $56 $16.80 $2.32 – $56
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • Aetna — Aetna: $13.64
  • Aetna — Aetna Medicare: $4.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $4
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $4.38
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $28
  • Centene Corporation — PA H and W Medicaid: $4.40
  • Centene Corporation — PA H and W Medicare: $4.24
  • Cigna — Cigna: $30.24
  • Geisinger — Geisinger: $12.01
  • Geisinger Medicaid — Geisinger Medicaid: $5.28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT (CBB) $56 $16.80 $2.32 – $56
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • Aetna — Aetna: $13.64
  • Aetna — Aetna Medicare: $4.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $4
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $4.38
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $28
  • Centene Corporation — PA H and W Medicaid: $4.40
  • Centene Corporation — PA H and W Medicare: $4.24
  • Cigna — Cigna: $30.24
  • Geisinger — Geisinger: $12.01
  • Geisinger Medicaid — Geisinger Medicaid: $5.28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROTHROBIN TIME $56 $16.80 $4.29 – $50.40
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans
  • Geisinger — Geisinger: $6.01
  • Geisinger Medicare — Geisinger Medicare: $4.29
  • Multiplan — Multiplan: $50.40
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $5.36
  • The Health Plan Commercial — The Health Plan Commercial: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PART THROMBOPLASTIN TIME $91 $27.30 $4.52 – $91
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
  • Aetna — Aetna: $19.11
  • Aetna — Aetna Medicare: $5.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.50
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $6.13
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $45.50
  • Centene Corporation — PA H and W Medicaid: $8.25
  • Centene Corporation — PA H and W Medicare: $5.95
  • Cigna — Cigna: $49.14
  • Geisinger — Geisinger: $16.83
  • Geisinger Medicaid — Geisinger Medicaid: $9.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT (CBB) $91 $27.30 $4.52 – $91
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
  • Aetna — Aetna: $19.11
  • Aetna — Aetna Medicare: $5.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.50
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $6.13
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $45.50
  • Centene Corporation — PA H and W Medicaid: $8.25
  • Centene Corporation — PA H and W Medicare: $5.95
  • Cigna — Cigna: $49.14
  • Geisinger — Geisinger: $16.83
  • Geisinger Medicaid — Geisinger Medicaid: $9.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PART THROMBOPLASTIN TIME $91 $27.30 $6.01 – $81.90
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • Geisinger — Geisinger: $8.41
  • Geisinger Medicare — Geisinger Medicare: $6.01
  • Multiplan — Multiplan: $81.90
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $7.51
  • The Health Plan Commercial — The Health Plan Commercial: $8.41

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BRAIN UNENHANCED $1,247 $374.10 $85.25 – $1,247
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $323.82
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $85.25
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.87
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $623.50
  • Centene Corporation — PA H and W Medicaid: $85.25
  • Centene Corporation — PA H and W Medicare: $101.20
  • Cigna — Cigna: $673.38
  • Geisinger — Geisinger: $285.12
  • Geisinger Medicaid — Geisinger Medicaid: $102.30
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT BRAIN UNENHANCED $1,247 $374.10 $100.51 – $1,122.30
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • Geisinger — Geisinger: $140.20
  • Geisinger Medicare — Geisinger Medicare: $100.51
  • Multiplan — Multiplan: $1,122.30
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $125.17
  • The Health Plan Commercial — The Health Plan Commercial: $140.20
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN UNENHANCED $1,247 $374.10 $1,122.30
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • Multiplan — Multiplan: $1,122.30
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN COMBINED $3,530 $1,059 $295.90 – $3,530
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $1,080.60
  • Aetna — Aetna Medicare: $334.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $295.90
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $346.61
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $1,765
  • Centene Corporation — PA H and W Medicaid: $295.90
  • Centene Corporation — PA H and W Medicare: $337.71
  • Cigna — Cigna: $1,906.20
  • Geisinger — Geisinger: $951.47
  • Geisinger Medicaid — Geisinger Medicaid: $355.08
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI BRAIN COMBINED $3,530 $1,059 $298.32 – $3,177
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • Geisinger — Geisinger: $416.12
  • Geisinger Medicare — Geisinger Medicare: $298.32
  • Multiplan — Multiplan: $3,177
