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Acute Care Hospital

Doylestown Hospital

Doylestown, Pennsylvania · Bucks County · Emergency services listed

Doylestown Hospital is an acute care hospital at 595 West State St, Doylestown, PA 18901. Phone: (215) 345-2200. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Doylestown Hospital is an acute care hospital in Doylestown, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 63 services, specialties and programs. Medicare lists 1,044 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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

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Exterior of Doylestown Hospital
Photo: Bernardo Margulis, CC BY-SA 4.0, via Wikimedia Commons · source · license

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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
245Beds (hospital website)
63Services listed

Quick answers

Does Doylestown Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Doylestown Hospital. In a medical emergency, call 911.
Where is Doylestown Hospital?
595 West State St, Doylestown, PA 18901, in Bucks County, Pennsylvania.
What is the phone number of Doylestown Hospital?
(215) 345-2200, as listed by Medicare (CMS).
What is the Medicare star rating of Doylestown Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Doylestown Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Doylestown Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0574; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Conditions treated[8]

Treatments[9][10]

Procedures[9]

Programs and centers[6][8][9][10][11]

  • Heart Institute
  • Orthopedic Institute
  • Maternity Center (labor and delivery, postpartum)
  • Intensive Care Nursery
  • Pediatric Center
  • Moss Rehab
  • Women's Diagnostic Center
  • Prenatal Testing Center
  • Cancer Support Community
  • Lenape Valley Crisis Intervention
  • Stroke Resource Center
  • Woodall Chest Pain Center

Emergency care (hospital website)[7]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingAcute care, ICU, IVU and CVICU visiting 9 a.m.-9 p.m. daily, up to two visitors at a time; after 8 p.m. enter via the ED[6]
ParkingFree surface lots on campus; covered parking garage $3 per day, linked to the hospital by the underground ArtWalk[7]
Patient portalMyChart by myPennMedicine

Recognition[8][11]

  • Stroke Resource Center (American Heart Association/American Stroke Association)
  • Primary Stroke Center (Joint Commission certified)
  • AHA Get With The Guidelines Stroke Gold Plus Achievement

Doctors and clinicians (1,044)

1,044 doctors and other clinicians list Doylestown Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,044)

And 1,020 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Doylestown

Hospitals in Bucks County · Hospitals near me

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 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 well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1078%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well80%National average: 80%
“Always” got help as soon as they wanted67%National average: 64%
Staff “always” explained medicines before giving them66%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean72%National average: 73%
Completed surveys928Response rate: 36%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.998No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.011No different from the national benchmark
Surgical site infections after colon surgery1.76No different from the national benchmark
MRSA bloodstream infections0.404No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.081No different from the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients11%
Deaths within 30 days: heart failure patients10.9%
Deaths within 30 days: pneumonia patients14.7%
Deaths within 30 days: COPD patients7.8%
Deaths within 30 days: stroke patients11.1%
Deaths within 30 days: coronary bypass surgery (CABG)2.4%
Serious complications (patient safety indicator PSI-90)1No different from the national rate
Complications after hip or knee replacement3.7%

