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Acute Care Hospital

Holy Redeemer Hospital and Medical Center

Meadowbrook, Pennsylvania · Montgomery County · Emergency services listed

Summary

Holy Redeemer Hospital and Medical Center is an acute care hospital in Meadowbrook, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 21 services, specialties and programs. Medicare lists 645 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(215) 947‑3000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
239Beds (hospital website)
645Doctors and clinicians
21Services listed

Quick answers

Does Holy Redeemer Hospital and Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Holy Redeemer Hospital and Medical Center. In a medical emergency, call 911.
Where is Holy Redeemer Hospital and Medical Center?
1648 Huntingdon Pike, Meadowbrook, PA 19046, in Montgomery County, Pennsylvania.
What is the phone number of Holy Redeemer Hospital and Medical Center?
(215) 947-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Holy Redeemer Hospital and Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][10]

Conditions treated[10]

Treatments[10]

  • Airway stabilization
  • Fracture, sprain and strain treatment
  • Mental health evaluation and treatment
  • Laceration and wound repair

Procedures[10]

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

  • Emergency Fast Track
  • Sleep disorders center
  • Redeemer Health Cancer Center

Emergency care (hospital website)[4][5][8][10]

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

Visiting and practical information

VisitingHours vary by unit; Medical Surgery and ICU: two visitors noon-8 p.m. (policy effective Oct 1, 2025)[6]
ParkingFree garage behind the Medical Office Building; paid valet weekdays 6:30 a.m.-9 p.m. at the outpatient entrance[7]

Recognition[5]

  • DNV accreditation recertification (2026)
  • DNV Primary Stroke Center recertification, valid until March 2029
  • DNV accreditation (Holy Redeemer Hospital) 2026
  • Primary Stroke Center (DNV)

Doctors and clinicians (645)

645 doctors and other clinicians list Holy Redeemer Hospital and Medical Center 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 (645)