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $371.54
  • The Health Plan Commercial — The Health Plan Commercial: $416.12
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN COMBINED $3,530 $1,059 $3,177
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • Multiplan — Multiplan: $3,177
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VA CHEST 2 VIEW $314 $94.20 $16.34 – $314
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • Aetna — Aetna: $269.57
  • Aetna — Aetna Medicare: $83.41
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $16.34
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $86.47
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $157
  • Centene Corporation — PA H and W Medicaid: $16.34
  • Centene Corporation — PA H and W Medicare: $84.24
  • Cigna — Cigna: $169.56
  • Geisinger — Geisinger: $237.36
  • Geisinger Medicaid — Geisinger Medicaid: $19.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEW $314 $94.20 $16.34 – $314
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • Aetna — Aetna: $269.57
  • Aetna — Aetna Medicare: $83.41
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $16.34
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $86.47
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $157
  • Centene Corporation — PA H and W Medicaid: $16.34
  • Centene Corporation — PA H and W Medicare: $84.24
  • Cigna — Cigna: $169.56
  • Geisinger — Geisinger: $237.36
  • Geisinger Medicaid — Geisinger Medicaid: $19.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: VA CHEST 2 VIEW $314 $94.20 $31.06 – $282.60
Chest X-ray, 2 views: rates for 5 insurance plans
  • Geisinger — Geisinger: $43.33
  • Geisinger Medicare — Geisinger Medicare: $31.06
  • Multiplan — Multiplan: $282.60
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $38.69
  • The Health Plan Commercial — The Health Plan Commercial: $43.33
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LS SPINE MIN 4 VWS $325 $97.50 $24.75 – $325
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • Aetna — Aetna: $323.82
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $24.75
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.87
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $162.50
  • Centene Corporation — PA H and W Medicaid: $24.75
  • Centene Corporation — PA H and W Medicare: $101.20
  • Cigna — Cigna: $175.50
  • Geisinger — Geisinger: $285.12
  • Geisinger Medicaid — Geisinger Medicaid: $29.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LS SPINE MIN 4 VWS $325 $97.50 $49.95 – $292.50
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • Geisinger — Geisinger: $69.68
  • Geisinger Medicare — Geisinger Medicare: $49.95
  • Multiplan — Multiplan: $292.50
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $62.21
  • The Health Plan Commercial — The Health Plan Commercial: $69.68
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LS SPINE MIN 4 VWS $325 $97.50 $292.50
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Multiplan — Multiplan: $292.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINAL CANAL LUMBAR UNENHA $2,478 $743.40 $205.92 – $2,478
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $739.06
  • Aetna — Aetna Medicare: $228.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $205.92
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $237.06
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $1,239
  • Centene Corporation — PA H and W Medicaid: $205.92
  • Centene Corporation — PA H and W Medicare: $230.98
  • Cigna — Cigna: $1,338.12
  • Geisinger — Geisinger: $650.75
  • Geisinger Medicaid — Geisinger Medicaid: $247.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI SPINAL CANAL LUMBAR UNENHA $2,478 $743.40 $180.69 – $2,230.20
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • Geisinger — Geisinger: $252.04
  • Geisinger Medicare — Geisinger Medicare: $180.69
  • Multiplan — Multiplan: $2,230.20
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $225.04
  • The Health Plan Commercial — The Health Plan Commercial: $252.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINAL CANAL LUMBAR UNENHA $2,478 $743.40 $2,230.20
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • Multiplan — Multiplan: $2,230.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS ENHANCED $1,070 $321 $95.15 – $1,070
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $543.30
  • Aetna — Aetna Medicare: $168.12
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $95.15
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $174.27
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $535
  • Centene Corporation — PA H and W Medicaid: $95.15
  • Centene Corporation — PA H and W Medicare: $169.80
  • Cigna — Cigna: $577.80
  • Geisinger — Geisinger: $478.38
  • Geisinger Medicaid — Geisinger Medicaid: $114.18
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS ENHANCED $1,070 $321 $211.22 – $963
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • Geisinger — Geisinger: $294.63
  • Geisinger Medicare — Geisinger Medicare: $211.22
  • Multiplan — Multiplan: $963
