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Acute Care Hospital

Chan Soon- Shiong Medical Center at Windber

Windber, Pennsylvania · Somerset County · Emergency services listed

Summary

Chan Soon- Shiong Medical Center at Windber is an acute care hospital in Windber, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 68 services, specialties and programs. Medicare lists 196 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(814) 467‑3000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
196Doctors and clinicians
68Services listed

Quick answers

Does Chan Soon- Shiong Medical Center at Windber have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Chan Soon- Shiong Medical Center at Windber. In a medical emergency, call 911.
Where is Chan Soon- Shiong Medical Center at Windber?
600 Somerset Avenue, Windber, PA 15963, in Somerset County, Pennsylvania.
What is the phone number of Chan Soon- Shiong Medical Center at Windber?
(814) 467-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Chan Soon- Shiong Medical Center at Windber?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][9]

Conditions treated[6][12][13]

Treatments[5][8][9]

Procedures[5][11][13][19]

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

  • TotalCare Program (orthopedics)
  • Orthopedic Walk-In Clinic
  • Community Care Center
  • Community-based palliative care
  • Early intervention services
  • Home health
  • Hospice
  • TotalCare Program (joint replacement)
  • Joyce Murtha Breast Care Center

Emergency care (hospital website)[6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Interpreters and languagesFinancial assistance materials can be offered in other languages; qualified bilingual interpreter available on request[10]
Patient portalhttps://www.windbercare.org/patients-visitors/patient-portal/

Doctors and clinicians (196)

196 doctors and other clinicians list Chan Soon- Shiong Medical Center at Windber as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (196)

