Does Atlanticare Regional Medical Center - City Campus have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Atlanticare Regional Medical Center - City Campus. In a medical emergency, call 911.

Where is Atlanticare Regional Medical Center - City Campus?

1925 Pacific Avenue, Atlantic City, NJ 08401, in Atlantic County, New Jersey.

What is the phone number of Atlanticare Regional Medical Center - City Campus?

(609) 441-8020, as listed by Medicare (CMS).

What is the Medicare star rating of Atlanticare Regional Medical Center - City Campus?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Atlanticare Regional Medical Center - City Campus

Quick answers

Does Atlanticare Regional Medical Center - City Campus have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Atlanticare Regional Medical Center - City Campus. In a medical emergency, call 911.
Where is Atlanticare Regional Medical Center - City Campus?: 1925 Pacific Avenue, Atlantic City, NJ 08401, in Atlantic County, New Jersey.
What is the phone number of Atlanticare Regional Medical Center - City Campus?: (609) 441-8020, as listed by Medicare (CMS).
What is the Medicare star rating of Atlanticare Regional Medical Center - City Campus?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][8][11]

Conditions treated^[8]

Stroke

Treatments^[8]

Endovascular neurosurgery
Diagnostic and interventional neurosurgery lab
Advanced CT perfusion imaging
Biplane angiography

Programs and centers^[4][5][7][8]

Regional Psychiatric Crisis Center
Comprehensive Stroke Center
Neurological Intensive Care Unit
Level II Trauma Center
Emergency Department
Comprehensive Rehabilitative Services

Emergency care (hospital website)^{[4][5][6][7][8]}

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Comprehensive Stroke Center

Visiting and practical information

Parking	Caesars Parking Garage across from the main entrance (posted fee, validation needed); valet at the main entrance on Michigan Avenue^[4]
Interpreters and languages	Sign language interpreters at no cost; Language Line phones, iPads and live interpreters; request through your nurse^[10]

Recognition^[4]

Level II Trauma Center
Comprehensive Stroke Center

Doctors and clinicians (765)

765 doctors and other clinicians list Atlanticare Regional Medical Center - City Campus 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

And 741 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Shore Medical Center9.3 mi · Somers Point, NJ · Acute Care Hospital
Southern Ocean Medical Center26 mi · Manahawkin, NJ · Acute Care Hospital
Cape Regional Medical Center Inc27 mi · Cape May Court House, NJ · Acute Care Hospital
Inspira Medical Center Vineland34 mi · Vineland, NJ · Acute Care Hospital
West Jersey Hospital43 mi · Voorhees, NJ · Acute Care Hospital

Other hospitals nearby

Acuity Specialty Hospital of New Jersey0.0 mi · Atlantic City, NJ · Long-Term Acute Care Hospital
Ancora Psych Hosp26 mi · Hammonton, NJ · Psychiatric Hospital
Encompass Health Rehab Hospital of Vineland34 mi · Vineland, NJ · Inpatient Rehabilitation Hospital

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

Excel Care at the Pines1.2 mi · Atlantic City, NJ · 2 of 5 stars
Our Ladys Center for Rehabilitation & Healthcare5.4 mi · Pleasantville, NJ · 3 of 5 stars
Meadowview Nursing and Rehabilitation Center6.2 mi · Northfield, NJ · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Angelic Hospice4.8 mi · West Atlantic City, NJ · 4 of 5 stars
Holy Redeemer Hospice-Nj, Shore10 mi · Egg Harbor TWP, NJ
Hospice at LSMNJ, Inc.10 mi · Egg Harbor Township, NJ · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Bayada Home Health Care, Inc.10 mi · Egg Harbor Township, NJ · 4 of 5 stars
Patient Care10 mi · Egg Harbor Township, NJ

All home health agencies in the state →

Dialysis facilities

FMC Atlantic City1.6 mi · Atlantic City, NJ · 2 of 5 stars
DaVita Atlantic County at Home4.8 mi · Pleasantville, NJ · 3 of 5 stars
FKC Shore5.5 mi · Northfield, NJ · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Horizon Laser & Eye Surgery Center4.4 mi · Margate City, NJ
Seashore Ambulatory Surgery Center5.5 mi · Northfield, NJ
Surgery Center of Linwood LLC7.1 mi · Linwood, NJ

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

AtlantiCare Health Services - FQHC Dental Clinic0.1 mi · Atlantic City, NJ · Community health center
AtlantiCare Health Services - FQHC Pediatric Clinic0.1 mi · Atlantic City, NJ · Community health center
AtlantiCare Health Services- FQHC Family Medicine Residency Clinic0.1 mi · Atlantic City, NJ · Community health center

Clinics and urgent care

General Healthcareresorces, Inc1.6 mi · Atlantic City, NJ · Urgent care center
Bayfront Urgent Care PA5.5 mi · Northfield, NJ · Urgent care center
Atlanticare Physician Group, PA8.6 mi · Galloway, NJ · Urgent care center

Pharmacies

Devdarshan Inc1.6 mi · Atlantic City, NJ · Community/retail pharmacy
Elevate USA Consulting Inc1.6 mi · Atlantic City, NJ · Community/retail pharmacy
Walgreen Co1.6 mi · Atlantic City, NJ · Pharmacy

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 Atlanticare Regional Medical Center - City Campus 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 hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	65%National average: 74%
Area around the room “always” quiet at night	44%National average: 60%
Completed surveys	598Response rate: 17%

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)	0.113Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.242Better than the national benchmark
Surgical site infections after colon surgery	0.632No different from the national benchmark
Surgical site infections after abdominal hysterectomy	2.07No different from the national benchmark
MRSA bloodstream infections	0.628No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.268Better 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 patients	10.2%
Deaths within 30 days: heart failure patients	10.2%
Deaths within 30 days: pneumonia patients	13.2%
Deaths within 30 days: COPD patients	7.9%
Deaths within 30 days: stroke patients	11.4%
Deaths within 30 days: coronary bypass surgery (CABG)	2.1%
Serious complications (patient safety indicator PSI-90)	0.99No different from the national rate
Complications after hip or knee replacement	4%

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 attack	15%
Readmitted within 30 days: heart failure	21.4%
Readmitted within 30 days: pneumonia	17.9%
Readmitted within 30 days: COPD	20.1%
Readmitted within 30 days: coronary bypass surgery	10.7%
Readmitted within 30 days: hip or knee replacement	5.1%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	174 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	69%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 New Jersey Best hospitals in New Jersey

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as Atlanticare Regional Medical Center - City Campus 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 →