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $263.06
  • The Health Plan Commercial — The Health Plan Commercial: $294.63
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS ENHANCED $1,070 $321 $963
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • Multiplan — Multiplan: $963
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANY JOINT LOWER EXT RT UNE $3,576 $1,072.80 $232.41 – $3,576
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $739.06
  • Aetna — Aetna Medicare: $228.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $295.90
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $237.06
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $1,788
  • Centene Corporation — PA H and W Medicaid: $295.90
  • Centene Corporation — PA H and W Medicare: $230.98
  • Cigna — Cigna: $1,931.04
  • Geisinger — Geisinger: $650.75
  • Geisinger Medicaid — Geisinger Medicaid: $355.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANY JOINT LOWER EXT LT UNE $3,576 $1,072.80 $232.41 – $3,576
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $739.06
  • Aetna — Aetna Medicare: $228.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $295.90
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $237.06
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $1,788
  • Centene Corporation — PA H and W Medicaid: $295.90
  • Centene Corporation — PA H and W Medicare: $230.98
  • Cigna — Cigna: $1,931.04
  • Geisinger — Geisinger: $650.75
  • Geisinger Medicaid — Geisinger Medicaid: $355.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI ANY JOINT LOWER EXT RT UNE $3,576 $1,072.80 $192.05 – $3,218.40
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • Geisinger — Geisinger: $267.89
  • Geisinger Medicare — Geisinger Medicare: $192.05
  • Multiplan — Multiplan: $3,218.40
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $239.19
  • The Health Plan Commercial — The Health Plan Commercial: $267.89
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD AND PELVIS W CONTRAST $3,426 $1,027.80 $212 – $3,426
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $1,080.60
  • Aetna — Aetna Medicare: $334.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $212
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $346.61
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $1,713
  • Centene Corporation — PA H and W Medicaid: $212
  • Centene Corporation — PA H and W Medicare: $337.71
  • Cigna — Cigna: $1,850.04
  • Geisinger — Geisinger: $951.47
  • Geisinger Medicaid — Geisinger Medicaid: $254.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT ABD AND PELVIS W CONTRAST $3,426 $1,027.80 $281.65 – $3,083.40
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • Geisinger — Geisinger: $392.87
  • Geisinger Medicare — Geisinger Medicare: $281.65
  • Multiplan — Multiplan: $3,083.40
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $350.77
  • The Health Plan Commercial — The Health Plan Commercial: $392.87
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD AND PELVIS W CONTRAST $3,426 $1,027.80 $3,083.40
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • Multiplan — Multiplan: $3,083.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMP $388 $116.40 $63.25 – $388
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • Aetna — Aetna: $323.82
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $63.25
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.87
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $194
  • Centene Corporation — PA H and W Medicaid: $63.25
  • Centene Corporation — PA H and W Medicare: $101.20
  • Cigna — Cigna: $209.52
  • Geisinger — Geisinger: $285.12
  • Geisinger Medicaid — Geisinger Medicaid: $75.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US ABD COMP $388 $116.40 $107.47 – $349.20
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • Geisinger — Geisinger: $149.91
  • Geisinger Medicare — Geisinger Medicare: $107.47
  • Multiplan — Multiplan: $349.20
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $133.85
  • The Health Plan Commercial — The Health Plan Commercial: $149.91
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMP $388 $116.40 $349.20
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Multiplan — Multiplan: $349.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREG COMP (BPD/PLAC) $457 $137.10 $51.15 – $457
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • Aetna — Aetna: $323.82
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $51.15
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.87
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $228.50
  • Centene Corporation — PA H and W Medicaid: $51.15
  • Centene Corporation — PA H and W Medicare: $101.20
  • Cigna — Cigna: $246.78
  • Geisinger — Geisinger: $285.12
  • Geisinger Medicaid — Geisinger Medicaid: $61.38
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREG COMP (BPD/PLAC) $457 $137.10 $127.98 – $411.30
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • Geisinger — Geisinger: $178.51
  • Geisinger Medicare — Geisinger Medicare: $127.98