And 621 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean67%National average: 74%
Area around the room “always” quiet at night54%National average: 60%
Completed surveys357Response rate: 16%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.34No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.324No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.484No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.287Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients12.1%
Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients16.2%
Deaths within 30 days: COPD patients9.4%
Deaths within 30 days: stroke patients10%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.14No different from the national rate
Complications after hip or knee replacement4.8%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.6%
Readmitted within 30 days: heart failure19.5%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD19.9%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement8%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)195 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)59%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in PennsylvaniaBest hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Holy Redeemer Hospital and Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Low Complex Visit-TeleHealth - CCC $187.79 $112.68 $48.83 – $182.96
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $163.38
  • Aetna — Medicare Advantage: $129.29
  • Cigna — Commercial: $144.60
  • Cigna HealthSpring — Medicare Advantage: $129.29
  • Health Partners — Medicaid & CHIP: $69.44
  • Health Partners — Medicare Advantage: $128.07
  • Highmark — Wholecare: $129.90
  • Independence Blue Cross — HMO: $48.83
  • Independence Blue Cross — HMO PPACA: $48.83
  • Independence Blue Cross — Medicare Advantage: $123.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient E/M Level 3 Hospital - CCC $203.24 $121.95 $52.84 – $182.96
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $176.82
  • Aetna — Medicare Advantage: $129.29
  • Cigna — Commercial: $156.49
  • Cigna HealthSpring — Medicare Advantage: $129.29
  • Health Partners — Medicaid & CHIP: $69.44
  • Health Partners — Medicare Advantage: $128.07
  • Highmark — Wholecare: $129.90
  • Independence Blue Cross — HMO: $52.84
  • Independence Blue Cross — HMO PPACA: $52.84
  • Independence Blue Cross — Medicare Advantage: $123.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M level 3 - New Patient - MOU $187.79 $112.68 $48.83 – $182.96
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $163.38
  • Aetna — Medicare Advantage: $129.29
  • Cigna — Commercial: $144.60
  • Cigna HealthSpring — Medicare Advantage: $129.29
  • Health Partners — Medicaid & CHIP: $69.44
  • Health Partners — Medicare Advantage: $128.07
  • Highmark — Wholecare: $129.90
  • Independence Blue Cross — HMO: $48.83
  • Independence Blue Cross — HMO PPACA: $48.83
  • Independence Blue Cross — Medicare Advantage: $123.19
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mod Complex Visit-TeleHealth - CCC $284.21 $170.53 $73.89 – $275.78
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $247.26
  • Aetna — Medicare Advantage: $194.88
  • Cigna — Commercial: $218.84
  • Cigna HealthSpring — Medicare Advantage: $194.88
  • Health Partners — Medicaid & CHIP: $115.67
  • Health Partners — Medicare Advantage: $193.04
  • Highmark — Wholecare: $195.80
  • Independence Blue Cross — HMO: $73.89
  • Independence Blue Cross — HMO PPACA: $73.89
  • Independence Blue Cross — Medicare Advantage: $185.69
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient E/M Level 4 Hospital - CCC $284.21 $170.53 $73.89 – $275.78
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $247.26
  • Aetna — Medicare Advantage: $194.88
  • Cigna — Commercial: $218.84
  • Cigna HealthSpring — Medicare Advantage: $194.88
  • Health Partners — Medicaid & CHIP: $115.67
  • Health Partners — Medicare Advantage: $193.04
  • Highmark — Wholecare: $195.80
  • Independence Blue Cross — HMO: $73.89
  • Independence Blue Cross — HMO PPACA: $73.89
  • Independence Blue Cross — Medicare Advantage: $185.69
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M level 4 - New Patient - MOU $284.21 $170.53 $73.89 – $275.78
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $247.26
  • Aetna — Medicare Advantage: $194.88
  • Cigna — Commercial: $218.84
  • Cigna HealthSpring — Medicare Advantage: $194.88
  • Health Partners — Medicaid & CHIP: $115.67
  • Health Partners — Medicare Advantage: $193.04
  • Highmark — Wholecare: $195.80
  • Independence Blue Cross — HMO: $73.89
  • Independence Blue Cross — HMO PPACA: $73.89
  • Independence Blue Cross — Medicare Advantage: $185.69
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: High Complex Visit-TeleHealth - CCC $357.02 $214.22 $92.83 – $368.49
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $310.61
  • Aetna — Medicare Advantage: $260.40
  • Cigna — Commercial: $274.91
  • Cigna HealthSpring — Medicare Advantage: $260.40
  • Health Partners — Medicaid & CHIP: $150.45
  • Health Partners — Medicare Advantage: $257.94
  • Highmark — Wholecare: $261.63
  • Independence Blue Cross — HMO: $92.83
  • Independence Blue Cross — HMO PPACA: $92.83
  • Independence Blue Cross — Medicare Advantage: $248.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient E/M Level 5 Hospital - CCC $357.02 $214.22 $92.83 – $368.49
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $310.61
  • Aetna — Medicare Advantage: $260.40
  • Cigna — Commercial: $274.91
  • Cigna HealthSpring — Medicare Advantage: $260.40
  • Health Partners — Medicaid & CHIP: $150.45
  • Health Partners — Medicare Advantage: $257.94
  • Highmark — Wholecare: $261.63
  • Independence Blue Cross — HMO: $92.83
  • Independence Blue Cross — HMO PPACA: $92.83
  • Independence Blue Cross — Medicare Advantage: $248.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M level 5 - New Patient - MOU $357.02 $214.22 $92.83 – $368.49
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $310.61
  • Aetna — Medicare Advantage: $260.40
  • Cigna — Commercial: $274.91
  • Cigna HealthSpring — Medicare Advantage: $260.40
  • Health Partners — Medicaid & CHIP: $150.45
  • Health Partners — Medicare Advantage: $257.94
  • Highmark — Wholecare: $261.63
  • Independence Blue Cross — HMO: $92.83
  • Independence Blue Cross — HMO PPACA: $92.83
  • Independence Blue Cross — Medicare Advantage: $248.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Expand, Probl Focused Visit-TeleHealth - CCC $128.25 $76.95 $32 – $147.83
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $111.58
  • Aetna — Medicare Advantage: $104.47
  • Cigna — Commercial: $98.75
  • Cigna HealthSpring — Medicare Advantage: $104.47
  • Health Partners — Medicaid & CHIP: $32
  • Health Partners — Medicare Advantage: $103.48
  • Highmark — Wholecare: $104.96
  • Independence Blue Cross — HMO: $33.35
  • Independence Blue Cross — HMO PPACA: $33.35
  • Independence Blue Cross — Medicare Advantage: $99.54
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Established Patient E/M Level 3 Hospital - CCC $138.80 $83.28 $32 – $147.83
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $120.76
  • Aetna — Medicare Advantage: $104.47
  • Cigna — Commercial: $106.88
  • Cigna HealthSpring — Medicare Advantage: $104.47
  • Health Partners — Medicaid & CHIP: $32
  • Health Partners — Medicare Advantage: $103.48
  • Highmark — Wholecare: $104.96
  • Independence Blue Cross — HMO: $36.09
  • Independence Blue Cross — HMO PPACA: $36.09
  • Independence Blue Cross — Medicare Advantage: $99.54
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OTV Expanded Visit - CCC $128.25 $76.95 $32 – $147.83
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $111.58
  • Aetna — Medicare Advantage: $104.47
  • Cigna — Commercial: $98.75
  • Cigna HealthSpring — Medicare Advantage: $104.47
  • Health Partners — Medicaid & CHIP: $32
  • Health Partners — Medicare Advantage: $103.48
  • Highmark — Wholecare: $104.96
  • Independence Blue Cross — HMO: $33.35
  • Independence Blue Cross — HMO PPACA: $33.35
  • Independence Blue Cross — Medicare Advantage: $99.54
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Detailed, Mod Neoplastic Visit-TeleHealth - CCC $187.47 $112.49 $48.74 – $210.61
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $163.10
  • Aetna — Medicare Advantage: $148.83
  • Cigna — Commercial: $144.35
  • Cigna HealthSpring — Medicare Advantage: $148.83
  • Health Partners — Medicaid & CHIP: $69.66
  • Health Partners — Medicare Advantage: $147.42
  • Highmark — Wholecare: $149.53
  • Independence Blue Cross — HMO: $48.74
  • Independence Blue Cross — HMO PPACA: $48.74
  • Independence Blue Cross — Medicare Advantage: $141.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Established Patient E/M Level 4 Hospital - CCC $187.47 $112.49 $48.74 – $210.61
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $163.10
  • Aetna — Medicare Advantage: $148.83
  • Cigna — Commercial: $144.35
  • Cigna HealthSpring — Medicare Advantage: $148.83
  • Health Partners — Medicaid & CHIP: $69.66
  • Health Partners — Medicare Advantage: $147.42
  • Highmark — Wholecare: $149.53
  • Independence Blue Cross — HMO: $48.74
  • Independence Blue Cross — HMO PPACA: $48.74
  • Independence Blue Cross — Medicare Advantage: $141.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB Triage E & M Level IV - L & D $202.89 $121.74 $52.75 – $210.61
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial: $176.51
  • Aetna — Medicare Advantage: $148.83
  • Cigna — Commercial: $156.23
  • Cigna HealthSpring — Medicare Advantage: $148.83
  • Health Partners — Medicaid & CHIP: $69.66
  • Health Partners — Medicare Advantage: $147.42
  • Highmark — Wholecare: $149.53
  • Independence Blue Cross — HMO: $52.75
  • Independence Blue Cross — HMO PPACA: $52.75
  • Independence Blue Cross — Medicare Advantage: $141.81
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $98.47 – $174.53
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Aetna — Medicare Advantage: $123.33
  • Cigna HealthSpring — Medicare Advantage: $123.33
  • Health Partners — Medicaid & CHIP: $98.47
  • Health Partners — Medicare Advantage: $122.17
  • Highmark — Wholecare: $123.91
  • Independence Blue Cross — Medicare Advantage: $117.52
  • Jefferson Health Plan — HMO/PPO: $174.53
  • Keystone Family Health Plan — Managed Medicaid: $116.35
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $154.32 – $249.58
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • Aetna — Medicare Advantage: $176.37
  • Cigna HealthSpring — Medicare Advantage: $176.37
  • Health Partners — Medicaid & CHIP: $154.32
  • Health Partners — Medicare Advantage: $174.71
  • Highmark — Wholecare: $177.20
  • Independence Blue Cross — Medicare Advantage: $168.05
  • Jefferson Health Plan — HMO/PPO: $249.58
  • Keystone Family Health Plan — Managed Medicaid: $166.39
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $139.26 – $208.89
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $147.61
  • Cigna HealthSpring — Medicare Advantage: $147.61
  • Health Partners — Medicare Advantage: $146.22
  • Highmark — Wholecare: $148.31
  • Independence Blue Cross — Medicare Advantage: $140.65
  • Jefferson Health Plan — HMO/PPO: $208.89
  • Keystone Family Health Plan — Managed Medicaid: $139.26
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $161 – $241.50
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans
  • Aetna — Medicare Advantage: $170.66
  • Cigna HealthSpring — Medicare Advantage: $170.66
  • Health Partners — Medicare Advantage: $169.05
  • Highmark — Wholecare: $171.47
  • Independence Blue Cross — Medicare Advantage: $162.61
  • Jefferson Health Plan — HMO/PPO: $241.50
  • Keystone Family Health Plan — Managed Medicaid: $161
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Level 3 Care - ER $1,702.50 $1,021.50 $236 – $1,310.93
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,227
  • Aetna — Medicare Advantage: $290.12
  • Cigna — Commercial: $1,310.93
  • Cigna HealthSpring — Medicare Advantage: $290.12
  • Health Partners — Medicaid & CHIP: $420
  • Health Partners — Medicare Advantage: $287.39
  • Highmark — Wholecare: $291.49
  • Independence Blue Cross — HMO: $801
  • Independence Blue Cross — HMO PPACA: $761
  • Independence Blue Cross — Medicare Advantage: $276.44
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Level 3 Care w/o Modifier - ER $1,702.50 $1,021.50 $236 – $1,310.93
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,227
  • Aetna — Medicare Advantage: $290.12
  • Cigna — Commercial: $1,310.93
  • Cigna HealthSpring — Medicare Advantage: $290.12
  • Health Partners — Medicaid & CHIP: $420
  • Health Partners — Medicare Advantage: $287.39
  • Highmark — Wholecare: $291.49
  • Independence Blue Cross — HMO: $801
  • Independence Blue Cross — HMO PPACA: $761
  • Independence Blue Cross — Medicare Advantage: $276.44
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT Not listed in the file Not listed in the file $273.70
Emergency room visit (moderate): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $273.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Level 4 Care - ER $1,702.50 $1,021.50 $236 – $1,310.93
Emergency room visit (moderately high): 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,227
  • Aetna — Medicare Advantage: $443.47
  • Cigna — Commercial: $1,310.93
  • Cigna HealthSpring — Medicare Advantage: $443.47
  • Health Partners — Medicaid & CHIP: $420
  • Health Partners — Medicare Advantage: $439.29
  • Highmark — Wholecare: $445.56
  • Independence Blue Cross — HMO: $801
  • Independence Blue Cross — HMO PPACA: $761
  • Independence Blue Cross — Medicare Advantage: $422.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT Not listed in the file Not listed in the file $418.37
Emergency room visit (moderately high): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $418.37
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER Level 4 Care - ER $1,702.50 $1,021.50 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Level 5 Care - ER $1,702.50 $1,021.50 $236 – $1,310.93
Emergency room visit (high): 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,227
  • Aetna — Medicare Advantage: $632.94
  • Cigna — Commercial: $1,310.93
  • Cigna HealthSpring — Medicare Advantage: $632.94
  • Health Partners — Medicaid & CHIP: $420
  • Health Partners — Medicare Advantage: $626.97
  • Highmark — Wholecare: $635.93
  • Independence Blue Cross — HMO: $801
  • Independence Blue Cross — HMO PPACA: $761
  • Independence Blue Cross — Medicare Advantage: $603.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT Not listed in the file Not listed in the file $597.11
Emergency room visit (high): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $597.11
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER Level 5 Care - ER $1,702.50 $1,021.50 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $70.42 $42.26 $8.46 – $33.59
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $8.97
  • Cigna — Commercial: $8.46
  • Cigna HealthSpring — Medicare Advantage: $8.97
  • Health Partners — Medicare Advantage: $8.88
  • Highmark — Wholecare: $9.01
  • Independence Blue Cross — HMO: $33.59
  • Independence Blue Cross — HMO PPACA: $30.72
  • Independence Blue Cross — Medicare Advantage: $8.54
  • Independence Blue Cross — PPO: $33.59
  • Jefferson Health Plan — HMO/PPO: $12.69
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA Not listed in the file Not listed in the file $8.46
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $70.42 $42.26 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Metabolic Panel $115.78 $69.47 $10.56 – $41.91
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $11.19
  • Cigna — Commercial: $10.56
  • Cigna HealthSpring — Medicare Advantage: $11.19
  • Health Partners — Medicare Advantage: $11.09
  • Highmark — Wholecare: $11.25
  • Independence Blue Cross — HMO: $41.91
  • Independence Blue Cross — HMO PPACA: $38.34
  • Independence Blue Cross — Medicare Advantage: $10.67
  • Independence Blue Cross — PPO: $41.91
  • Jefferson Health Plan — HMO/PPO: $15.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $10.56
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete Metabolic Panel $115.78 $69.47 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $47.81 – $76.65
Obstetric blood test panel: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $50.68
  • Cigna — Commercial: $47.81
  • Cigna HealthSpring — Medicare Advantage: $50.68
  • Health Partners — Medicare Advantage: $50.20
  • Highmark — Wholecare: $50.92
  • Independence Blue Cross — HMO: $76.65
  • Independence Blue Cross — HMO PPACA: $70.11
  • Independence Blue Cross — Medicare Advantage: $48.29
  • Independence Blue Cross — PPO: $76.65
  • Jefferson Health Plan — HMO/PPO: $71.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel (ARUP) $88.67 $53.21 $13.39 – $54.55
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $14.19
  • Cigna — Commercial: $13.39
  • Cigna HealthSpring — Medicare Advantage: $14.19
  • Health Partners — Medicare Advantage: $14.06
  • Highmark — Wholecare: $14.26
  • Independence Blue Cross — HMO: $54.55
  • Independence Blue Cross — HMO PPACA: $49.89
  • Independence Blue Cross — Medicare Advantage: $13.52
  • Independence Blue Cross — PPO: $54.55
  • Jefferson Health Plan — HMO/PPO: $20.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Profile $78.82 $47.30 $13.39 – $54.55
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $14.19
  • Cigna — Commercial: $13.39
  • Cigna HealthSpring — Medicare Advantage: $14.19
  • Health Partners — Medicare Advantage: $14.06
  • Highmark — Wholecare: $14.26
  • Independence Blue Cross — HMO: $54.55
  • Independence Blue Cross — HMO PPACA: $49.89
  • Independence Blue Cross — Medicare Advantage: $13.52
  • Independence Blue Cross — PPO: $54.55
  • Jefferson Health Plan — HMO/PPO: $20.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL Not listed in the file Not listed in the file $13.39
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $56 $33.60 $8.68 – $34.45
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $9.20
  • Cigna — Commercial: $8.68
  • Cigna HealthSpring — Medicare Advantage: $9.20
  • Health Partners — Medicare Advantage: $9.11
  • Highmark — Wholecare: $9.24
  • Independence Blue Cross — HMO: $34.45
  • Independence Blue Cross — HMO PPACA: $31.51
  • Independence Blue Cross — Medicare Advantage: $8.77
  • Independence Blue Cross — PPO: $34.45
  • Jefferson Health Plan — HMO/PPO: $13.02
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL Not listed in the file Not listed in the file $8.68
Kidney function panel: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel $56 $33.60 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $57.89 $34.74 $8.17 – $32.44
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $8.66
  • Cigna — Commercial: $8.17
  • Cigna HealthSpring — Medicare Advantage: $8.66
  • Health Partners — Medicare Advantage: $8.58
  • Highmark — Wholecare: $8.70
  • Independence Blue Cross — HMO: $32.44
  • Independence Blue Cross — HMO PPACA: $29.67
  • Independence Blue Cross — Medicare Advantage: $8.25
  • Independence Blue Cross — PPO: $32.44
  • Jefferson Health Plan — HMO/PPO: $12.26
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL Not listed in the file Not listed in the file $8.17
Liver function panel: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $57.89 $34.74 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, Auto w/ Microscopy $28.51 $17.11 $3.17 – $12.63
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3.36
  • Cigna — Commercial: $3.17
  • Cigna HealthSpring — Medicare Advantage: $3.36
  • Health Partners — Medicare Advantage: $3.33
  • Highmark — Wholecare: $3.38
  • Independence Blue Cross — HMO: $12.63
  • Independence Blue Cross — HMO PPACA: $11.55
  • Independence Blue Cross — Medicare Advantage: $3.20
  • Independence Blue Cross — PPO: $12.63
  • Jefferson Health Plan — HMO/PPO: $4.76
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE Not listed in the file Not listed in the file $3.17
Urine test (automated, with microscope): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis, Auto w/ Microscopy $28.51 $17.11 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bilirubin, Urine $15.26 $9.16 $3.48 – $14.35
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3.69
  • Cigna — Commercial: $3.48
  • Cigna HealthSpring — Medicare Advantage: $3.69
  • Health Partners — Medicare Advantage: $3.65
  • Highmark — Wholecare: $3.71
  • Independence Blue Cross — HMO: $14.35
  • Independence Blue Cross — HMO PPACA: $13.13
  • Independence Blue Cross — Medicare Advantage: $3.51
  • Independence Blue Cross — PPO: $14.35
  • Jefferson Health Plan — HMO/PPO: $5.22
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Specific Gravity (HNL) $20.80 $12.48 $3.48 – $14.35
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3.69
  • Cigna — Commercial: $3.48
  • Cigna HealthSpring — Medicare Advantage: $3.69
  • Health Partners — Medicare Advantage: $3.65
  • Highmark — Wholecare: $3.71
  • Independence Blue Cross — HMO: $14.35
  • Independence Blue Cross — HMO PPACA: $13.13
  • Independence Blue Cross — Medicare Advantage: $3.51
  • Independence Blue Cross — PPO: $14.35
  • Jefferson Health Plan — HMO/PPO: $5.22
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: pH $15.26 $9.16 $3.48 – $14.35
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3.69
  • Cigna — Commercial: $3.48
  • Cigna HealthSpring — Medicare Advantage: $3.69
  • Health Partners — Medicare Advantage: $3.65
  • Highmark — Wholecare: $3.71
  • Independence Blue Cross — HMO: $14.35
  • Independence Blue Cross — HMO PPACA: $13.13
  • Independence Blue Cross — Medicare Advantage: $3.51
  • Independence Blue Cross — PPO: $14.35
  • Jefferson Health Plan — HMO/PPO: $5.22
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis - NRSY $15.86 $9.52 $2.25 – $9.76
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $2.39
  • Cigna — Commercial: $2.25
  • Cigna HealthSpring — Medicare Advantage: $2.39
  • Health Partners — Medicare Advantage: $2.36
  • Highmark — Wholecare: $2.40
  • Independence Blue Cross — HMO: $9.76
  • Independence Blue Cross — HMO PPACA: $8.93
  • Independence Blue Cross — Medicare Advantage: $2.27
  • Independence Blue Cross — PPO: $9.76
  • Jefferson Health Plan — HMO/PPO: $3.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis - L & D $15.86 $9.52 $2.25 – $9.76
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $2.39
  • Cigna — Commercial: $2.25
  • Cigna HealthSpring — Medicare Advantage: $2.39
  • Health Partners — Medicare Advantage: $2.36
  • Highmark — Wholecare: $2.40
  • Independence Blue Cross — HMO: $9.76
  • Independence Blue Cross — HMO PPACA: $8.93
  • Independence Blue Cross — Medicare Advantage: $2.27
  • Independence Blue Cross — PPO: $9.76
  • Jefferson Health Plan — HMO/PPO: $3.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis - MAT $15.86 $9.52 $2.25 – $9.76
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $2.39
  • Cigna — Commercial: $2.25
  • Cigna HealthSpring — Medicare Advantage: $2.39
  • Health Partners — Medicare Advantage: $2.36
  • Highmark — Wholecare: $2.40
  • Independence Blue Cross — HMO: $9.76
  • Independence Blue Cross — HMO PPACA: $8.93
  • Independence Blue Cross — Medicare Advantage: $2.27
  • Independence Blue Cross — PPO: $9.76
  • Jefferson Health Plan — HMO/PPO: $3.38
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen $108.27 $64.97 $18.39 – $74.93
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $19.49
  • Cigna — Commercial: $18.39
  • Cigna HealthSpring — Medicare Advantage: $19.49
  • Health Partners — Medicare Advantage: $19.31
  • Highmark — Wholecare: $19.59
  • Independence Blue Cross — HMO: $74.93
  • Independence Blue Cross — HMO PPACA: $68.53
  • Independence Blue Cross — Medicare Advantage: $18.57
  • Independence Blue Cross — PPO: $74.93
  • Jefferson Health Plan — HMO/PPO: $27.59
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, Ultra Sensitive (Post Radical Prostatectomy)(ARUP) $121.80 $73.08 $18.39 – $74.93
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $19.49
  • Cigna — Commercial: $18.39
  • Cigna HealthSpring — Medicare Advantage: $19.49
  • Health Partners — Medicare Advantage: $19.31
  • Highmark — Wholecare: $19.59
  • Independence Blue Cross — HMO: $74.93
  • Independence Blue Cross — HMO PPACA: $68.53
  • Independence Blue Cross — Medicare Advantage: $18.57
  • Independence Blue Cross — PPO: $74.93
  • Jefferson Health Plan — HMO/PPO: $27.59
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Spec Antigen-Total $121.80 $73.08 $18.39 – $74.93
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $19.49
  • Cigna — Commercial: $18.39
  • Cigna HealthSpring — Medicare Advantage: $19.49
  • Health Partners — Medicare Advantage: $19.31
  • Highmark — Wholecare: $19.59
  • Independence Blue Cross — HMO: $74.93
  • Independence Blue Cross — HMO PPACA: $68.53
  • Independence Blue Cross — Medicare Advantage: $18.57
  • Independence Blue Cross — PPO: $74.93
  • Jefferson Health Plan — HMO/PPO: $27.59
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (Referenced) $122.28 $73.37 $16.80 – $75.21
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $17.81
  • Cigna — Commercial: $16.80
  • Cigna HealthSpring — Medicare Advantage: $17.81
  • Health Partners — Medicare Advantage: $17.64
  • Highmark — Wholecare: $17.89
  • Independence Blue Cross — HMO: $75.21
  • Independence Blue Cross — HMO PPACA: $68.80
  • Independence Blue Cross — Medicare Advantage: $16.97
  • Independence Blue Cross — PPO: $75.21
  • Jefferson Health Plan — HMO/PPO: $25.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $108.69 $65.22 $16.80 – $75.21
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $17.81
  • Cigna — Commercial: $16.80
  • Cigna HealthSpring — Medicare Advantage: $17.81
  • Health Partners — Medicare Advantage: $17.64
  • Highmark — Wholecare: $17.89
  • Independence Blue Cross — HMO: $75.21
  • Independence Blue Cross — HMO PPACA: $68.80
  • Independence Blue Cross — Medicare Advantage: $16.97
  • Independence Blue Cross — PPO: $75.21
  • Jefferson Health Plan — HMO/PPO: $25.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE Not listed in the file Not listed in the file $16.80
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem CBC AutoDiff Bill Only $50.33 $30.20 $7.77 – $31.58
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $8.24
  • Cigna — Commercial: $7.77
  • Cigna HealthSpring — Medicare Advantage: $8.24
  • Health Partners — Medicare Advantage: $8.16
  • Highmark — Wholecare: $8.28
  • Independence Blue Cross — HMO: $31.58
  • Independence Blue Cross — HMO PPACA: $28.88
  • Independence Blue Cross — Medicare Advantage: $7.85
  • Independence Blue Cross — PPO: $31.58
  • Jefferson Health Plan — HMO/PPO: $11.66
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC Not listed in the file Not listed in the file $7.77
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hem CBC AutoDiff Bill Only $50.33 $30.20 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC (no diff) $41.48 $24.89 $6.47 – $28.71
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $6.86
  • Cigna — Commercial: $6.47
  • Cigna HealthSpring — Medicare Advantage: $6.86
  • Health Partners — Medicare Advantage: $6.79
  • Highmark — Wholecare: $6.89
  • Independence Blue Cross — HMO: $28.71
  • Independence Blue Cross — HMO PPACA: $26.26
  • Independence Blue Cross — Medicare Advantage: $6.53
  • Independence Blue Cross — PPO: $28.71
  • Jefferson Health Plan — HMO/PPO: $9.71
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $6.47
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC (no diff) $41.48 $24.89 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time $26.78 $16.07 $4.29 – $16.08
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $4.55
  • Cigna — Commercial: $4.29
  • Cigna HealthSpring — Medicare Advantage: $4.55
  • Health Partners — Medicare Advantage: $4.50
  • Highmark — Wholecare: $4.57
  • Independence Blue Cross — HMO: $16.08
  • Independence Blue Cross — HMO PPACA: $14.70
  • Independence Blue Cross — Medicare Advantage: $4.33
  • Independence Blue Cross — PPO: $16.08
  • Jefferson Health Plan — HMO/PPO: $6.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME Not listed in the file Not listed in the file $4.29
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time $26.78 $16.07 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT (Lupus Sensitive) $44.71 $26.83 $6.01 – $26.99
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $6.37
  • Cigna — Commercial: $6.01
  • Cigna HealthSpring — Medicare Advantage: $6.37
  • Health Partners — Medicare Advantage: $6.31
  • Highmark — Wholecare: $6.40
  • Independence Blue Cross — HMO: $26.99
  • Independence Blue Cross — HMO PPACA: $24.68
  • Independence Blue Cross — Medicare Advantage: $6.07
  • Independence Blue Cross — PPO: $26.99
  • Jefferson Health Plan — HMO/PPO: $9.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT $39.74 $23.85 $6.01 – $26.99
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $6.37
  • Cigna — Commercial: $6.01
  • Cigna HealthSpring — Medicare Advantage: $6.37
  • Health Partners — Medicare Advantage: $6.31
  • Highmark — Wholecare: $6.40
  • Independence Blue Cross — HMO: $26.99
  • Independence Blue Cross — HMO PPACA: $24.68
  • Independence Blue Cross — Medicare Advantage: $6.07
  • Independence Blue Cross — PPO: $26.99
  • Jefferson Health Plan — HMO/PPO: $9.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL Not listed in the file Not listed in the file $6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $6.01

