Does Hospital of Univ of Pennsylvania have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Hospital of Univ of Pennsylvania. In a medical emergency, call 911.

Where is Hospital of Univ of Pennsylvania?

3400 Spruce St, Philadelphia, PA 19104, in Philadelphia County, Pennsylvania.

What is the phone number of Hospital of Univ of Pennsylvania?

(215) 662-6289, as listed by Medicare (CMS).

What is the Medicare star rating of Hospital of Univ of Pennsylvania?

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

Hospital of Univ of Pennsylvania

Quick answers

Does Hospital of Univ of Pennsylvania have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Hospital of Univ of Pennsylvania. In a medical emergency, call 911.
Where is Hospital of Univ of Pennsylvania?: 3400 Spruce St, Philadelphia, PA 19104, in Philadelphia County, Pennsylvania.
What is the phone number of Hospital of Univ of Pennsylvania?: (215) 662-6289, as listed by Medicare (CMS).
What is the Medicare star rating of Hospital of Univ of Pennsylvania?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Anesthesiology
Cancer care
Gynecology
Heart valve disease care
Obstetrics and maternity care
Physical medicine and rehabilitation
Sleep medicine
Stroke care
Women's health
Mental and behavioral health

Programs and centers^[4]

Penn Medicine at Home
Imaging and radiology
Pharmacy services

Visiting and practical information

Visiting	Visitors welcome 9 a.m. to 8 p.m.; one adult family member may be at an inpatient's bedside at any time^[5]
Parking	Paid parking in the 3600 Civic Center Blvd garage and Clifton Center garage; valet for scheduled surgery and women's health patients^[6]
Patient portal	MyPennMedicine

Doctors and clinicians (5,277)

5,277 doctors and other clinicians list Hospital of Univ of Pennsylvania as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Nurse Practitioner815
Internal Medicine544
Physician Assistant414
Family Practice395
Diagnostic Radiology248
Cardiovascular Disease (Cardiology)196
Obstetrics/Gynecology148
Neurology146
Hospitalist135
Certified Registered Nurse Anesthetist (CRNA)130
Anesthesiology130
Hematology/Oncology117

And 5,253 more: the button below opens the full list.

Other emergency rooms nearby

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

Children's Hospital of Philadelphia0.2 mi · Philadelphia, PA · Children's Hospital
Philadelphia VA Medical Center0.5 mi · Philadelphia, PA · Federal/VA Acute Care Hospital
Penn Presbyterian Medical Center0.6 mi · Philadelphia, PA · Acute Care Hospital
Thomas Jefferson University Hospital1.8 mi · Philadelphia, PA · Acute Care Hospital
Wills Eye Hospital2.0 mi · Philadelphia, PA · Acute Care Hospital

Other hospitals nearby

Good Shepherd Penn Partners1.2 mi · Philadelphia, PA · Long-Term Acute Care Hospital
Magee Rehabilitation Hospital1.5 mi · Philadelphia, PA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

University City Rehabilitation and Healthcare Ctr0.4 mi · Philadelphia, PA · 3 of 5 stars
Rittenhouse Post Acute1.0 mi · Philadelphia, PA · 5 of 5 stars
Renaissance Healthcare & Rehabilitation Center1.2 mi · Philadelphia, PA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Immediate Homecare and Hospice0.6 mi · Philadelphia, PA
Echo Hospice of Pennsylvania, LLC2.7 mi · Philadelphia, PA
Heartland Hospice (Philadelphia)4.6 mi · Bala Cynwyd, PA

All hospice providers in the state →

Home health agencies

Immediate Homecare and Hospice0.6 mi · Philadelphia, PA · 2 of 5 stars
Always Best Care0.9 mi · Philadelphia, PA · 2 of 5 stars
Bayada Home Health Care, Inc.1.0 mi · Philadelphia, PA

All home health agencies in the state →

Dialysis facilities

Children's Hospital of Philadelphia0.6 mi · Philadelphia, PA
DaVita Market Street Dialysis0.6 mi · Philadelphia, PA · 5 of 5 stars
DaVita Philadelphia 42nd Street Dialysis0.6 mi · Philadelphia, PA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