$ 45 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEVEL 3	$241	Not listed in the file	$31.11 – $228.95
New patient office visit (about 30–44 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $216.90 ACTIVE CARE PLUS — ALL PRODUCTS: $156.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $228.95 Aetna — AETNA BLENDED: $187.98 Aetna — SAVINGS PLUS: $199.07 Aetna — WHOLE HEALTH: $138.60 Aetna — WORKER'S COMP: $168.70 AmeriChoice — Managed Medicaid: $31.11 AMERIGROUP — Managed Medicaid: $62.66 AMERIHEALTH — LOCAL VALUE: $163.69
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEVEL III W/MOD 25	$241	Not listed in the file	$31.11 – $228.95
New patient office visit (about 30–44 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $216.90 ACTIVE CARE PLUS — ALL PRODUCTS: $156.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $228.95 Aetna — AETNA BLENDED: $187.98 Aetna — SAVINGS PLUS: $199.07 Aetna — WHOLE HEALTH: $138.60 Aetna — WORKER'S COMP: $168.70 AmeriChoice — Managed Medicaid: $31.11 AMERIGROUP — Managed Medicaid: $62.66 AMERIHEALTH — LOCAL VALUE: $163.69
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/P VISIT-NEW PAT LEVEL 3 W/25	$241	Not listed in the file	$31.11 – $228.95
New patient office visit (about 30–44 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $216.90 ACTIVE CARE PLUS — ALL PRODUCTS: $156.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $228.95 Aetna — AETNA BLENDED: $187.98 Aetna — SAVINGS PLUS: $199.07 Aetna — WHOLE HEALTH: $138.60 Aetna — WORKER'S COMP: $168.70 AmeriChoice — Managed Medicaid: $31.11 AMERIGROUP — Managed Medicaid: $62.66 AMERIHEALTH — LOCAL VALUE: $163.69
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEVEL IV W/MOD 25	$407	Not listed in the file	$52.54 – $386.65
New patient office visit (about 45–59 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $366.30 ACTIVE CARE PLUS — ALL PRODUCTS: $264.55 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $386.65 Aetna — AETNA BLENDED: $317.46 Aetna — SAVINGS PLUS: $336.18 Aetna — WHOLE HEALTH: $234.07 Aetna — WORKER'S COMP: $284.90 AmeriChoice — Managed Medicaid: $52.54 AMERIGROUP — Managed Medicaid: $105.82 AMERIHEALTH — LOCAL VALUE: $276.43
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/P VISIT-NEW PAT LEVEL 4 W/25	$407	Not listed in the file	$52.54 – $386.65
New patient office visit (about 45–59 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $366.30 ACTIVE CARE PLUS — ALL PRODUCTS: $264.55 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $386.65 Aetna — AETNA BLENDED: $317.46 Aetna — SAVINGS PLUS: $336.18 Aetna — WHOLE HEALTH: $234.07 Aetna — WORKER'S COMP: $284.90 AmeriChoice — Managed Medicaid: $52.54 AMERIGROUP — Managed Medicaid: $105.82 AMERIHEALTH — LOCAL VALUE: $276.43
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT-NEW LEVEL 4 W/25	$407	Not listed in the file	$52.54 – $386.65
New patient office visit (about 45–59 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $366.30 ACTIVE CARE PLUS — ALL PRODUCTS: $264.55 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $386.65 Aetna — AETNA BLENDED: $317.46 Aetna — SAVINGS PLUS: $336.18 Aetna — WHOLE HEALTH: $234.07 Aetna — WORKER'S COMP: $284.90 AmeriChoice — Managed Medicaid: $52.54 AMERIGROUP — Managed Medicaid: $105.82 AMERIHEALTH — LOCAL VALUE: $276.43
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT LEVEL V W/MOD 25	$513	Not listed in the file	$66.23 – $487.35
New patient office visit (about 60–74 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $461.70 ACTIVE CARE PLUS — ALL PRODUCTS: $333.45 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $487.35 Aetna — AETNA BLENDED: $400.14 Aetna — SAVINGS PLUS: $423.74 Aetna — WHOLE HEALTH: $295.03 Aetna — WORKER'S COMP: $359.10 AmeriChoice — Managed Medicaid: $66.23 AMERIGROUP — Managed Medicaid: $133.38 AMERIHEALTH — LOCAL VALUE: $348.43
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/P VISIT-NEW PAT LEVEL 5 W/25	$513	Not listed in the file	$66.23 – $487.35
New patient office visit (about 60–74 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $461.70 ACTIVE CARE PLUS — ALL PRODUCTS: $333.45 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $487.35 Aetna — AETNA BLENDED: $400.14 Aetna — SAVINGS PLUS: $423.74 Aetna — WHOLE HEALTH: $295.03 Aetna — WORKER'S COMP: $359.10 AmeriChoice — Managed Medicaid: $66.23 AMERIGROUP — Managed Medicaid: $133.38 AMERIHEALTH — LOCAL VALUE: $348.43
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT-NEW LEVEL 5 W/25	$513	Not listed in the file	$66.23 – $487.35
New patient office visit (about 60–74 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $461.70 ACTIVE CARE PLUS — ALL PRODUCTS: $333.45 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $487.35 Aetna — AETNA BLENDED: $400.14 Aetna — SAVINGS PLUS: $423.74 Aetna — WHOLE HEALTH: $295.03 Aetna — WORKER'S COMP: $359.10 AmeriChoice — Managed Medicaid: $66.23 AMERIGROUP — Managed Medicaid: $133.38 AMERIHEALTH — LOCAL VALUE: $348.43
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTAB PT LEVEL 3	$322	Not listed in the file	$41.57 – $305.90
Established patient office visit (about 20–29 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $289.80 ACTIVE CARE PLUS — ALL PRODUCTS: $209.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $305.90 Aetna — AETNA BLENDED: $251.16 Aetna — SAVINGS PLUS: $265.97 Aetna — WHOLE HEALTH: $185.18 Aetna — WORKER'S COMP: $225.40 AmeriChoice — Managed Medicaid: $41.57 AMERIGROUP — Managed Medicaid: $83.72 AMERIHEALTH — LOCAL VALUE: $218.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PATIENT LEVEL III W/MOD 25	$322	Not listed in the file	$41.57 – $305.90
Established patient office visit (about 20–29 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $289.80 ACTIVE CARE PLUS — ALL PRODUCTS: $209.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $305.90 Aetna — AETNA BLENDED: $251.16 Aetna — SAVINGS PLUS: $265.97 Aetna — WHOLE HEALTH: $185.18 Aetna — WORKER'S COMP: $225.40 AmeriChoice — Managed Medicaid: $41.57 AMERIGROUP — Managed Medicaid: $83.72 AMERIHEALTH — LOCAL VALUE: $218.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/P VISIT-ESTAB PAT LEVEL 3 W/25	$322	Not listed in the file	$41.57 – $305.90
Established patient office visit (about 20–29 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $289.80 ACTIVE CARE PLUS — ALL PRODUCTS: $209.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $305.90 Aetna — AETNA BLENDED: $251.16 Aetna — SAVINGS PLUS: $265.97 Aetna — WHOLE HEALTH: $185.18 Aetna — WORKER'S COMP: $225.40 AmeriChoice — Managed Medicaid: $41.57 AMERIGROUP — Managed Medicaid: $83.72 AMERIHEALTH — LOCAL VALUE: $218.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PATIENT LEVEL IV W/MOD 25	$421	Not listed in the file	$54.35 – $399.95
Established patient office visit (about 30–39 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $378.90 ACTIVE CARE PLUS — ALL PRODUCTS: $273.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $399.95 Aetna — AETNA BLENDED: $328.38 Aetna — SAVINGS PLUS: $347.75 Aetna — WHOLE HEALTH: $242.12 Aetna — WORKER'S COMP: $294.70 AmeriChoice — Managed Medicaid: $54.35 AMERIGROUP — Managed Medicaid: $109.46 AMERIHEALTH — LOCAL VALUE: $285.94
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/P VISIT-ESTAB PAT LEVEL 4 W/25	$421	Not listed in the file	$54.35 – $399.95
Established patient office visit (about 30–39 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $378.90 ACTIVE CARE PLUS — ALL PRODUCTS: $273.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $399.95 Aetna — AETNA BLENDED: $328.38 Aetna — SAVINGS PLUS: $347.75 Aetna — WHOLE HEALTH: $242.12 Aetna — WORKER'S COMP: $294.70 AmeriChoice — Managed Medicaid: $54.35 AMERIGROUP — Managed Medicaid: $109.46 AMERIHEALTH — LOCAL VALUE: $285.94
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OUTPATIENT VISIT-EST LEVEL 4 W/25	$421	Not listed in the file	$54.35 – $399.95
Established patient office visit (about 30–39 minutes): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $378.90 ACTIVE CARE PLUS — ALL PRODUCTS: $273.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $399.95 Aetna — AETNA BLENDED: $328.38 Aetna — SAVINGS PLUS: $347.75 Aetna — WHOLE HEALTH: $242.12 Aetna — WORKER'S COMP: $294.70 AmeriChoice — Managed Medicaid: $54.35 AMERIGROUP — Managed Medicaid: $109.46 AMERIHEALTH — LOCAL VALUE: $285.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT - LEVEL 3	$2,149	Not listed in the file	$296.78 – $2,149
Emergency room visit (moderate): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,934.10 ACTIVE CARE PLUS — ALL PRODUCTS: $1,396.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,041.55 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $1,504.30 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $414 AMERIHEALTH — LOCAL VALUE: $1,294
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SERVICE LEVEL III WITH MODIFIER 2	$2,149	Not listed in the file	$296.78 – $2,149
Emergency room visit (moderate): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,934.10 ACTIVE CARE PLUS — ALL PRODUCTS: $1,396.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,041.55 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $1,504.30 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $414 AMERIHEALTH — LOCAL VALUE: $1,294
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PIP MED CLEARANCE/LEV 3 W/25 MODI	$2,149	Not listed in the file	$296.78 – $2,149
Emergency room visit (moderate): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,934.10 ACTIVE CARE PLUS — ALL PRODUCTS: $1,396.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,041.55 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $1,504.30 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $414 AMERIHEALTH — LOCAL VALUE: $1,294
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT - LEVEL 4	$2,675	Not listed in the file	$369.42 – $2,675
Emergency room visit (moderately high): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $2,407.50 ACTIVE CARE PLUS — ALL PRODUCTS: $1,738.75 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,541.25 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $1,872.50 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $520 AMERIHEALTH — LOCAL VALUE: $1,294
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SERVICE LEVEL IV WITH MODIFIER 25	$2,675	Not listed in the file	$369.42 – $2,675
Emergency room visit (moderately high): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $2,407.50 ACTIVE CARE PLUS — ALL PRODUCTS: $1,738.75 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,541.25 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $1,872.50 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $520 AMERIHEALTH — LOCAL VALUE: $1,294
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PIP MED CLEARANCE/LEV 4 W/25 MODI	$2,675	Not listed in the file	$369.42 – $2,675
Emergency room visit (moderately high): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $2,407.50 ACTIVE CARE PLUS — ALL PRODUCTS: $1,738.75 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,541.25 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $1,872.50 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $520 AMERIHEALTH — LOCAL VALUE: $1,294
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT - LEVEL 5	$3,365	Not listed in the file	$464.71 – $3,365
Emergency room visit (high): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $3,028.50 ACTIVE CARE PLUS — ALL PRODUCTS: $2,187.25 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $3,196.75 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $2,355.50 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $520 AMERIHEALTH — LOCAL VALUE: $1,328
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SERVICE LEVEL V WITH MODIFIER 25	$3,365	Not listed in the file	$464.71 – $3,365
Emergency room visit (high): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $3,028.50 ACTIVE CARE PLUS — ALL PRODUCTS: $2,187.25 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $3,196.75 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $2,355.50 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $520 AMERIHEALTH — LOCAL VALUE: $1,328
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PIP MED CLEARANCE/LEV 5 W/25 MODI	$3,365	Not listed in the file	$464.71 – $3,365
Emergency room visit (high): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $3,028.50 ACTIVE CARE PLUS — ALL PRODUCTS: $2,187.25 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $3,196.75 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $2,355.50 AmeriChoice — Managed Medicaid: $140 AMERIGROUP — Managed Medicaid: $520 AMERIHEALTH — LOCAL VALUE: $1,328