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: Head/Brain Plain - CT $916.80 $550.08 $99.20 – $797.62
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $797.62
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $705.94
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $99.20
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $634.45
  • Independence Blue Cross — HMO PPACA: $580.30
  • Independence Blue Cross — Medicare Advantage: $105.87
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 DYE Not listed in the file Not listed in the file $104.82
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $104.82
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Head/Brain Plain - CT $916.80 $550.08 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Brain w/ & w/o Contrast - HRHMC MRI $3,194.27 $1,916.57 $344.32 – $2,459.59
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,478
  • Aetna — Medicare Advantage: $370.79
  • Cigna — Commercial: $2,459.59
  • Cigna HealthSpring — Medicare Advantage: $370.79
  • Health Partners — Medicaid & CHIP: $344.32
  • Health Partners — Medicare Advantage: $367.29
  • Highmark — Wholecare: $372.54
  • Independence Blue Cross — HMO: $2,210.52
  • Independence Blue Cross — HMO PPACA: $2,021.87
  • Independence Blue Cross — Medicare Advantage: $353.30
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $349.80
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $349.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Brain w/ & w/o Contrast - HRHMC MRI $3,194.27 $1,916.57 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest PA & Lat - BEN $264.15 $158.49 $46.37 – $203.40
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $92.49
  • Cigna — Commercial: $203.40
  • Cigna HealthSpring — Medicare Advantage: $92.49
  • Health Partners — Medicaid & CHIP: $46.37
  • Health Partners — Medicare Advantage: $91.62
  • Highmark — Wholecare: $92.93
  • Independence Blue Cross — HMO: $97.61
  • Independence Blue Cross — HMO PPACA: $89.28
  • Independence Blue Cross — Medicare Advantage: $88.13
  • Independence Blue Cross — PPO: $97.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest PA & Lat OccHlth - BEN $264.15 $158.49 $46.37 – $203.40
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $92.49
  • Cigna — Commercial: $203.40
  • Cigna HealthSpring — Medicare Advantage: $92.49
  • Health Partners — Medicaid & CHIP: $46.37
  • Health Partners — Medicare Advantage: $91.62
  • Highmark — Wholecare: $92.93
  • Independence Blue Cross — HMO: $97.61
  • Independence Blue Cross — HMO PPACA: $89.28
  • Independence Blue Cross — Medicare Advantage: $88.13
  • Independence Blue Cross — PPO: $97.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bilat Decub Chest - BEN $264.15 $158.49 $46.37 – $203.40
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $92.49
  • Cigna — Commercial: $203.40
  • Cigna HealthSpring — Medicare Advantage: $92.49
  • Health Partners — Medicaid & CHIP: $46.37
  • Health Partners — Medicare Advantage: $91.62
  • Highmark — Wholecare: $92.93
  • Independence Blue Cross — HMO: $97.61
  • Independence Blue Cross — HMO PPACA: $89.28
  • Independence Blue Cross — Medicare Advantage: $88.13
  • Independence Blue Cross — PPO: $97.61
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lumbar Spine, AP, Lat & Obl - 821 $324.06 $194.44 $28.80 – $249.53
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $249.53
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $28.80
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $143.54
  • Independence Blue Cross — HMO PPACA: $131.29
  • Independence Blue Cross — Medicare Advantage: $105.87
  • Independence Blue Cross — PPO: $143.54
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lumbar Spine, AP, Lat & Obl $324.06 $194.44 $28.80 – $249.53
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $249.53
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $28.80
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $143.54
  • Independence Blue Cross — HMO PPACA: $131.29
  • Independence Blue Cross — Medicare Advantage: $105.87
  • Independence Blue Cross — PPO: $143.54
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lumbar Sp, AP, Lat & Obl - BEN $324.06 $194.44 $28.80 – $249.53
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $249.53
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $28.80
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $143.54
  • Independence Blue Cross — HMO PPACA: $131.29
  • Independence Blue Cross — Medicare Advantage: $105.87
  • Independence Blue Cross — PPO: $143.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L Spine w/o Contrast - HRHMC MRI $2,048.29 $1,228.98 $239.62 – $1,577.18
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,478
  • Aetna — Medicare Advantage: $253.59
  • Cigna — Commercial: $1,577.18
  • Cigna HealthSpring — Medicare Advantage: $253.59
  • Health Partners — Medicaid & CHIP: $239.62
  • Health Partners — Medicare Advantage: $251.20
  • Highmark — Wholecare: $254.79
  • Independence Blue Cross — HMO: $1,363.63
  • Independence Blue Cross — HMO PPACA: $1,247.25
  • Independence Blue Cross — Medicare Advantage: $241.63
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $239.24
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $239.24
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: L Spine w/o Contrast - HRHMC MRI $2,048.29 $1,228.98 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pelvis Enhanced - CT $1,293.93 $776.36 $110.72 – $1,125.72
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,125.72
  • Aetna — Medicare Advantage: $186.42
  • Cigna — Commercial: $996.33
  • Cigna HealthSpring — Medicare Advantage: $186.42
  • Health Partners — Medicaid & CHIP: $110.72
  • Health Partners — Medicare Advantage: $184.66
  • Highmark — Wholecare: $187.30
  • Independence Blue Cross — HMO: $892.82
  • Independence Blue Cross — HMO PPACA: $816.62
  • Independence Blue Cross — Medicare Advantage: $177.63
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $175.87
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $175.87
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pelvis Enhanced - CT $1,293.93 $776.36 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Low Extrem Joint w/o Contrast - HRHMC MRI $2,130.96 $1,278.58 $241.63 – $1,640.84
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,478
  • Aetna — Medicare Advantage: $253.59
  • Cigna — Commercial: $1,640.84
  • Cigna HealthSpring — Medicare Advantage: $253.59
  • Health Partners — Medicaid & CHIP: $344.32
  • Health Partners — Medicare Advantage: $251.20
  • Highmark — Wholecare: $254.79
  • Independence Blue Cross — HMO: $1,363.63
  • Independence Blue Cross — HMO PPACA: $1,247.25
  • Independence Blue Cross — Medicare Advantage: $241.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Low Extrem Joint Rt w/o Contrast - HRHMC MRI $2,048.29 $1,228.98 $241.63 – $1,577.18
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,478
  • Aetna — Medicare Advantage: $253.59
  • Cigna — Commercial: $1,577.18
  • Cigna HealthSpring — Medicare Advantage: $253.59
  • Health Partners — Medicaid & CHIP: $344.32
  • Health Partners — Medicare Advantage: $251.20
  • Highmark — Wholecare: $254.79
  • Independence Blue Cross — HMO: $1,363.63
  • Independence Blue Cross — HMO PPACA: $1,247.25
  • Independence Blue Cross — Medicare Advantage: $241.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Low Extrem Joint Lt w/o Contrast - HRHMC MRI $2,048.29 $1,228.98 $241.63 – $1,577.18
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,478
  • Aetna — Medicare Advantage: $253.59
  • Cigna — Commercial: $1,577.18
  • Cigna HealthSpring — Medicare Advantage: $253.59
  • Health Partners — Medicaid & CHIP: $344.32
  • Health Partners — Medicare Advantage: $251.20
  • Highmark — Wholecare: $254.79
  • Independence Blue Cross — HMO: $1,363.63
  • Independence Blue Cross — HMO PPACA: $1,247.25
  • Independence Blue Cross — Medicare Advantage: $241.63
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Abdomen and Pelvis Enhanced - CT $1,404 $842.40 $230.26 – $1,221.48
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,221.48
  • Aetna — Medicare Advantage: $370.79
  • Cigna — Commercial: $1,081.08
  • Cigna HealthSpring — Medicare Advantage: $370.79
  • Health Partners — Medicaid & CHIP: $230.26
  • Health Partners — Medicare Advantage: $367.29
  • Highmark — Wholecare: $372.54
  • Independence Blue Cross — HMO: $910.04
  • Independence Blue Cross — HMO PPACA: $832.38
  • Independence Blue Cross — Medicare Advantage: $353.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file Not listed in the file $349.80
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $349.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Abdomen and Pelvis Enhanced - CT $1,404 $842.40 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen, Complete - 821 $1,530.40 $918.24 $73.60 – $1,331.45
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,331.45
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $1,178.41
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $73.60
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $327.27
  • Independence Blue Cross — HMO PPACA: $299.34
  • Independence Blue Cross — Medicare Advantage: $105.87
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen, Complete $1,530.40 $918.24 $73.60 – $1,331.45
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,331.45
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $1,178.41
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $73.60
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $327.27
  • Independence Blue Cross — HMO PPACA: $299.34
  • Independence Blue Cross — Medicare Advantage: $105.87
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen, Complete - BEN $1,530.40 $918.24 $73.60 – $1,331.45
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,331.45
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $1,178.41
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $73.60
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $327.27
  • Independence Blue Cross — HMO PPACA: $299.34
  • Independence Blue Cross — Medicare Advantage: $105.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Fetal Scan Complete - MFM $843.96 $506.38 $59.52 – $649.85
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — Commercial: $586
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $649.85
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $59.52
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $287.08
  • Independence Blue Cross — HMO PPACA: $262.58
  • Independence Blue Cross — Medicare Advantage: $105.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg Complete - 821 $811.28 $486.77 $59.52 – $624.69
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — Commercial: $586
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $624.69
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $59.52
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $287.08
  • Independence Blue Cross — HMO PPACA: $262.58
  • Independence Blue Cross — Medicare Advantage: $105.87
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg Complete $811.28 $486.77 $59.52 – $624.69
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — Commercial: $586
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $624.69
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $59.52
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $287.08
  • Independence Blue Cross — HMO PPACA: $262.58
  • Independence Blue Cross — Medicare Advantage: $105.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal - 821 $699.25 $419.55 $59.52 – $608.35
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Aetna — Commercial: $608.35
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $538.42
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $59.52
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $266.98
  • Independence Blue Cross — HMO PPACA: $244.20
  • Independence Blue Cross — Medicare Advantage: $105.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal $699.25 $419.55 $59.52 – $608.35
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Aetna — Commercial: $608.35
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $538.42
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $59.52
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $266.98
  • Independence Blue Cross — HMO PPACA: $244.20
  • Independence Blue Cross — Medicare Advantage: $105.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal - SWC $699.25 $419.55 $59.52 – $608.35
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Aetna — Commercial: $608.35
  • Aetna — Medicare Advantage: $111.11
  • Cigna — Commercial: $538.42
  • Cigna HealthSpring — Medicare Advantage: $111.11
  • Health Partners — Medicaid & CHIP: $59.52
  • Health Partners — Medicare Advantage: $110.06
  • Highmark — Wholecare: $111.64
  • Independence Blue Cross — HMO: $266.98
  • Independence Blue Cross — HMO PPACA: $244.20
  • Independence Blue Cross — Medicare Advantage: $105.87
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REM Diag Mammo Uni LT Incl CAD - 821 BC $430 $258 $71 – $331.10
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $196
  • Aetna — Medicare Advantage: $136.42
  • Cigna — Commercial: $331.10
  • Cigna HealthSpring — Medicare Advantage: $136.42
  • Health Partners — Medicaid & CHIP: $102.55
  • Health Partners — Medicare Advantage: $135.13
  • Highmark — Wholecare: $137.06
  • Independence Blue Cross — HMO: $177.99
  • Independence Blue Cross — HMO PPACA: $162.80
  • Independence Blue Cross — Medicare Advantage: $129.98
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REM Diag Mammo Uni RT Incl CAD - 821 BC $430 $258 $71 – $331.10
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $196
  • Aetna — Medicare Advantage: $136.42
  • Cigna — Commercial: $331.10
  • Cigna HealthSpring — Medicare Advantage: $136.42
  • Health Partners — Medicaid & CHIP: $102.55
  • Health Partners — Medicare Advantage: $135.13
  • Highmark — Wholecare: $137.06
  • Independence Blue Cross — HMO: $177.99
  • Independence Blue Cross — HMO PPACA: $162.80
  • Independence Blue Cross — Medicare Advantage: $129.98
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diag Mammo Uni Lt Incl CAD - HRHMC $430.29 $258.18 $71 – $331.32
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $196
  • Aetna — Medicare Advantage: $136.42
  • Cigna — Commercial: $331.32
  • Cigna HealthSpring — Medicare Advantage: $136.42
  • Health Partners — Medicaid & CHIP: $102.55
  • Health Partners — Medicare Advantage: $135.13
  • Highmark — Wholecare: $137.06
  • Independence Blue Cross — HMO: $177.99
  • Independence Blue Cross — HMO PPACA: $162.80
  • Independence Blue Cross — Medicare Advantage: $129.98
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REM Diag Mammo Bilat Incl CAD - 821 BC $401 $240.60 $71 – $308.77
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $245
  • Aetna — Medicare Advantage: $172.86
  • Cigna — Commercial: $308.77
  • Cigna HealthSpring — Medicare Advantage: $172.86
  • Health Partners — Medicaid & CHIP: $129.87
  • Health Partners — Medicare Advantage: $171.23
  • Highmark — Wholecare: $173.67
  • Independence Blue Cross — HMO: $226.79
  • Independence Blue Cross — HMO PPACA: $207.44
  • Independence Blue Cross — Medicare Advantage: $164.70
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diag Mammo Bilateral Incl CAD - HRHMC $413.83 $248.30 $71 – $318.65
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $245
  • Aetna — Medicare Advantage: $172.86
  • Cigna — Commercial: $318.65
  • Cigna HealthSpring — Medicare Advantage: $172.86
  • Health Partners — Medicaid & CHIP: $129.87
  • Health Partners — Medicare Advantage: $171.23
  • Highmark — Wholecare: $173.67
  • Independence Blue Cross — HMO: $226.79
  • Independence Blue Cross — HMO PPACA: $207.44
  • Independence Blue Cross — Medicare Advantage: $164.70
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diag Mammo Bilat Incl CAD - SWC $413.83 $248.30 $71 – $318.65
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $245
  • Aetna — Medicare Advantage: $172.86
  • Cigna — Commercial: $318.65
  • Cigna HealthSpring — Medicare Advantage: $172.86
  • Health Partners — Medicaid & CHIP: $129.87
  • Health Partners — Medicare Advantage: $171.23
  • Highmark — Wholecare: $173.67
  • Independence Blue Cross — HMO: $226.79
  • Independence Blue Cross — HMO PPACA: $207.44
  • Independence Blue Cross — Medicare Advantage: $164.70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Mammo Uni - 821 $330.24 $198.15 $71 – $254.28
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $199
  • Aetna — Medicare Advantage: $138.98
  • Cigna — Commercial: $254.28
  • Cigna HealthSpring — Medicare Advantage: $138.98
  • Health Partners — Medicaid & CHIP: $105
  • Health Partners — Medicare Advantage: $137.67
  • Highmark — Wholecare: $139.64
  • Independence Blue Cross — HMO: $172.25
  • Independence Blue Cross — HMO PPACA: $157.55
  • Independence Blue Cross — Medicare Advantage: $132.43
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Mammo Incl CAD - 821 $413.83 $248.30 $71 – $318.65
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $199
  • Aetna — Medicare Advantage: $138.98
  • Cigna — Commercial: $318.65
  • Cigna HealthSpring — Medicare Advantage: $138.98
  • Health Partners — Medicaid & CHIP: $105
  • Health Partners — Medicare Advantage: $137.67
  • Highmark — Wholecare: $139.64
  • Independence Blue Cross — HMO: $172.25
  • Independence Blue Cross — HMO PPACA: $157.55
  • Independence Blue Cross — Medicare Advantage: $132.43
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Mammo Incl CAD - SWC $413.83 $248.30 $71 – $318.65
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $199
  • Aetna — Medicare Advantage: $138.98
  • Cigna — Commercial: $318.65
  • Cigna HealthSpring — Medicare Advantage: $138.98
  • Health Partners — Medicaid & CHIP: $105
  • Health Partners — Medicare Advantage: $137.67
  • Highmark — Wholecare: $139.64
  • Independence Blue Cross — HMO: $172.25
  • Independence Blue Cross — HMO PPACA: $157.55
  • Independence Blue Cross — Medicare Advantage: $132.43