And 172 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Chan Soon- Shiong Medical Center at Windber reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1078%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean78%National average: 74%
Area around the room “always” quiet at night59%National average: 60%
Completed surveys293Response rate: 41%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No different from 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 patients12%
Deaths within 30 days: heart failure patients14%
Deaths within 30 days: pneumonia patients21.1%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.98No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.7%
Readmitted within 30 days: heart failure20.8%
Readmitted within 30 days: pneumonia16.8%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)141 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)6%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)56%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in PennsylvaniaBest hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Chan Soon- Shiong Medical Center at Windber lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC TC INIT OFFVIS LEV 3 $201 $170.85 $61.79 – $127.08
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $115.45
  • Aetna — Aetna Medicare: $110.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $110.66
  • Cigna — Cigna: $112.46
  • Geisinger — Geisinger Medicare: $110.66
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $81.83
  • Highmark — Highmark CHIP / Social Mission: $61.79
  • Highmark — Highmark Comm Community Blue: $81.83
  • Highmark — Highmark Comm Managed/Indemnity: $81.83
  • Highmark — Highmark Comm Performance Blue: $81.83
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC PC INIT OFFVIS LEV 3 $125 $106.25 $50 – $125
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $115.45
  • Aetna — Aetna Medicare: $110.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $110.66
  • Cigna — Cigna: $112.46
  • Geisinger — Geisinger Medicare: $110.66
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $81.83
  • Highmark — Highmark CHIP / Social Mission: $61.79
  • Highmark — Highmark Comm Community Blue: $81.83
  • Highmark — Highmark Comm Managed/Indemnity: $81.83
  • Highmark — Highmark Comm Performance Blue: $81.83
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFC/OP E/M NEW MOD 30-44MIN $205 $174.25 $61.79 – $127.08
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $115.45
  • Aetna — Aetna Medicare: $110.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $110.66
  • Cigna — Cigna: $112.46
  • Geisinger — Geisinger Medicare: $110.66
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $81.83
  • Highmark — Highmark CHIP / Social Mission: $61.79
  • Highmark — Highmark Comm Community Blue: $81.83
  • Highmark — Highmark Comm Managed/Indemnity: $81.83
  • Highmark — Highmark Comm Performance Blue: $81.83
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC TC INIT OFFVIS LEV 4 $278 $236.30 $100.61 – $192.27
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $172.92
  • Aetna — Aetna Medicare: $167.43
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $167.43
  • Cigna — Cigna: $170.15
  • Geisinger — Geisinger Medicare: $167.43
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $133.27
  • Highmark — Highmark CHIP / Social Mission: $100.61
  • Highmark — Highmark Comm Community Blue: $133.27
  • Highmark — Highmark Comm Managed/Indemnity: $133.27
  • Highmark — Highmark Comm Performance Blue: $133.27
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC PC INIT OFFVIS LEV 4 $214 $181.90 $85.60 – $192.27
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $172.92
  • Aetna — Aetna Medicare: $167.43
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $167.43
  • Cigna — Cigna: $170.15
  • Geisinger — Geisinger Medicare: $167.43
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $133.27
  • Highmark — Highmark CHIP / Social Mission: $100.61
  • Highmark — Highmark Comm Community Blue: $133.27
  • Highmark — Highmark Comm Managed/Indemnity: $133.27
  • Highmark — Highmark Comm Performance Blue: $133.27
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFC/OP E/M NEW MOD-HIGH 45-59M $305 $259.25 $100.61 – $192.27
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $172.92
  • Aetna — Aetna Medicare: $167.43
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $167.43
  • Cigna — Cigna: $170.15
  • Geisinger — Geisinger Medicare: $167.43
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $133.27
  • Highmark — Highmark CHIP / Social Mission: $100.61
  • Highmark — Highmark Comm Community Blue: $133.27
  • Highmark — Highmark Comm Managed/Indemnity: $133.27
  • Highmark — Highmark Comm Performance Blue: $133.27
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC PC INIT OFFVIS LEV 5 $279 $237.15 $111.60 – $256.85
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $228.45
  • Aetna — Aetna Medicare: $223.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $223.66
  • Cigna — Cigna: $227.30
  • Geisinger — Geisinger Medicare: $223.66
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $181.36
  • Highmark — Highmark CHIP / Social Mission: $136.85
  • Highmark — Highmark Comm Community Blue: $181.36
  • Highmark — Highmark Comm Managed/Indemnity: $181.36
  • Highmark — Highmark Comm Performance Blue: $181.36
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DR. CRAIG TC INIT OFFVIS LEV 5 $377 $320.45 $136.85 – $256.85
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $228.45
  • Aetna — Aetna Medicare: $223.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $223.66
  • Cigna — Cigna: $227.30
  • Geisinger — Geisinger Medicare: $223.66
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $181.36
  • Highmark — Highmark CHIP / Social Mission: $136.85
  • Highmark — Highmark Comm Community Blue: $181.36
  • Highmark — Highmark Comm Managed/Indemnity: $181.36
  • Highmark — Highmark Comm Performance Blue: $181.36
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFC/OP E/M NEW HIGH 60-74 MIN $390 $331.50 $136.85 – $256.85
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $228.45
  • Aetna — Aetna Medicare: $223.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $223.66
  • Cigna — Cigna: $227.30
  • Geisinger — Geisinger Medicare: $223.66
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $181.36
  • Highmark — Highmark CHIP / Social Mission: $136.85
  • Highmark — Highmark Comm Community Blue: $181.36
  • Highmark — Highmark Comm Managed/Indemnity: $181.36
  • Highmark — Highmark Comm Performance Blue: $181.36
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC TC INTER OFFVIS EST $137 $116.45 $43.75 – $102.86
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $93.89
  • Aetna — Aetna Medicare: $89.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $89.57
  • Cigna — Cigna: $91.03
  • Geisinger — Geisinger Medicare: $89.57
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $65.80
  • Highmark — Highmark CHIP / Social Mission: $49.71
  • Highmark — Highmark Comm Community Blue: $65.80
  • Highmark — Highmark Comm Managed/Indemnity: $65.80
  • Highmark — Highmark Comm Performance Blue: $65.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC PC EST OFFVIS LEV 3 $85 $72.25 $34 – $85
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $85
  • Aetna — Aetna Medicare: $83.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $83.64
  • Cigna — Cigna: $85
  • Geisinger — Geisinger Medicare: $83.64
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $65.80
  • Highmark — Highmark CHIP / Social Mission: $49.71
  • Highmark — Highmark Comm Community Blue: $65.80
  • Highmark — Highmark Comm Managed/Indemnity: $65.80
  • Highmark — Highmark Comm Performance Blue: $65.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFC/OP E/M EST LOW-MD 20-29 M $155 $131.75 $43.75 – $102.86
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $93.89
  • Aetna — Aetna Medicare: $89.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $89.57
  • Cigna — Cigna: $91.03
  • Geisinger — Geisinger Medicare: $89.57
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $65.80
  • Highmark — Highmark CHIP / Social Mission: $49.71
  • Highmark — Highmark Comm Community Blue: $65.80
  • Highmark — Highmark Comm Managed/Indemnity: $65.80
  • Highmark — Highmark Comm Performance Blue: $65.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC TC EXP OFF VIS EST $203 $172.55 $68.02 – $146.75
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $133.38
  • Aetna — Aetna Medicare: $127.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $127.79
  • Cigna — Cigna: $129.87
  • Geisinger — Geisinger Medicare: $127.79
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $96.86
  • Highmark — Highmark CHIP / Social Mission: $73.19
  • Highmark — Highmark Comm Community Blue: $96.86
  • Highmark — Highmark Comm Managed/Indemnity: $96.86
  • Highmark — Highmark Comm Performance Blue: $96.86
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: JMBCC PC EST OFFVIS LEV 4 $130 $110.50 $52 – $130
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $130
  • Aetna — Aetna Medicare: $127.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $127.79
  • Cigna — Cigna: $129.87
  • Geisinger — Geisinger Medicare: $127.79
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $96.86
  • Highmark — Highmark CHIP / Social Mission: $73.19
  • Highmark — Highmark Comm Community Blue: $96.86
  • Highmark — Highmark Comm Managed/Indemnity: $96.86
  • Highmark — Highmark Comm Performance Blue: $96.86
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFC/OP E/M ESTAB MOD 30-39 MIN $220 $187 $68.02 – $146.75
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $133.38
  • Aetna — Aetna Medicare: $127.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $127.79
  • Cigna — Cigna: $129.87
  • Geisinger — Geisinger Medicare: $127.79
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $96.86
  • Highmark — Highmark CHIP / Social Mission: $73.19
  • Highmark — Highmark Comm Community Blue: $96.86
  • Highmark — Highmark Comm Managed/Indemnity: $96.86