ReVaMP Heart & Vascular Surgery Center1.5 mi · Philadelphia, PA
Metro Vascular Care1.8 mi · Philadelphia, PA
American Access Care of SP Asc, LLC2.5 mi · Philadelphia, PA

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

Philadelphia District Health Center #30.9 mi · Philadelphia, PA · Community health center
PEC Nursing Center/HopePHL0.9 mi · Philadelphia, PA · Community health center
Reed Street Health Center1.0 mi · Philadelphia, PA · Community health center

Clinics and urgent care

Jefferson Acute Care Physicians, PC1.0 mi · Philadelphia, PA · Urgent care center
On Demand Urgent Care Group PC1.5 mi · Philadelphia, PA · Urgent care center
American Current Care P.A.1.8 mi · Philadelphia, PA · Urgent care center

Pharmacies

Children's Hospital of Philadelphia0.6 mi · Philadelphia, PA · Community/retail pharmacy
My Pharmacy LLC0.6 mi · Philadelphia, PA · Community/retail pharmacy
New Girard Pharmacy0.6 mi · Philadelphia, PA · Community/retail pharmacy

Assisted living nearby

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

Divinity Manor0.6 mi · Philadelphia, PA
Robinson Personal Care Home0.6 mi · Philadelphia, PA
Anna's House0.9 mi · Philadelphia, PA
Atria Center City1.0 mi · Philadelphia, PA

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	83%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	71%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	689Response rate: 24%