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16%
Readmitted within 30 days: heart attack14.6%
Readmitted within 30 days: heart failure20.8%
Readmitted within 30 days: pneumonia16.8%
Readmitted within 30 days: COPD20.2%
Readmitted within 30 days: coronary bypass surgery10.3%
Readmitted within 30 days: hip or knee replacement7.4%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)233 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)34%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Doylestown Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.0574Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0995More readmissions than expected
Heart failure1.0284More readmissions than expected
Pneumonia1.0093More readmissions than expected
COPD (chronic lung disease)0.9482Fewer readmissions than expected
Hip or knee replacement1.0533More readmissions than expected
Coronary bypass surgery (CABG)1.1322More readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score29.58 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)21.67 out of 100
Person and community engagement (patient survey)55.00 out of 100
Safety (infections and sepsis care)11.67 out of 100
Efficiency and cost reduction (Medicare spending)30.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.95Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as Doylestown Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 51 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-NEW PT LEVEL 3 $359 $359 $96.93 – $359
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-NEW PT LEVEL 3 $359 $359 $96.93 – $359
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: OFF/OP VST NEW PT LVL 3 MOD 25 $359 $359 $96.93 – $359
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-NEW PT LEVEL 4 $359 $359 $96.93 – $359
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-NEW PT LEVEL 4 $359 $359 $96.93 – $359
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: OFF/OP VST NEW PT LVL 4 MOD 25 $359 $359 $96.93 – $359
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-NEW PT LEVEL 5 $359 $359 $96.93 – $359
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-NEW PT LEVEL 5 $359 $359 $96.93 – $359
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: OFF/OP VSI NEW PT LVL 5 MOD 25 $359 $359 $96.93 – $359
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-EST PT LEVEL 3 $359 $359 $96.93 – $359
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-EST PT LEVEL 3 $359 $359 $96.93 – $359
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: OFF/OP VST EST PT LVL 3 MOD 25 $359 $359 $96.93 – $359
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-EST PT LEVEL 4 $359 $359 $96.93 – $359
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OP VISIT-EST PT LEVEL 4 $359 $359 $96.93 – $359
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: OFF/OP VST EST PT LVL 4 MOD 25 $359 $359 $96.93 – $359
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • AETNA — AETNA: $264.22
  • AETNA PEBTF — AETNA PEBTF: $246.63
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $134.77
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $148.23
  • MEDIGAP — MEDIGAP: $359
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $96.93
  • SELF-PAY — SELF-PAY: $359
  • TRICARE — TRICARE: $359
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $107.70
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/R LIMITED CARE I $685 $685 $268.55 – $635.87
Emergency room visit (moderate): 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,187
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $284.66
  • AETNA PEBTF — AETNA PEBTF: $1,127
  • AMBETTER — AMBETTER: $281.98
  • CIGNA — CIGNA: $1,123
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $279.29
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $635.87
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $563.96
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,148
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,056
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E/R LIMITED CARE I $685 $685 $184.95 – $685
Emergency room visit (moderate): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $685
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $184.95
  • SELF-PAY — SELF-PAY: $685
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: E/R VISIT LEVEL III $1,605 $1,605 $268.55 – $635.87
Emergency room visit (moderate): 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,187
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $284.66
  • AETNA PEBTF — AETNA PEBTF: $1,127
  • AMBETTER — AMBETTER: $281.98
  • CIGNA — CIGNA: $1,123
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $279.29
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $635.87
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $563.96
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,148
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,056
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: E/R VISIT LEVEL IV $1,605 $1,605 $424.33 – $1,644
Emergency room visit (moderately high): 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,187
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $435.12
  • AETNA PEBTF — AETNA PEBTF: $1,127
  • AMBETTER — AMBETTER: $431.01
  • CIGNA — CIGNA: $1,123
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $426.91
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $971.96
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $862.03
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,148
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,056
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 25 In the file: E/R VISIT LEVEL IV $1,605 $1,605 $433.35 – $1,605
Emergency room visit (moderately high): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $1,605
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $433.35
  • SELF-PAY — SELF-PAY: $1,605
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: E/R VISIT LEVEL V $1,605 $1,605 $433.35 – $1,644
Emergency room visit (high): 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,187
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $621.02
  • AETNA PEBTF — AETNA PEBTF: $1,127
  • AMBETTER — AMBETTER: $615.16
  • CIGNA — CIGNA: $1,123
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $609.30
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $1,387.21
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $1,230.33
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,148
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,056
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 25 In the file: E/R VISIT LEVEL V $1,605 $1,605 $433.35 – $1,605
Emergency room visit (high): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $1,605
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $433.35
  • SELF-PAY — SELF-PAY: $1,605