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $15.97 – $219.72
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates
  • Aetna — Commercial: $208
  • Aetna — Medicare Advantage: $16.92
  • Cigna HealthSpring — Medicare Advantage: $16.92
  • Health Partners — Medicaid & CHIP: $29.99
  • Health Partners — Medicare Advantage: $16.76
  • Highmark — Wholecare: $17
  • Independence Blue Cross — HMO: $219.72
  • Independence Blue Cross — HMO PPACA: $200.98
  • Independence Blue Cross — Medicare Advantage: $16.12
  • Independence Blue Cross — PPO: $219.72
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LHC +/- LVG - No Coronaries - CCL $12,865.32 $7,719.20 $2,499 – $9,906.30
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates
  • Aetna — Commercial: $8,920
  • Aetna — Medicare Advantage: $3,445.58
  • Cigna — Commercial: $9,906.30
  • Cigna HealthSpring — Medicare Advantage: $3,445.58
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $3,413.07
  • Highmark — Wholecare: $3,461.83
  • Independence Blue Cross — HMO: $6,893.60
  • Independence Blue Cross — HMO PPACA: $6,305.60
  • Independence Blue Cross — Medicare Advantage: $3,283.05
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $3,250.54
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $3,250.54
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LHC +/- LVG - No Coronaries - CCL $12,865.32 $7,719.20 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $256 – $11,730.58
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • Aetna — Commercial: $7,476.02
  • Aetna — Medicare Advantage: $8,289.61
  • Cigna HealthSpring — Medicare Advantage: $8,289.61
  • Health Partners — Medicaid & CHIP: $256
  • Health Partners — Medicare Advantage: $8,211.40
  • Highmark — Wholecare: $8,328.71
  • Independence Blue Cross — HMO: $7,324
  • Independence Blue Cross — HMO PPACA: $6,699.40
  • Independence Blue Cross — Medicare Advantage: $7,898.59
  • Independence Blue Cross — PPO: $7,324
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $6,305.60 – $39,310.94
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates
  • Aetna — Commercial: $7,476.02
  • Aetna — Medicare Advantage: $27,779.73
  • Cigna HealthSpring — Medicare Advantage: $27,779.73
  • Health Partners — Medicare Advantage: $27,517.66
  • Highmark — Wholecare: $27,910.77
  • Independence Blue Cross — HMO: $6,893.60
  • Independence Blue Cross — HMO PPACA: $6,305.60
  • Independence Blue Cross — Medicare Advantage: $26,469.37
  • Independence Blue Cross — PPO: $6,893.60
  • Jefferson Health Plan — HMO/PPO: $39,310.94
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Nocturnal Polysomnogram - SL $5,012.28 $3,007.37 $443.60 – $3,859.46
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,614
  • Aetna — Medicare Advantage: $912.68
  • Cigna — Commercial: $3,859.46
  • Cigna HealthSpring — Medicare Advantage: $912.68
  • Health Partners — Medicaid & CHIP: $443.60
  • Health Partners — Medicare Advantage: $904.07
  • Highmark — Wholecare: $916.99
  • Independence Blue Cross — HMO: $1,925
  • Independence Blue Cross — HMO PPACA: $1,824
  • Independence Blue Cross — Medicare Advantage: $869.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnogram, Incomplete - SL $5,210.40 $3,126.24 $443.60 – $4,012.01
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,614
  • Aetna — Medicare Advantage: $912.68
  • Cigna — Commercial: $4,012.01
  • Cigna HealthSpring — Medicare Advantage: $912.68
  • Health Partners — Medicaid & CHIP: $443.60
  • Health Partners — Medicare Advantage: $904.07
  • Highmark — Wholecare: $916.99
  • Independence Blue Cross — HMO: $1,925
  • Independence Blue Cross — HMO PPACA: $1,824
  • Independence Blue Cross — Medicare Advantage: $869.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $861.02
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $861.02