  • Multiplan — Multiplan: $411.30
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $159.39
  • The Health Plan Commercial — The Health Plan Commercial: $178.51
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREG COMP (BPD/PLAC) $457 $137.10 $411.30
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • Multiplan — Multiplan: $411.30
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND TRANSVAGINAL $388 $116.40 $51.15 – $388
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • Aetna — Aetna: $323.82
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $51.15
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.87
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $194
  • Centene Corporation — PA H and W Medicaid: $51.15
  • Centene Corporation — PA H and W Medicare: $101.20
  • Cigna — Cigna: $209.52
  • Geisinger — Geisinger: $285.12
  • Geisinger Medicaid — Geisinger Medicaid: $61.38
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ULTRASOUND TRANSVAGINAL $388 $116.40 $110.22 – $349.20
Transvaginal ultrasound: rates for 5 insurance plans
  • Geisinger — Geisinger: $153.75
  • Geisinger Medicare — Geisinger Medicare: $110.22
  • Multiplan — Multiplan: $349.20
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $137.27
  • The Health Plan Commercial — The Health Plan Commercial: $153.75
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ULTRASOUND TRANSVAGINAL $388 $116.40 $349.20
Transvaginal ultrasound: rates for 1 insurance plan
  • Multiplan — Multiplan: $349.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIG MAMMO DX UNI LT INC CAD $393 $117.90 $71.16 – $393
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $251.60
  • Aetna — Aetna Medicare: $77.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.11
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $80.70
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $196.50
  • Centene Corporation — PA H and W Medicaid: $78.11
  • Centene Corporation — PA H and W Medicare: $78.63
  • Cigna — Cigna: $212.22
  • Geisinger — Geisinger: $221.54
  • Geisinger Medicaid — Geisinger Medicaid: $93.73
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIG MAMMO DX UNI RT INC CAD $393 $117.90 $71.16 – $393
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $251.60
  • Aetna — Aetna Medicare: $77.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.11
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $80.70
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $196.50
  • Centene Corporation — PA H and W Medicaid: $78.11
  • Centene Corporation — PA H and W Medicare: $78.63
  • Cigna — Cigna: $212.22
  • Geisinger — Geisinger: $221.54
  • Geisinger Medicaid — Geisinger Medicaid: $93.73
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADAGIO DIG MAM DX LT INC CAD $393 $117.90 $71.16 – $393
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Aetna — Aetna: $251.60
  • Aetna — Aetna Medicare: $77.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.11
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $80.70
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $196.50
  • Centene Corporation — PA H and W Medicaid: $78.11
  • Centene Corporation — PA H and W Medicare: $78.63
  • Cigna — Cigna: $212.22
  • Geisinger — Geisinger: $221.54
  • Geisinger Medicaid — Geisinger Medicaid: $93.73
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL MAMMO DX BILAT INC CAD $586 $175.80 $90.64 – $586
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna — Aetna: $322.80
  • Aetna — Aetna Medicare: $99.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $99.91
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.54
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $293
  • Centene Corporation — PA H and W Medicaid: $99.91
  • Centene Corporation — PA H and W Medicare: $100.89
  • Cigna — Cigna: $316.44
  • Geisinger — Geisinger: $284.23
  • Geisinger Medicaid — Geisinger Medicaid: $119.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADAGIO DIG MAM DX BI INC CAD $586 $175.80 $90.64 – $586
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna — Aetna: $322.80
  • Aetna — Aetna Medicare: $99.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $99.91
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.54
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $293
  • Centene Corporation — PA H and W Medicaid: $99.91
  • Centene Corporation — PA H and W Medicare: $100.89
  • Cigna — Cigna: $316.44
  • Geisinger — Geisinger: $284.23
  • Geisinger Medicaid — Geisinger Medicaid: $119.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VA DIG MAMMO DX BI INC CAD $586 $175.80 $90.64 – $586
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna — Aetna: $322.80
  • Aetna — Aetna Medicare: $99.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $99.91
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $103.54
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $293
  • Centene Corporation — PA H and W Medicaid: $99.91
  • Centene Corporation — PA H and W Medicare: $100.89
  • Cigna — Cigna: $316.44
  • Geisinger — Geisinger: $284.23