  • Highmark — Highmark Comm Performance Blue: $96.86
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFC/OP CONSLT NEW/EST PT 40 MN $195 $165.75 $66.48 – $160.31
Office consultation with a specialist (moderate): rates for 10 insurance plans
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $96.02
  • Highmark — Highmark CHIP / Social Mission: $66.48
  • Highmark — Highmark Comm Community Blue: $96.02
  • Highmark — Highmark Comm Managed/Indemnity: $96.02
  • Highmark — Highmark Comm Performance Blue: $96.02
  • Highmark — Highmark Wholecare Medicare: $97.50
  • United — United: $78
  • United — United Medicare: $68.25
  • UPMC Health Plan — UPMC CHIP: $160.31
  • UPMC Health Plan — UPMC Medicaid: $96.16
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFC/OP CONSLT NEW/EST PT 40 MN $195 $165.75 $45.33 – $181.22
Office consultation with a specialist (moderate): rates for 7 insurance plans
  • Aetna — Aetna: $108
  • Aetna — Aetna Medicare: $78
  • Cigna — Cigna: $100
  • Highmark — Highmark Wholecare Medicare: $97.50
  • PA Health & Wellness — PA Health and Wellness- Medicare: $78
  • UPMC Health Plan — UPMC: $181.22
  • UPMC Health Plan — UPMC CHIP: $45.33
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFC/OP CONSLT NEW/EST PT 40 MN $195 $165.75 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFC/OP CONSLT NEW/EST PT 60 MN $277 $235.45 $96.95 – $233.94
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $145.67
  • Highmark — Highmark CHIP / Social Mission: $100.79
  • Highmark — Highmark Comm Community Blue: $145.67
  • Highmark — Highmark Comm Managed/Indemnity: $145.67
  • Highmark — Highmark Comm Performance Blue: $145.67
  • Highmark — Highmark Wholecare Medicare: $138.50
  • United — United: $110.80
  • United — United Medicare: $96.95
  • UPMC Health Plan — UPMC CHIP: $233.94
  • UPMC Health Plan — UPMC Medicaid: $150.70
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFC/OP CONSLT NEW/EST PT 60 MN $277 $235.45 $76.23 – $277
Office consultation with a specialist (moderate to high): rates for 7 insurance plans
  • Aetna — Aetna: $108
  • Aetna — Aetna Medicare: $110.80
  • Cigna — Cigna: $100
  • Highmark — Highmark Wholecare Medicare: $138.50
  • PA Health & Wellness — PA Health and Wellness- Medicare: $110.80
  • UPMC Health Plan — UPMC: $277
  • UPMC Health Plan — UPMC CHIP: $76.23
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFC/OP CONSLT NEW/EST PT 60 MN $277 $235.45 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INIT PM E/M NEW PAT AGE 18-39 $203 $172.55 $25 – $148.44
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $93.52
  • Highmark — Highmark CHIP / Social Mission: $54.47
  • Highmark — Highmark Comm Community Blue: $93.52
  • Highmark — Highmark Comm Managed/Indemnity: $93.52
  • Highmark — Highmark Comm Performance Blue: $93.52
  • Highmark — Highmark Wholecare Medicare: $101.50
  • United — United: $81.20
  • United — United Medicare: $71.05
  • UPMC Health Plan — UPMC CHIP: $148.44
  • UPMC Health Plan — UPMC Medicaid: $25
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INIT PM E/M NEW PAT AGE 18-39 $203 $172.55 $30.67 – $122.61
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans
  • Aetna — Aetna: $108
  • Aetna — Aetna Medicare: $81.20
  • Cigna — Cigna: $100
  • Highmark — Highmark Wholecare Medicare: $101.50
  • PA Health & Wellness — PA Health and Wellness- Medicare: $81.20
  • UPMC Health Plan — UPMC: $122.61
  • UPMC Health Plan — UPMC CHIP: $30.67
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INIT PM E/M NEW PAT AGE 18-39 $203 $172.55 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INIT PM E/M NEW PAT AGE 40-64 $236 $200.60 $25 – $172.19
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $113.23
  • Highmark — Highmark CHIP / Social Mission: $66.80
  • Highmark — Highmark Comm Community Blue: $113.23
  • Highmark — Highmark Comm Managed/Indemnity: $113.23
  • Highmark — Highmark Comm Performance Blue: $113.23
  • Highmark — Highmark Wholecare Medicare: $118
  • United — United: $94.40
  • United — United Medicare: $82.60
  • UPMC Health Plan — UPMC CHIP: $172.19
  • UPMC Health Plan — UPMC Medicaid: $25
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INIT PM E/M NEW PAT AGE 40-64 $236 $200.60 $30.50 – $121.93
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans
  • Aetna — Aetna: $108
  • Aetna — Aetna Medicare: $94.40
  • Cigna — Cigna: $100
  • Highmark — Highmark Wholecare Medicare: $118
  • PA Health & Wellness — PA Health and Wellness- Medicare: $94.40
  • UPMC Health Plan — UPMC: $121.93
  • UPMC Health Plan — UPMC CHIP: $30.50
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INIT PM E/M NEW PAT AGE 40-64 $236 $200.60 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY VISIT LEVEL III $480 $408 $38.50 – $464
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Aetna — Aetna: $464
  • Aetna — Aetna Medicare: $261.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $82.95
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $261.64
  • Cigna — Cigna: $288
  • Geisinger — Geisinger: $438.72
  • Geisinger — Geisinger Medicaid: $60.62
  • Geisinger — Geisinger Medicare: $261.64
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $506.20
  • Highmark — Highmark CHIP / Social Mission: $301.97
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG VISIT MOD SEV LVL III $115 $97.75 $38.50 – $464
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • Aetna — Aetna: $464
  • Aetna — Aetna Medicare: $261.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $82.95
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $261.64
  • Cigna — Cigna: $100
  • Geisinger — Geisinger: $438.72
  • Geisinger — Geisinger Medicare: $261.64
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $506.20
  • Highmark — Highmark CHIP / Social Mission: $301.97
  • Highmark — Highmark Comm Community Blue: $504.95
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL III ED PHYSICIAN SE $108 $91.80 $38.50 – $108
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $261.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $82.95
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $261.64
  • Cigna — Cigna: $64.80
  • Geisinger — Geisinger: $438.72
  • Geisinger — Geisinger Medicare: $261.64
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $506.20
  • Highmark — Highmark CHIP / Social Mission: $301.97
  • Highmark — Highmark Comm Community Blue: $504.95
  • Highmark — Highmark Comm Managed/Indemnity: $521.89
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY VISIT LEVEL IV $828 $703.80 $55 – $1,030
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Aetna — Aetna: $1,030
  • Aetna — Aetna Medicare: $399.93
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $129.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $399.93
  • Cigna — Cigna: $496.80
  • Geisinger — Geisinger: $670.61
  • Geisinger — Geisinger Medicaid: $102
  • Geisinger — Geisinger Medicare: $399.93
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $773.76
  • Highmark — Highmark CHIP / Social Mission: $461.58
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG VISIT HIGH SEV LVL IV $194 $164.90 $55 – $1,030
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • Aetna — Aetna: $1,030
  • Aetna — Aetna Medicare: $399.93
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $129.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $399.93
  • Cigna — Cigna: $100
  • Geisinger — Geisinger: $670.61
  • Geisinger — Geisinger Medicare: $399.93
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $773.76
  • Highmark — Highmark CHIP / Social Mission: $461.58
  • Highmark — Highmark Comm Community Blue: $771.85
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL IV ED PHYSICIAN $199 $169.15 $55 – $199
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $399.93
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $129.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $399.93
  • Cigna — Cigna: $119.40
  • Geisinger — Geisinger: $670.61
  • Geisinger — Geisinger Medicare: $399.93
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $773.76
  • Highmark — Highmark CHIP / Social Mission: $461.58
  • Highmark — Highmark Comm Community Blue: $771.85
  • Highmark — Highmark Comm Managed/Indemnity: $797.74
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY VISIT LEVEL V $1,256 $1,067.60 $55 – $1,236
Emergency room visit (high): 10 of 29 insurance plan rates
  • Aetna — Aetna: $1,236
  • Aetna — Aetna Medicare: $570.78
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $202.65
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $570.78
  • Cigna — Cigna: $753.60
  • Geisinger — Geisinger: $957.10
  • Geisinger — Geisinger Medicaid: $148.45
  • Geisinger — Geisinger Medicare: $570.78
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,104.32
  • Highmark — Highmark CHIP / Social Mission: $658.77
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG VISIT HIGH SEV LVL V $281 $238.85 $55 – $1,236
Emergency room visit (high): 10 of 25 insurance plan rates
  • Aetna — Aetna: $1,236
  • Aetna — Aetna Medicare: $570.78
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $202.65
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $570.78
  • Cigna — Cigna: $100
  • Geisinger — Geisinger: $957.10
  • Geisinger — Geisinger Medicare: $570.78
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,104.32
  • Highmark — Highmark CHIP / Social Mission: $658.77
  • Highmark — Highmark Comm Community Blue: $1,101.59
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL V ED PHYSICIAN SERV $289 $245.65 $55 – $289
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $570.78
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $202.65
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $570.78
  • Cigna — Cigna: $173.40
  • Geisinger — Geisinger: $957.10
  • Geisinger — Geisinger Medicare: $570.78
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,104.32
  • Highmark — Highmark CHIP / Social Mission: $658.77
  • Highmark — Highmark Comm Community Blue: $1,101.59
  • Highmark — Highmark Comm Managed/Indemnity: $1,138.54