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)	0.891No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.984No different from the national benchmark
Surgical site infections after colon surgery	1.091No different from the national benchmark
Surgical site infections after abdominal hysterectomy	1.144No different from the national benchmark
MRSA bloodstream infections	0.528Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.387Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.5%
Deaths within 30 days: heart failure patients	8.7%
Deaths within 30 days: pneumonia patients	7.7%
Deaths within 30 days: COPD patients	5.8%
Deaths within 30 days: stroke patients	9.8%
Deaths within 30 days: coronary bypass surgery (CABG)	1.4%
Serious complications (patient safety indicator PSI-90)	0.66Better than the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14%
Readmitted within 30 days: heart failure	19.7%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	21%
Readmitted within 30 days: coronary bypass surgery	9.3%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	290 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	6%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	69%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Philadelphia Best hospitals in Philadelphia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 62 common services exactly as Hospital of Univ of Pennsylvania 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUT/PT VISIT EST LEVL III	$385	$385	$43.12 – $385
Established patient office visit (about 20–29 minutes): 10 of 76 insurance plan rates Aetna Commercial — Aetna Commercial: $86.24 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $86.24 Aetna Health Inc — Aetna HMO: $182.88 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $385 Centivo — Centivo: $385 Cigna — Cigna: $130.90 Cigna — Cigna Lifesource: $173.25 CIGNA — Cigna PPO: $145.91 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $385 Claims Watcher — Claim Watcher: $134.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUT/PT VISIT EST LEVL III	$385	$385	$65.06 – $385
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $385 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $385 Commercial Other — Commercial Other: $385 Coventry — Coventry of Delaware: $196.35 Coventry — HealthAmerica/Coventry SEPA: $154 First Health Global — First Health Global: $192.50 Health America/CCN — First Health / Coventry National: $308 Health Net — Health Net: $231 Health Partners — Health Partners Medicaid: $385 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $188.65
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/PUTPT VISIT EST LEVL IV	$544	$544	$57.03 – $544
Established patient office visit (about 30–39 minutes): 10 of 76 insurance plan rates Aetna Commercial — Aetna Commercial: $121.86 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $121.86 Aetna Health Inc — Aetna HMO: $258.40 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $544 Centivo — Centivo: $544 Cigna — Cigna: $184.96 Cigna — Cigna Lifesource: $244.80 CIGNA — Cigna PPO: $206.18 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $544 Claims Watcher — Claim Watcher: $190.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/PUTPT VISIT EST LEVL IV	$544	$544	$91.94 – $544
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $544 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $544 Commercial Other — Commercial Other: $544 Coventry — Coventry of Delaware: $277.44 Coventry — HealthAmerica/Coventry SEPA: $217.60 First Health Global — First Health Global: $272 Health America/CCN — First Health / Coventry National: $435.20 Health Net — Health Net: $326.40 Health Partners — Health Partners Medicaid: $544 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $266.56
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATIONLEVEL IV	$746	$746	$83.55 – $746
Office consultation with a specialist (moderate to high): 10 of 75 insurance plan rates Aetna Commercial — Aetna Commercial: $167.10 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $167.10 Aetna Health Inc — Aetna HMO: $354.35 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $746 Centivo — Centivo: $746 Cigna — Cigna: $253.64 Cigna — Cigna Lifesource: $335.70 CIGNA — Cigna PPO: $282.73 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $746 Claims Watcher — Claim Watcher: $261.10
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATIONLEVEL IV	$746	$746	$126.07 – $746