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: LAB BASIC METABOLIC PANEL $241 $241 $8.46 – $241
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • AETNA — AETNA: $12.51
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.97
  • AETNA PEBTF — AETNA PEBTF: $11.86
  • AMBETTER — AMBETTER: $8.88
  • CIGNA — CIGNA: $12.76
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $8.80
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $18.04
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $16.07
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $31.70
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $29.17
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB BASIC METABOLIC PANEL $241 $241 $65.07 – $241
Basic metabolic panel (blood test): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $241
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $65.07
  • SELF-PAY — SELF-PAY: $241
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $415 $415 $10.56 – $415
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates
  • AETNA — AETNA: $15.63
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11.19
  • AETNA PEBTF — AETNA PEBTF: $14.82
  • AMBETTER — AMBETTER: $11.09
  • CIGNA — CIGNA: $16.19
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $10.98
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $22.51
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $20.06
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $39.56
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $36.39
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $415 $415 $112.05 – $415
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $415
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $112.05
  • SELF-PAY — SELF-PAY: $415
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PRENATAL $317 $317 $29 – $317
Obstetric blood test panel: 10 of 19 insurance plan rates
  • AETNA — AETNA: $70.71
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $50.68
  • AETNA PEBTF — AETNA PEBTF: $67.06
  • AMBETTER — AMBETTER: $50.20
  • CIGNA — CIGNA: $72.59
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $49.72
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $101.92
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $90.84
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $72.35
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $66.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PRENATAL TYPE & SCREEN $40 $40 $10.80 – $85.27
Obstetric blood test panel: 10 of 19 insurance plan rates
  • AETNA — AETNA: $70.71
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $42.40
  • AETNA PEBTF — AETNA PEBTF: $67.06
  • AMBETTER — AMBETTER: $42
  • CIGNA — CIGNA: $72.59
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $41.60
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $85.27
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $76
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $72.35
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $66.56
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB PRENATAL $317 $317 $85.59 – $317
Obstetric blood test panel: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $317
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $85.59
  • SELF-PAY — SELF-PAY: $317
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL (CARDIOVASCULAR) $244 $244 $13.39 – $244
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
  • AETNA — AETNA: $19.80
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14.19
  • AETNA PEBTF — AETNA PEBTF: $18.78
  • AMBETTER — AMBETTER: $14.06
  • CIGNA — CIGNA: $20.11
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $13.93
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $28.54
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $25.44
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $51.48
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $47.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $244 $244 $13.39 – $244
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
  • AETNA — AETNA: $19.80
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14.19
  • AETNA PEBTF — AETNA PEBTF: $18.78
  • AMBETTER — AMBETTER: $14.06
  • CIGNA — CIGNA: $20.11
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $13.93
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $28.54
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $25.44
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $51.48
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $47.36
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL (CARDIOVASCULAR) $244 $244 $65.88 – $244
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $244
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $65.88
  • SELF-PAY — SELF-PAY: $244
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $300 $300 $8.68 – $300
Kidney function panel: 10 of 19 insurance plan rates
  • AETNA — AETNA: $12.84
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9.20
  • AETNA PEBTF — AETNA PEBTF: $12.18
  • AMBETTER — AMBETTER: $9.11
  • CIGNA — CIGNA: $13.25
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $9.03
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $18.50
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $16.49
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $32.52
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $29.91
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $300 $300 $81 – $300
Kidney function panel: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $300
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $81
  • SELF-PAY — SELF-PAY: $300
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $218 $218 $8.17 – $218
Liver function panel: 10 of 19 insurance plan rates
  • AETNA — AETNA: $12.08
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.66
  • AETNA PEBTF — AETNA PEBTF: $11.45
  • AMBETTER — AMBETTER: $8.58
  • CIGNA — CIGNA: $12.26
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $8.50
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $17.42
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $15.52
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $30.62
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $28.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $218 $218 $58.86 – $218
Liver function panel: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $218
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $58.86
  • SELF-PAY — SELF-PAY: $218
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE ROUTINE AUTO W/O MICRO $150 $150 $2.25 – $150
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • AETNA — AETNA: $3.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.39
  • AETNA PEBTF — AETNA PEBTF: $3.15
  • AMBETTER — AMBETTER: $2.36
  • CIGNA — CIGNA: $3.43
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $2.34
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $4.80
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $4.27
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $9.21
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $8.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OCC HEALTH URINE AUTO W/O MICR $38 $38 $2.25 – $38
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • AETNA — AETNA: $3.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.39
  • AETNA PEBTF — AETNA PEBTF: $3.15
  • AMBETTER — AMBETTER: $2.36
  • CIGNA — CIGNA: $3.43
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $2.34
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $4.80
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $4.27
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $9.21
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $8.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB URINE PH $48 $48 $2.25 – $48
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • AETNA — AETNA: $3.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.39
  • AETNA PEBTF — AETNA PEBTF: $3.15
  • AMBETTER — AMBETTER: $2.36
  • CIGNA — CIGNA: $3.43
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $2.34
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $4.80
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $4.27
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $9.21
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $8.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL DIAGNOSTIC $253 $253 $18.39 – $253
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • AETNA — AETNA: $27.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.49
  • AETNA PEBTF — AETNA PEBTF: $25.79
  • AMBETTER — AMBETTER: $19.31
  • CIGNA — CIGNA: $27.96
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $19.13
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $39.20
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $34.94
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $70.72
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $65.06
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PSA TOTAL $253 $253 $18.39 – $253
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • AETNA — AETNA: $27.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.49
  • AETNA PEBTF — AETNA PEBTF: $25.79
  • AMBETTER — AMBETTER: $19.31
  • CIGNA — CIGNA: $27.96
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $19.13
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $39.20
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $34.94
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $70.72
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $65.06
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA ULTRA SENSITIVE $253 $253 $18.39 – $253
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • AETNA — AETNA: $27.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.49
  • AETNA PEBTF — AETNA PEBTF: $25.79
  • AMBETTER — AMBETTER: $19.31
  • CIGNA — CIGNA: $27.96
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $19.13
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $39.20
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $34.94
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $70.72
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $65.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB CHEM TSH $257 $257 $16.80 – $257
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • AETNA — AETNA: $24.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.81
  • AETNA PEBTF — AETNA PEBTF: $23.56
  • AMBETTER — AMBETTER: $17.64
  • CIGNA — CIGNA: $25.50
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $17.47
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $35.81
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $31.92
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $70.99
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $65.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH REFLEX TO FREE T4 $257 $257 $16.80 – $257
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • AETNA — AETNA: $24.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.81
  • AETNA PEBTF — AETNA PEBTF: $23.56
  • AMBETTER — AMBETTER: $17.64
  • CIGNA — CIGNA: $25.50
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $17.47
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $35.81
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $31.92
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $70.99
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $65.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB TSH BY ICMA $229 $229 $16.80 – $229
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • AETNA — AETNA: $24.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.81
  • AETNA PEBTF — AETNA PEBTF: $23.56
  • AMBETTER — AMBETTER: $17.64
  • CIGNA — CIGNA: $25.50
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $17.47
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $35.81
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $31.92
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $70.99
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $65.31
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT/DIFF $154 $154 $7.77 – $154
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates
  • AETNA — AETNA: $11.48
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.24
  • AETNA PEBTF — AETNA PEBTF: $10.89
  • AMBETTER — AMBETTER: $8.16
  • CIGNA — CIGNA: $11.77
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $8.08
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $16.56
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $14.76
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $29.81
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $27.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE BLOOD COUNT/DIFF $154 $154 $41.58 – $154
Complete blood count (CBC) with differential: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $154
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $41.58
  • SELF-PAY — SELF-PAY: $154
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC - NO DIFF $154 $154 $6.47 – $154
Complete blood count (CBC), automated: 10 of 19 insurance plan rates
  • AETNA — AETNA: $9.57
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.86
  • AETNA PEBTF — AETNA PEBTF: $9.07
  • AMBETTER — AMBETTER: $6.79
  • CIGNA — CIGNA: $9.80
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $6.73
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $13.79
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $12.29
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $27.10
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $24.93
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC - NO DIFF $154 $154 $41.58 – $154
Complete blood count (CBC), automated: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $154
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $41.58
  • SELF-PAY — SELF-PAY: $154
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB HEMA PROTHROMBIN $93 $93 $4.29 – $93
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • AETNA — AETNA: $6.35
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.55
  • AETNA PEBTF — AETNA PEBTF: $6.02
  • AMBETTER — AMBETTER: $4.50
  • CIGNA — CIGNA: $6.37
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $4.46
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $9.15
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $8.15
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $15.17
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $13.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB PT-D $64 $64 $4.29 – $64
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • AETNA — AETNA: $6.35
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.55
  • AETNA PEBTF — AETNA PEBTF: $6.02
  • AMBETTER — AMBETTER: $4.50
  • CIGNA — CIGNA: $6.37
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $4.46
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $9.15
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $8.15
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $15.17
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $13.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB HEMA PROTHROMBIN $93 $93 $25.11 – $93
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $93
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $25.11
  • SELF-PAY — SELF-PAY: $93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB HEMA PTT $108 $108 $6.01 – $108
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • AETNA — AETNA: $8.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.37
  • AETNA PEBTF — AETNA PEBTF: $8.43
  • AMBETTER — AMBETTER: $6.31
  • CIGNA — CIGNA: $9.32
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $6.25
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $12.81
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $11.42
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $25.47
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $23.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT $108 $108 $6.01 – $108
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • AETNA — AETNA: $8.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.37
  • AETNA PEBTF — AETNA PEBTF: $8.43
  • AMBETTER — AMBETTER: $6.31
  • CIGNA — CIGNA: $9.32
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $6.25
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $12.81
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $11.42
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $25.47
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $23.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Charge-PTT Ratio Treated $45 $45 $6.01 – $45
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • AETNA — AETNA: $8.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.37
  • AETNA PEBTF — AETNA PEBTF: $8.43
  • AMBETTER — AMBETTER: $6.31
  • CIGNA — CIGNA: $9.32
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $6.25
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $12.81
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $11.42
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $25.47
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $23.43