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL(BMP $114 $96.90 $7.31 – $39.22
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Aetna: $8.71
  • Aetna — Aetna Medicare: $8.29
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.36
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.29
  • Cigna — Cigna: $17.77
  • Geisinger — Geisinger: $13.96
  • Geisinger — Geisinger Medicaid: $10.02
  • Geisinger — Geisinger Medicare: $8.29
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $16.11
  • Highmark — Highmark CHIP / Social Mission: $9.61
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BASIC METABOLIC PANEL(BMP $114 $96.90 $3.48 – $45.60
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Aetna: $8.88
  • Aetna — Aetna Medicare: $8.29
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.29
  • Cigna — Cigna: $8.46
  • Geisinger — Geisinger Medicare: $8.29
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $5.08
  • Highmark — Highmark CHIP / Social Mission: $5.08
  • Highmark — Highmark Comm Community Blue: $5.08
  • Highmark — Highmark Comm Managed/Indemnity: $5.08
  • Highmark — Highmark Comm Performance Blue: $5.08
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL(BMP $114 $96.90 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP.METABOLIC PANEL $50 $42.50 $9.13 – $50
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Aetna: $10.88
  • Aetna — Aetna Medicare: $10.35
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $11.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $10.35
  • Cigna — Cigna: $22.16
  • Geisinger — Geisinger: $17.42
  • Geisinger — Geisinger Medicaid: $12.51
  • Geisinger — Geisinger Medicare: $10.35
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $20.10
  • Highmark — Highmark CHIP / Social Mission: $11.99
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMP.METABOLIC PANEL $50 $42.50 $4.35 – $20
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Aetna: $11.09
  • Aetna — Aetna Medicare: $10.35
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $10.35
  • Cigna — Cigna: $10.56
  • Geisinger — Geisinger Medicare: $10.35
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6.34
  • Highmark — Highmark CHIP / Social Mission: $6.34
  • Highmark — Highmark Comm Community Blue: $6.34
  • Highmark — Highmark Comm Managed/Indemnity: $6.34
  • Highmark — Highmark Comm Performance Blue: $6.34
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP.METABOLIC PANEL $50 $42.50 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE PANEL $45 $38.25 $11.57 – $45
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — Aetna: $13.79
  • Aetna — Aetna Medicare: $13.12
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $14
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $13.12
  • Cigna — Cigna: $28.10
  • Geisinger — Geisinger: $22.09
  • Geisinger — Geisinger Medicaid: $14.98
  • Geisinger — Geisinger Medicare: $13.12
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $25.49
  • Highmark — Highmark CHIP / Social Mission: $15.21
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LIPID PROFILE PANEL $45 $38.25 $5.51 – $23.84
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Aetna: $14.06
  • Aetna — Aetna Medicare: $13.12
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $13.12
  • Cigna — Cigna: $13.39
  • Geisinger — Geisinger Medicare: $13.12
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $8.03
  • Highmark — Highmark CHIP / Social Mission: $8.03
  • Highmark — Highmark Comm Community Blue: $8.03
  • Highmark — Highmark Comm Managed/Indemnity: $8.03
  • Highmark — Highmark Comm Performance Blue: $8.03
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE PANEL $45 $38.25 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $147 $124.95 $7.50 – $52.57
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna — Aetna: $8.94
  • Aetna — Aetna Medicare: $8.51
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.60
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.51
  • Cigna — Cigna: $18.22
  • Geisinger — Geisinger: $14.32
  • Geisinger — Geisinger Medicaid: $10.27
  • Geisinger — Geisinger Medicare: $8.51
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $16.52
  • Highmark — Highmark CHIP / Social Mission: $9.86
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RENAL FUNCTION PANEL $147 $124.95 $3.57 – $58.80
Kidney function panel: 10 of 24 insurance plan rates
  • Aetna — Aetna: $9.11
  • Aetna — Aetna Medicare: $8.51
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.51
  • Cigna — Cigna: $8.68
  • Geisinger — Geisinger Medicare: $8.51
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $5.21
  • Highmark — Highmark CHIP / Social Mission: $5.21
  • Highmark — Highmark Comm Community Blue: $5.21
  • Highmark — Highmark Comm Managed/Indemnity: $5.21
  • Highmark — Highmark Comm Performance Blue: $5.21
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $147 $124.95 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FNCTN(LIVER)PANEL $101 $85.85 $7.06 – $39.14
Liver function panel: 10 of 29 insurance plan rates
  • Aetna — Aetna: $8.42
  • Aetna — Aetna Medicare: $8.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.03
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.01
  • Cigna — Cigna: $17.15
  • Geisinger — Geisinger: $13.48
  • Geisinger — Geisinger Medicaid: $9.66
  • Geisinger — Geisinger Medicare: $8.01
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $15.55
  • Highmark — Highmark CHIP / Social Mission: $9.28
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEPATIC FNCTN(LIVER)PANEL $101 $85.85 $3.36 – $40.40
Liver function panel: 10 of 24 insurance plan rates
  • Aetna — Aetna: $8.58
  • Aetna — Aetna Medicare: $8.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.01
  • Cigna — Cigna: $8.17
  • Geisinger — Geisinger Medicare: $8.01
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $4.90
  • Highmark — Highmark CHIP / Social Mission: $4.90
  • Highmark — Highmark Comm Community Blue: $4.90
  • Highmark — Highmark Comm Managed/Indemnity: $4.90
  • Highmark — Highmark Comm Performance Blue: $4.90
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FNCTN(LIVER)PANEL $101 $85.85 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA DIP STICK/TAB AUTO W/MICRO $8 $6.80 $2.45 – $8
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna: $2.65
  • Aetna — Aetna Medicare: $3.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.11
  • Cigna — Cigna: $6.65
  • Geisinger — Geisinger: $5.23
  • Geisinger — Geisinger Medicaid: $3.21
  • Geisinger — Geisinger Medicare: $3.11
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6.04
  • Highmark — Highmark CHIP / Social Mission: $3.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UA DIP STICK/TAB AUTO W/MICRO $8 $6.80 $1.30 – $5.63
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna — Aetna: $3.33
  • Aetna — Aetna Medicare: $3.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.11
  • Cigna — Cigna: $3.17
  • Geisinger — Geisinger Medicare: $3.11
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1.90
  • Highmark — Highmark CHIP / Social Mission: $1.90
  • Highmark — Highmark Comm Community Blue: $1.90
  • Highmark — Highmark Comm Managed/Indemnity: $1.90
  • Highmark — Highmark Comm Performance Blue: $1.90
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA DIP STICK/TAB AUTO W/MICRO $8 $6.80 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $6 $5.10 $2.90 – $7.30
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna: $2.90
  • Aetna — Aetna Medicare: $3.41
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.75
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.41
  • Cigna — Cigna: $7.30
  • Geisinger — Geisinger: $5.74
  • Geisinger — Geisinger Medicaid: $3.82
  • Geisinger — Geisinger Medicare: $3.41
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6.63
  • Highmark — Highmark CHIP / Social Mission: $3.95
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIPSTICK, NON-AUTO $18 $15.30 $3.01 – $18
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna: $3.58
  • Aetna — Aetna Medicare: $3.41
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.41
  • Cigna — Cigna: $7.30
  • Geisinger — Geisinger: $5.74
  • Geisinger — Geisinger Medicaid: $3.82
  • Geisinger — Geisinger Medicare: $3.41
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6.63
  • Highmark — Highmark CHIP / Social Mission: $3.95
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS NONAUTO W/O SCOPE $6 $5.10 $1.43 – $4.56
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • Aetna — Aetna: $3.65
  • Aetna — Aetna Medicare: $3.41
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.41
  • Cigna — Cigna: $3.48
  • Geisinger — Geisinger Medicare: $3.41
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $2.09
  • Highmark — Highmark CHIP / Social Mission: $2.09
  • Highmark — Highmark Comm Community Blue: $2.09
  • Highmark — Highmark Comm Managed/Indemnity: $2.09
  • Highmark — Highmark Comm Performance Blue: $2.09
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $4 $3.40 $1.87 – $4.72
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna: $1.87
  • Aetna — Aetna Medicare: $2.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $2.20
  • Cigna — Cigna: $4.72
  • Geisinger — Geisinger: $3.71
  • Geisinger — Geisinger Medicaid: $3.32
  • Geisinger — Geisinger Medicare: $2.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $4.28
  • Highmark — Highmark CHIP / Social Mission: $2.56
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/O MICRO,AUTO $21 $17.85 $1.94 – $17.19
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna: $2.32
  • Aetna — Aetna Medicare: $2.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.10
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $2.20
  • Cigna — Cigna: $4.72
  • Geisinger — Geisinger: $3.71
  • Geisinger — Geisinger Medicaid: $3.32
  • Geisinger — Geisinger Medicare: $2.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $4.28
  • Highmark — Highmark CHIP / Social Mission: $2.56
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSFUSN RXN URINE; AUTO $21 $17.85 $1.94 – $17.19
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna: $2.32
  • Aetna — Aetna Medicare: $2.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.10
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $2.20
  • Cigna — Cigna: $4.72
  • Geisinger — Geisinger: $3.71
  • Geisinger — Geisinger Medicaid: $3.32
  • Geisinger — Geisinger Medicare: $2.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $4.28
  • Highmark — Highmark CHIP / Social Mission: $2.56
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL $105 $89.25 $15.89 – $67.48
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Aetna: $18.94
  • Aetna — Aetna Medicare: $18.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $24.36
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $18.02
  • Cigna — Cigna: $38.60
  • Geisinger — Geisinger: $30.34
  • Geisinger — Geisinger Medicaid: $26.07
  • Geisinger — Geisinger Medicare: $18.02
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $35.01
  • Highmark — Highmark CHIP / Social Mission: $20.89
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSA TOTAL $105 $89.25 $7.57 – $42
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna — Aetna: $19.31
  • Aetna — Aetna Medicare: $18.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $18.02
  • Cigna — Cigna: $18.39
  • Geisinger — Geisinger Medicare: $18.02
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $11.03
  • Highmark — Highmark CHIP / Social Mission: $11.03
  • Highmark — Highmark Comm Community Blue: $11.03
  • Highmark — Highmark Comm Managed/Indemnity: $11.03
  • Highmark — Highmark Comm Performance Blue: $11.03
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL $105 $89.25 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $67.27 $57.18 $14.52 – $67.27
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — Aetna: $17.30
  • Aetna — Aetna Medicare: $16.46
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $23.21
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $16.46
  • Cigna — Cigna: $35.27
  • Geisinger — Geisinger: $27.72
  • Geisinger — Geisinger Medicaid: $24.83
  • Geisinger — Geisinger Medicare: $16.46
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $31.98
  • Highmark — Highmark CHIP / Social Mission: $19.08
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TSH $67.27 $57.18 $6.91 – $29.89
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna — Aetna: $17.64
  • Aetna — Aetna Medicare: $16.46
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $16.46
  • Cigna — Cigna: $16.80
  • Geisinger — Geisinger Medicare: $16.46
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $10.08
  • Highmark — Highmark CHIP / Social Mission: $10.08
  • Highmark — Highmark Comm Community Blue: $10.08
  • Highmark — Highmark Comm Managed/Indemnity: $10.08
  • Highmark — Highmark Comm Performance Blue: $10.08
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH $67.27 $57.18 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W AUTO DIFF $45 $38.25 $6 – $35.30
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — Aetna: $8
  • Aetna — Aetna Medicare: $7.61
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $6
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $7.61
  • Cigna — Cigna: $16.31
  • Geisinger — Geisinger: $12.82
  • Geisinger — Geisinger Medicaid: $6.42
  • Geisinger — Geisinger Medicare: $7.61
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $14.79
  • Highmark — Highmark CHIP / Social Mission: $8.82
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC W AUTO DIFF $45 $38.25 $3.20 – $18
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • Aetna — Aetna: $8.16
  • Aetna — Aetna Medicare: $7.61
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $7.61
  • Cigna — Cigna: $7.77
  • Geisinger — Geisinger Medicare: $7.61
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $4.66
  • Highmark — Highmark CHIP / Social Mission: $4.66
  • Highmark — Highmark Comm Community Blue: $4.66
  • Highmark — Highmark Comm Managed/Indemnity: $4.66
  • Highmark — Highmark Comm Performance Blue: $4.66
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W AUTO DIFF $45 $38.25 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/O DIFF $35 $29.75 $4.70 – $18.79
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — Aetna: $6.66
  • Aetna — Aetna Medicare: $6.34
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.52
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $6.34
  • Cigna — Cigna: $13.60
  • Geisinger — Geisinger: $10.68
  • Geisinger — Geisinger Medicaid: $8.05
  • Geisinger — Geisinger Medicare: $6.34
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $12.32
  • Highmark — Highmark CHIP / Social Mission: $7.35
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC W/O DIFF $35 $29.75 $2.66 – $14
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • Aetna — Aetna: $6.79
  • Aetna — Aetna Medicare: $6.34
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $6.34
  • Cigna — Cigna: $6.47
  • Geisinger — Geisinger Medicare: $6.34
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $3.88
  • Highmark — Highmark CHIP / Social Mission: $3.88
  • Highmark — Highmark Comm Community Blue: $3.88
  • Highmark — Highmark Comm Managed/Indemnity: $3.88
  • Highmark — Highmark Comm Performance Blue: $3.88
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/O DIFF $35 $29.75 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $28 $23.80 $2.32 – $9.27
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Aetna: $4.42
  • Aetna — Aetna Medicare: $4.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $4
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $4.20
  • Cigna — Cigna: $9.01
  • Geisinger — Geisinger: $7.08
  • Geisinger — Geisinger Medicaid: $4.28
  • Geisinger — Geisinger Medicare: $4.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $8.17
  • Highmark — Highmark CHIP / Social Mission: $4.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MIXING CORRECTION STUDIES $28 $23.80 $2.32 – $9.27
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Aetna: $4.42
  • Aetna — Aetna Medicare: $4.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $4
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $4.20
  • Cigna — Cigna: $9.01
  • Geisinger — Geisinger: $7.08
  • Geisinger — Geisinger Medicaid: $4.28
  • Geisinger — Geisinger Medicare: $4.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $8.17
  • Highmark — Highmark CHIP / Social Mission: $4.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROTHROMBIN TIME $28 $23.80 $1.77 – $11.20
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna — Aetna: $4.50
  • Aetna — Aetna Medicare: $4.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $4.20
  • Cigna — Cigna: $4.29
  • Geisinger — Geisinger Medicare: $4.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $2.57
  • Highmark — Highmark CHIP / Social Mission: $2.57
  • Highmark — Highmark Comm Community Blue: $2.57
  • Highmark — Highmark Comm Managed/Indemnity: $2.57
  • Highmark — Highmark Comm Performance Blue: $2.57
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLAST TIME $55 $46.75 $4.52 – $18.07
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — Aetna: $6.19
  • Aetna — Aetna Medicare: $5.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $5.89
  • Cigna — Cigna: $12.63
  • Geisinger — Geisinger: $9.92
  • Geisinger — Geisinger Medicaid: $8.03
  • Geisinger — Geisinger Medicare: $5.89
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $11.44
  • Highmark — Highmark CHIP / Social Mission: $6.83
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT BASELINE REF LAB $55 $46.75 $4.52 – $18.07
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — Aetna: $6.19
  • Aetna — Aetna Medicare: $5.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $5.89
  • Cigna — Cigna: $12.63
  • Geisinger — Geisinger: $9.92
  • Geisinger — Geisinger Medicaid: $8.03
  • Geisinger — Geisinger Medicare: $5.89
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $11.44
  • Highmark — Highmark CHIP / Social Mission: $6.83
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PARTIAL THROMBOPLAST TIME $55 $46.75 $2.47 – $22
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna — Aetna: $6.31
  • Aetna — Aetna Medicare: $5.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $5.89
  • Cigna — Cigna: $6.01
  • Geisinger — Geisinger Medicare: $5.89
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $3.61
  • Highmark — Highmark CHIP / Social Mission: $3.61
  • Highmark — Highmark Comm Community Blue: $3.61
  • Highmark — Highmark Comm Managed/Indemnity: $3.61
  • Highmark — Highmark Comm Performance Blue: $3.61