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: PT Ther Exercise 15min - RDC $219 $131.40 $11.69 – $144
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $31.75
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $31.75
  • Health Partners — Medicaid & CHIP: $11.69
  • Health Partners — Medicare Advantage: $31.45
  • Highmark — Wholecare: $31.90
  • Independence Blue Cross — HMO: $93.60
  • Independence Blue Cross — HMO PPACA: $36.36
  • Independence Blue Cross — Medicare Advantage: $30.25
  • Independence Blue Cross — PPO: $93.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Ther Exercise 15min - RDC $219 $131.40 $11.69 – $144
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $31.75
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $31.75
  • Health Partners — Medicaid & CHIP: $11.69
  • Health Partners — Medicare Advantage: $31.45
  • Highmark — Wholecare: $31.90
  • Independence Blue Cross — HMO: $93.60
  • Independence Blue Cross — HMO PPACA: $36.36
  • Independence Blue Cross — Medicare Advantage: $30.25
  • Independence Blue Cross — PPO: $93.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Ther Exercise 15min - PedR $211.50 $126.90 $11.69 – $144
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $31.75
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $31.75
  • Health Partners — Medicaid & CHIP: $11.69
  • Health Partners — Medicare Advantage: $31.45
  • Highmark — Wholecare: $31.90
  • Independence Blue Cross — HMO: $93.60
  • Independence Blue Cross — HMO PPACA: $36.36
  • Independence Blue Cross — Medicare Advantage: $30.25
  • Independence Blue Cross — PPO: $93.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Low Complex 20min - RDC $311.37 $186.83 $48.48 – $151.12
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $124.80
  • Independence Blue Cross — HMO PPACA: $48.48
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $124.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Low Complex 20min - PedR $311.37 $186.83 $48.48 – $151.12
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $124.80
  • Independence Blue Cross — HMO PPACA: $48.48
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $124.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Low Complex 20min - SMD $311.37 $186.83 $48.48 – $151.12
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $124.80
  • Independence Blue Cross — HMO PPACA: $48.48
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $124.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Mod Complex 30min - RDC $311.37 $186.83 $60.60 – $156
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $156
  • Independence Blue Cross — HMO PPACA: $60.60
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $156
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Mod Complex 30min - PedR $311.37 $186.83 $60.60 – $156
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $156
  • Independence Blue Cross — HMO PPACA: $60.60
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $156
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Mod Complex 30min - SMD $311.37 $186.83 $60.60 – $156
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $156
  • Independence Blue Cross — HMO PPACA: $60.60
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $156
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Complex 45min - RDC $311.37 $186.83 $61.09 – $187.21
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $187.21
  • Independence Blue Cross — HMO PPACA: $72.72
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $187.21
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Complex 45min - PedR $311.37 $186.83 $61.09 – $187.21
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $187.21
  • Independence Blue Cross — HMO PPACA: $72.72
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $187.21
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Complex 45min - SMD $311.37 $186.83 $61.09 – $187.21
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $106.79
  • Cigna — Commercial: $144
  • Cigna HealthSpring — Medicare Advantage: $106.79
  • Health Partners — Medicaid & CHIP: $61.09
  • Health Partners — Medicare Advantage: $105.78
  • Highmark — Wholecare: $107.29
  • Independence Blue Cross — HMO: $187.21
  • Independence Blue Cross — HMO PPACA: $72.72
  • Independence Blue Cross — Medicare Advantage: $101.75
  • Independence Blue Cross — PPO: $187.21
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 30min - RICH $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 30min - TeleHealth $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 30mins $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 45min - RICH $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 45min - TeleHealth $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 45min $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 60min - RICH $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 60min - TeleHealth $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Individual Psychotherapy 60mins $408.20 $244.92 $106.13 – $355.13
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psychotherapy w/o Pt Present - RICH $408.20 $244.92 $106.13 – $355.13
Family psychotherapy, without the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psychotherapy w/o Pt Present - TeleHealth $408.20 $244.92 $106.13 – $355.13
Family psychotherapy, without the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psychotherapy w/o Pt Present $408.20 $244.92 $106.13 – $355.13
Family psychotherapy, without the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Couples Counseling - RICH $408.20 $244.92 $106.13 – $355.13
Family psychotherapy, with the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Counseling - RICH $408.20 $244.92 $106.13 – $355.13
Family psychotherapy, with the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Counseling - TeleHealth $408.20 $244.92 $106.13 – $355.13
Family psychotherapy, with the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $355.13
  • Aetna — Medicare Advantage: $188.65
  • Cigna — Commercial: $314.31
  • Cigna HealthSpring — Medicare Advantage: $188.65
  • Health Partners — Medicare Advantage: $186.87
  • Highmark — Wholecare: $189.53
  • Independence Blue Cross — HMO: $106.13
  • Independence Blue Cross — HMO PPACA: $106.13
  • Independence Blue Cross — Medicare Advantage: $179.75
  • Independence Blue Cross — PPO: $106.13
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Counseling - RICH $212.51 $127.51 $55.25 – $184.88
Group psychotherapy: 10 of 11 insurance plan rates
  • Aetna — Commercial: $184.88
  • Aetna — Medicare Advantage: $107.97
  • Cigna — Commercial: $163.63
  • Cigna HealthSpring — Medicare Advantage: $107.97
  • Health Partners — Medicare Advantage: $106.95
  • Highmark — Wholecare: $108.48
  • Independence Blue Cross — HMO: $55.25
  • Independence Blue Cross — HMO PPACA: $55.25
  • Independence Blue Cross — Medicare Advantage: $102.88
  • Independence Blue Cross — PPO: $55.25
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Counseling $212.51 $127.51 $55.25 – $184.88
Group psychotherapy: 10 of 11 insurance plan rates
  • Aetna — Commercial: $184.88
  • Aetna — Medicare Advantage: $107.97
  • Cigna — Commercial: $163.63
  • Cigna HealthSpring — Medicare Advantage: $107.97
  • Health Partners — Medicare Advantage: $106.95
  • Highmark — Wholecare: $108.48
  • Independence Blue Cross — HMO: $55.25
  • Independence Blue Cross — HMO PPACA: $55.25
  • Independence Blue Cross — Medicare Advantage: $102.88
  • Independence Blue Cross — PPO: $55.25
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $101.86
Group psychotherapy: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $101.86

