Quick answers
- Does Heritage Valley Beaver have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Heritage Valley Beaver. In a medical emergency, call 911.
- Where is Heritage Valley Beaver?
- 1000 Dutch Ridge Road, Beaver, PA 15009, in Beaver County, Pennsylvania.
- What is the phone number of Heritage Valley Beaver?
- (412) 728-7000, as listed by Medicare (CMS).
- What is the Medicare star rating of Heritage Valley Beaver?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Heritage Valley Beaver for hospital-acquired conditions?
- Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Heritage Valley Beaver under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.8121; 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]
- Behavioral Health
- Cardiothoracic Surgery
- Gastroenterology
- Heart & Vascular Health
- Maternity Care
- Neurology
- Orthopedics
- Pulmonology
- Radiology
- Surgery
- Vascular Surgery
- Physical Rehabilitation
- Nuclear Medicine
- SleepCare
Treatments[4]
Procedures[4]
- Cardiac catheterization
- Echocardiography
- MRI
- Cardiac imaging
- Liver shear wave elastography
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|
Visiting and practical information
| Patient portal | Health Link Patient Portal |
|---|
Doctors and clinicians (653)
653 doctors and other clinicians list Heritage Valley Beaver 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
- Nurse Practitioner99
- Physician Assistant95
- Family Practice74
- Internal Medicine70
- Diagnostic Radiology33
- Certified Registered Nurse Anesthetist (CRNA)28
- Orthopedic Surgery23
- Cardiovascular Disease (Cardiology)18
- Emergency Medicine18
- Gastroenterology15
- Nephrology13
- Podiatry12
Doctors with a page on this site (653)
- Aaron G. Grand, MDHand Surgery
- Aaron J. Lampkin, DOPulmonary Disease
- Abhinav R. Ettyreddy, MDOtolaryngology
- Adam P. Childers, MDAnesthesiology
- Aimee L. Wyant, PAPhysician Assistant
- Akshay Khandelwal, MDInterventional Cardiology
- Alana Pantely, PAPhysician Assistant
- Albert W. Buch, DOInternal Medicine
- Alecia R. Hutsler, DOFamily Practice
- Alexander Duke, MDOrthopedic Surgery
- Alexandra G. Potock, DOInternal Medicine
- Alexandra Jennings, MDDiagnostic Radiology
- Alexandra S. PanagisPhysician Assistant
- Alexandra T. Sheldon, NPNurse Practitioner
- Alexis E. Pilato, MDHand Surgery
- Alexis R. Vavala, PAPhysician Assistant
- Alison C. Slinchak, PAPhysician Assistant
- Alison M. FowlowNurse Practitioner
- Alissa C. Wilmot, MDAnesthesiology
- Allen I. Wolfert, MDNephrology
- Allison B. Lewis, CNACertified Registered Nurse Anesthetist (CRNA)
- Alonso R. Diaz, MDNephrology
- Alton Smith, MDDiagnostic Radiology
- Amanda L. Cook, MDOphthalmology
And 629 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Heritage Valley Sewickley14 mi · Sewickley, PA · Acute Care Hospital
- Ahn Wexford Hospital15 mi · Wexford, PA · Acute Care Hospital
- East Liverpool City Hospital15 mi · East Liverpool, OH · Acute Care Hospital
- UPMC Passavant19 mi · Pittsburgh, PA · Acute Care Hospital
- UPMC Jameson21 mi · New Castle, PA · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Beaver
- PAM Health Speciality Hospital at Heritage Valley0.0 mi · Beaver, PA · Long-Term Acute Care Hospital
- Encompass Health Rehabilitation Hospital of Sewickley11 mi · Sewickley, PA · Inpatient Rehabilitation Hospital
All hospitals in Beaver · Hospitals in Beaver 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
- Friendship Rehab and Health0.3 mi · Beaver, PA · 1 of 5 stars
- Rochester Residence and Care Center2.5 mi · Rochester, PA
- Providence Health & Rehab Center2.8 mi · Beaver Falls, PA · 1 of 5 stars
All nursing homes in the state →
Hospice providers
- Three Oaks Hospice Pittsburgh2.3 mi · Beaver, PA · 3 of 5 stars
- Vitas Healthcare Corporation Atlantic11 mi · Cranberry Township, PA · 4 of 5 stars
- Allegheny Health Network Healthcare at Home Hospic12 mi · Warrendale, PA · 3 of 5 stars
All hospice providers in the state →
Home health agencies
- At Home Nursing and Therapy Services LLC11 mi · Zelienople, PA · 3.5 of 5 stars
- Bayada Home Health Care, Inc.11 mi · Zelienople, PA
- Allegheny Health Network Healthcare at Home Home H12 mi · Warrendale, PA · 3 of 5 stars
All home health agencies in the state →
Dialysis facilities