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD UNENHANCED $545.02 $463.27 $81.38 – $545.02
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $112.24
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $81.38
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $100.20
  • Cigna — Cigna: $327.01
  • Geisinger — Geisinger: $168.02
  • Geisinger — Geisinger Medicaid: $82.92
  • Geisinger — Geisinger Medicare: $100.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.86
  • Highmark — Highmark CHIP / Social Mission: $115.65
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT HEAD UNENHANCED $545.02 $463.27 $68.90 – $255.16
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • Aetna — Aetna: $116.37
  • Aetna — Aetna Medicare: $98.54
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $98.54
  • Cigna — Cigna: $100.14
  • Geisinger — Geisinger Medicare: $98.54
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $123.45
  • Highmark — Highmark CHIP / Social Mission: $79.57
  • Highmark — Highmark Comm Community Blue: $123.45
  • Highmark — Highmark Comm Managed/Indemnity: $123.45
  • Highmark — Highmark Comm Performance Blue: $123.45
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD UNENHANCED $545.02 $463.27 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO $2,531.39 $2,151.68 $282.45 – $2,531.39
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $379.16
  • Aetna — Aetna Medicare: $334.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $282.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $334.37
  • Cigna — Cigna: $1,518.83
  • Geisinger — Geisinger: $560.69
  • Geisinger — Geisinger Medicaid: $287.83
  • Geisinger — Geisinger Medicare: $334.37
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $646.93
  • Highmark — Highmark CHIP / Social Mission: $385.92
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI BRAIN W/WO $2,531.39 $2,151.68 $204.49 – $1,211.20
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — Aetna: $362.32
  • Aetna — Aetna Medicare: $292.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $292.47
  • Cigna — Cigna: $297.23
  • Geisinger — Geisinger Medicare: $292.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $368.82
  • Highmark — Highmark CHIP / Social Mission: $237.24
  • Highmark — Highmark Comm Community Blue: $368.82
  • Highmark — Highmark Comm Managed/Indemnity: $368.82
  • Highmark — Highmark Comm Performance Blue: $368.82
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO $2,531.39 $2,151.68 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $160 $136 $15.59 – $96
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Aetna — Aetna: $83.33
  • Aetna — Aetna Medicare: $83.41
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $15.59
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $83.41
  • Cigna — Cigna: $96
  • Geisinger — Geisinger: $139.87
  • Geisinger — Geisinger Medicaid: $15.89
  • Geisinger — Geisinger Medicare: $83.41
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $161.39
  • Highmark — Highmark CHIP / Social Mission: $96.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHEST 2 VIEWS $160 $136 $21.29 – $64
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna — Aetna: $34.17
  • Aetna — Aetna Medicare: $30.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $30.45
  • Cigna — Cigna: $30.95
  • Geisinger — Geisinger Medicare: $30.45
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $37.10
  • Highmark — Highmark CHIP / Social Mission: $29.68
  • Highmark — Highmark Comm Community Blue: $37.10
  • Highmark — Highmark Comm Managed/Indemnity: $37.10
  • Highmark — Highmark Comm Performance Blue: $37.10
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $160 $136 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR MIN 4 VIEWS $220 $187 $23.63 – $137.08
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Aetna — Aetna: $112.24
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $23.63
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $100.20
  • Cigna — Cigna: $132
  • Geisinger — Geisinger: $168.02
  • Geisinger — Geisinger Medicaid: $24.07
  • Geisinger — Geisinger Medicare: $100.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.86
  • Highmark — Highmark CHIP / Social Mission: $115.65
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SPINE LUMBAR MIN 4 VIEWS $220 $187 $34.24 – $88
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
  • Aetna — Aetna: $51.46
  • Aetna — Aetna Medicare: $48.97
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $48.97
  • Cigna — Cigna: $49.77
  • Geisinger — Geisinger Medicare: $48.97
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $57.30
  • Highmark — Highmark CHIP / Social Mission: $37.92
  • Highmark — Highmark Comm Community Blue: $57.30
  • Highmark — Highmark Comm Managed/Indemnity: $57.30
  • Highmark — Highmark Comm Performance Blue: $57.30
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LUMBAR MIN 4 VIEWS $220 $187 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR W/O $1,294.07 $1,099.96 $196.56 – $1,294.07
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $237.03
  • Aetna — Aetna Medicare: $228.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $196.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $228.69
  • Cigna — Cigna: $776.44
  • Geisinger — Geisinger: $383.48
  • Geisinger — Geisinger Medicaid: $200.30
  • Geisinger — Geisinger Medicare: $228.69
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $442.46
  • Highmark — Highmark CHIP / Social Mission: $263.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI LUMBAR W/O $1,294.07 $1,099.96 $123.86 – $624.15
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Aetna — Aetna: $216.12
  • Aetna — Aetna Medicare: $177.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $177.15
  • Cigna — Cigna: $180.03
  • Geisinger — Geisinger Medicare: $177.15
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $221.06
  • Highmark — Highmark CHIP / Social Mission: $142.40
  • Highmark — Highmark Comm Community Blue: $221.06
  • Highmark — Highmark Comm Managed/Indemnity: $221.06
  • Highmark — Highmark Comm Performance Blue: $221.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR W/O $1,294.07 $1,099.96 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS ENHANCED $988 $839.80 $90.83 – $823.89
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $183.91
  • Aetna — Aetna Medicare: $168.12
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $90.83
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $168.12
  • Cigna — Cigna: $592.80
  • Geisinger — Geisinger: $281.90
  • Geisinger — Geisinger Medicaid: $92.56
  • Geisinger — Geisinger Medicare: $168.12
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $325.26
  • Highmark — Highmark CHIP / Social Mission: $194.03
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS ENHANCED $988 $839.80 $144.79 – $395.20
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — Aetna: $234.62
  • Aetna — Aetna Medicare: $207.08
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $207.08
  • Cigna — Cigna: $210.45
  • Geisinger — Geisinger Medicare: $162.45
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $262.09
  • Highmark — Highmark CHIP / Social Mission: $167.71
  • Highmark — Highmark Comm Community Blue: $262.09
  • Highmark — Highmark Comm Managed/Indemnity: $262.09
  • Highmark — Highmark Comm Performance Blue: $262.09
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS ENHANCED $988 $839.80 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: LOW EXTR JOINT W/O LEFT $1,125 $956.25 $237.03 – $1,125
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $237.03
  • Aetna — Aetna Medicare: $228.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $282.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $228.69
  • Cigna — Cigna: $675
  • Geisinger — Geisinger: $383.48
  • Geisinger — Geisinger Medicaid: $287.83
  • Geisinger — Geisinger Medicare: $228.69
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $442.46
  • Highmark — Highmark CHIP / Social Mission: $263.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: LOW EXTR JOINT W/O RIGHT $1,125 $956.25 $237.03 – $1,125
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $237.03
  • Aetna — Aetna Medicare: $228.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $282.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $228.69
  • Cigna — Cigna: $675
  • Geisinger — Geisinger: $383.48
  • Geisinger — Geisinger Medicaid: $287.83
  • Geisinger — Geisinger Medicare: $228.69
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $442.46
  • Highmark — Highmark CHIP / Social Mission: $263.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier LT In the file: LOW EXTR JOINT W/O LEFT $1,125 $956.25 $131.65 – $556.25
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
  • Aetna — Aetna: $227.86
  • Aetna — Aetna Medicare: $188.29
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $188.29
  • Cigna — Cigna: $191.35
  • Geisinger — Geisinger Medicare: $188.29
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $235.12
  • Highmark — Highmark CHIP / Social Mission: $151.04
  • Highmark — Highmark Comm Community Blue: $235.12
  • Highmark — Highmark Comm Managed/Indemnity: $235.12
  • Highmark — Highmark Comm Performance Blue: $235.12
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PELVIS ENHANCED $950 $807.50 $202.37 – $570
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $379.16
  • Aetna — Aetna Medicare: $334.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $202.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $334.37
  • Cigna — Cigna: $570
  • Geisinger — Geisinger: $560.69
  • Geisinger — Geisinger Medicaid: $206.22
  • Geisinger — Geisinger Medicare: $334.37
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $646.93
  • Highmark — Highmark CHIP / Social Mission: $385.92
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT ABD/PELVIS ENHANCED $950 $807.50 $193.07 – $382.40
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — Aetna: $338.26
  • Aetna — Aetna Medicare: $276.13
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $276.13
  • Cigna — Cigna: $280.62
  • Geisinger — Geisinger Medicare: $276.13
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $349.07
  • Highmark — Highmark CHIP / Social Mission: $223.88
  • Highmark — Highmark Comm Community Blue: $349.07
  • Highmark — Highmark Comm Managed/Indemnity: $349.07
  • Highmark — Highmark Comm Performance Blue: $349.07
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD/PELVIS ENHANCED $950 $807.50 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $276.32 $234.87 $60.38 – $276.32
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Aetna — Aetna: $112.24
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $60.38
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $100.20
  • Cigna — Cigna: $165.79
  • Geisinger — Geisinger: $168.02
  • Geisinger — Geisinger Medicaid: $61.52
  • Geisinger — Geisinger Medicare: $100.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.86
  • Highmark — Highmark CHIP / Social Mission: $115.65
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US ABDOMEN COMPLETE $276.32 $234.87 $73.67 – $135.11
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Aetna — Aetna: $124.53
  • Aetna — Aetna Medicare: $105.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $105.37
  • Cigna — Cigna: $107.08
  • Geisinger — Geisinger Medicare: $105.37
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $131.42
  • Highmark — Highmark CHIP / Social Mission: $84.53
  • Highmark — Highmark Comm Community Blue: $131.42
  • Highmark — Highmark Comm Managed/Indemnity: $131.42
  • Highmark — Highmark Comm Performance Blue: $131.42
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $276.32 $234.87 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREG 2/3 TRIMESTER $388 $329.80 $48.83 – $347.64
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Aetna — Aetna: $112.24
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $48.83
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $100.20
  • Cigna — Cigna: $232.80
  • Geisinger — Geisinger: $168.02
  • Geisinger — Geisinger Medicaid: $49.76
  • Geisinger — Geisinger Medicare: $100.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.86
  • Highmark — Highmark CHIP / Social Mission: $115.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US PREG 2/3 TRIMESTER $388 $329.80 $87.73 – $155.20
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates
  • Aetna — Aetna: $143.17
  • Aetna — Aetna Medicare: $125.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $125.47
  • Cigna — Cigna: $127.51
  • Geisinger — Geisinger Medicare: $125.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $147.66
  • Highmark — Highmark CHIP / Social Mission: $98.30
  • Highmark — Highmark Comm Community Blue: $147.66
  • Highmark — Highmark Comm Managed/Indemnity: $147.66
  • Highmark — Highmark Comm Performance Blue: $147.66
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PREG 2/3 TRIMESTER $388 $329.80 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US BCC PELVIS TRANSVAGINL $396 $336.60 $48.83 – $250.26
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna — Aetna: $112.24
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $48.83
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $100.20
  • Cigna — Cigna: $237.60
  • Geisinger — Geisinger: $168.02
  • Geisinger — Geisinger Medicaid: $49.76
  • Geisinger — Geisinger Medicare: $100.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.86
  • Highmark — Highmark CHIP / Social Mission: $115.65
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US BCC PELVIS TRANSVAGINAL $396 $336.60 $48.83 – $250.26
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna — Aetna: $112.24
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $48.83
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $100.20
  • Cigna — Cigna: $237.60
  • Geisinger — Geisinger: $168.02
  • Geisinger — Geisinger Medicaid: $49.76
  • Geisinger — Geisinger Medicare: $100.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.86
  • Highmark — Highmark CHIP / Social Mission: $115.65
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $396 $336.60 $48.83 – $250.26
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna — Aetna: $112.24
  • Aetna — Aetna Medicare: $100.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $48.83
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $100.20
  • Cigna — Cigna: $237.60
  • Geisinger — Geisinger: $168.02
  • Geisinger — Geisinger Medicaid: $49.76
  • Geisinger — Geisinger Medicare: $100.20
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.86
  • Highmark — Highmark CHIP / Social Mission: $115.65
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MAMMO DIAG LT W/WO CAD $380 $323 $68.38 – $228
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $78.03
  • Aetna — Aetna Medicare: $77.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $74.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $77.85
  • Cigna — Cigna: $228
  • Geisinger — Geisinger: $130.55
  • Geisinger — Geisinger Medicaid: $75.98
  • Geisinger — Geisinger Medicare: $77.85
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $150.63
  • Highmark — Highmark CHIP / Social Mission: $89.86
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MAMMO DIAG RT W/WO CAD $380 $323 $68.38 – $228
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna — Aetna: $78.03
  • Aetna — Aetna Medicare: $77.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $74.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $77.85
  • Cigna — Cigna: $228
  • Geisinger — Geisinger: $130.55
  • Geisinger — Geisinger Medicaid: $75.98
  • Geisinger — Geisinger Medicare: $77.85
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $150.63
  • Highmark — Highmark CHIP / Social Mission: $89.86
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier LT In the file: MAMMO DIAG LT W/WO CAD $380 $323 $79.79 – $178.05
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates
  • Aetna — Aetna: $131.07
  • Aetna — Aetna Medicare: $114.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $114.11
  • Cigna — Cigna: $115.97
  • Geisinger — Geisinger Medicare: $114.11
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $137.02
  • Highmark — Highmark CHIP / Social Mission: $108.68
  • Highmark — Highmark Comm Community Blue: $137.02
  • Highmark — Highmark Comm Managed/Indemnity: $137.02
  • Highmark — Highmark Comm Performance Blue: $137.02
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG BILAT W/WO CAD $400 $340 $87.74 – $240
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — Aetna: $99.48
  • Aetna — Aetna Medicare: $99.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $95.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $99.89
  • Cigna — Cigna: $240
  • Geisinger — Geisinger: $167.49
  • Geisinger — Geisinger Medicaid: $97.19
  • Geisinger — Geisinger Medicare: $99.89
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $193.25
  • Highmark — Highmark CHIP / Social Mission: $115.28
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MAMMO DIAG BILAT W/WO CAD $400 $340 $101.05 – $225.40
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
  • Aetna — Aetna: $165.88
  • Aetna — Aetna Medicare: $144.52
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $144.52
  • Cigna — Cigna: $146.87
  • Geisinger — Geisinger Medicare: $144.52
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $172.63
  • Highmark — Highmark CHIP / Social Mission: $115.84
  • Highmark — Highmark Comm Community Blue: $172.63
  • Highmark — Highmark Comm Managed/Indemnity: $172.63
  • Highmark — Highmark Comm Performance Blue: $172.63
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIAG BILAT W/WO CAD $400 $340 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCR BILAT W/WO CAD $350 $297.50 $72.36 – $210
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — Aetna: $82.20
  • Aetna — Aetna Medicare: $82.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.77
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $82.05
  • Cigna — Cigna: $210
  • Geisinger — Geisinger: $138.14
  • Geisinger — Geisinger Medicaid: $80.27
  • Geisinger — Geisinger Medicare: $82.05
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $159.39
  • Highmark — Highmark CHIP / Social Mission: $95.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCR LT W/WO CAD $330 $280.50 $72.36 – $198
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — Aetna: $82.20
  • Aetna — Aetna Medicare: $82.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.77
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $82.05
  • Cigna — Cigna: $198
  • Geisinger — Geisinger: $138.14
  • Geisinger — Geisinger Medicaid: $80.27
  • Geisinger — Geisinger Medicare: $82.05
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $159.39
  • Highmark — Highmark CHIP / Social Mission: $95.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCR RT W/WO CAD $330 $280.50 $72.36 – $198
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna — Aetna: $82.20
  • Aetna — Aetna Medicare: $82.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.77
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $82.05
  • Cigna — Cigna: $198
  • Geisinger — Geisinger: $138.14
  • Geisinger — Geisinger Medicaid: $80.27
  • Geisinger — Geisinger Medicare: $82.05
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $159.39
  • Highmark — Highmark CHIP / Social Mission: $95.08