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $281.60 – $5,888.75
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,634.18
  • Aetna — Medicare Advantage: $4,161.39
  • Cigna HealthSpring — Medicare Advantage: $4,161.39
  • Health Partners — Medicaid & CHIP: $281.60
  • Health Partners — Medicare Advantage: $4,122.13
  • Highmark — Wholecare: $4,181.01
  • Independence Blue Cross — HMO: $3,546.27
  • Independence Blue Cross — HMO PPACA: $3,243.70
  • Independence Blue Cross — Medicare Advantage: $3,965.09
  • Independence Blue Cross — PPO: $3,546.27
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $281.60 – $20,768
Total hip replacement: 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,624.80
  • Aetna — Medicare Advantage: $13,645.16
  • Cigna HealthSpring — Medicare Advantage: $13,645.16
  • Health Partners — Medicaid & CHIP: $281.60
  • Health Partners — Medicare Advantage: $13,516.43
  • Highmark — Wholecare: $13,709.52
  • Independence Blue Cross — HMO: $20,768
  • Independence Blue Cross — HMO PPACA: $19,730
  • Independence Blue Cross — Medicare Advantage: $13,001.52
  • Independence Blue Cross — PPO: $19,730
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $281.60 – $20,768
Total knee replacement: 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,624.80
  • Aetna — Medicare Advantage: $13,645.16
  • Cigna HealthSpring — Medicare Advantage: $13,645.16
  • Health Partners — Medicaid & CHIP: $281.60
  • Health Partners — Medicare Advantage: $13,516.43
  • Highmark — Wholecare: $13,709.52
  • Independence Blue Cross — HMO: $20,768
  • Independence Blue Cross — HMO PPACA: $19,730
  • Independence Blue Cross — Medicare Advantage: $13,001.52
  • Independence Blue Cross — PPO: $19,730
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $56.32 – $5,728.59
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,634.18
  • Aetna — Medicare Advantage: $163.64
  • Cigna HealthSpring — Medicare Advantage: $163.64
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $162.10
  • Highmark — Wholecare: $164.41
  • Independence Blue Cross — HMO: $5,728.59
  • Independence Blue Cross — HMO PPACA: $5,239.82
  • Independence Blue Cross — Medicare Advantage: $155.92
  • Independence Blue Cross — PPO: $5,728.59
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $56.32 – $5,728.59
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates
  • Aetna — Commercial: $5,024.03
  • Aetna — Medicare Advantage: $3,477.53
  • Cigna HealthSpring — Medicare Advantage: $3,477.53
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $3,444.73
  • Highmark — Wholecare: $3,493.94
  • Independence Blue Cross — HMO: $5,728.59
  • Independence Blue Cross — HMO PPACA: $5,239.82
  • Independence Blue Cross — Medicare Advantage: $3,313.50
  • Independence Blue Cross — PPO: $5,728.59
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $56.32 – $8,903.33
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,634.18
  • Aetna — Medicare Advantage: $6,291.69
  • Cigna HealthSpring — Medicare Advantage: $6,291.69
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $6,232.33
  • Highmark — Wholecare: $6,321.37
  • Independence Blue Cross — HMO: $5,183.01
  • Independence Blue Cross — HMO PPACA: $4,740.79
  • Independence Blue Cross — Medicare Advantage: $5,994.91
  • Independence Blue Cross — PPO: $5,183.01
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Diagnostic w/ or w/o Spec - ACU $4,048.50 $2,429.10 $918.49 – $3,117.35
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,602.93
  • Aetna — Medicare Advantage: $963.96
  • Cigna — Commercial: $3,117.35
  • Cigna HealthSpring — Medicare Advantage: $963.96
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $954.86
  • Highmark — Wholecare: $968.51
  • Independence Blue Cross — HMO: $1,636.74
  • Independence Blue Cross — HMO PPACA: $1,497.09
  • Independence Blue Cross — Medicare Advantage: $918.49
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $909.39
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $909.39
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Diagnostic w/ or w/o Spec - ACU $4,048.50 $2,429.10 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD w/ Biopsy - ACU $4,692.85 $2,815.71 $918.49 – $3,613.49
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates
  • Aetna — Commercial: $2,565.56
  • Aetna — Medicare Advantage: $963.96
  • Cigna — Commercial: $3,613.49
  • Cigna HealthSpring — Medicare Advantage: $963.96
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $954.86
  • Highmark — Wholecare: $968.51
  • Independence Blue Cross — HMO: $3,000.69
  • Independence Blue Cross — HMO PPACA: $2,744.67
  • Independence Blue Cross — Medicare Advantage: $918.49
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $909.39
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $909.39
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD w/ Biopsy - ACU $4,692.85 $2,815.71 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy - ACU $4,692.85 $2,815.71 $941.75 – $3,613.49
Colonoscopy (diagnostic): 10 of 14 insurance plan rates
  • Aetna — Commercial: $2,565.56
  • Aetna — Medicare Advantage: $988.37
  • Cigna — Commercial: $3,613.49
  • Cigna HealthSpring — Medicare Advantage: $988.37
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $979.05
  • Highmark — Wholecare: $993.04
  • Independence Blue Cross — HMO: $3,000.69
  • Independence Blue Cross — HMO PPACA: $2,744.67
  • Independence Blue Cross — Medicare Advantage: $941.75
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $932.43
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $932.43
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy - ACU $4,692.85 $2,815.71 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonscopy w/ Biopsy - ACU $4,692.85 $2,815.71 $1,211.82 – $3,613.49
Colonoscopy with biopsy: 10 of 14 insurance plan rates
  • Aetna — Commercial: $2,565.56
  • Aetna — Medicare Advantage: $1,271.81
  • Cigna — Commercial: $3,613.49
  • Cigna HealthSpring — Medicare Advantage: $1,271.81
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $1,259.81
  • Highmark — Wholecare: $1,277.81
  • Independence Blue Cross — HMO: $3,000.69
  • Independence Blue Cross — HMO PPACA: $2,744.67
  • Independence Blue Cross — Medicare Advantage: $1,211.82
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,199.82
Colonoscopy with biopsy: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $1,199.82
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonscopy w/ Biopsy - ACU $4,692.85 $2,815.71 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonscopy w/ Polyp Tumor Removal - ACU $4,692.85 $2,815.71 $1,211.82 – $3,613.49
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates
  • Aetna — Commercial: $2,565.56
  • Aetna — Medicare Advantage: $1,271.81
  • Cigna — Commercial: $3,613.49
  • Cigna HealthSpring — Medicare Advantage: $1,271.81
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $1,259.81
  • Highmark — Wholecare: $1,277.81
  • Independence Blue Cross — HMO: $3,000.69
  • Independence Blue Cross — HMO PPACA: $2,744.67
  • Independence Blue Cross — Medicare Advantage: $1,211.82
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,199.82
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $1,199.82
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonscopy w/ Polyp Tumor Removal - ACU $4,692.85 $2,815.71 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,199.82 – $3,000.69
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates
  • Aetna — Commercial: $2,565.56
  • Aetna — Medicare Advantage: $1,271.81
  • Cigna HealthSpring — Medicare Advantage: $1,271.81
  • Health Partners — Medicare Advantage: $1,259.81
  • Highmark — Wholecare: $1,277.81
  • Independence Blue Cross — HMO: $3,000.69
  • Independence Blue Cross — HMO PPACA: $2,744.67
  • Independence Blue Cross — Medicare Advantage: $1,211.82
  • Independence Blue Cross — PPO: $3,000.69
  • Jefferson Health Plan — HMO/PPO: $1,799.73
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Screening Medicare - ACU $4,692.85 $2,815.71 $941.75 – $3,000.69
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates
  • Aetna — Commercial: $2,565.56
  • Aetna — Medicare Advantage: $988.37
  • Cigna — Commercial: $1,850.01
  • Cigna HealthSpring — Medicare Advantage: $988.37
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $979.05
  • Highmark — Wholecare: $993.04
  • Independence Blue Cross — HMO: $3,000.69
  • Independence Blue Cross — HMO PPACA: $2,744.67
  • Independence Blue Cross — Medicare Advantage: $941.75
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $932.43 – $1,850.01
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • Cigna — Commercial: $1,850.01
  • Keystone Family Health Plan — Managed Medicaid: $932.43
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy Screening Medicare - ACU $4,692.85 $2,815.71 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $56.32 – $9,092.38
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,196.49
  • Aetna — Medicare Advantage: $6,425.28
  • Cigna HealthSpring — Medicare Advantage: $6,425.28
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $6,364.67
  • Highmark — Wholecare: $6,455.59
  • Independence Blue Cross — HMO: $8,272.32
  • Independence Blue Cross — HMO PPACA: $7,566.72
  • Independence Blue Cross — Medicare Advantage: $6,122.20
  • Independence Blue Cross — PPO: $8,272.32
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $56.32 – $11,464
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • Aetna — Commercial: $11,464
  • Aetna — Medicare Advantage: $3,805.31
  • Cigna HealthSpring — Medicare Advantage: $3,805.31
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $3,769.41
  • Highmark — Wholecare: $3,823.26
  • Independence Blue Cross — HMO: $5,183.01
  • Independence Blue Cross — HMO PPACA: $4,740.79
  • Independence Blue Cross — Medicare Advantage: $3,625.81
  • Independence Blue Cross — PPO: $5,183.01
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $56.32 – $2,695.75
Prostate biopsy: rates for 3 insurance plans
  • Aetna — Commercial: $2,466.88
  • Health Partners — Medicaid & CHIP: $56.32
  • United Healthcare — Commercial: $2,695.75
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $3,992.24 – $15,987.11
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates
  • Aetna — Commercial: $6,196.49
  • Aetna — Medicare Advantage: $11,297.56
  • Cigna HealthSpring — Medicare Advantage: $11,297.56
  • Health Partners — Medicare Advantage: $11,190.98
  • Highmark — Wholecare: $11,350.85
  • Independence Blue Cross — HMO: $4,364.64
  • Independence Blue Cross — HMO PPACA: $3,992.24
  • Independence Blue Cross — Medicare Advantage: $10,764.65
  • Independence Blue Cross — PPO: $4,364.64
  • Jefferson Health Plan — HMO/PPO: $15,987.11
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $56.32 – $4,868.59
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,634.18
  • Aetna — Medicare Advantage: $3,440.47
  • Cigna HealthSpring — Medicare Advantage: $3,440.47
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $3,408.01
  • Highmark — Wholecare: $3,456.70
  • Independence Blue Cross — HMO: $3,546.27
  • Independence Blue Cross — HMO PPACA: $3,243.70
  • Independence Blue Cross — Medicare Advantage: $3,278.18
  • Independence Blue Cross — PPO: $3,546.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Spine w/ Image Guidance - IR $3,439.05 $2,063.43 $714.83 – $2,906
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,602.93
  • Aetna — Medicare Advantage: $750.22
  • Cigna — Commercial: $2,648.07
  • Cigna HealthSpring — Medicare Advantage: $750.22
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $743.14
  • Highmark — Wholecare: $753.76
  • Independence Blue Cross — HMO: $1,636.74
  • Independence Blue Cross — HMO PPACA: $1,497.09
  • Independence Blue Cross — Medicare Advantage: $714.83
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lumbar Epidural w/Img (62323) $2,521.97 $1,513.19 $714.83 – $2,906
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,602.93
  • Aetna — Medicare Advantage: $750.22
  • Cigna — Commercial: $1,941.92
  • Cigna HealthSpring — Medicare Advantage: $750.22
  • Health Partners — Medicaid & CHIP: $2,906
  • Health Partners — Medicare Advantage: $743.14
  • Highmark — Wholecare: $753.76
  • Independence Blue Cross — HMO: $1,636.74
  • Independence Blue Cross — HMO PPACA: $1,497.09
  • Independence Blue Cross — Medicare Advantage: $714.83
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $707.76
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • Keystone Family Health Plan — Managed Medicaid: $707.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $281.60 – $2,182.22
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,602.93
  • Aetna — Medicare Advantage: $940.03
  • Cigna HealthSpring — Medicare Advantage: $940.03
  • Health Partners — Medicaid & CHIP: $281.60
  • Health Partners — Medicare Advantage: $931.16
  • Highmark — Wholecare: $944.47
  • Independence Blue Cross — HMO: $1,636.74
  • Independence Blue Cross — HMO PPACA: $1,497.09
  • Independence Blue Cross — Medicare Advantage: $895.69
  • Independence Blue Cross — PPO: $1,636.74
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $56.32 – $6,252
Carpal tunnel release: 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,252
  • Aetna — Medicare Advantage: $2,075.39
  • Cigna HealthSpring — Medicare Advantage: $2,075.39
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $2,055.81
  • Highmark — Wholecare: $2,085.18
  • Independence Blue Cross — HMO: $3,546.27
  • Independence Blue Cross — HMO PPACA: $3,243.70
  • Independence Blue Cross — Medicare Advantage: $1,977.49
  • Independence Blue Cross — PPO: $3,546.27
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $56.32 – $3,000.69
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates
  • Aetna — Commercial: $2,565.56
  • Aetna — Medicare Advantage: $584.55
  • Cigna HealthSpring — Medicare Advantage: $584.55
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $579.03
  • Highmark — Wholecare: $587.30
  • Independence Blue Cross — HMO: $3,000.69
  • Independence Blue Cross — HMO PPACA: $2,744.67
  • Independence Blue Cross — Medicare Advantage: $556.97
  • Independence Blue Cross — PPO: $3,000.69
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $56.32 – $7,638.12
Cataract removal with lens implant: 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,196.49
  • Aetna — Medicare Advantage: $2,452.79
  • Cigna HealthSpring — Medicare Advantage: $2,452.79
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $2,429.65
  • Highmark — Wholecare: $2,464.36
  • Independence Blue Cross — HMO: $7,638.12
  • Independence Blue Cross — HMO PPACA: $6,986.42
  • Independence Blue Cross — Medicare Advantage: $2,337.09
  • Independence Blue Cross — PPO: $7,638.12