Office consultation with a specialist (moderate to high): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $746 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $746 Commercial Other — Commercial Other: $746 Coventry — Coventry of Delaware: $380.46 Coventry — HealthAmerica/Coventry SEPA: $298.40 First Health Global — First Health Global: $373 Health America/CCN — First Health / Coventry National: $596.80 Health Net — Health Net: $447.60 Health Partners — Health Partners Medicaid: $746 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $365.54
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 3 E.R.	$2,274	$2,274	$56.65 – $4,183
Emergency room visit (moderate): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $1,295 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $1,295 Aetna Health Inc — Aetna HMO: $1,197 Aetna Health Inc — Aetna Medicare HMO: $302.65 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,274 Centivo — Centivo: $516.46 Cigna — Cigna: $773.16 Cigna — Cigna Lifesource: $1,023.30 Cigna — Cigna New Business: $1,448 CIGNA — Cigna PPO: $861.85
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 3 E.R. WC	$2,233	$2,233	$56.65 – $4,183
Emergency room visit (moderate): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $1,295 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $1,295 Aetna Health Inc — Aetna HMO: $1,197 Aetna Health Inc — Aetna Medicare HMO: $302.65 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,233 Centivo — Centivo: $516.46 Cigna — Cigna: $759.22 Cigna — Cigna Lifesource: $1,004.85 Cigna — Cigna New Business: $1,448 CIGNA — Cigna PPO: $846.31
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MED ADMIN ONLY (E/M)	$1,800	$1,800	$56.65 – $4,183
Emergency room visit (moderate): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $1,295 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $1,295 Aetna Health Inc — Aetna HMO: $1,197 Aetna Health Inc — Aetna Medicare HMO: $302.65 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $1,800 Centivo — Centivo: $516.46 Cigna — Cigna: $612 Cigna — Cigna Lifesource: $810 Cigna — Cigna New Business: $1,448 CIGNA — Cigna PPO: $682.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 4 E.R.	$3,664	$3,664	$95.33 – $4,183
Emergency room visit (moderately high): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $1,619 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $1,619 Aetna Health Inc — Aetna HMO: $1,197 Aetna Health Inc — Aetna Medicare HMO: $462.62 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $3,664 Centivo — Centivo: $789.44 Cigna — Cigna: $1,245.76 Cigna — Cigna Lifesource: $1,648.80 Cigna — Cigna New Business: $1,855 CIGNA — Cigna PPO: $1,388.66
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEVEL 4 E.R.	$3,664	$3,664	$619.22 – $3,664
Emergency room visit (moderately high): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $3,664 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $3,664 Commercial Other — Commercial Other: $3,664 Coventry — Coventry of Delaware: $1,868.64 Coventry — HealthAmerica/Coventry SEPA: $1,465.60 First Health Global — First Health Global: $1,832 Health America/CCN — First Health / Coventry National: $2,931.20 Health Net — Health Net: $2,198.40 Health Partners — Health Partners Medicaid: $3,664 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $1,795.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 5 E.R.	$6,648	$6,648	$138.74 – $6,648
Emergency room visit (high): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $1,942 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $1,942 Aetna Health Inc — Aetna HMO: $1,197 Aetna Health Inc — Aetna Medicare HMO: $660.26 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $6,648 Centivo — Centivo: $1,126.71 Cigna — Cigna: $2,260.32 Cigna — Cigna Lifesource: $2,991.60 Cigna — Cigna New Business: $2,256 CIGNA — Cigna PPO: $2,519.59
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEVEL 5 E.R.	$6,648	$6,648	$1,123.51 – $6,648
Emergency room visit (high): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $6,648 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $6,648 Commercial Other — Commercial Other: $6,648 Coventry — Coventry of Delaware: $3,390.48 Coventry — HealthAmerica/Coventry SEPA: $2,659.20 First Health Global — First Health Global: $3,324 Health America/CCN — First Health / Coventry National: $5,318.40 Health Net — Health Net: $3,988.80 Health Partners — Health Partners Medicaid: $6,648 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $3,257.52