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE $42 $35.70 $10.64 – $35.56
Electrocardiogram (ECG/EKG) with reading: 10 of 24 insurance plan rates
  • Aetna — Aetna: $15.14
  • Aetna — Aetna Medicare: $14.36
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $14.36
  • Cigna — Cigna: $14.59
  • Geisinger — Geisinger Medicare: $14.36
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $14.93
  • Highmark — Highmark CHIP / Social Mission: $10.64
  • Highmark — Highmark Comm Community Blue: $14.93
  • Highmark — Highmark Comm Managed/Indemnity: $14.93
  • Highmark — Highmark Comm Performance Blue: $14.93
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE $42 $35.70 $10.90 – $42
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates
  • Aetna — Aetna: $13.52
  • Aetna — Aetna Medicare: $16.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $20.18
  • Cigna — Cigna: $25.20
  • Geisinger — Geisinger Medicaid: $20.57
  • Highmark — Highmark Wholecare Medicare: $21
  • Highmark Wholecare — Highmark Wholecare Medicaid: $22.49
  • PA Health & Wellness — PA Health and Wellness- Medicare: $16.80
  • PA Health & Wellness — PA Health Wellness- Medicaid: $23.06
  • UPMC Health Plan — UPMC: $42
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE $42 $35.70 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HEART CATH / LVG $10,645 $9,048.25 $2,575 – $6,387
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Aetna: $2,575
  • Aetna — Aetna Medicare: $3,111.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3,111.05
  • Cigna — Cigna: $6,387
  • Geisinger — Geisinger: $5,210.27
  • Geisinger — Geisinger Medicare: $3,111.05
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6,011.71
  • Highmark — Highmark CHIP / Social Mission: $3,586.25
  • Highmark — Highmark Comm Community Blue: $5,996.86
  • Highmark — Highmark Comm Managed/Indemnity: $6,198.01
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEFT HEART CATH / LVG $10,645 $9,048.25 $624 – $4,258
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Aetna: $976.58
  • Aetna — Aetna Medicare: $804.03
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $804.03
  • Cigna — Cigna: $817.10
  • Geisinger — Geisinger Medicare: $804.03
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,041.46
  • Highmark — Highmark CHIP / Social Mission: $624
  • Highmark — Highmark Comm Community Blue: $1,041.46
  • Highmark — Highmark Comm Managed/Indemnity: $1,041.46
  • Highmark — Highmark Comm Performance Blue: $1,041.46
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HEART CATH / LVG $10,645 $9,048.25 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPY-PF $225 $191.25 $135 – $947.41
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • Aetna — Aetna: $947.41
  • Aetna — Aetna Medicare: $823.06
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $225
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $823.06
  • Cigna — Cigna: $135
  • Geisinger — Geisinger: $1,380.13
  • Geisinger — Geisinger Medicaid: $225
  • Geisinger — Geisinger Medicare: $823.06
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,592.41
  • Highmark — Highmark CHIP / Social Mission: $949.94
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: POLYSOMNOGRAPY-PF $225 $191.25 $90 – $225
Sleep study (overnight, in a sleep lab): 10 of 24 insurance plan rates
  • Aetna — Aetna: $225
  • Aetna — Aetna Medicare: $221.40
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $221.40
  • Cigna — Cigna: $225
  • Geisinger — Geisinger Medicare: $221.40
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $225
  • Highmark — Highmark CHIP / Social Mission: $225
  • Highmark — Highmark Comm Community Blue: $225
  • Highmark — Highmark Comm Managed/Indemnity: $225
  • Highmark — Highmark Comm Performance Blue: $225
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPY-PF $225 $191.25 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXRC EA 15 MN $105 $89.25 $15.63 – $63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $63
  • Aetna — Aetna Medicare: $27.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $27.47
  • Cigna — Cigna: $63
  • Geisinger — Geisinger: $46.07
  • Geisinger — Geisinger Medicare: $27.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $53.15
  • Highmark — Highmark CHIP / Social Mission: $31.71
  • Highmark — Highmark Comm Community Blue: $53.02
  • Highmark — Highmark Comm Managed/Indemnity: $54.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: TH THER-EX $105 $89.25 $15.63 – $63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $63
  • Aetna — Aetna Medicare: $27.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $27.47
  • Cigna — Cigna: $63
  • Geisinger — Geisinger: $46.07
  • Geisinger — Geisinger Medicare: $27.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $53.15
  • Highmark — Highmark CHIP / Social Mission: $31.71
  • Highmark — Highmark Comm Community Blue: $53.02
  • Highmark — Highmark Comm Managed/Indemnity: $54.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THER EXERCISE,EA 15 MIN $105 $89.25 $15.63 – $63
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna: $63
  • Aetna — Aetna Medicare: $27.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $27.47
  • Cigna — Cigna: $63
  • Geisinger — Geisinger: $46.07
  • Geisinger — Geisinger Medicare: $27.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $53.15
  • Highmark — Highmark CHIP / Social Mission: $31.71
  • Highmark — Highmark Comm Community Blue: $53.02
  • Highmark — Highmark Comm Managed/Indemnity: $54.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LEVEL I $225 $191.25 $66.79 – $185.23
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • Aetna — Aetna: $135
  • Aetna — Aetna Medicare: $92.86
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $66.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.86
  • Cigna — Cigna: $135
  • Geisinger — Geisinger: $155.71
  • Geisinger — Geisinger Medicaid: $68.06
  • Geisinger — Geisinger Medicare: $92.86
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $179.66
  • Highmark — Highmark CHIP / Social Mission: $107.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL LEVEL I $225 $191.25 $75.60 – $109.33
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates
  • Aetna — Aetna: $103.80
  • Aetna — Aetna Medicare: $92.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.56
  • Cigna — Cigna: $94.07
  • Geisinger — Geisinger Medicare: $92.56
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $81.71
  • Highmark — Highmark CHIP / Social Mission: $75.60
  • Highmark — Highmark Comm Community Blue: $81.71
  • Highmark — Highmark Comm Managed/Indemnity: $81.71
  • Highmark — Highmark Comm Performance Blue: $81.71
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LEVEL I $225 $191.25 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LEVEL II $250 $212.50 $66.79 – $185.23
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • Aetna — Aetna: $150
  • Aetna — Aetna Medicare: $92.86
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $66.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.86
  • Cigna — Cigna: $150
  • Geisinger — Geisinger: $155.71
  • Geisinger — Geisinger Medicaid: $68.06
  • Geisinger — Geisinger Medicare: $92.86
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $179.66
  • Highmark — Highmark CHIP / Social Mission: $107.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL LEVEL II $250 $212.50 $75.60 – $109.33
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates
  • Aetna — Aetna: $103.80
  • Aetna — Aetna Medicare: $92.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.56
  • Cigna — Cigna: $94.07
  • Geisinger — Geisinger Medicare: $92.56
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $81.71
  • Highmark — Highmark CHIP / Social Mission: $75.60
  • Highmark — Highmark Comm Community Blue: $81.71
  • Highmark — Highmark Comm Managed/Indemnity: $81.71
  • Highmark — Highmark Comm Performance Blue: $81.71
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LEVEL II $250 $212.50 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LEVEL III $300 $255 $66.79 – $185.23
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Aetna — Aetna: $180
  • Aetna — Aetna Medicare: $92.86
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $66.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.86
  • Cigna — Cigna: $180
  • Geisinger — Geisinger: $155.71
  • Geisinger — Geisinger Medicaid: $68.06
  • Geisinger — Geisinger Medicare: $92.86
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $179.66
  • Highmark — Highmark CHIP / Social Mission: $107.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL LEVEL III $300 $255 $75.60 – $120
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates
  • Aetna — Aetna: $103.80
  • Aetna — Aetna Medicare: $92.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.56
  • Cigna — Cigna: $94.07
  • Geisinger — Geisinger Medicare: $92.56
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $81.71
  • Highmark — Highmark CHIP / Social Mission: $75.60
  • Highmark — Highmark Comm Community Blue: $81.71
  • Highmark — Highmark Comm Managed/Indemnity: $81.71
  • Highmark — Highmark Comm Performance Blue: $81.71
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LEVEL III $300 $255 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC BRST CYST/LES OPEN - M/F $825 $701.25 $181.65 – $1,895.23
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • Aetna — Aetna: $375.15
  • Aetna — Aetna Medicare: $3,752.73
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $181.65
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3,752.73
  • Cigna — Cigna: $495
  • Geisinger — Geisinger: $6,292.69
  • Geisinger — Geisinger Medicaid: $185.11
  • Geisinger — Geisinger Medicare: $3,752.73
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $7,260.62
  • Highmark — Highmark CHIP / Social Mission: $4,331.28
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EXC BRST CYST/LES OPEN - M/F $825 $701.25 $216.25 – $613.90
Removal of breast growth (open surgery): 10 of 24 insurance plan rates
  • Aetna — Aetna: $537.65
  • Aetna — Aetna Medicare: $534.58
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $534.58
  • Cigna — Cigna: $543.27
  • Geisinger — Geisinger Medicare: $534.58
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $471.75
  • Highmark — Highmark CHIP / Social Mission: $317.20
  • Highmark — Highmark Comm Community Blue: $471.75
  • Highmark — Highmark Comm Managed/Indemnity: $471.75
  • Highmark — Highmark Comm Performance Blue: $471.75
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXC BRST CYST/LES OPEN - M/F $825 $701.25 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UGI ENDO DX W OR WO SPEC COL $483 $410.55 $116.79 – $1,223.18
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Aetna: $116.79
  • Aetna — Aetna Medicare: $869.30
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $131.48
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $869.30
  • Cigna — Cigna: $289.80
  • Geisinger — Geisinger: $1,457.66
  • Geisinger — Geisinger Medicaid: $133.99
  • Geisinger — Geisinger Medicare: $869.30
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,681.87
  • Highmark — Highmark CHIP / Social Mission: $1,003.31
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UGI ENDO DX W OR WO SPEC COL $483 $410.55 $91.49 – $391.09
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Aetna: $311.42
  • Aetna — Aetna Medicare: $297.17
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $297.17
  • Cigna — Cigna: $302
  • Geisinger — Geisinger Medicare: $297.17
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $141.54
  • Highmark — Highmark CHIP / Social Mission: $91.49
  • Highmark — Highmark Comm Community Blue: $141.54
  • Highmark — Highmark Comm Managed/Indemnity: $141.54
  • Highmark — Highmark Comm Performance Blue: $141.54
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UGI ENDO DX W OR WO SPEC COL $483 $410.55 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UGI ENDO W/BX SG OR MULT $613 $521.05 $131.53 – $1,653.69
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — Aetna: $131.53
  • Aetna — Aetna Medicare: $869.30
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $156.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $869.30