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/BRAIN W/O CONTRAST $1,619 $1,619 $102.85 – $219.26
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,191.58
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $1,112.25
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $100.61
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $598.82
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $550.91
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD WITHOUT CONTRAST $2,286 $2,286 $100.61 – $2,286
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,682.50
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $1,570.48
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $100.61
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $598.82
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $550.91
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head STROKE ALERT W/O CONT $2,286 $2,286 $102.85 – $219.26
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,682.50
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $1,570.48
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $100.61
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $598.82
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $550.91
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WITHOUT AND WITH $6,496 $6,496 $343.21 – $731.66
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $363.80
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $360.37
  • CIGNA — CIGNA: $317.51
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $356.94
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $731.66
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $652.10
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $2,086.39
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,919.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/OUT & W CONT CLINI $2,205.45 $2,205.45 $343.21 – $731.66
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $363.80
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $360.37
  • CIGNA — CIGNA: $317.51
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $356.94
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $731.66
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $652.10
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $2,086.39
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,919.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/O & WITH CONTRAST $6,496 $6,496 $343.21 – $731.66
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $363.80
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $360.37
  • CIGNA — CIGNA: $317.51
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $356.94
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $731.66
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $652.10
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $2,086.39
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,919.46
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY CHEST 2-VIEWS $299 $299 $34.39 – $299
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • AETNA — AETNA: $61.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.75
  • AETNA PEBTF — AETNA PEBTF: $58.74
  • AMBETTER — AMBETTER: $89.89
  • CIGNA — CIGNA: $34.39
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $89.03
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $182.50
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $92.13
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $84.76
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $101.34
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY CHEST - 2 VIEWS $299 $299 $34.39 – $299
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • AETNA — AETNA: $61.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.75
  • AETNA PEBTF — AETNA PEBTF: $58.74
  • AMBETTER — AMBETTER: $89.89
  • CIGNA — CIGNA: $34.39
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $89.03
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $182.50
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $92.13
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $84.76
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $101.34
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY CHEST 2-VIEWS $299 $299 $80.73 – $299
Chest X-ray, 2 views: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $299
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $80.73
  • SELF-PAY — SELF-PAY: $299
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE MIN 4 VIEWS $1,006 $1,006 $102.85 – $219.26
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • AETNA — AETNA: $94.70
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $90.05
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $57.94
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $135.48
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124.64
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $149.03
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SP LUMBOSACRAL COMP W/OBL 4 VW $1,006 $1,006 $57.94 – $1,006
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • AETNA — AETNA: $94.70
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $90.05
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $57.94
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $135.48
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $124.64
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $149.03
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBAR SPINE MIN 4 VIEWS $1,006 $1,006 $271.62 – $1,006
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $1,006
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $271.62
  • SELF-PAY — SELF-PAY: $1,006
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR WITHOUT $6,009 $6,009 $183.06 – $6,009
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $248.81
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $246.47
  • CIGNA — CIGNA: $183.06
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $244.12
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $500.40
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $445.99
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,287.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,184.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR WITHOUT CONTRAST $6,009 $6,009 $234.73 – $500.40
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $248.81
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $246.47
  • CIGNA — CIGNA: $183.06
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $244.12
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $500.40
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $445.99
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,287.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,184.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR WITHOUT $6,009 $6,009 $1,622.43 – $6,009
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $6,009
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $1,622.43
  • SELF-PAY — SELF-PAY: $6,009
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST $2,483 $2,483 $178.37 – $2,483
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,827.49
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $182.90
  • AETNA PEBTF — AETNA PEBTF: $1,705.82
  • AMBETTER — AMBETTER: $181.18
  • CIGNA — CIGNA: $258.60
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $179.45
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $367.84
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $327.85
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $842.69
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $775.26
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN PELVIS W/CONTRAST $2,573 $2,573 $178.37 – $2,573
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,893.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $182.90
  • AETNA PEBTF — AETNA PEBTF: $1,767.65
  • AMBETTER — AMBETTER: $181.18
  • CIGNA — CIGNA: $258.60
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $179.45
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $367.84
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $327.85
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $842.69
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $775.26
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST $2,483 $2,483 $670.41 – $2,483
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $2,483
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $670.41
  • SELF-PAY — SELF-PAY: $2,483
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE WITHOUT $2,856 $2,856 $210.10 – $2,856
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $248.81
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $246.47
  • CIGNA — CIGNA: $210.10
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $244.12
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $500.40
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $445.99
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,287.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,184.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI KNEE WITHOUT $2,856 $2,856 $210.10 – $2,856
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $248.81
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $246.47
  • CIGNA — CIGNA: $210.10
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $244.12
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $500.40
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $445.99
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,287.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,184.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE WITHOUT CONTRAST $2,856 $2,856 $234.73 – $500.40
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,190
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $248.81
  • AETNA PEBTF — AETNA PEBTF: $1,130
  • AMBETTER — AMBETTER: $246.47
  • CIGNA — CIGNA: $210.10
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $244.12
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $500.40
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $445.99
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,287.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,184.08
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT CT ABD/PELVIS WITH CONTRAST $2,760 $2,760 $343.21 – $731.66
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $2,031.36
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $363.80
  • AETNA PEBTF — AETNA PEBTF: $1,896.12
  • AMBETTER — AMBETTER: $360.37
  • CIGNA — CIGNA: $324.32
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $356.94
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $731.66
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $652.10
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $858.94
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $790.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PELVIS W IV CONT $2,984 $2,984 $324.32 – $2,984
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $2,196.22
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $363.80
  • AETNA PEBTF — AETNA PEBTF: $2,050.01
  • AMBETTER — AMBETTER: $360.37
  • CIGNA — CIGNA: $324.32
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $356.94
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $731.66
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $652.10
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $858.94
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $790.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD/PEL W IV AND ORAL CONTR $2,984 $2,984 $324.32 – $2,984
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $2,196.22
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $363.80
  • AETNA PEBTF — AETNA PEBTF: $2,050.01
  • AMBETTER — AMBETTER: $360.37
  • CIGNA — CIGNA: $324.32
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $356.94
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $731.66
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $652.10
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $858.94
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $790.22
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/S ABDOMEN COMPLETE $1,373 $1,373 $106.32 – $1,373
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,010.53
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $943.25
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $653.55
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $308.89
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $284.18
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE/UPPER $1,373 $1,373 $106.32 – $1,373
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,010.53
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $943.25
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $653.55
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $308.89
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $284.18
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: U/S ABDOMEN COMPLETE $1,373 $1,373 $370.71 – $1,373
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $1,373
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $370.71
  • SELF-PAY — SELF-PAY: $1,373
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREGNANCY 2ND/3RD,TRI-PRENA $1,247 $1,247 $102.85 – $219.26
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • AETNA — AETNA: $708
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $673
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $593.57
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $270.96
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $249.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/S PREGNANCY 2ND/3RD TRIMESTE $1,188 $1,188 $106.32 – $1,188
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • AETNA — AETNA: $708
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $673
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $565.49
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $270.96
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $249.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/S PREGNANT 2nd/3rd TRIMESTER $1,247 $1,247 $106.32 – $1,247
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • AETNA — AETNA: $708
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $673
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $593.57
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $270.96
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $249.28
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRENATAL U/S ENDOVAGINAL $904 $904 $102.85 – $219.26
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • AETNA — AETNA: $665.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $621.05
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $430.30
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $251.99
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $231.83
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/S TRANSVAGINAL-NON-OBSTETRIC $895 $895 $106.32 – $895
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • AETNA — AETNA: $658.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $614.87
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $426.02
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $251.99
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $231.83
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PELVIS TRANSVAGINAL ONLY $895 $895 $106.32 – $895
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • AETNA — AETNA: $658.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.02
  • AETNA PEBTF — AETNA PEBTF: $614.87
  • AMBETTER — AMBETTER: $107.99
  • CIGNA — CIGNA: $426.02
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $106.96
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $219.26
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $195.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $251.99
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $231.83
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL UNI DIAG MAMMO $455 $455 $89.76 – $455
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $179
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $95.15
  • AETNA PEBTF — AETNA PEBTF: $172
  • AMBETTER — AMBETTER: $94.25
  • CIGNA — CIGNA: $216.58
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $93.35
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $191.35
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $170.54
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $168
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $154.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INPT DIGITAL UNI DIAG MAMMO $368 $368 $89.76 – $368
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • AETNA — AETNA: $179
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $95.15
  • AETNA PEBTF — AETNA PEBTF: $172
  • AMBETTER — AMBETTER: $94.25
  • CIGNA — CIGNA: $175.17
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $93.35
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $191.35
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $170.54
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $168
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $154.55
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIGITAL UNI DIAG MAMMO $455 $455 $122.85 – $455
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $455
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $122.85
  • SELF-PAY — SELF-PAY: $455
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL BIL DIAG MAMMO $595 $595 $115.18 – $595
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA: $225
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.10
  • AETNA PEBTF — AETNA PEBTF: $214
  • AMBETTER — AMBETTER: $120.95
  • CIGNA — CIGNA: $283.22
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $119.80
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $245.56
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $218.86
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $214.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $196.93
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INPT DIGITAL BIL DIAG MAMMO $595 $595 $115.18 – $595
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA: $225
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.10
  • AETNA PEBTF — AETNA PEBTF: $214
  • AMBETTER — AMBETTER: $120.95
  • CIGNA — CIGNA: $283.22
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $119.80
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $245.56
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $218.86
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $214.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $196.93
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL BIL DIAG MAMMOGRAM $595 $595 $115.18 – $595
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA: $225
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.10
  • AETNA PEBTF — AETNA PEBTF: $214
  • AMBETTER — AMBETTER: $120.95
  • CIGNA — CIGNA: $283.22
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $119.80
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $245.56
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $218.86
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $214.06
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $196.93
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL BIL SCR MAMMO $595 $595 $94.97 – $595
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA: $191
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.67
  • AETNA PEBTF — AETNA PEBTF: $182
  • AMBETTER — AMBETTER: $99.72
  • CIGNA — CIGNA: $283.22
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $98.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $202.46
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $180.44
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $162.58
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $149.57
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INPT DIGITAL BIL SCR MAMMO $595 $595 $94.97 – $595
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA: $191
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.67
  • AETNA PEBTF — AETNA PEBTF: $182
  • AMBETTER — AMBETTER: $99.72
  • CIGNA — CIGNA: $283.22
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $98.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $202.46
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $180.44
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $162.58
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $149.57
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL BIL SCR MAMMOGRAM $595 $595 $94.97 – $595
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA: $191
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.67
  • AETNA PEBTF — AETNA PEBTF: $182
  • AMBETTER — AMBETTER: $99.72
  • CIGNA — CIGNA: $283.22
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $98.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $202.46
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $180.44
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $162.58
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $149.57