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-BASIC METABOLIC PANEL	$184	Not listed in the file	$25.58 – $174.80
Basic metabolic panel (blood test): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $165.60 ACTIVE CARE PLUS — ALL PRODUCTS: $119.60 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $174.80 Aetna — AETNA BLENDED: $143.52 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $151.98 Aetna — WHOLE HEALTH: $105.82 Aetna — WORKER'S COMP: $128.80 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CC-BASIC METABOLIC PANEL	$184	Not listed in the file	$25.58 – $174.80
Basic metabolic panel (blood test): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $137.82 UHC ALL PAYER — ALL PRODUCTS: $82.80
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$184	Not listed in the file	$25.58 – $174.80
Basic metabolic panel (blood test): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $137.82 UHC ALL PAYER — ALL PRODUCTS: $82.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-COMPREHENSIVE METABOLIC PANEL	$246	Not listed in the file	$34.19 – $233.70
Comprehensive metabolic panel (blood test): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $221.40 ACTIVE CARE PLUS — ALL PRODUCTS: $159.90 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $233.70 Aetna — AETNA BLENDED: $191.88 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $203.20 Aetna — WHOLE HEALTH: $141.47 Aetna — WORKER'S COMP: $172.20 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CC-COMPREHENSIVE METABOLIC PANEL	$246	Not listed in the file	$34.19 – $233.70
Comprehensive metabolic panel (blood test): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $184.25 UHC ALL PAYER — ALL PRODUCTS: $110.70
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$246	Not listed in the file	$34.19 – $233.70
Comprehensive metabolic panel (blood test): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $184.25 UHC ALL PAYER — ALL PRODUCTS: $110.70
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $95.62
Obstetric blood test panel: rates for 5 insurance plans Devoted Health Plan — Medicare: $47.81 Global Exchange Managed Care — Managed Care: $71.72 Health Partners Plan — Jefferson Health Plan: $95.62 OXFORD — ALL PRODUCTS: $47.81 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL(CHOLES,HDL,TRIGLICER)	$303	Not listed in the file	$42.12 – $287.85
Cholesterol panel (lipid panel): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $226.95 UHC ALL PAYER — ALL PRODUCTS: $136.35
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$13.39 – $26.78
Cholesterol panel (lipid panel): rates for 5 insurance plans Devoted Health Plan — Medicare: $13.39 Global Exchange Managed Care — Managed Care: $20.09 Health Partners Plan — Jefferson Health Plan: $26.78 OXFORD — ALL PRODUCTS: $13.39 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier L1 In the file: LIPID PANEL(CHOLES,HDL,TRIGLICER)	$303	Not listed in the file	$42.12 – $287.85
Cholesterol panel (lipid panel): 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $272.70 ACTIVE CARE PLUS — ALL PRODUCTS: $196.95 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $287.85 Aetna — AETNA BLENDED: $236.34 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $250.28 Aetna — WHOLE HEALTH: $174.26 Aetna — WORKER'S COMP: $212.10 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$223	Not listed in the file	$31 – $211.85
Kidney function panel: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $167.03 UHC ALL PAYER — ALL PRODUCTS: $100.35
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68 – $17.36
Kidney function panel: rates for 5 insurance plans Devoted Health Plan — Medicare: $8.68 Global Exchange Managed Care — Managed Care: $13.02 Health Partners Plan — Jefferson Health Plan: $17.36 OXFORD — ALL PRODUCTS: $8.68 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier L1 In the file: RENAL FUNCTION PANEL	$223	Not listed in the file	$31 – $211.85
Kidney function panel: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $200.70 ACTIVE CARE PLUS — ALL PRODUCTS: $144.95 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $211.85 Aetna — AETNA BLENDED: $173.94 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $184.20 Aetna — WHOLE HEALTH: $128.25 Aetna — WORKER'S COMP: $156.10 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$192	Not listed in the file	$26.69 – $182.40
Liver function panel: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $143.81 UHC ALL PAYER — ALL PRODUCTS: $86.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.17 – $16.34
Liver function panel: rates for 5 insurance plans Devoted Health Plan — Medicare: $8.17 Global Exchange Managed Care — Managed Care: $12.26 Health Partners Plan — Jefferson Health Plan: $16.34 OXFORD — ALL PRODUCTS: $8.17 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier L1 In the file: HEPATIC FUNCTION PANEL	$192	Not listed in the file	$26.69 – $182.40
Liver function panel: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $172.80 ACTIVE CARE PLUS — ALL PRODUCTS: $124.80 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $182.40 Aetna — AETNA BLENDED: $149.76 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $158.59 Aetna — WHOLE HEALTH: $110.42 Aetna — WORKER'S COMP: $134.40 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS MACROSCOPIC ON	$94	Not listed in the file	$13.07 – $89.30
Urine test (automated, with microscope): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $70.41 UHC ALL PAYER — ALL PRODUCTS: $42.30
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$94	Not listed in the file	$13.07 – $89.30
Urine test (automated, with microscope): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $70.41 UHC ALL PAYER — ALL PRODUCTS: $42.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.17 – $6.34
Urine test (automated, with microscope): rates for 5 insurance plans Devoted Health Plan — Medicare: $3.17 Global Exchange Managed Care — Managed Care: $4.76 Health Partners Plan — Jefferson Health Plan: $6.34 OXFORD — ALL PRODUCTS: $3.17 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.48 – $6.96
Urine test (manual, without microscope): rates for 5 insurance plans Devoted Health Plan — Medicare: $3.48 Global Exchange Managed Care — Managed Care: $5.22 Health Partners Plan — Jefferson Health Plan: $6.96 OXFORD — ALL PRODUCTS: $3.48 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE	$73	Not listed in the file	$10.15 – $69.35
Urine test (automated, without microscope): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $54.68 UHC ALL PAYER — ALL PRODUCTS: $32.85
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$73	Not listed in the file	$10.15 – $69.35
Urine test (automated, without microscope): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $54.68 UHC ALL PAYER — ALL PRODUCTS: $32.85
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.25 – $4.50
Urine test (automated, without microscope): rates for 5 insurance plans Devoted Health Plan — Medicare: $2.25 Global Exchange Managed Care — Managed Care: $3.38 Health Partners Plan — Jefferson Health Plan: $4.50 OXFORD — ALL PRODUCTS: $2.25 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL REF LAB	$409	Not listed in the file	$56.85 – $388.55
PSA (prostate specific antigen) blood test: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $306.34 UHC ALL PAYER — ALL PRODUCTS: $184.05
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL SERIAL	$409	Not listed in the file	$56.85 – $388.55
PSA (prostate specific antigen) blood test: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $306.34 UHC ALL PAYER — ALL PRODUCTS: $184.05
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA ULTRA	$409	Not listed in the file	$56.85 – $388.55
PSA (prostate specific antigen) blood test: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $306.34 UHC ALL PAYER — ALL PRODUCTS: $184.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH SERUM	$371	Not listed in the file	$51.57 – $352.45
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $277.88 UHC ALL PAYER — ALL PRODUCTS: $166.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORM (TSH)	$352	Not listed in the file	$48.93 – $334.40
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $263.65 UHC ALL PAYER — ALL PRODUCTS: $158.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$16.80 – $33.60
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Devoted Health Plan — Medicare: $16.80 Global Exchange Managed Care — Managed Care: $25.20 Health Partners Plan — Jefferson Health Plan: $33.60 OXFORD — ALL PRODUCTS: $16.80 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC - AUTO DIFF.	$174	Not listed in the file	$23.39 – $165.30
Complete blood count (CBC) with differential: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $130.33 UHC ALL PAYER — ALL PRODUCTS: $78.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.77 – $15.54
Complete blood count (CBC) with differential: rates for 5 insurance plans Devoted Health Plan — Medicare: $7.77 Global Exchange Managed Care — Managed Care: $11.66 Health Partners Plan — Jefferson Health Plan: $15.54 OXFORD — ALL PRODUCTS: $7.77 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier L1 In the file: CBC - AUTO DIFF.	$174	Not listed in the file	$23.39 – $165.30
Complete blood count (CBC) with differential: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $156.60 ACTIVE CARE PLUS — ALL PRODUCTS: $113.10 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $165.30 Aetna — AETNA BLENDED: $135.72 Aetna — BETTER HEALTH: $25.72 Aetna — SAVINGS PLUS: $143.72 Aetna — WHOLE HEALTH: $100.07 Aetna — WORKER'S COMP: $121.80 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC	$138	Not listed in the file	$19.18 – $131.10
Complete blood count (CBC), automated: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $103.36 UHC ALL PAYER — ALL PRODUCTS: $62.10
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.47 – $12.94
Complete blood count (CBC), automated: rates for 5 insurance plans Devoted Health Plan — Medicare: $6.47 Global Exchange Managed Care — Managed Care: $9.71 Health Partners Plan — Jefferson Health Plan: $12.94 OXFORD — ALL PRODUCTS: $6.47 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier L1 In the file: CBC	$138	Not listed in the file	$19.18 – $131.10
Complete blood count (CBC), automated: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $124.20 ACTIVE CARE PLUS — ALL PRODUCTS: $89.70 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $131.10 Aetna — AETNA BLENDED: $107.64 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $113.99 Aetna — WHOLE HEALTH: $79.36 Aetna — WORKER'S COMP: $96.60 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHOMBIN TIME W/ MODIFIER QW	$98	Not listed in the file	$13.62 – $93.10
Blood clotting time test (prothrombin time, PT): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $88.20 ACTIVE CARE PLUS — ALL PRODUCTS: $63.70 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $93.10 Aetna — AETNA BLENDED: $76.44 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $80.95 Aetna — WHOLE HEALTH: $56.36 Aetna — WORKER'S COMP: $68.60 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT	$98	Not listed in the file	$13.62 – $93.10
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $73.40 UHC ALL PAYER — ALL PRODUCTS: $44.10
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHOMBIN TIME W/ MODIFIER QW	$98	Not listed in the file	$13.62 – $93.10
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $73.40 UHC ALL PAYER — ALL PRODUCTS: $44.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT	$153	Not listed in the file	$21.27 – $145.35
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $114.60 UHC ALL PAYER — ALL PRODUCTS: $68.85
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$6.01 – $12.02
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Devoted Health Plan — Medicare: $6.01 Global Exchange Managed Care — Managed Care: $9.02 Health Partners Plan — Jefferson Health Plan: $12.02 OXFORD — ALL PRODUCTS: $6.01 United Healthcare — COMPASS W/OXFORD HEALTH PLANS: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier L1 In the file: PTT	$153	Not listed in the file	$21.27 – $145.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $137.70 ACTIVE CARE PLUS — ALL PRODUCTS: $99.45 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $145.35 Aetna — AETNA BLENDED: $119.34 Aetna — BETTER HEALTH: $1 Aetna — SAVINGS PLUS: $126.38 Aetna — WHOLE HEALTH: $87.99 Aetna — WORKER'S COMP: $107.10 AMBETTER — ALL PRODUCTS: $2 AmeriChoice — Managed Medicaid: $1