  • Cigna — Cigna: $367.80
  • Geisinger — Geisinger: $1,457.66
  • Geisinger — Geisinger Medicaid: $158.98
  • Geisinger — Geisinger Medicare: $869.30
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,681.87
  • Highmark — Highmark CHIP / Social Mission: $1,003.31
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY BIOPSY $232 $197.20 $139.20 – $1,653.69
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $869.30
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $156.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $869.30
  • Cigna — Cigna: $139.20
  • Geisinger — Geisinger: $1,457.66
  • Geisinger — Geisinger Medicaid: $158.98
  • Geisinger — Geisinger Medicare: $869.30
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,681.87
  • Highmark — Highmark CHIP / Social Mission: $1,003.31
  • Highmark — Highmark Comm Community Blue: $1,677.72
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UGI ENDO W/BX SG OR MULT $613 $521.05 $102.85 – $444.13
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Aetna: $400.14
  • Aetna — Aetna Medicare: $384.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $384.87
  • Cigna — Cigna: $391.13
  • Geisinger — Geisinger Medicare: $384.87
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $158.99
  • Highmark — Highmark CHIP / Social Mission: $102.85
  • Highmark — Highmark Comm Community Blue: $158.99
  • Highmark — Highmark Comm Managed/Indemnity: $158.99
  • Highmark — Highmark Comm Performance Blue: $158.99
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $547 $464.95 $175.87 – $1,653.05
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Aetna: $175.87
  • Aetna — Aetna Medicare: $891.32
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $189.53
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $891.32
  • Cigna — Cigna: $328.20
  • Geisinger — Geisinger: $1,494.59
  • Geisinger — Geisinger Medicaid: $193.13
  • Geisinger — Geisinger Medicare: $891.32
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,724.48
  • Highmark — Highmark CHIP / Social Mission: $1,028.73
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY $547 $464.95 $137.60 – $547
Colonoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Aetna: $358.46
  • Aetna — Aetna Medicare: $350.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $350.47
  • Cigna — Cigna: $356.17
  • Geisinger — Geisinger Medicare: $350.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $212.50
  • Highmark — Highmark CHIP / Social Mission: $137.60
  • Highmark — Highmark Comm Community Blue: $212.50
  • Highmark — Highmark Comm Managed/Indemnity: $212.50
  • Highmark — Highmark Comm Performance Blue: $212.50
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $547 $464.95 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY $703 $597.55 $190.94 – $1,641.18
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — Aetna: $190.94
  • Aetna — Aetna Medicare: $1,146.91
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $236.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $1,146.91
  • Cigna — Cigna: $421.80
  • Geisinger — Geisinger: $1,923.17
  • Geisinger — Geisinger Medicaid: $241.20
  • Geisinger — Geisinger Medicare: $1,146.91
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $2,218.99
  • Highmark — Highmark CHIP / Social Mission: $1,323.73
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY $703 $597.55 $149.68 – $599.69
Colonoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Aetna: $462.33
  • Aetna — Aetna Medicare: $443.29
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $443.29
  • Cigna — Cigna: $450.50
  • Geisinger — Geisinger Medicare: $443.29
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $231.11
  • Highmark — Highmark CHIP / Social Mission: $149.68
  • Highmark — Highmark Comm Community Blue: $231.11
  • Highmark — Highmark Comm Managed/Indemnity: $231.11
  • Highmark — Highmark Comm Performance Blue: $231.11
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY $703 $597.55 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LES REMOVAL $734 $623.90 $242.81 – $1,640.14
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • Aetna — Aetna: $242.81
  • Aetna — Aetna Medicare: $1,146.91
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $281.48
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $1,146.91
  • Cigna — Cigna: $440.40
  • Geisinger — Geisinger: $1,923.17
  • Geisinger — Geisinger Medicaid: $286.85
  • Geisinger — Geisinger Medicare: $1,146.91
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $2,218.99
  • Highmark — Highmark CHIP / Social Mission: $1,323.73
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/LES REMOVAL $734 $623.90 $188.76 – $696.06
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates
  • Aetna — Aetna: $480.57
  • Aetna — Aetna Medicare: $464.14
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $464.14
  • Cigna — Cigna: $471.69
  • Geisinger — Geisinger Medicare: $464.14
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $291.22
  • Highmark — Highmark CHIP / Social Mission: $188.76
  • Highmark — Highmark Comm Community Blue: $291.22
  • Highmark — Highmark Comm Managed/Indemnity: $291.22
  • Highmark — Highmark Comm Performance Blue: $291.22
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LES REMOVAL $734 $623.90 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $1,114 $946.90 $668.40 – $4,563
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • Aetna — Aetna: $4,563
  • Aetna — Aetna Medicare: $5,794.30
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $5,794.30
  • Cigna — Cigna: $668.40
  • Geisinger — Geisinger: $9,716.06
  • Geisinger — Geisinger Medicare: $5,794.30
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $11,210.56
  • Highmark — Highmark CHIP / Social Mission: $6,687.59
  • Highmark — Highmark Comm Community Blue: $11,182.89
  • Highmark — Highmark Comm Managed/Indemnity: $11,557.99
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $1,114 $946.90 $445.60 – $996.31
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • Aetna — Aetna: $690.90
  • Aetna — Aetna Medicare: $600.73
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $600.73
  • Cigna — Cigna: $610.50
  • Geisinger — Geisinger Medicare: $600.73
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $692.42
  • Highmark — Highmark CHIP / Social Mission: $500.85
  • Highmark — Highmark Comm Community Blue: $692.42
  • Highmark — Highmark Comm Managed/Indemnity: $692.42
  • Highmark — Highmark Comm Performance Blue: $692.42
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $1,114 $946.90 Not listed in the file
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 $837 $711.45 $333.38 – $2,320.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • Aetna — Aetna: $505.58
  • Aetna — Aetna Medicare: $3,431.62
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $333.38
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3,431.62
  • Cigna — Cigna: $502.20
  • Geisinger — Geisinger: $5,754.24
  • Geisinger — Geisinger Medicaid: $339.73
  • Geisinger — Geisinger Medicare: $3,431.62
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6,639.35
  • Highmark — Highmark CHIP / Social Mission: $3,960.66
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR $837 $711.45 $334.80 – $572.06
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates
  • Aetna — Aetna: $546.76
  • Aetna — Aetna Medicare: $481.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $481.64
  • Cigna — Cigna: $489.47
  • Geisinger — Geisinger Medicare: $481.64
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $550.21
  • Highmark — Highmark CHIP / Social Mission: $397.31
  • Highmark — Highmark Comm Community Blue: $550.21
  • Highmark — Highmark Comm Managed/Indemnity: $550.21
  • Highmark — Highmark Comm Performance Blue: $550.21
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR $837 $711.45 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY $2,176 $1,849.60 $190.71 – $1,305.60
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna — Aetna: $190.71
  • Aetna — Aetna Medicare: $3,102.61
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3,102.61
  • Cigna — Cigna: $1,305.60
  • Geisinger — Geisinger: $5,202.55
  • Geisinger — Geisinger Medicare: $3,102.61
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6,002.80
  • Highmark — Highmark CHIP / Social Mission: $3,580.93
  • Highmark — Highmark Comm Community Blue: $5,987.98
  • Highmark — Highmark Comm Managed/Indemnity: $6,188.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY $2,176 $1,849.60 $174.32 – $1,482.96
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna — Aetna: $1,482.96
  • Aetna — Aetna Medicare: $1,158.73
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $1,158.73
  • Cigna — Cigna: $1,177.57
  • Geisinger — Geisinger Medicare: $1,158.73
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $246.64
  • Highmark — Highmark CHIP / Social Mission: $174.32
  • Highmark — Highmark Comm Community Blue: $246.64
  • Highmark — Highmark Comm Managed/Indemnity: $246.64
  • Highmark — Highmark Comm Performance Blue: $246.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY $2,176 $1,849.60 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $2,005 – $102,352.02
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $83,329.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $83,329.05
  • Cigna — Cigna: $89,268.05
  • Geisinger — Geisinger: $71,962.28
  • Geisinger — Geisinger Medicare: $83,329.05
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $99,281.48
  • Highmark — Highmark CHIP / Social Mission: $89,343.56
  • Highmark — Highmark Comm Community Blue: $99,032.74
  • Highmark — Highmark Comm Managed/Indemnity: $102,352.02
  • Highmark — Highmark Comm Performance Blue: $95,187.39
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $2,005 – $26,253.87
Spinal fusion (not neck), without major complications: 10 of 14 insurance plan rates
  • Aetna — Aetna Medicare: $24,270.18
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $24,270.18
  • Geisinger — Geisinger Medicare: $24,270.18
  • Highmark — Highmark MCR Community/Complete Blue: $23,128.99
  • Highmark — Highmark MCR Freedom Blue: $21,480.44
  • Highmark — Highmark MCR Security Blue: $26,253.87
  • Highmark — Highmark Wholecare Medicare: $25,471.96
  • Humana — Humana Medicare: $24,270.18
  • PA Health & Wellness — PA Health and Wellness- Medicare: $24,270.18
  • Senior Life — Senior Life- Medicare: $24,730.06
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 $2,005 – $17,998.91
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $12,814.67
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $12,814.67
  • Cigna — Cigna: $17,601.21
  • Geisinger — Geisinger: $14,188.99
  • Geisinger — Geisinger Medicare: $12,814.67
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $17,458.95
  • Highmark — Highmark CHIP / Social Mission: $15,711.33
  • Highmark — Highmark Comm Community Blue: $17,415.21
  • Highmark — Highmark Comm Managed/Indemnity: $17,998.91
  • Highmark — Highmark Comm Performance Blue: $16,738.99
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 $2,005 – $23,162.78
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $16,209.59
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $16,209.59
  • Cigna — Cigna: $22,276.86
  • Geisinger — Geisinger: $17,958.20
  • Geisinger — Geisinger Medicare: $16,209.59
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $22,467.90
  • Highmark — Highmark CHIP / Social Mission: $20,218.90
  • Highmark — Highmark Comm Community Blue: $22,411.61
  • Highmark — Highmark Comm Managed/Indemnity: $23,162.78
  • Highmark — Highmark Comm Performance Blue: $21,541.39
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 $2,005 – $13,029.06
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $8,254.99
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8,254.99
  • Cigna — Cigna: $11,321.39
  • Geisinger — Geisinger: $9,126.59
  • Geisinger — Geisinger Medicare: $8,254.99
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $12,638.19
  • Highmark — Highmark CHIP / Social Mission: $11,373.13
  • Highmark — Highmark Comm Community Blue: $12,606.53
  • Highmark — Highmark Comm Managed/Indemnity: $13,029.06
  • Highmark — Highmark Comm Performance Blue: $12,117.03