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $56.32 – $3,495.54
Vaginal delivery, with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $2,470.18
  • Cigna HealthSpring — Medicare Advantage: $2,470.18
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $2,446.88
  • Highmark — Wholecare: $2,481.83
  • Independence Blue Cross — Medicare Advantage: $2,353.66
  • Jefferson Health Plan — HMO/PPO: $3,495.54
  • Keystone Family Health Plan — Managed Medicaid: $2,330.36
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $56.32 – $3,913.81
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $2,765.76
  • Cigna HealthSpring — Medicare Advantage: $2,765.76
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $2,739.67
  • Highmark — Wholecare: $2,778.81
  • Independence Blue Cross — Medicare Advantage: $2,635.30
  • Jefferson Health Plan — HMO/PPO: $3,913.81
  • Keystone Family Health Plan — Managed Medicaid: $2,609.21
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $56.32 – $3,689.54
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $2,607.27
  • Cigna HealthSpring — Medicare Advantage: $2,607.27
  • Health Partners — Medicaid & CHIP: $56.32
  • Health Partners — Medicare Advantage: $2,582.68
  • Highmark — Wholecare: $2,619.57
  • Independence Blue Cross — Medicare Advantage: $2,484.29
  • Jefferson Health Plan — HMO/PPO: $3,689.54
  • Keystone Family Health Plan — Managed Medicaid: $2,459.69