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

Service	Hospital charge	Cash price	Insurance 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 HEAD OR BRAIN W/O CONTRAST	$2,758	Not listed in the file	$356.06 – $2,620.10
CT scan of the head or brain, without contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $2,482.20 ACTIVE CARE PLUS — ALL PRODUCTS: $1,792.70 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,620.10 Aetna — AETNA BLENDED: $2,151.24 Aetna — SAVINGS PLUS: $2,278.11 Aetna — WHOLE HEALTH: $1,586.13 Aetna — WORKER'S COMP: $1,930.60 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $356.06 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD OR BRAIN W/O CONTRAST	$2,758	Not listed in the file	$356.06 – $2,620.10
CT scan of the head or brain, without contrast: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $2,065.74 UHC ALL PAYER — ALL PRODUCTS: $1,241.10
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W & W/O CONTRAST	$5,927	Not listed in the file	$765.18 – $5,630.65
MRI of the brain, before and after contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $5,334.30 ACTIVE CARE PLUS — ALL PRODUCTS: $3,852.55 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $5,630.65 Aetna — AETNA BLENDED: $4,623.06 Aetna — SAVINGS PLUS: $4,895.70 Aetna — WHOLE HEALTH: $3,408.62 Aetna — WORKER'S COMP: $4,148.90 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $765.18 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W & W/O CONTRAST	$5,927	Not listed in the file	$765.18 – $5,630.65
MRI of the brain, before and after contrast: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $4,439.32 UHC ALL PAYER — ALL PRODUCTS: $2,667.15
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST XRAY 2 VIEWS	$495	Not listed in the file	$63.90 – $470.25
Chest X-ray, 2 views: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $445.50 ACTIVE CARE PLUS — ALL PRODUCTS: $321.75 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $470.25 Aetna — AETNA BLENDED: $386.10 Aetna — SAVINGS PLUS: $408.87 Aetna — WHOLE HEALTH: $284.67 Aetna — WORKER'S COMP: $346.50 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $63.90 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST XRAY 2 VIEWS	$495	Not listed in the file	$63.90 – $470.25
Chest X-ray, 2 views: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $370.76 UHC ALL PAYER — ALL PRODUCTS: $222.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBO SACRAL COMP OBL	$806	Not listed in the file	$104.05 – $765.70
X-ray of the lower spine, at least 4 views: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $725.40 ACTIVE CARE PLUS — ALL PRODUCTS: $523.90 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $765.70 Aetna — AETNA BLENDED: $628.68 Aetna — SAVINGS PLUS: $665.76 Aetna — WHOLE HEALTH: $463.53 Aetna — WORKER'S COMP: $564.20 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $104.05 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBO SACRAL COMP OBL	$806	Not listed in the file	$104.05 – $765.70
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $603.69 UHC ALL PAYER — ALL PRODUCTS: $362.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONTRAST	$4,909	Not listed in the file	$633.75 – $4,663.55
MRI of the lower back (lumbar spine), without contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $4,418.10 ACTIVE CARE PLUS — ALL PRODUCTS: $3,190.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $4,663.55 Aetna — AETNA BLENDED: $3,829.02 Aetna — SAVINGS PLUS: $4,054.83 Aetna — WHOLE HEALTH: $2,823.17 Aetna — WORKER'S COMP: $3,436.30 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $633.75 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONTRAST	$4,909	Not listed in the file	$633.75 – $4,663.55
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $3,676.84 UHC ALL PAYER — ALL PRODUCTS: $2,209.05
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST	$2,896	Not listed in the file	$373.87 – $2,751.20
CT scan of the pelvis, with contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $2,606.40 ACTIVE CARE PLUS — ALL PRODUCTS: $1,882.40 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,751.20 Aetna — AETNA BLENDED: $2,258.88 Aetna — SAVINGS PLUS: $2,392.10 Aetna — WHOLE HEALTH: $1,665.49 Aetna — WORKER'S COMP: $2,027.20 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $373.87 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS, WITH CONTRAST	$2,896	Not listed in the file	$373.87 – $2,751.20
CT scan of the pelvis, with contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $2,606.40 ACTIVE CARE PLUS — ALL PRODUCTS: $1,882.40 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $2,751.20 Aetna — AETNA BLENDED: $2,258.88 Aetna — SAVINGS PLUS: $2,392.10 Aetna — WHOLE HEALTH: $1,665.49 Aetna — WORKER'S COMP: $2,027.20 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $373.87 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST	$2,896	Not listed in the file	$373.87 – $2,751.20
CT scan of the pelvis, with contrast: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $2,169.10 UHC ALL PAYER — ALL PRODUCTS: $1,303.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LO.EXTR-ANY JNT-RT W/O CONTR.	$3,817	Not listed in the file	$492.77 – $3,626.15
MRI of a leg joint (such as the knee), without contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $3,435.30 ACTIVE CARE PLUS — ALL PRODUCTS: $2,481.05 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $3,626.15 Aetna — AETNA BLENDED: $2,977.26 Aetna — SAVINGS PLUS: $3,152.84 Aetna — WHOLE HEALTH: $2,195.16 Aetna — WORKER'S COMP: $2,671.90 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $492.77 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LO.EXTR-ANY JNT-LT W/O CONTR.	$3,817	Not listed in the file	$492.77 – $3,626.15
MRI of a leg joint (such as the knee), without contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $3,435.30 ACTIVE CARE PLUS — ALL PRODUCTS: $2,481.05 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $3,626.15 Aetna — AETNA BLENDED: $2,977.26 Aetna — SAVINGS PLUS: $3,152.84 Aetna — WHOLE HEALTH: $2,195.16 Aetna — WORKER'S COMP: $2,671.90 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $492.77 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT ANY JOINT BILATERAL	$11,082	Not listed in the file	$1,430.69 – $10,527.90
MRI of a leg joint (such as the knee), without contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $9,973.80 ACTIVE CARE PLUS — ALL PRODUCTS: $7,203.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $10,527.90 Aetna — AETNA BLENDED: $8,643.96 Aetna — SAVINGS PLUS: $9,153.73 Aetna — WHOLE HEALTH: $6,373.26 Aetna — WORKER'S COMP: $7,757.40 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $1,430.69 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$6,141	Not listed in the file	$792.80 – $5,833.95
CT scan of the abdomen and pelvis, with contrast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $5,526.90 ACTIVE CARE PLUS — ALL PRODUCTS: $3,991.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $5,833.95 Aetna — AETNA BLENDED: $4,789.98 Aetna — SAVINGS PLUS: $5,072.47 Aetna — WHOLE HEALTH: $3,531.69 Aetna — WORKER'S COMP: $4,298.70 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $792.80 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$6,141	Not listed in the file	$792.80 – $5,833.95
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $4,599.61 UHC ALL PAYER — ALL PRODUCTS: $2,763.45
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABDOMEN,COMPLETE	$1,381	Not listed in the file	$178.29 – $1,311.95
Ultrasound of the abdomen, complete: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,242.90 ACTIVE CARE PLUS — ALL PRODUCTS: $897.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,311.95 Aetna — AETNA BLENDED: $1,077.18 Aetna — SAVINGS PLUS: $1,140.71 Aetna — WHOLE HEALTH: $794.21 Aetna — WORKER'S COMP: $966.70 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $178.29 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABDOMEN,COMPLETE	$1,381	Not listed in the file	$178.29 – $1,311.95
Ultrasound of the abdomen, complete: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $1,034.37 UHC ALL PAYER — ALL PRODUCTS: $621.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ECHOGRPH. PELVIC B-SCAN	$1,070	Not listed in the file	$138.14 – $1,016.50