- DCI Chippewa4.4 mi · Beaver Falls, PA · 3 of 5 stars
- FKC Liberty Dialysis Chippewa4.4 mi · Beaver Falls, PA · 1 of 5 stars
- FKC Liberty Dialysis Hopewell7.9 mi · Aliquippa, PA · 2 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Beaver Valley Ambulatory Surgery Center, LLC3.3 mi · Monaca, PA
- Four Seasons Endoscopy Center, Inc4.4 mi · Beaver Falls, PA
- Western PA Surgery Center - Beaver County Branch7.9 mi · Aliquippa, PA
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
- Rochester Health Center2.5 mi · Rochester, PA · Community health center
- Beaver Falls Health Center Primary Care3.0 mi · Beaver Falls, PA · Community health center
- Autumn Street Health Center5.1 mi · Aliquippa, PA · Community health center
Clinics and urgent care
- Medexpress Urgent Care, PC - Monaca3.3 mi · Monaca, PA · Urgent care center
- Medexpress Urgent Care, PC - Pennsylvania3.3 mi · Monaca, PA · Urgent care center
- Heritage Valley Multispecialty Group, Inc.4.4 mi · Beaver Falls, PA · Urgent care center
Pharmacies
- Forward RX LLC2.3 mi · Beaver, PA · Community/retail pharmacy
- Helalozy Inc2.3 mi · Beaver, PA · Community/retail pharmacy
- Valley Medical Facilities Inc2.3 mi · Beaver, PA · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Beaver Meadows2.3 mi · Beaver, PA
- New Brighton Personal Care Home4.4 mi · New Brighton, PA
- Cambridge Village Personal Care Home4.4 mi · Beaver Falls, PA
- Celebration Villa of Chippewa4.4 mi · Beaver Falls, PA
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 Heritage Valley Beaver reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 2 of 5 stars |
| Would recommend the hospital | 2 of 5 stars |
| Nurses communicated well | 3 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 2 of 5 stars |
| Staff explained medicines | 2 of 5 stars |
| Information about recovery at home | 3 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 2 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 60%National average: 72% |
| Would definitely recommend the hospital | 56%National average: 71% |
| Nurses “always” communicated well | 79%National average: 80% |
| Doctors “always” communicated well | 77%National average: 80% |
| “Always” got help as soon as they wanted | 58%National average: 64% |
| Staff “always” explained medicines before giving them | 61%National average: 62% |
| Were given information about recovery at home | 86%National average: 86% |
| Room and bathroom “always” clean | 70%National average: 73% |
| Completed surveys | 1,125Response rate: 24% |
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) | 1.581No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0Better than the national benchmark |
| Surgical site infections after colon surgery | 1.867No different from the national benchmark |
| MRSA bloodstream infections | 0.592No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 2.044Worse than the national benchmark |
| Not reported to Medicare | Surgical 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 patients | 10.9% |
|---|---|
| Deaths within 30 days: heart failure patients | 13% |
| Deaths within 30 days: pneumonia patients | 18.6% |
| Deaths within 30 days: COPD patients | 9.9% |
| Deaths within 30 days: stroke patients | 10.9% |
| Deaths within 30 days: coronary bypass surgery (CABG) | 2.1% |
| Serious complications (patient safety indicator PSI-90) | 0.82No different from the national rate |
| Complications after hip or knee replacement | 4.8% |
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) | 15.8% |
|---|---|
| Readmitted within 30 days: heart attack | 13.8% |
| Readmitted within 30 days: heart failure | 22% |
| Readmitted within 30 days: pneumonia | 17.9% |
| Readmitted within 30 days: COPD | 19.7% |
| Readmitted within 30 days: coronary bypass surgery | 10% |
| Readmitted within 30 days: hip or knee replacement | 5.6% |
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) | Medium (20,000–39,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 185 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 3%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 69%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
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 Heritage Valley Beaver, 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 2026 | YesCMS applies a 1-percent payment reduction to this hospital. |