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LHC VGRAM, S&I $9,952 $9,952 $3,189.33 – $6,799.01
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
  • AETNA — AETNA: $7,324.67
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,380.69
  • AETNA PEBTF — AETNA PEBTF: $6,837.02
  • AMBETTER — AMBETTER: $3,348.80
  • CIGNA — CIGNA: $7,278
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $3,316.90
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $6,799.01
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $6,059.73
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $8,359.60
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $7,690.80
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LHC VGRAM, S&I $9,952 $9,952 $2,687.04 – $9,952
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $9,952
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $2,687.04
  • SELF-PAY — SELF-PAY: $9,952
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARD FULL EPS STDY W/OUT STIMM $8,398 $8,398 $2,267.46 – $8,398
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates
  • AETNA — AETNA: $7,133
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8,133.50
  • AETNA PEBTF — AETNA PEBTF: $6,778
  • AMBETTER — AMBETTER: $8,056.77
  • CIGNA — CIGNA: $7,278
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $7,980.03
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $16,357.54
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $14,578.91
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $5,891.90
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $5,420.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARD FULL EPS STDY W/OUT STIMM $8,398 $8,398 $2,267.46 – $8,398
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $8,398
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $2,267.46
  • SELF-PAY — SELF-PAY: $8,398
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABLATION - PULM VEIN & EP $27,667 $27,667 $6,742 – $32,912
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
  • AETNA — AETNA: $28,520
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27,256.60
  • AETNA PEBTF — AETNA PEBTF: $27,094
  • AMBETTER — AMBETTER: $26,999.46
  • CIGNA — CIGNA: $7,278
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $26,742.32
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $54,816.61
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $48,856.16
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $29,920
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $27,526
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABLATION - PULM VEIN & EP $27,667 $27,667 $7,470.09 – $27,667
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $27,667
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $7,470.09
  • SELF-PAY — SELF-PAY: $27,667
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAG POLYSOM AGE 6=> PARAM 4+ $5,025 $5,025 $844.81 – $1,800.97
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $895.50
  • AMBETTER — AMBETTER: $887.05
  • CIGNA — CIGNA: $2,391.90
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $878.60
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $1,800.97
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $1,605.14
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,711
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,574
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $1,882
  • Medicare — Medicare: $844.81
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAG POLYSOM AGE 6=> PARAM 4+ $5,025 $5,025 $1,356.75 – $5,025
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $5,025
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $1,356.75
  • SELF-PAY — SELF-PAY: $5,025