Pregnancy ultrasound (after the first trimester): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $963 ACTIVE CARE PLUS — ALL PRODUCTS: $695.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,016.50 Aetna — AETNA BLENDED: $834.60 Aetna — SAVINGS PLUS: $883.82 Aetna — WHOLE HEALTH: $615.36 Aetna — WORKER'S COMP: $749 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $138.14 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB,US,>/=14WKS,SINGLE FETUS	$666	Not listed in the file	$85.98 – $632.70
Pregnancy ultrasound (after the first trimester): 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $599.40 ACTIVE CARE PLUS — ALL PRODUCTS: $432.90 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $632.70 Aetna — AETNA BLENDED: $519.48 Aetna — SAVINGS PLUS: $550.12 Aetna — WHOLE HEALTH: $383.02 Aetna — WORKER'S COMP: $466.20 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $85.98 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ECHOGRPH. PELVIC B-SCAN	$1,070	Not listed in the file	$138.14 – $1,016.50
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $801.43 UHC ALL PAYER — ALL PRODUCTS: $481.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOVAGINAL ULTRASOUND	$1,069	Not listed in the file	$138.01 – $1,015.55
Transvaginal ultrasound: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $962.10 ACTIVE CARE PLUS — ALL PRODUCTS: $694.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,015.55 Aetna — AETNA BLENDED: $833.82 Aetna — SAVINGS PLUS: $882.99 Aetna — WHOLE HEALTH: $614.78 Aetna — WORKER'S COMP: $748.30 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $138.01 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDOVAGINAL ULTRASOUND	$1,069	Not listed in the file	$138.01 – $1,015.55
Transvaginal ultrasound: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $800.68 UHC ALL PAYER — ALL PRODUCTS: $481.05
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO-SCREEN THEN UNILAT DIAG.	$902	Not listed in the file	$116.45 – $856.90
Diagnostic mammogram, one breast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $811.80 ACTIVE CARE PLUS — ALL PRODUCTS: $586.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $856.90 Aetna — AETNA BLENDED: $703.56 Aetna — SAVINGS PLUS: $745.05 Aetna — WHOLE HEALTH: $518.74 Aetna — WORKER'S COMP: $631.40 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $116.45 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAG.MAMMOGRAM W/CAD-ONE BREAST	$902	Not listed in the file	$116.45 – $856.90
Diagnostic mammogram, one breast: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $811.80 ACTIVE CARE PLUS — ALL PRODUCTS: $586.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $856.90 Aetna — AETNA BLENDED: $703.56 Aetna — SAVINGS PLUS: $745.05 Aetna — WHOLE HEALTH: $518.74 Aetna — WORKER'S COMP: $631.40 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $116.45 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO-SCREEN THEN UNILAT DIAG.	$902	Not listed in the file	$116.45 – $856.90
Diagnostic mammogram, one breast: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $675.60 UHC ALL PAYER — ALL PRODUCTS: $405.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO-SCREEN THEN BILAT DIAG.	$1,489	Not listed in the file	$192.23 – $1,414.55
Diagnostic mammogram, both breasts: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,340.10 ACTIVE CARE PLUS — ALL PRODUCTS: $967.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,414.55 Aetna — AETNA BLENDED: $1,161.42 Aetna — SAVINGS PLUS: $1,229.91 Aetna — WHOLE HEALTH: $856.32 Aetna — WORKER'S COMP: $1,042.30 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $192.23 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAG.MAMMOGRAM W/CAD-BOTH BREASTS	$1,489	Not listed in the file	$192.23 – $1,414.55
Diagnostic mammogram, both breasts: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,340.10 ACTIVE CARE PLUS — ALL PRODUCTS: $967.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,414.55 Aetna — AETNA BLENDED: $1,161.42 Aetna — SAVINGS PLUS: $1,229.91 Aetna — WHOLE HEALTH: $856.32 Aetna — WORKER'S COMP: $1,042.30 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $192.23 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO-SCREEN THEN BILAT DIAG.	$1,489	Not listed in the file	$192.23 – $1,414.55
Diagnostic mammogram, both breasts: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $1,115.26 UHC ALL PAYER — ALL PRODUCTS: $670.05
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREEN.MAMMO.W/CAD-W/MED.NEC,DIAG	$721	Not listed in the file	$93.08 – $684.95
Screening mammogram, both breasts: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $648.90 ACTIVE CARE PLUS — ALL PRODUCTS: $468.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $684.95 Aetna — AETNA BLENDED: $562.38 Aetna — SAVINGS PLUS: $595.55 Aetna — WHOLE HEALTH: $414.65 Aetna — WORKER'S COMP: $504.70 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $93.08 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREEN.MAMMO.W/CAD-BILAT-2VIEW/BR	$721	Not listed in the file	$93.08 – $684.95
Screening mammogram, both breasts: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $648.90 ACTIVE CARE PLUS — ALL PRODUCTS: $468.65 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $684.95 Aetna — AETNA BLENDED: $562.38 Aetna — SAVINGS PLUS: $595.55 Aetna — WHOLE HEALTH: $414.65 Aetna — WORKER'S COMP: $504.70 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $93.08 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREEN.MAMMO.W/CAD-UNILAT-2 VW/BR	$566	Not listed in the file	$73.07 – $537.70
Screening mammogram, both breasts: 10 of 70 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $509.40 ACTIVE CARE PLUS — ALL PRODUCTS: $367.90 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $537.70 Aetna — AETNA BLENDED: $441.48 Aetna — SAVINGS PLUS: $467.52 Aetna — WHOLE HEALTH: $325.51 Aetna — WORKER'S COMP: $396.20 AMBETTER — ALL PRODUCTS: $2 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AmeriChoice — Managed Medicaid: $73.07 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	$16,797	Not listed in the file	$2,168.49 – $15,957.15
Left heart catheterization (diagnostic): 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $15,117.30 ACTIVE CARE PLUS — ALL PRODUCTS: $10,918.05 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $15,957.15 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $11,757.90 AmeriChoice — Managed Medicaid: $2,168.49 AMERIGROUP — Managed Medicaid: $4,367.22 AMERIHEALTH — LOCAL VALUE: $8,621
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	$16,797	Not listed in the file	$2,168.49 – $15,957.15
Left heart catheterization (diagnostic): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $12,580.95 UHC ALL PAYER — ALL PRODUCTS: $7,558.65
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLEPS W/O ARRYTHMIA INDUCTION	$13,836	Not listed in the file	$1,786.23 – $13,144.20
Heart rhythm study (electrophysiology evaluation): 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $12,452.40 ACTIVE CARE PLUS — ALL PRODUCTS: $8,993.40 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $13,144.20 Aetna — AETNA BLENDED: $8,174 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $9,685.20 AmeriChoice — Managed Medicaid: $1,786.23 AMERIGROUP — Managed Medicaid: $3,597.36 AMERIHEALTH — LOCAL VALUE: $7,849.16
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BLEPS W/O ARRYTHMIA INDUCTION	$13,836	Not listed in the file	$1,786.23 – $13,144.20
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $10,363.16 UHC ALL PAYER — ALL PRODUCTS: $6,226.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL-8246	$62,722	Not listed in the file	$8,097.41 – $59,585.90
Heart rhythm study with ablation for atrial fibrillation: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $56,449.80 ACTIVE CARE PLUS — ALL PRODUCTS: $40,769.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $59,585.90 Aetna — AETNA BLENDED: $8,174 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $43,905.40 AmeriChoice — Managed Medicaid: $8,097.41 AMERIGROUP — Managed Medicaid: $16,307.72 AMERIHEALTH — LOCAL VALUE: $8,287
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL-8246	$62,722	Not listed in the file	$8,097.41 – $59,585.90
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $46,978.78 UHC ALL PAYER — ALL PRODUCTS: $28,224.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$966.14 – $1,932.29
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans Devoted Health Plan — Medicare: $966.14 Global Exchange Managed Care — Managed Care: $1,449.22 Health Partners Plan — Jefferson Health Plan: $1,932.29 TRICARE — ALL PRODUCTS: $1,017.39