|---|---|
| Total HAC Score | 0.8121Lower 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 attack | 1.0271More readmissions than expected |
|---|---|
| Heart failure | 0.9960Fewer readmissions than expected |
| Pneumonia | 0.9306Fewer readmissions than expected |
| COPD (chronic lung disease) | 1.0179More readmissions than expected |
| Hip or knee replacement | 1.0461More readmissions than expected |
| Coronary bypass surgery (CABG) | 0.9928Fewer 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 Score | 18.83 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 26.67 out of 100 |
| Person and community engagement (patient survey) | 32.00 out of 100 |
| Safety (infections and sepsis care) | 16.67 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 0.00 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, ratio | 1.14Above the national median hospital (1.00): Medicare spent more |
|---|
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 61 common services exactly as Heritage Valley Beaver 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 61 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE VISIT - MODERATE | $386 | $104.22 | $54.25 – $230.36 |
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE VISIT,NEW,INTERIM | $386 | $104.22 | $54.25 – $230.36 |
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · modifier PO In the file: OFFICE O/P NEW LOW 30 MIN | $386 | $104.22 | $54.25 – $230.36 |
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW MOD/HIGH | $495 | $133.65 | $90.37 – $295.52 |
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN | $495 | $133.65 | $90.37 – $295.52 |
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · modifier PO In the file: OFFICE O/P NEW MOD 45 MIN | $495 | $133.65 | $90.37 – $295.52 |
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW HIGH | $605 | $163.35 | $60 – $360.55 |
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN | $605 | $163.35 | $60 – $360.55 |
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · modifier PO In the file: OFFICE O/P NEW HI 60 MIN | $605 | $163.35 | $60 – $360.55 |
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN | $239 | $64.53 | $40 – $131.45 |
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 95 In the file: OFFICE O/P EST LOW 20 MIN | $239 | $64.53 | $40 – $131.45 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier AJ In the file: OFFICE O/P EST LOW 20 MIN | $239 | $64.53 | $40 – $131.45 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN | $275 | $74.25 | $54.42 – $151.25 |
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · modifier 95 In the file: OFFICE O/P EST MOD 30 MIN | $275 | $74.25 | $54.42 – $151.25 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · modifier AM In the file: OFFICE O/P EST MOD 30 MIN | $275 | $74.25 | $54.42 – $151.25 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNS NW/EST LOW 30M | $297 | $80.19 | $97.24 – $202.17 |
Office consultation with a specialist (moderate): rates for 5 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNS NW/EST MOD 40M | $508 | $137.16 | $148.32 – $339.99 |
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · modifier PO In the file: INIT PREV MED EM NEW 18-3 | $351 | $94.77 | $26 – $265.20 |
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · modifier PO In the file: INIT PREV E&M NEW 18 39 | $351 | $94.77 | $26 – $265.20 |
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · modifier PO In the file: INIT PREV E&M NEW 40 64 | $229 | $61.83 | $26 – $229 |
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER E/M VISIT LOW MDM | $877 | $236.79 | $56.65 – $705 |
Emergency room visit (moderate): 10 of 25 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 27 In the file: ER E/M VISIT LOW MDM | $877 | $236.79 | $56.65 – $705 |
Emergency room visit (moderate): 10 of 25 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier XU In the file: ER E/M VISIT LOW MDM | $877 | $236.79 | $56.65 – $705 |
Emergency room visit (moderate): 10 of 25 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER E/M VISIT MOD MDM | $1,376 | $371.52 | $95.33 – $1,071 |
Emergency room visit (moderately high): 10 of 25 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 24 In the file: ER E/M VISIT MOD MDM | $1,376 | $371.52 | $95.33 – $1,071 |