  • Geisinger Medicaid — Geisinger Medicaid: $119.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIG MAMMO SCREEN BILAT INC CAD $478 $143.40 $74.95 – $478
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna — Aetna: $266.23
  • Aetna — Aetna Medicare: $82.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $82.52
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $85.39
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $239
  • Centene Corporation — PA H and W Medicaid: $82.52
  • Centene Corporation — PA H and W Medicare: $82.87
  • Cigna — Cigna: $258.12
  • Geisinger — Geisinger: $234.42
  • Geisinger Medicaid — Geisinger Medicaid: $99.03
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADAGIO DIG MAM SCRN BI INC CAD $478 $143.40 $74.95 – $478
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna — Aetna: $266.23
  • Aetna — Aetna Medicare: $82.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $82.52
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $85.39
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $239
  • Centene Corporation — PA H and W Medicaid: $82.52
  • Centene Corporation — PA H and W Medicare: $82.87
  • Cigna — Cigna: $258.12
  • Geisinger — Geisinger: $234.42
  • Geisinger Medicaid — Geisinger Medicaid: $99.03
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VA DIG MAMMO SCREEN BI INC CAD $478 $143.40 $74.95 – $478
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna — Aetna: $266.23
  • Aetna — Aetna Medicare: $82.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $82.52
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $85.39
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $239
  • Centene Corporation — PA H and W Medicaid: $82.52
  • Centene Corporation — PA H and W Medicare: $82.87
  • Cigna — Cigna: $258.12
  • Geisinger — Geisinger: $234.42
  • Geisinger Medicaid — Geisinger Medicaid: $99.03

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP DISORDER 1ST NIGHT $2,808 $842.40 $168.61 – $2,808
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
  • Aetna — Aetna: $2,659.88
  • Aetna — Aetna Medicare: $823.06
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $297.35
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $853.17
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $1,404
  • Centene Corporation — PA H and W Medicaid: $297.35
  • Centene Corporation — PA H and W Medicare: $831.29
  • Cigna — Cigna: $1,516.32
  • Geisinger — Geisinger: $2,342.03
  • Geisinger Medicaid — Geisinger Medicaid: $356.82
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SLEEP DISORDER 1ST NIGHT $2,808 $842.40 $627.67 – $2,527.20
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
  • Geisinger — Geisinger: $875.52
  • Geisinger Medicare — Geisinger Medicare: $627.67
  • Multiplan — Multiplan: $2,527.20
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $781.71
  • The Health Plan Commercial — The Health Plan Commercial: $875.52
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SLEEP DISORDER 1ST NIGHT $2,808 $842.40 $2,527.20
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • Multiplan — Multiplan: $2,527.20

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EX 15 MIN $99 $29.70 $8.38 – $99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Aetna: $88.79
  • Aetna — Aetna Medicare: $27.47
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $28.48
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $49.50
  • Centene Corporation — PA H and W Medicare: $27.74
  • Cigna — Cigna: $53.46
  • Geisinger — Geisinger: $55
  • Geisinger Medicaid — Geisinger Medicaid: $8.38
  • Geisinger Medicare — Geisinger Medicare: $55
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $65.38
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THERAPEUTIC EXERCISE EA 15 $99 $29.70 $8.38 – $99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Aetna: $88.79
  • Aetna — Aetna Medicare: $27.47
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $28.48
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $49.50
  • Centene Corporation — PA H and W Medicare: $27.74
  • Cigna — Cigna: $53.46
  • Geisinger — Geisinger: $55
  • Geisinger Medicaid — Geisinger Medicaid: $8.38
  • Geisinger Medicare — Geisinger Medicare: $55
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $65.38
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: THERAPEUTIC EX 15 MIN $99 $29.70 $28.02 – $89.10
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • Geisinger — Geisinger: $39.09
  • Geisinger Medicare — Geisinger Medicare: $28.02
  • Multiplan — Multiplan: $89.10
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $34.90
  • The Health Plan Commercial — The Health Plan Commercial: $39.09
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $290 $87 $63.61 – $300.10
Physical therapy evaluation (low complexity): 10 of 35 insurance plan rates
  • Aetna — Aetna: $300.10
  • Aetna — Aetna Medicare: $92.86
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $69.97
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $96.26
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $145