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: A-RANGE OF MOTION P.T-EACH 15 MIN	$159	Not listed in the file	$20.53 – $151.05
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 68 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $143.10 ACTIVE CARE PLUS — ALL PRODUCTS: $103.35 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $151.05 Aetna — AETNA BLENDED: $104.48 Aetna — SAVINGS PLUS: $119.55 Aetna — WHOLE HEALTH: $76.97 Aetna — WORKER'S COMP: $111.30 AmeriChoice — Managed Medicaid: $20.53 AMERIGROUP — Managed Medicaid: $41.34 AMERIHEALTH — LOCAL VALUE: $107.99
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: A-THERAPEUTIC EXERCISE-EACH 15MIN	$200	Not listed in the file	$25.82 – $190
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 68 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $180 ACTIVE CARE PLUS — ALL PRODUCTS: $130 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $190 Aetna — AETNA BLENDED: $131.42 Aetna — SAVINGS PLUS: $150.38 Aetna — WHOLE HEALTH: $96.82 Aetna — WORKER'S COMP: $140 AmeriChoice — Managed Medicaid: $25.82 AMERIGROUP — Managed Medicaid: $52 AMERIHEALTH — LOCAL VALUE: $135.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RANGE OF MOTION P.T.	$159	Not listed in the file	$20.53 – $151.05
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 68 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $143.10 ACTIVE CARE PLUS — ALL PRODUCTS: $103.35 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $151.05 Aetna — AETNA BLENDED: $104.48 Aetna — SAVINGS PLUS: $119.55 Aetna — WHOLE HEALTH: $76.97 Aetna — WORKER'S COMP: $111.30 AmeriChoice — Managed Medicaid: $20.53 AMERIGROUP — Managed Medicaid: $41.34 AMERIHEALTH — LOCAL VALUE: $107.99
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL-LOW COMPLEXITY (20 MIN)	$482	Not listed in the file	$62.23 – $457.90
Physical therapy evaluation (low complexity): 10 of 68 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $433.80 ACTIVE CARE PLUS — ALL PRODUCTS: $313.30 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $457.90 Aetna — AETNA BLENDED: $316.72 Aetna — SAVINGS PLUS: $362.42 Aetna — WHOLE HEALTH: $233.34 Aetna — WORKER'S COMP: $337.40 AmeriChoice — Managed Medicaid: $62.23 AMERIGROUP — Managed Medicaid: $125.32 AMERIHEALTH — LOCAL VALUE: $327.37
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL-LOW COMPLEXITY (20 MIN)	$482	Not listed in the file	$62.23 – $457.90
Physical therapy evaluation (low complexity): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $361.02 UHC ALL PAYER — ALL PRODUCTS: $216.90
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL-MODERATE COMPLEX.(30 MIN)	$500	Not listed in the file	$64.55 – $475
Physical therapy evaluation (moderate complexity): 10 of 68 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $450 ACTIVE CARE PLUS — ALL PRODUCTS: $325 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $475 Aetna — AETNA BLENDED: $328.55 Aetna — SAVINGS PLUS: $375.95 Aetna — WHOLE HEALTH: $242.05 Aetna — WORKER'S COMP: $350 AmeriChoice — Managed Medicaid: $64.55 AMERIGROUP — Managed Medicaid: $130 AMERIHEALTH — LOCAL VALUE: $339.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL-MODERATE COMPLEX.(30 MIN)	$500	Not listed in the file	$64.55 – $475
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $374.50 UHC ALL PAYER — ALL PRODUCTS: $225
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL-HIGH COMPLEXITY (45 MIN)	$611	Not listed in the file	$78.88 – $580.45
Physical therapy evaluation (high complexity): 10 of 68 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $549.90 ACTIVE CARE PLUS — ALL PRODUCTS: $397.15 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $580.45 Aetna — AETNA BLENDED: $401.49 Aetna — SAVINGS PLUS: $459.41 Aetna — WHOLE HEALTH: $295.79 Aetna — WORKER'S COMP: $427.70 AmeriChoice — Managed Medicaid: $78.88 AMERIGROUP — Managed Medicaid: $158.86 AMERIHEALTH — LOCAL VALUE: $414.99
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL-HIGH COMPLEXITY (45 MIN)	$611	Not listed in the file	$78.88 – $580.45
Physical therapy evaluation (high complexity): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $457.64 UHC ALL PAYER — ALL PRODUCTS: $274.95
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CV-A&V INDIV.PSYCHOTHER.20-30 MIN	$630	Not listed in the file	$81.33 – $598.50
Psychotherapy, 30 minutes: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $567 ACTIVE CARE PLUS — ALL PRODUCTS: $409.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $598.50 Aetna — AETNA BLENDED: $491.40 Aetna — SAVINGS PLUS: $520.38 Aetna — WHOLE HEALTH: $362.31 Aetna — WORKER'S COMP: $441 AmeriChoice — Managed Medicaid: $81.33 AMERIGROUP — Managed Medicaid: $163.80 AMERIHEALTH — LOCAL VALUE: $427.90
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CV-AUD INDIV.PSYCHOTHER.20-30 MIN	$630	Not listed in the file	$81.33 – $598.50
Psychotherapy, 30 minutes: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $567 ACTIVE CARE PLUS — ALL PRODUCTS: $409.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $598.50 Aetna — AETNA BLENDED: $491.40 Aetna — SAVINGS PLUS: $520.38 Aetna — WHOLE HEALTH: $362.31 Aetna — WORKER'S COMP: $441 AmeriChoice — Managed Medicaid: $81.33 AMERIGROUP — Managed Medicaid: $163.80 AMERIHEALTH — LOCAL VALUE: $427.90
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APH-PATIENT PSYCHOTHER.-30 MIN.	$630	Not listed in the file	$81.33 – $598.50
Psychotherapy, 30 minutes: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $567 ACTIVE CARE PLUS — ALL PRODUCTS: $409.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $598.50 Aetna — AETNA BLENDED: $491.40 Aetna — SAVINGS PLUS: $520.38 Aetna — WHOLE HEALTH: $362.31 Aetna — WORKER'S COMP: $441 AmeriChoice — Managed Medicaid: $81.33 AMERIGROUP — Managed Medicaid: $163.80 AMERIHEALTH — LOCAL VALUE: $427.90
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CV-A&V INDIV.PSYCHOTHER.45-50 MIN	$650	Not listed in the file	$83.92 – $617.50
Psychotherapy, 45 minutes: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $585 ACTIVE CARE PLUS — ALL PRODUCTS: $422.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $617.50 Aetna — AETNA BLENDED: $507 Aetna — SAVINGS PLUS: $536.90 Aetna — WHOLE HEALTH: $373.82 Aetna — WORKER'S COMP: $455 AmeriChoice — Managed Medicaid: $83.92 AMERIGROUP — Managed Medicaid: $169 AMERIHEALTH — LOCAL VALUE: $441.48
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CV-AUD INDIV.PSYCHOTHER.45-50 MIN	$650	Not listed in the file	$83.92 – $617.50
Psychotherapy, 45 minutes: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $585 ACTIVE CARE PLUS — ALL PRODUCTS: $422.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $617.50 Aetna — AETNA BLENDED: $507 Aetna — SAVINGS PLUS: $536.90 Aetna — WHOLE HEALTH: $373.82 Aetna — WORKER'S COMP: $455 AmeriChoice — Managed Medicaid: $83.92 AMERIGROUP — Managed Medicaid: $169 AMERIHEALTH — LOCAL VALUE: $441.48
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APH-PATIENT PSYCHOTHER.-45 MIN.	$650	Not listed in the file	$83.92 – $617.50
Psychotherapy, 45 minutes: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $585 ACTIVE CARE PLUS — ALL PRODUCTS: $422.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $617.50 Aetna — AETNA BLENDED: $507 Aetna — SAVINGS PLUS: $536.90 Aetna — WHOLE HEALTH: $373.82 Aetna — WORKER'S COMP: $455 AmeriChoice — Managed Medicaid: $83.92 AMERIGROUP — Managed Medicaid: $169 AMERIHEALTH — LOCAL VALUE: $441.48
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APH-PATIENT PSYCHOTHER.-60 MIN.	$700	Not listed in the file	$90.37 – $665
Psychotherapy, 60 minutes: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $630 ACTIVE CARE PLUS — ALL PRODUCTS: $455 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $665 Aetna — AETNA BLENDED: $546 Aetna — SAVINGS PLUS: $578.20 Aetna — WHOLE HEALTH: $402.57 Aetna — WORKER'S COMP: $490 AmeriChoice — Managed Medicaid: $90.37 AMERIGROUP — Managed Medicaid: $182 AMERIHEALTH — LOCAL VALUE: $475.44
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APH-PATIENT PSYCHOTHER.-60 MIN.	$700	Not listed in the file	$90.37 – $665
Psychotherapy, 60 minutes: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $524.30 UHC ALL PAYER — ALL PRODUCTS: $315
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$199.70 – $399.39
Family psychotherapy, without the patient: rates for 4 insurance plans Devoted Health Plan — Medicare: $199.70 Global Exchange Managed Care — Managed Care: $299.54 Health Partners Plan — Jefferson Health Plan: $399.39 TRICARE — ALL PRODUCTS: $160.67
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APH-FAMILY PSYCHOTHER.W/ PAT.	$500	Not listed in the file	$64.55 – $475
Family psychotherapy, with the patient: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $450 ACTIVE CARE PLUS — ALL PRODUCTS: $325 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $475 Aetna — AETNA BLENDED: $390 Aetna — SAVINGS PLUS: $413 Aetna — WHOLE HEALTH: $287.55 Aetna — WORKER'S COMP: $350 AmeriChoice — Managed Medicaid: $64.55 AMERIGROUP — Managed Medicaid: $130 AMERIHEALTH — LOCAL VALUE: $339.60
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APH-FAMILY PSYCHOTHER.W/ PAT.	$500	Not listed in the file	$64.55 – $475
Family psychotherapy, with the patient: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $374.50 UHC ALL PAYER — ALL PRODUCTS: $225
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CV-A&V GROUP PSYCHOTHERAPY	$500	Not listed in the file	$64.55 – $475
Group psychotherapy: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $450 ACTIVE CARE PLUS — ALL PRODUCTS: $325 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $475 Aetna — AETNA BLENDED: $390 Aetna — SAVINGS PLUS: $413 Aetna — WHOLE HEALTH: $287.55 Aetna — WORKER'S COMP: $350 AmeriChoice — Managed Medicaid: $64.55 AMERIGROUP — Managed Medicaid: $130 AMERIHEALTH — LOCAL VALUE: $339.60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CV-AUD GROUP PSYCHOTHERAPY	$500	Not listed in the file	$64.55 – $475
Group psychotherapy: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $450 ACTIVE CARE PLUS — ALL PRODUCTS: $325 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $475 Aetna — AETNA BLENDED: $390 Aetna — SAVINGS PLUS: $413 Aetna — WHOLE HEALTH: $287.55 Aetna — WORKER'S COMP: $350 AmeriChoice — Managed Medicaid: $64.55 AMERIGROUP — Managed Medicaid: $130 AMERIHEALTH — LOCAL VALUE: $339.60
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CV-A&V GROUP PSYCHOTHERAPY	$500	Not listed in the file	$64.55 – $475
Group psychotherapy: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $374.50 UHC ALL PAYER — ALL PRODUCTS: $225