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 In the file: THERAPEUTIC EXERCISE $300 $300 $29.04 – $301
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $30.59
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.76
  • AETNA PEBTF — AETNA PEBTF: $29.04
  • AMBETTER — AMBETTER: $31.46
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $31.16
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $63.87
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $56.92
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $270.20
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $248.59
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THER EX I OP $293 $293 $29.04 – $301
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $30.59
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.76
  • AETNA PEBTF — AETNA PEBTF: $29.04
  • AMBETTER — AMBETTER: $31.46
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $31.16
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $63.87
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $56.92
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $270.20
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $248.59
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THER EX I OP EA 15 MIN $300 $300 $29.04 – $301
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $30.59
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.76
  • AETNA PEBTF — AETNA PEBTF: $29.04
  • AMBETTER — AMBETTER: $31.46
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $31.16
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $63.87
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $56.92
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $270.20
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $248.59
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW 20 MIN ACUTE $679 $679 $98.79 – $679
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • AETNA — AETNA: $104.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.78
  • AETNA PEBTF — AETNA PEBTF: $98.79
  • AMBETTER — AMBETTER: $105.78
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $104.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $214.76
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $191.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $360.27
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $331.45
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW 20 MIN OUTS $679 $679 $98.79 – $679
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • AETNA — AETNA: $104.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.78
  • AETNA PEBTF — AETNA PEBTF: $98.79
  • AMBETTER — AMBETTER: $105.78
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $104.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $214.76
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $191.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $360.27
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $331.45
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW 20 MIN ACUTE $679 $679 $183.33 – $679
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $679
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $183.33
  • SELF-PAY — SELF-PAY: $679
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD 30 MIN ACUTE $679 $679 $98.79 – $679
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • AETNA — AETNA: $104.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.78
  • AETNA PEBTF — AETNA PEBTF: $98.79
  • AMBETTER — AMBETTER: $105.78
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $104.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $214.76
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $191.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $450.33
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $414.31
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD 30 MIN OUTS $679 $679 $98.79 – $679
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • AETNA — AETNA: $104.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.78
  • AETNA PEBTF — AETNA PEBTF: $98.79
  • AMBETTER — AMBETTER: $105.78
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $104.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $214.76
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $191.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $450.33
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $414.31
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD 30 MIN ACUTE $679 $679 $183.33 – $679
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $679
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $183.33
  • SELF-PAY — SELF-PAY: $679
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH 45 MIN ACUTE $679 $679 $98.79 – $679
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • AETNA — AETNA: $104.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.78
  • AETNA PEBTF — AETNA PEBTF: $98.79
  • AMBETTER — AMBETTER: $105.78
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $104.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $214.76
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $191.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $540.40
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $497.17
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH 45 MIN OUTS $679 $679 $98.79 – $679
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • AETNA — AETNA: $104.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.78
  • AETNA PEBTF — AETNA PEBTF: $98.79
  • AMBETTER — AMBETTER: $105.78
  • CIGNA — CIGNA: $175
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $104.77
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $214.76
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $191.41
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $540.40
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $497.17
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH 45 MIN ACUTE $679 $679 $183.33 – $679
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $679
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $183.33
  • SELF-PAY — SELF-PAY: $679