Emergency room visit (moderately high): 10 of 25 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: ER E/M VISIT MOD MDM | $1,376 | $371.52 | $95.33 – $1,071 |
Emergency room visit (moderately high): 10 of 25 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER E/M VISIT HIGH MDM | $1,995 | $538.65 | $138.74 – $1,118.48 |
Emergency room visit (high): 10 of 25 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: ER E/M VISIT HIGH MDM | $1,995 | $538.65 | $138.74 – $1,118.48 |
Emergency room visit (high): 10 of 25 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 27 In the file: ER E/M VISIT HIGH MDM | $1,995 | $538.65 | $138.74 – $1,118.48 |
Emergency room visit (high): 10 of 25 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC W/T. CALC | $52 | $14.04 | $7.39 – $43.75 |
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: BASIC METABOLIC W/T. CALC | $52 | $14.04 | $7.39 – $43.75 |
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier AY In the file: BASIC METABOLIC W/T. CALC | $52 | $14.04 | $7.39 – $43.75 |
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC P | $70 | $18.90 | $9.22 – $57.40 |
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 59 In the file: COMPREHENSIVE METABOLIC P | $70 | $18.90 | $9.22 – $57.40 |
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: COMPREHENSIVE METABOLIC P | $70 | $18.90 | $9.22 – $57.40 |
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL | $159 | $42.93 | $12 – $93.66 |
Obstetric blood test panel: 10 of 25 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL | $69 | $18.63 | $11.69 – $56.06 |
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier ET In the file: LIPID PANEL | $69 | $18.63 | $11.69 – $56.06 |
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier XU In the file: LIPID PANEL | $69 | $18.63 | $11.69 – $56.06 |
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL | $72 | $19.44 | $7.58 – $58.65 |
Kidney function panel: 10 of 25 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient · modifier AY In the file: RENAL FUNCTION PANEL | $72 | $19.44 | $7.58 – $58.65 |
Kidney function panel: 10 of 25 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient · modifier XS In the file: RENAL FUNCTION PANEL | $72 | $19.44 | $7.58 – $58.65 |
Kidney function panel: 10 of 25 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION | $54 | $14.58 | $7.13 – $43.66 |
Liver function panel: 10 of 25 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient · modifier ET In the file: HEPATIC FUNCTION | $54 | $14.58 | $7.13 – $43.66 |
Liver function panel: 10 of 25 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient · modifier XS In the file: HEPATIC FUNCTION | $54 | $14.58 | $7.13 – $43.66 |
Liver function panel: 10 of 25 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS W/MICRO | $25 | $6.75 | $2.77 – $10.93 |
Urine test (automated, with microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XE In the file: URINALYSIS W/MICRO | $25 | $6.75 | $2.77 – $10.93 |
Urine test (automated, with microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XU In the file: URINALYSIS W/MICRO | $25 | $6.75 | $2.77 – $10.93 |
Urine test (automated, with microscope): 10 of 25 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE | $26 | $7.02 | $3.04 – $20.92 |
Urine test (manual, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: UA DIP STIK/TAB WO MICRO | $26 | $7.02 | $3.04 – $20.92 |
Urine test (manual, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS | $24 | $6.48 | $1.96 – $19.18 |
Urine test (automated, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS W/O MICRO | $24 | $6.48 | $1.96 – $19.18 |
Urine test (automated, without microscope): 10 of 25 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier 57 In the file: URINALYSIS | $24 | $6.48 | $1.96 – $19.18 |
Urine test (automated, without microscope): 10 of 25 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC ASSAY | $132 | $35.64 | $16.06 – $75.28 |
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier PO In the file: PSA DIAGNOSTIC ASSAY | $132 | $35.64 | $16.06 – $75.28 |
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier GA In the file: PSA DIAGNOSTIC ASSAY | $132 | $35.64 | $17.69 – $132 |