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 $74,473.02 – $181,314.42
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $181,314.42
  • Aetna — Medicare Advantage: $83,247.48
  • Cigna — Commercial: $168,635.91
  • Cigna HealthSpring — Medicare Advantage: $79,350.35
  • Health Partners — Medicare Advantage: $81,684.18
  • Highmark — Wholecare: $78,528.48
  • Independence Blue Cross — HMO: $131,894.27
  • Independence Blue Cross — HMO PPACA: $127,130.31
  • Independence Blue Cross — Medicare Advantage: $74,473.02
  • Independence Blue Cross — PPO: $131,894.27
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 $44,783 – $47,304
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • Independence Blue Cross — HMO: $47,304
  • Independence Blue Cross — HMO PPACA: $44,783
  • Independence Blue Cross — PPO: $47,304
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 $14,909.95 – $35,750.23
Hip or knee replacement (major joint of the leg), without major complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $35,750.23
  • Aetna — Medicare Advantage: $16,656.73
  • Cigna — Commercial: $33,250.38
  • Cigna HealthSpring — Medicare Advantage: $15,876.96
  • Health Partners — Medicare Advantage: $16,343.93
  • Highmark — Wholecare: $15,721.88
  • Independence Blue Cross — HMO: $27,527
  • Independence Blue Cross — HMO PPACA: $26,063
  • Independence Blue Cross — Medicare Advantage: $14,909.95
  • Independence Blue Cross — PPO: $27,527
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 $18,795.93 – $45,247.05
Neck (cervical) spinal fusion, without complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $45,247.05
  • Aetna — Medicare Advantage: $21,001.21
  • Cigna — Commercial: $42,083.13
  • Cigna HealthSpring — Medicare Advantage: $20,018.06
  • Health Partners — Medicare Advantage: $20,606.83
  • Highmark — Wholecare: $19,819.47
  • Independence Blue Cross — HMO: $34,629.28
  • Independence Blue Cross — HMO PPACA: $33,378.48
  • Independence Blue Cross — Medicare Advantage: $18,795.93
  • Independence Blue Cross — PPO: $34,629.28
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 $9,690.72 – $22,995.13
Uterus and ovary surgery (not for cancer), without complications: 10 of 12 insurance plan rates
  • Aetna — Commercial: $22,995.13
  • Aetna — Medicare Advantage: $10,821.70
  • Cigna — Commercial: $21,387.19
  • Cigna HealthSpring — Medicare Advantage: $10,315.10
  • Health Partners — Medicare Advantage: $10,618.48
  • Highmark — Wholecare: $10,218.43
  • Independence Blue Cross — HMO: $16,213.60
  • Independence Blue Cross — HMO PPACA: $15,627.97
  • Independence Blue Cross — Medicare Advantage: $9,690.72
  • Independence Blue Cross — PPO: $16,213.60

Source: Holy Redeemer Hospital and Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 21, 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
Address1648 Huntingdon Pike, Meadowbrook, PA 19046
CountyMontgomery County
StatePennsylvania
Phone(215) 947‑3000
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390097
Name in Medicare recordsHOLY REDEEMER HOSPITAL AND MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteHoly Redeemer Hospital
Official websiteredeemerhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Holy Redeemer Hospital — redeemerhealth.org
  2. Awards and Accreditations — redeemerhealth.org
  3. Hospital Visitation Policy — redeemerhealth.org
  4. Parking Information — redeemerhealth.org
  5. Redeemer Hospital in Meadowbrook, PA | Redeemer Medical Center — redeemerhealth.org
  6. Emergency Room in Northeast Philadelphia | ER Near Me | Emergency Care | Redeemer Health — redeemerhealth.org
  7. Cancer Care in Philadelphia & Suburbs | Redeemer Health — redeemerhealth.org