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	$4,671	Not listed in the file	$645.07 – $4,671
Removal of breast growth (open surgery): 10 of 63 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $4,203.90 ACTIVE CARE PLUS — ALL PRODUCTS: $3,036.15 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $4,437.45 Aetna — AETNA BLENDED: $3,385 Aetna — SAVINGS PLUS: $1,336 Aetna — WHOLE HEALTH: $2,626 Aetna — WORKER'S COMP: $3,269.70 AMERIHEALTH — WORKERS COMP: $3,003.45 ATLANTIS HEALTH PLAN — ALL PRODUCTS: $4,320.68 Beech Street — ALL PRODUCTS: $4,203.90
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	$4,671	Not listed in the file	$645.07 – $4,671
Removal of breast growth (open surgery): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $3,498.58 UHC ALL PAYER — ALL PRODUCTS: $2,101.95
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$14,444.44 – $28,888.88
Total hip replacement: rates for 4 insurance plans Devoted Health Plan — Medicare: $14,444.44 Global Exchange Managed Care — Managed Care: $21,666.66 Health Partners Plan — Jefferson Health Plan: $28,888.88 TRICARE — ALL PRODUCTS: $12,866.82
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$14,444.44 – $28,888.88
Total knee replacement: rates for 4 insurance plans Devoted Health Plan — Medicare: $14,444.44 Global Exchange Managed Care — Managed Care: $21,666.66 Health Partners Plan — Jefferson Health Plan: $28,888.88 TRICARE — ALL PRODUCTS: $12,866.82
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$3,681.24 – $7,362.47
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans Devoted Health Plan — Medicare: $3,681.24 Global Exchange Managed Care — Managed Care: $5,521.85 Health Partners Plan — Jefferson Health Plan: $7,362.47 TRICARE — ALL PRODUCTS: $3,244.61
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$6,660.23 – $13,320.47
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans Devoted Health Plan — Medicare: $6,660.23 Global Exchange Managed Care — Managed Care: $9,990.35 Health Partners Plan — Jefferson Health Plan: $13,320.47 TRICARE — ALL PRODUCTS: $5,915.66
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD-DIAGNOSTIC,W/, W/O WASH/BRUSH	$3,785	Not listed in the file	$488.64 – $3,595.75
Upper GI endoscopy (diagnostic): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $2,834.97 UHC ALL PAYER — ALL PRODUCTS: $1,703.25
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$1,020.42 – $2,040.85
Upper GI endoscopy (diagnostic): rates for 4 insurance plans Devoted Health Plan — Medicare: $1,020.42 Global Exchange Managed Care — Managed Care: $1,530.64 Health Partners Plan — Jefferson Health Plan: $2,040.85 TRICARE — ALL PRODUCTS: $937.56
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: EGD-DIAGNOSTIC,W/, W/O WASH/BRUSH	$3,785	Not listed in the file	$488.64 – $3,595.75
Upper GI endoscopy (diagnostic): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $3,406.50 ACTIVE CARE PLUS — ALL PRODUCTS: $2,460.25 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $3,595.75 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $2,649.50 AmeriChoice — Managed Medicaid: $488.64 AMERIGROUP — Managed Medicaid: $984.10 AMERIHEALTH — LOCAL VALUE: $2,147.23
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD-W/BIOPSY, SINGLE/MULTIPLE	$6,386	Not listed in the file	$824.43 – $6,066.70
Upper GI endoscopy with biopsy: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $4,783.11 UHC ALL PAYER — ALL PRODUCTS: $2,873.70
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$1,020.42 – $2,040.85
Upper GI endoscopy with biopsy: rates for 4 insurance plans Devoted Health Plan — Medicare: $1,020.42 Global Exchange Managed Care — Managed Care: $1,530.64 Health Partners Plan — Jefferson Health Plan: $2,040.85 TRICARE — ALL PRODUCTS: $937.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: EGD-W/BIOPSY, SINGLE/MULTIPLE	$6,386	Not listed in the file	$824.43 – $6,066.70
Upper GI endoscopy with biopsy: 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $5,747.40 ACTIVE CARE PLUS — ALL PRODUCTS: $4,150.90 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $6,066.70 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $4,470.20 AmeriChoice — Managed Medicaid: $824.43 AMERIGROUP — Managed Medicaid: $1,660.36 AMERIHEALTH — LOCAL VALUE: $3,622.78
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON-DIAGNOST.,W/,W/O WASH/BRUSH	$7,020	Not listed in the file	$906.28 – $6,669
Colonoscopy (diagnostic): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $5,257.98 UHC ALL PAYER — ALL PRODUCTS: $3,159
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$1,046.27 – $2,092.54
Colonoscopy (diagnostic): rates for 4 insurance plans Devoted Health Plan — Medicare: $1,046.27 Global Exchange Managed Care — Managed Care: $1,569.40 Health Partners Plan — Jefferson Health Plan: $2,092.54 TRICARE — ALL PRODUCTS: $911.71
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: COLON-DIAGNOST.,W/,W/O WASH/BRUSH	$7,020	Not listed in the file	$906.28 – $6,669
Colonoscopy (diagnostic): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $6,318 ACTIVE CARE PLUS — ALL PRODUCTS: $4,563 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $6,669 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $4,914 AmeriChoice — Managed Medicaid: $906.28 AMERIGROUP — Managed Medicaid: $1,825.20 AMERIHEALTH — LOCAL VALUE: $3,982.45
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON-W/BIOPSY, SINGLE/MULTPLE	$6,197	Not listed in the file	$800.03 – $5,887.15
Colonoscopy with biopsy: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $4,641.55 UHC ALL PAYER — ALL PRODUCTS: $2,788.65
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,346.31 – $2,692.62
Colonoscopy with biopsy: rates for 4 insurance plans Devoted Health Plan — Medicare: $1,346.31 Global Exchange Managed Care — Managed Care: $2,019.46 Health Partners Plan — Jefferson Health Plan: $2,692.62 TRICARE — ALL PRODUCTS: $1,179.08
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLON-W/BIOPSY, SINGLE/MULTPLE	$6,197	Not listed in the file	$800.03 – $5,887.15
Colonoscopy with biopsy: 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $5,577.30 ACTIVE CARE PLUS — ALL PRODUCTS: $4,028.05 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $5,887.15 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $4,337.90 AmeriChoice — Managed Medicaid: $800.03 AMERIGROUP — Managed Medicaid: $1,611.22 AMERIHEALTH — LOCAL VALUE: $3,515.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON-SNARE REMOVAL-TUM/POL/LES	$7,267	Not listed in the file	$938.17 – $6,903.65
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $5,442.98 UHC ALL PAYER — ALL PRODUCTS: $3,270.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,346.31 – $2,692.62
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans Devoted Health Plan — Medicare: $1,346.31 Global Exchange Managed Care — Managed Care: $2,019.46 Health Partners Plan — Jefferson Health Plan: $2,692.62 TRICARE — ALL PRODUCTS: $1,179.08
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: COLON-SNARE REMOVAL-TUM/POL/LES	$7,267	Not listed in the file	$938.17 – $6,903.65
Colonoscopy with removal of polyps (snare): 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $6,540.30 ACTIVE CARE PLUS — ALL PRODUCTS: $4,723.55 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $6,903.65 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $5,086.90 AmeriChoice — Managed Medicaid: $938.17 AMERIGROUP — Managed Medicaid: $1,889.42 AMERIHEALTH — LOCAL VALUE: $4,122.57
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON-US EXAM LMTD-REC. TO CECUM	$5,670	Not listed in the file	$732 – $5,386.50
Ultrasound of the lower bowel by endoscope: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $5,103 ACTIVE CARE PLUS — ALL PRODUCTS: $3,685.50 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $5,386.50 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $3,969 AmeriChoice — Managed Medicaid: $732 AMERIGROUP — Managed Medicaid: $1,474.20 AMERIHEALTH — LOCAL VALUE: $3,216.59
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON-US EXAM LMTD-REC. TO CECUM	$5,670	Not listed in the file	$732 – $5,386.50
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $4,246.83 UHC ALL PAYER — ALL PRODUCTS: $2,551.50
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,046.27 – $2,092.54
Screening colonoscopy (not high risk): rates for 4 insurance plans Devoted Health Plan — Medicare: $1,046.27 Global Exchange Managed Care — Managed Care: $1,569.40 Health Partners Plan — Jefferson Health Plan: $2,092.54 TRICARE — ALL PRODUCTS: $911.71
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$6,801.65 – $13,603.30
Gallbladder removal by laparoscope: rates for 4 insurance plans Devoted Health Plan — Medicare: $6,801.65 Global Exchange Managed Care — Managed Care: $10,202.48 Health Partners Plan — Jefferson Health Plan: $13,603.30 TRICARE — ALL PRODUCTS: $5,834.36
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$4,028.21 – $8,056.42
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans Devoted Health Plan — Medicare: $4,028.21 Global Exchange Managed Care — Managed Care: $6,042.31 Health Partners Plan — Jefferson Health Plan: $8,056.42 TRICARE — ALL PRODUCTS: $3,529.06
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND PROSTATE BIOPS	$4,729	Not listed in the file	$610.51 – $4,492.55
Prostate biopsy: 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $4,256.10 ACTIVE CARE PLUS — ALL PRODUCTS: $3,073.85 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $4,492.55 Aetna — AETNA BLENDED: $3,688.62 Aetna — SAVINGS PLUS: $3,906.15 Aetna — WHOLE HEALTH: $2,719.65 Aetna — WORKER'S COMP: $3,310.30 AmeriChoice — Managed Medicaid: $610.51 AMERIGROUP — Managed Medicaid: $1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AMERIHEALTH — LOCAL VALUE: $3,211.94
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE NEEDLE EXAM	$1,666	Not listed in the file	$215.08 – $1,582.70
Prostate biopsy: 10 of 67 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,499.40 ACTIVE CARE PLUS — ALL PRODUCTS: $1,082.90 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,582.70 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $1,166.20 AmeriChoice — Managed Medicaid: $215.08 AMERIGROUP — Managed Medicaid: $433.16 AMERIHEALTH — LOCAL VALUE: $945.12
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ULTRASOUND PROSTATE BIOPS	$4,729	Not listed in the file	$610.51 – $4,492.55
Prostate biopsy: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $3,542.02 UHC ALL PAYER — ALL PRODUCTS: $2,128.05
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$11,959.33 – $23,918.65
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans Devoted Health Plan — Medicare: $11,959.33 Global Exchange Managed Care — Managed Care: $17,938.99 Health Partners Plan — Jefferson Health Plan: $23,918.65 TRICARE — ALL PRODUCTS: $11,378.21
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,642 – $7,284
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans Devoted Health Plan — Medicare: $3,642 Global Exchange Managed Care — Managed Care: $5,463 Health Partners Plan — Jefferson Health Plan: $7,284 TRICARE — ALL PRODUCTS: $3,179.53
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$794.17 – $1,588.33
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans Devoted Health Plan — Medicare: $794.17 Global Exchange Managed Care — Managed Care: $1,191.25 Health Partners Plan — Jefferson Health Plan: $1,588.33 TRICARE — ALL PRODUCTS: $692.52
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECT,FORAMEN EPIDURAL-L/S,1 LVL	$2,025	Not listed in the file	$261.43 – $1,923.75
Nerve root injection, lower back, with imaging guidance: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,822.50 ACTIVE CARE PLUS — ALL PRODUCTS: $1,316.25 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,923.75 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $1,417.50 AmeriChoice — Managed Medicaid: $261.43 AMERIGROUP — Managed Medicaid: $526.50 AMERIHEALTH — LOCAL VALUE: $1,148.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ,FORAMEN EPIDURAL-LMB/SA,1 LVL	$2,025	Not listed in the file	$261.43 – $1,923.75
Nerve root injection, lower back, with imaging guidance: 10 of 69 insurance plan rates ACTIVE CARE NJ PIP — ALL PRODUCTS: $1,822.50 ACTIVE CARE PLUS — ALL PRODUCTS: $1,316.25 ADVANCE HEALTHCARE SYSTEM — ALL PRODUCTS: $1,923.75 Aetna — AETNA BLENDED: $9,125 Aetna — SAVINGS PLUS: $9,272 Aetna — WHOLE HEALTH: $6,201 Aetna — WORKER'S COMP: $1,417.50 AmeriChoice — Managed Medicaid: $261.43 AMERIGROUP — Managed Medicaid: $526.50 AMERIHEALTH — LOCAL VALUE: $1,148.78
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJECT,FORAMEN EPIDURAL-L/S,1 LVL	$2,025	Not listed in the file	$261.43 – $1,923.75
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans AMERIHEALTH — WORKERS COMP: $1,516.73 UHC ALL PAYER — ALL PRODUCTS: $911.25
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$2,196.96 – $4,393.91
Carpal tunnel release: rates for 4 insurance plans Devoted Health Plan — Medicare: $2,196.96 Global Exchange Managed Care — Managed Care: $3,295.43 Health Partners Plan — Jefferson Health Plan: $4,393.91 TRICARE — ALL PRODUCTS: $1,952.77
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$618.79 – $1,237.57
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans Devoted Health Plan — Medicare: $618.79 Global Exchange Managed Care — Managed Care: $928.18 Health Partners Plan — Jefferson Health Plan: $1,237.57 TRICARE — ALL PRODUCTS: $548.60
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,596.47 – $5,192.94
Cataract removal with lens implant: rates for 4 insurance plans Devoted Health Plan — Medicare: $2,596.47 Global Exchange Managed Care — Managed Care: $3,894.70 Health Partners Plan — Jefferson Health Plan: $5,192.94 TRICARE — ALL PRODUCTS: $2,280.73