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH | $99 | $26.73 | $14.67 – $80.68 |
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE | $99 | $26.73 | $14.67 – $80.68 |
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier ET In the file: TSH | $99 | $26.73 | $14.67 – $80.68 |
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH DIFF | $51 | $13.77 | $6 – $39.38 |
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier ET In the file: CBC WITH DIFF | $51 | $13.77 | $6 – $39.38 |
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier TC In the file: CBC WITH DIFF | $51 | $13.77 | $6 – $39.38 |
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC | $36 | $9.72 | $5.65 – $20.96 |
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: CBC | $36 | $9.72 | $5.65 – $20.96 |
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier AY In the file: CBC | $36 | $9.72 | $5.65 – $20.96 |
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME (PT) | $18 | $4.86 | $3.75 – $10.35 |
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier QW In the file: FPC-PRO TIME | $18 | $4.86 | $3.75 – $10.35 |
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier ET In the file: PROTIME (PT) | $18 | $4.86 | $3.75 – $10.35 |
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT | $34 | $9.18 | $5.25 – $20.16 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier XS In the file: APTT | $34 | $9.18 | $5.25 – $20.16 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier XU In the file: APTT | $34 | $9.18 | $5.25 – $20.16 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE | $871 | $235.17 | $77.50 – $834 |
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier PN In the file: CT HEAD/BRAIN W/O DYE | $871 | $235.17 | $35.57 – $834 |
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier PO In the file: CT HEAD/BRAIN W/O DYE | $871 | $235.17 | $77.50 – $834 |
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE | $3,715 | $1,003.05 | $269 – $3,036.19 |
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier PO In the file: MRI BRAIN W/O & W/DYE | $3,715 | $1,003.05 | $269 – $3,036.19 |
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier PN In the file: MRI BRAIN STEM W/O & W/DYE | $3,715 | $1,003.05 | $118.70 – $3,036.19 |
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS | $203 | $54.81 | $14.85 – $163.44 |
Chest X-ray, 2 views: 10 of 25 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 V (FRONTAL / LAT) | $203 | $54.81 | $14.85 – $163.44 |
Chest X-ray, 2 views: 10 of 25 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier PN In the file: X-RAY EXAM CHEST 2 VIEWS | $203 | $54.81 | $14.85 – $140.22 |
Chest X-ray, 2 views: 10 of 25 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $283 | $76.41 | $22.50 – $205 |
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier PO In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $283 | $76.41 | $22.50 – $205 |
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier PN In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $283 | $76.41 | $22.50 – $205 |
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE | $1,900 | $513 | $187.20 – $1,552.12 |
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier PN In the file: MRI LUMBAR SPINE W/O DYE | $1,900 | $513 | $81.18 – $1,552.12 |
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier PO In the file: MRI LUMBAR SPINE W/O DYE | $1,900 | $513 | $187.20 – $1,552.12 |
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE | $1,125 | $303.75 | $86.50 – $919.16 |
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier PN In the file: CT PELVIS W/DYE | $1,125 | $303.75 | $59.68 – $919.16 |
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier PO In the file: CT PELVIS W/DYE | $1,125 | $303.75 | $86.50 – $919.16 |
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE | $1,638 | $442.26 | $202.94 – $1,478 |
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier PO In the file: MRI JNT OF LWR EXTRE W/O | $1,638 | $442.26 | $202.94 – $1,478 |
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier PN In the file: MRI JNT OF LWR EXTRE W/O DYE | $1,638 | $442.26 | $81.18 – $1,478 |
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD PELV W/CONTRAST | $3,852 | $1,040.04 | $192.73 – $3,147.82 |