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PERCUTANEOUS PROSTATE BX $1,835 $1,835 $495.45 – $3,622
Prostate biopsy: 10 of 11 insurance plan rates
  • AETNA — AETNA: $2,463
  • AETNA PEBTF — AETNA PEBTF: $2,340
  • CIGNA — CIGNA: $3,622
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $2,716.87
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $2,499.51
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $2,988.57
  • MEDIGAP — MEDIGAP: $1,835
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $495.45
  • SELF-PAY — SELF-PAY: $1,835
  • TRICARE — TRICARE: $1,835
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/S BIOPSY/PROSTATE/NEEDLE $2,004 $2,004 $541.08 – $2,988.57
Prostate biopsy: rates for 10 insurance plans
  • AETNA — AETNA: $1,474.94
  • AETNA PEBTF — AETNA PEBTF: $1,376.75
  • CIGNA — CIGNA: $953.90
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $2,716.87
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $2,499.51
  • INDEPENDENCE BLUE CROSS TRADITIONAL — INDEPENDENCE BLUE CROSS TRADITIONAL: $2,988.57
  • MEDIGAP — MEDIGAP: $2,004
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $541.08
  • SELF-PAY — SELF-PAY: $2,004
  • TRICARE — TRICARE: $2,004
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PERCUTANEOUS PROSTATE BX $1,835 $1,835 $495.45 – $1,835
Prostate biopsy: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $1,835
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $495.45
  • SELF-PAY — SELF-PAY: $1,835
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT EPIDURAL INJ LUM SP W/GUIDE $1,076 $1,076 $290.52 – $3,622
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,777
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $736.10
  • AETNA PEBTF — AETNA PEBTF: $1,688
  • AMBETTER — AMBETTER: $729.15
  • CIGNA — CIGNA: $3,622
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $722.21
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $1,480.39
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $1,319.42
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,253.94
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,153.62
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XA LUMBAR ESI $1,076 $1,076 $290.52 – $3,622
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,777
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $736.10
  • AETNA PEBTF — AETNA PEBTF: $1,688
  • AMBETTER — AMBETTER: $729.15
  • CIGNA — CIGNA: $3,622
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $722.21
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $1,480.39
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $1,319.42
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,253.94
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,153.62
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT EPIDURAL INJ LUM SP W/GUIDE $1,076 $1,076 $290.52 – $1,076
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $1,076
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $290.52
  • SELF-PAY — SELF-PAY: $1,076
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSFOR EPID LUMBAR UNI $3,082 $3,082 $832.14 – $3,622
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • AETNA — AETNA: $1,777
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $922.33
  • AETNA PEBTF — AETNA PEBTF: $1,688
  • AMBETTER — AMBETTER: $913.63
  • CIGNA — CIGNA: $3,622
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $904.92
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $1,854.92
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $1,653.23
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $1,253.94
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $1,153.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TRANSFOR EPID LUMBAR UNI $3,082 $3,082 $832.14 – $3,082
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • MEDIGAP — MEDIGAP: $3,082
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: $832.14
  • SELF-PAY — SELF-PAY: $3,082