Source: Chan Soon- Shiong Medical Center at Windber’s standard charges file (windbercare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 25, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address600 Somerset Avenue, Windber, PA 15963
CountySomerset County
StatePennsylvania
Phone(814) 467‑3000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
CMS Certification Number390112
Name in Medicare recordsCHAN SOON- SHIONG MEDICAL CENTER AT WINDBER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteWindber Medical Center (Chan Soon-Shiong Medical Center at Windber)
Official websitewindbercare.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Windber Medical Center — windbercare.org
  2. Services — windbercare.org
  3. Emergency Services — windbercare.org
  4. TotalCare Program Near Johnstown & Windber - Chan Soon Shiong Medical Center at Windber — windbercare.org
  5. Windber PT Department - Chan Soon-Shiong Medical Center at Windber — windbercare.org
  6. Frequently Asked Questions - Chan Soon-Shiong Medical Center at Windber — windbercare.org
  7. Imaging & Radiology In Windber - Diagnostic Imaging Services Near Johnstown — windbercare.org
  8. Bone Density Test in Windber, PA - Imaging & Radiology Near Johnstown — windbercare.org
  9. Breast Imaging In Windber PA - Breast Screening Services Near Johnstown — windbercare.org
  10. X Rays Services In Windber PA - Imaging & Radiology Near Johnstown — windbercare.org