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier PO In the file: CT ABD PELV W | $3,852 | $1,040.04 | $192.73 – $3,147.82 |
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier PN In the file: CT ABD & PELVIS W/CONTRAST | $3,852 | $1,040.04 | $118.70 – $3,147.82 |
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE | $406 | $109.62 | $57.50 – $331.42 |
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PO In the file: US ABDOM COMPLETE | $406 | $109.62 | $57.50 – $331.42 |
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PN In the file: US EXAM ABDOM COMPLETE | $406 | $109.62 | $35.57 – $331.42 |
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >/= 14 WKS SNGL FETUS | $475 | $128.25 | $46.50 – $387.84 |
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier PN In the file: OB US >/= 14 WKS SNGL FETUS | $475 | $128.25 | $35.57 – $387.84 |
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier PO In the file: OB US >/= 14 WKS SNGL FET | $475 | $128.25 | $46.50 – $387.84 |
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB | $342 | $92.34 | $46.50 – $279.20 |
Transvaginal ultrasound: 10 of 25 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PN In the file: TRANSVAGINAL US NON-OB | $342 | $92.34 | $35.57 – $279.20 |
Transvaginal ultrasound: 10 of 25 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PO In the file: TRANSVAGINAL US NON-OB | $342 | $92.34 | $46.50 – $279.20 |
Transvaginal ultrasound: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI | $355 | $95.85 | $69.09 – $290.21 |
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier PO In the file: DIAGNOSTIC MAMMOGRAPHY UN | $355 | $95.85 | $69.09 – $290.21 |
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier PN In the file: DX MAMMO INCL CAD UNI | $355 | $95.85 | $69.09 – $290.21 |
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI | $658 | $177.66 | $88.64 – $537.61 |
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier PO In the file: DX MAMMO INCL CAD BI | $658 | $177.66 | $88.64 – $537.61 |
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier PN In the file: DX MAMMO INCL CAD BI | $658 | $177.66 | $88.64 – $537.61 |
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD | $538 | $145.26 | $73.10 – $439.18 |
Screening mammogram, both breasts: 10 of 25 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier PN In the file: SCR MAMMO BI INCL CAD | $538 | $145.26 | $73.10 – $439.18 |
Screening mammogram, both breasts: 10 of 25 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier PO In the file: MAMMOGRAM SCREENING | $538 | $145.26 | $73.10 – $439.18 |
Screening mammogram, both breasts: 10 of 25 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG-PEDS | $146 | $39.42 | $19.22 – $140 |
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: RESEARCH Provenzano EKG | $146 | $39.42 | $19.22 – $140 |
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · modifier XU In the file: EKG-PEDS | $146 | $39.42 | $19.22 – $140 |
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPLET EVAL WITHOUT INDU | $17,115 | $4,621.05 | $776 – $14,648.64 |
Heart rhythm study (electrophysiology evaluation): 10 of 25 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: A FIB ABLAT+EP STUDY 2017 | $57,355 | $15,485.85 | $776 – $49,089.80 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · modifier SG In the file: A FIB ABLAT+EP STUDY 2017 | $57,355 | $15,485.85 | $776 – $49,089.80 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: PSG | $1,952 | $527.04 | $270.32 – $1,612.80 |
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: PSG < LESS THAN 6 HOURS | $1,952 | $527.04 | $270.32 – $806.40 |
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier TC In the file: PSG | $1,952 | $527.04 | $270.32 – $1,612.80 |
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERC W, OT | $120 | $32.40 | $11.73 – $69.71 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC EXERCISES | $120 | $32.40 | $11.73 – $120 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC EXERCISES | $120 | $32.40 | $11.73 – $120 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PHYS THER EVAL - 1 | $256 | $69.12 | $63.61 – $184.28 |
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PHYS THER EVAL - 2 | $282 | $76.14 | $35.46 – $184.28 |