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 $68,358.78 – $176,100.46
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates
  • AETNA — AETNA: $145,274.58
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $72,460.31
  • AETNA PEBTF — AETNA PEBTF: $138,015.74
  • AMBETTER — AMBETTER: $71,776.72
  • CIGNA — CIGNA: $126,520.95
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $71,093.13
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $176,100.46
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $165,759.79
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $159,673.90
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $146,903.11
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 $25,560.13 – $27,093.74
Spinal fusion (not neck), without major complications: rates for 9 insurance plans
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27,093.74
  • AMBETTER — AMBETTER: $26,838.14
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $26,582.53
  • Medicare — Medicare: $26,764.38
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS (100 Percent POM): $25,560.13
  • OTHER BLUE CROSS MED ADV — OTHER BLUE CROSS MED ADV: $26,071.33
  • MEDIGAP — MEDIGAP: 100% (a percentage in the contract, not a dollar amount)
  • OTHER BLUE CROSS (100 Percent POM) — OTHER BLUE CROSS: 27% (a percentage in the contract, not a dollar amount)
  • SELF-PAY — SELF-PAY: 100% (a percentage in the contract, not a dollar amount)
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 $13,478.48 – $34,723.27
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates
  • AETNA — AETNA: $28,644.17
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14,287.19
  • AETNA PEBTF — AETNA PEBTF: $27,212.92
  • AMBETTER — AMBETTER: $14,152.40
  • CIGNA — CIGNA: $24,946.46
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $14,017.62
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $34,723.27
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $32,396.16
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $29,636
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $27,265
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 $17,058.95 – $43,939.61
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates
  • AETNA — AETNA: $36,253.31
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18,082.48
  • AETNA PEBTF — AETNA PEBTF: $34,441.86
  • AMBETTER — AMBETTER: $17,911.89
  • CIGNA — CIGNA: $31,573.33
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $17,741.30
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $43,939.61
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $40,658.39
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $39,846.66
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $36,659.71
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $8,669.56 – $22,338.82
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates
  • AETNA — AETNA: $18,424.40
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,189.73
  • AETNA PEBTF — AETNA PEBTF: $17,503.80
  • AMBETTER — AMBETTER: $9,103.04
  • CIGNA — CIGNA: $16,045.97
  • CIGNA MEDICARE ADVANTAGE — CIGNA MEDICARE ADVANTAGE: $9,016.34
  • HIGHMARK INDEMNITY/MANAGED CARE — HIGHMARK INDEMNITY/MANAGED CARE: $22,338.82
  • HIGHMARK-BC CENTRAL — HIGHMARK-BC CENTRAL: $20,595.44
  • INDEPENDENCE BLUE CROSS HMO PPO — INDEPENDENCE BLUE CROSS HMO PPO: $16,114
  • INDEPENDENCE BLUE CROSS HMO TIERED — INDEPENDENCE BLUE CROSS HMO TIERED: $14,825

Source: Doylestown Hospital’s standard charges file (tupa-q-001.sitecorecontenthub.cloud, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 27, 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
Address595 West State St, Doylestown, PA 18901
CountyBucks County
StatePennsylvania
Phone(215) 345‑2200
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390203
Name in Medicare recordsDOYLESTOWN HOSPITAL
Profile levelMedicare data + hospital website
Official websitepennmedicine.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Doylestown Hospital | Penn Medicine — pennmedicine.org
  2. Doylestown Health | Penn Medicine — pennmedicine.org
  3. Doylestown Hospital Visitor Policies | Penn Medicine — pennmedicine.org
  4. Doylestown Hospital Directions and Parking | Penn Medicine — pennmedicine.org
  5. Stroke: Testing, Treatment, & Specialists — doylestownhealth.org
  6. Getting Around Doylestown Hospital — pennmedicine.org
  7. Services and Specialties at Doylestown Health — pennmedicine.org
  8. Penn Stroke Centers — pennmedicine.org