  • Centene Corporation — PA H and W Medicaid: $69.97
  • Centene Corporation — PA H and W Medicare: $93.79
  • Cigna — Cigna: $156.60
  • Geisinger — Geisinger: $264.24
  • Geisinger Medicaid — Geisinger Medicaid: $63.61
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $290 $87 $94.42 – $261
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • Geisinger — Geisinger: $131.70
  • Geisinger Medicare — Geisinger Medicare: $94.42
  • Multiplan — Multiplan: $261
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $117.59
  • The Health Plan Commercial — The Health Plan Commercial: $131.70
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $290 $87 $261
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Multiplan — Multiplan: $261
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $290 $87 $63.61 – $300.10
Physical therapy evaluation (moderate complexity): 10 of 35 insurance plan rates
  • Aetna — Aetna: $300.10
  • Aetna — Aetna Medicare: $92.86
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $69.97
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $96.26
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $145
  • Centene Corporation — PA H and W Medicaid: $69.97
  • Centene Corporation — PA H and W Medicare: $93.79
  • Cigna — Cigna: $156.60
  • Geisinger — Geisinger: $264.24
  • Geisinger Medicaid — Geisinger Medicaid: $63.61
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $290 $87 $94.42 – $261
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • Geisinger — Geisinger: $131.70
  • Geisinger Medicare — Geisinger Medicare: $94.42
  • Multiplan — Multiplan: $261
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $117.59
  • The Health Plan Commercial — The Health Plan Commercial: $131.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $290 $87 $261
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • Multiplan — Multiplan: $261
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $290 $87 $63.61 – $300.10
Physical therapy evaluation (high complexity): 10 of 35 insurance plan rates
  • Aetna — Aetna: $300.10
  • Aetna — Aetna Medicare: $92.86
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $69.97
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $96.26
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $145
  • Centene Corporation — PA H and W Medicaid: $69.97
  • Centene Corporation — PA H and W Medicare: $93.79
  • Cigna — Cigna: $156.60
  • Geisinger — Geisinger: $264.24
  • Geisinger Medicaid — Geisinger Medicaid: $63.61
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $290 $87 $94.42 – $261
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • Geisinger — Geisinger: $131.70
  • Geisinger Medicare — Geisinger Medicare: $94.42
  • Multiplan — Multiplan: $261
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $117.59
  • The Health Plan Commercial — The Health Plan Commercial: $131.70
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $290 $87 $261
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Multiplan — Multiplan: $261

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC W/IM $1,937 $581.10 $89.45 – $1,937
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • Aetna — Aetna: $2,186.41
  • Aetna — Aetna Medicare: $676.55
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $89.45
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $701.30
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $968.50
  • Centene Corporation — PA H and W Medicaid: $89.45
  • Centene Corporation — PA H and W Medicare: $683.32
  • Cigna — Cigna: $1,045.98
  • Geisinger — Geisinger: $1,925.14
  • Geisinger Medicaid — Geisinger Medicaid: $107.34
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC $1,937 $581.10 $89.45 – $1,937
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • Aetna — Aetna: $2,186.41
  • Aetna — Aetna Medicare: $676.55
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $89.45
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $701.30
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $968.50
  • Centene Corporation — PA H and W Medicaid: $89.45
  • Centene Corporation — PA H and W Medicare: $683.32
  • Cigna — Cigna: $1,045.98
  • Geisinger — Geisinger: $1,925.14
  • Geisinger Medicaid — Geisinger Medicaid: $107.34
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INJ INTERLAMINAR LMBR/SAC W/IM $1,937 $581.10 $256.73 – $1,743.30
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
  • Geisinger — Geisinger: $358.11
  • Geisinger Medicare — Geisinger Medicare: $256.73
  • Multiplan — Multiplan: $1,743.30
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $319.74
  • The Health Plan Commercial — The Health Plan Commercial: $358.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBO/SACRAL TRANSFORAM SINGLE $2,562 $768.60 $104.54 – $2,562
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • Aetna — Aetna: $2,739.57
  • Aetna — Aetna Medicare: $847.72
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $104.54
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $878.73
  • Carelon/Beacon Beahvioral Health — Carelon/Beacon Behavioral Health: $1,281