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PHYS THER EVAL - 3 | $298 | $80.46 | $63.61 – $184.28 |
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES | $133 | $35.91 | $36.40 – $192.54 |
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: INDIV THERAPY 30 | $318 | $85.86 | $36.40 – $192.54 |
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · modifier 95 In the file: PSYTX W PT 30 MINUTES | $318 | $85.86 | $36.40 – $192.54 |
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES | $318 | $85.86 | $54.60 – $192.54 |
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: INDIV THERAPY 45 | $318 | $85.86 | $54.60 – $192.54 |
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · modifier 95 In the file: PSYTX W PT 45 MINUTES | $145 | $39.15 | $45.10 – $192.54 |
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES | $167 | $45.09 | $51.94 – $192.54 |
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: INDIV THERAPY 60 | $167 | $45.09 | $51.94 – $192.54 |
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · modifier 95 In the file: PSYTX W PT 60 MINUTES | $167 | $45.09 | $51.94 – $192.54 |
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: COLLATERAL THERAPY 60 | $318 | $85.86 | $18.20 – $318 |
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN | $150 | $40.50 | $18.20 – $192.54 |
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: COLLATERAL THERAPY 30 | $318 | $85.86 | $18.20 – $318 |
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY THERAPY 60 | $318 | $85.86 | $18.20 – $318 |
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN | $170 | $45.90 | $18.20 – $192.54 |
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY THERAPY 30 | $318 | $85.86 | $18.20 – $318 |
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: TH GROUP 15 CCBHO/VBH | $30 | $8.10 | $9.33 – $110.20 |
Group psychotherapy: 10 of 21 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY | $332 | $89.64 | $24.23 – $110.20 |
Group psychotherapy: 10 of 20 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP 60 | $332 | $89.64 | $24.23 – $110.20 |
Group psychotherapy: 10 of 20 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE | $3,805 | $1,027.35 | $89.50 – $2,054 |
Prostate biopsy: rates for 9 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: INJ DX/THER LUMBAR/SACRAL | $1,912 | $516.24 | $81.32 – $1,407 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC | $1,912 | $516.24 | $81.32 – $1,407 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier PO In the file: LUMBAR SINGULAR W/IMAGING | $1,912 | $516.24 | $81.32 – $1,407 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: BI TRANSFORAM INJ LUMBAR | $1,941 | $524.07 | $95.04 – $1,661.13 |
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NJX AA&/STRD TFRM EPI L/S 1 | $1,941 | $524.07 | $95.04 – $1,661.13 |
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier PO In the file: LMBAR TRANS 1ST LVL W/FLR | $1,941 | $524.07 | $95.04 – $1,661.13 |
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) 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 | $54,006.68 – $111,453.20 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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 | $10,145.74 – $22,253.59 |
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $7,344.30 – $15,156.34 |
Source: Heritage Valley Beaver’s standard charges file (heritagevalley.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 27, 2026; retrieved November 5, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 1000 Dutch Ridge Road, Beaver, PA 15009 |
| County | Beaver County |
| State | Pennsylvania |
| Phone | (412) 728‑7000 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 3 of 5 stars |
| CMS Certification Number | 390036 |
| Name in Medicare records | HERITAGE VALLEY BEAVER |
| Profile level | Medicare data + hospital website |
| Main phone on the hospital’s website | (724) 728‑7000[4][5] |
| Name on the hospital’s website | AHN Beaver Hospital – Heritage Valley |
| Official website | heritagevalley.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-11-02.
- AHN Beaver Hospital – Heritage Valley - Heritage Valley Health System — heritagevalley.org
- General Inquiries - Heritage Valley Health System — heritagevalley.org