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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	$7,892.91 – $2,818,978.58
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 65 insurance plan rates Aetna — AETNA BLENDED: $284,655.02 Aetna — SAVINGS PLUS: $261,983.38 Aetna — WHOLE HEALTH: $183,466.63 AMERIGROUP — MEDICARE ADV.: $79,687.36 AMERIHEALTH — LOCAL VALUE: $7,892.91 AMERIHEALTH — REGIONAL PREFERRED: $77,214.76 ARCADIAN — ALL PRODUCTS: $77,212.61 Devoted Health Plan — Medicare: $92,132.37 Global Exchange Managed Care — Managed Care: $132,883.23 Health Partners Plan — Jefferson Health Plan: $139,930.80
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 & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC	Not listed in the file	Not listed in the file	$118,421.08 – $123,053
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan CIGNA — LOCAL PLUS: $118,421.08
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$15,224.21 – $108,946.70
Hip or knee replacement (major joint of the leg), without major complications: 10 of 58 insurance plan rates AMERIGROUP — MEDICARE ADV.: $15,712.16 AMERIHEALTH — LOCAL VALUE: $44,528 AMERIHEALTH — REGIONAL PREFERRED: $49,683 ARCADIAN — ALL PRODUCTS: $15,224.21 HORIZON — BCBS Medicare: $66,136.44 HORIZON — BLUE ADVANTAGE: $15,404.08 HORIZON BCBS — INDEMNITY: $108,946.70 HORIZON NJ HEALTH — Managed Medicaid: $28,296.96 HUMANA — MEDICARE ADV.: $15,680.93 Longevity — ALL PRODUCTS: $18,269.06
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	$15,224.21 – $108,946.70
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans Aetna — AETNA BLENDED: $56,126.17 Aetna — SAVINGS PLUS: $51,655.94 Aetna — WHOLE HEALTH: $36,174.59 Devoted Health Plan — Medicare: $18,973.31 Global Exchange Managed Care — Managed Care: $27,365.36 Health Partners Plan — Jefferson Health Plan: $27,339.75 TRICARE — ALL PRODUCTS: $16,138.86
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	$7,892.91 – $175,995.27
Neck (cervical) spinal fusion, without complications: 10 of 65 insurance plan rates Aetna — AETNA BLENDED: $71,035.73 Aetna — SAVINGS PLUS: $65,378.01 Aetna — WHOLE HEALTH: $45,784.14 AMERIGROUP — MEDICARE ADV.: $19,886 AMERIHEALTH — LOCAL VALUE: $7,892.91 AMERIHEALTH — REGIONAL PREFERRED: $19,268.96 ARCADIAN — ALL PRODUCTS: $19,268.42 Devoted Health Plan — Medicare: $23,746.32 Global Exchange Managed Care — Managed Care: $34,249.50 Health Partners Plan — Jefferson Health Plan: $34,324.40
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	$7,892.91 – $40,887.33
Uterus and ovary surgery (not for cancer), without complications: 10 of 63 insurance plan rates Aetna — AETNA BLENDED: $36,101.27 Aetna — SAVINGS PLUS: $33,225.95 Aetna — WHOLE HEALTH: $23,268.09 AMERIGROUP — MEDICARE ADV.: $10,106.32 AMERIHEALTH — LOCAL VALUE: $7,892.91 AMERIHEALTH — REGIONAL PREFERRED: $9,792.73 ARCADIAN — ALL PRODUCTS: $9,792.46 Devoted Health Plan — Medicare: $12,562.73 Global Exchange Managed Care — Managed Care: $18,119.33 HORIZON — BCBS Medicare: $40,493.39
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	Not listed in the file	Not listed in the file	$7,892.91 – $40,887.33
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Health Partners Plan — Jefferson Health Plan: $17,379.70

Source: Atlanticare Regional Medical Center - City Campus’s standard charges file (atlanticare.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 18, 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 type	Acute Care Hospital
Address	1925 Pacific Avenue, Atlantic City, NJ 08401
County	Atlantic County
State	New Jersey
Phone	(609) 441‑8020
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	310064
Name in Medicare records	ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(609) 345‑4000^[4]
Name on the hospital’s website	AtlantiCare Regional Medical Center, Atlantic City Campus
Official website	atlanticare.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

AtlantiCare Regional Medical Center, Atlantic City Campus — atlanticare.org
AtlantiCare Emergency Department, Atlantic City | AtlantiCare — atlanticare.org
Emergency Care | AtlantiCare — atlanticare.org
Comprehensive and Primary Stroke Centers | AtlantiCare — atlanticare.org
Treatment | AtlantiCare — atlanticare.org
Special Services | AtlantiCare — atlanticare.org
Emergency Medical Services | AtlantiCare — atlanticare.org