  • Centene Corporation — PA H and W Medicaid: $104.54
  • Centene Corporation — PA H and W Medicare: $856.20
  • Cigna — Cigna: $1,383.48
  • Geisinger — Geisinger: $2,412.20
  • Geisinger Medicaid — Geisinger Medicaid: $125.45
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LUMBO/SACRAL TRANSFORAM SINGLE $2,562 $768.60 $249.28 – $2,305.80
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans
  • Geisinger — Geisinger: $347.72
  • Geisinger Medicare — Geisinger Medicare: $249.28
  • Multiplan — Multiplan: $2,305.80
  • PA Health and Wellness Commercial — PA Health and Wellness Commercial: $310.46
  • The Health Plan Commercial — The Health Plan Commercial: $347.72
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBO/SACRAL TRANSFORAM SINGLE $2,562 $768.60 $2,305.80
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Multiplan — Multiplan: $2,305.80

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $70,409.29 – $303,808.65
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 26 insurance plan rates
  • Aetna — Aetna: $95,264.91
  • Aetna — Aetna Medicare: $79,949.85
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $83,176.97
  • Centene Corporation — PA H and W Medicare: $80,749.35
  • Cigna — Cigna: $89,219.14
  • Geisinger — Geisinger: $130,473.68
  • Geisinger Medicare — Geisinger Medicare: $81,548.85
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $106,104.50
  • Highmark — Highmark CHIP / Social Mission: $70,409.29
  • Highmark — Highmark Comm Community Blue: $110,993.13
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $21,069.94 – $79,728.89
Spinal fusion (not neck), without major complications: 10 of 20 insurance plan rates
  • Aetna — Aetna: $79,728.89
  • Aetna — Aetna Medicare: $26,705.01
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $27,758.87
  • Centene Corporation — PA H and W Medicare: $26,972.06
  • Cigna — Cigna: $79,728.89
  • Geisinger — Geisinger: $43,543.33
  • Geisinger Medicare — Geisinger Medicare: $27,239.11
  • Highmark — Highmark MCR Community/Complete Blue: $25,325.89
  • Highmark — Highmark MCR Freedom Blue: $24,555.33
  • Highmark — Highmark MCR Security Blue: $28,779.91
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $12,381.69 – $27,601.38
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates
  • Aetna — Aetna: $18,783.63
  • Aetna — Aetna Medicare: $14,601.48
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $15,161.32
  • Centene Corporation — PA H and W Medicare: $14,747.49
  • Cigna — Cigna: $17,591.57
  • Geisinger — Geisinger: $23,782.46
  • Geisinger Medicare — Geisinger Medicare: $14,893.51
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $18,658.80
  • Highmark — Highmark CHIP / Social Mission: $12,381.69
  • Highmark — Highmark Comm Community Blue: $19,518.48
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $15,933.98 – $34,258.62
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates
  • Aetna — Aetna: $23,773.38
  • Aetna — Aetna Medicare: $18,188.43
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $18,894.67
  • Centene Corporation — PA H and W Medicare: $18,370.31
  • Cigna — Cigna: $22,264.66
  • Geisinger — Geisinger: $29,638.70
  • Geisinger Medicare — Geisinger Medicare: $18,552.19
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $24,011.98
  • Highmark — Highmark CHIP / Social Mission: $15,933.98
  • Highmark — Highmark Comm Community Blue: $25,118.30
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $8,962.86 – $51,987.52
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates
  • Aetna — Aetna: $12,081.94
  • Aetna — Aetna Medicare: $9,783.86
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $10,147.06
  • Centene Corporation — PA H and W Medicare: $9,881.70
  • Cigna — Cigna: $11,315.18
  • Geisinger — Geisinger: $15,916.96
  • Geisinger Medicare — Geisinger Medicare: $9,979.54
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $13,506.74
  • Highmark — Highmark CHIP / Social Mission: $8,962.86
  • Highmark — Highmark Comm Community Blue: $14,129.05

Source: Acmh Hospital’s standard charges file (acmh.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 2, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
AddressOne Nolte Drive, Kittanning, PA 16201
CountyArmstrong County
StatePennsylvania
Phone(724) 543‑8500
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390163
Name in Medicare recordsACMH HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteArmstrong County Memorial Hospital (ACMH)
Official websiteacmh.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. ACMH Hospital — acmh.org
  2. Patients and Visitors — acmh.org
  3. About ACMH — acmh.org
  4. Emergency Medicine — acmh.org
  5. Stroke Care — acmh.org
  6. https://www.acmh.org/rehab — acmh.org
  7. ACMH | Laboratory Services — acmh.org
  8. ACMH | Imaging & Radiology — acmh.org
  9. ACMH | Neursurgery — acmh.org
  10. https://www.acmh.org/cancer-center — acmh.org
  11. ACMH | Surgical Services — acmh.org
  12. ACMH | Obstetrics & Gynecology — acmh.org
  13. ACMH | Orthopedics — acmh.org
  14. ACMH | Robotic Surgery — acmh.org