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$277	$277	$4.23 – $277
Basic metabolic panel (blood test): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $20.71 Aetna Health Inc — Aetna Medicare HMO: $8.97 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $277 Centivo — Centivo: $15.23 Cigna — Cigna: $94.18 Cigna — Cigna Lifesource: $124.65 Cigna — Cigna New Business: $13.03 CIGNA — Cigna PPO: $104.98 Cigna HealthSpring — Cigna HealthSpring: $5.08 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $277
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$277	$277	$46.81 – $277
Basic metabolic panel (blood test): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $277 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $277 Commercial Other — Commercial Other: $277 Coventry — Coventry of Delaware: $141.27 Coventry — HealthAmerica/Coventry SEPA: $110.80 First Health Global — First Health Global: $138.50 Health America/CCN — First Health / Coventry National: $221.60 Health Net — Health Net: $166.20 Health Partners — Health Partners Medicaid: $277 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $135.73
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$387	$387	$5.28 – $387
Comprehensive metabolic panel (blood test): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $25.86 Aetna Health Inc — Aetna Medicare HMO: $11.19 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $387 Centivo — Centivo: $19.01 Cigna — Cigna: $131.58 Cigna — Cigna Lifesource: $174.15 Cigna — Cigna New Business: $16.83 CIGNA — Cigna PPO: $146.67 Cigna HealthSpring — Cigna HealthSpring: $6.34 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $387
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$387	$387	$65.40 – $387
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $387 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $387 Commercial Other — Commercial Other: $387 Coventry — Coventry of Delaware: $197.37 Coventry — HealthAmerica/Coventry SEPA: $154.80 First Health Global — First Health Global: $193.50 Health America/CCN — First Health / Coventry National: $309.60 Health Net — Health Net: $232.20 Health Partners — Health Partners Medicaid: $387 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $189.63
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$690	$690	$12 – $690
Obstetric blood test panel: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $117.04 Aetna Health Inc — Aetna Medicare HMO: $50.68 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $690 Centivo — Centivo: $86.06 Cigna — Cigna: $234.60 Cigna — Cigna Lifesource: $310.50 Cigna — Cigna New Business: $74.93 CIGNA — Cigna PPO: $261.51 Cigna HealthSpring — Cigna HealthSpring: $28.69 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $690
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$690	$690	$116.61 – $690
Obstetric blood test panel: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $690 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $690 Commercial Other — Commercial Other: $690 Coventry — Coventry of Delaware: $351.90 Coventry — HealthAmerica/Coventry SEPA: $276 First Health Global — First Health Global: $345 Health America/CCN — First Health / Coventry National: $552 Health Net — Health Net: $414 Health Partners — Health Partners Medicaid: $690 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $338.10
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$504	$504	$6.70 – $504
Cholesterol panel (lipid panel): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $32.77 Aetna Health Inc — Aetna Medicare HMO: $14.19 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $504 Centivo — Centivo: $24.10 Cigna — Cigna: $171.36 Cigna — Cigna Lifesource: $226.80 Cigna — Cigna New Business: $21.17 CIGNA — Cigna PPO: $191.02 Cigna HealthSpring — Cigna HealthSpring: $8.03 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $504
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$504	$504	$85.18 – $504
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $504 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $504 Commercial Other — Commercial Other: $504 Coventry — Coventry of Delaware: $257.04 Coventry — HealthAmerica/Coventry SEPA: $201.60 First Health Global — First Health Global: $252 Health America/CCN — First Health / Coventry National: $403.20 Health Net — Health Net: $302.40 Health Partners — Health Partners Medicaid: $504 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $246.96
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$108	$108	$4.34 – $108
Kidney function panel: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $21.25 Aetna Health Inc — Aetna Medicare HMO: $9.20 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $108 Centivo — Centivo: $15.62 Cigna — Cigna: $36.72 Cigna — Cigna Lifesource: $48.60 Cigna — Cigna New Business: $13.57 CIGNA — Cigna PPO: $40.93 Cigna HealthSpring — Cigna HealthSpring: $5.21 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $108
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$108	$108	$18.25 – $108
Kidney function panel: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $108 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $108 Commercial Other — Commercial Other: $108 Coventry — Coventry of Delaware: $55.08 Coventry — HealthAmerica/Coventry SEPA: $43.20 First Health Global — First Health Global: $54 Health America/CCN — First Health / Coventry National: $86.40 Health Net — Health Net: $64.80 Health Partners — Health Partners Medicaid: $108 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $52.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$267	$267	$4.09 – $267
Liver function panel: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $19.99 Aetna Health Inc — Aetna Medicare HMO: $8.66 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $267 Centivo — Centivo: $14.71 Cigna — Cigna: $90.78 Cigna — Cigna Lifesource: $120.15 Cigna — Cigna New Business: $13.03 CIGNA — Cigna PPO: $101.19 Cigna HealthSpring — Cigna HealthSpring: $4.90 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $267
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$267	$267	$45.12 – $267
Liver function panel: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $267 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $267 Commercial Other — Commercial Other: $267 Coventry — Coventry of Delaware: $136.17 Coventry — HealthAmerica/Coventry SEPA: $106.80 First Health Global — First Health Global: $133.50 Health America/CCN — First Health / Coventry National: $213.60 Health Net — Health Net: $160.20 Health Partners — Health Partners Medicaid: $267 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $130.83
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE	$139	$139	$1.59 – $139
Urine test (automated, with microscope): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $7.75 Aetna Health Inc — Aetna Medicare HMO: $3.36 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $139 Centivo — Centivo: $5.71 Cigna — Cigna: $47.26 Cigna — Cigna Lifesource: $62.55 Cigna — Cigna New Business: $4.88 CIGNA — Cigna PPO: $52.68 Cigna HealthSpring — Cigna HealthSpring: $1.90 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $139
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE	$139	$139	$23.49 – $139
Urine test (automated, with microscope): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $139 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $139 Commercial Other — Commercial Other: $139 Coventry — Coventry of Delaware: $70.89 Coventry — HealthAmerica/Coventry SEPA: $55.60 First Health Global — First Health Global: $69.50 Health America/CCN — First Health / Coventry National: $111.20 Health Net — Health Net: $83.40 Health Partners — Health Partners Medicaid: $139 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $68.11
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIPSTICK URINE ANALYSIS	$188	$188	$1.74 – $188
Urine test (manual, without microscope): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $8.52 Aetna Health Inc — Aetna Medicare HMO: $3.69 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $188 Centivo — Centivo: $6.26 Cigna — Cigna: $63.92 Cigna — Cigna Lifesource: $84.60 Cigna — Cigna New Business: $5.43 CIGNA — Cigna PPO: $71.25 Cigna HealthSpring — Cigna HealthSpring: $2.09 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $188
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NON-AUTOMATED W/OUT MICROSCOPY	$35	$35	$1.74 – $35
Urine test (manual, without microscope): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $8.52 Aetna Health Inc — Aetna Medicare HMO: $3.69 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $35 Centivo — Centivo: $6.26 Cigna — Cigna: $11.90 Cigna — Cigna Lifesource: $15.75 Cigna — Cigna New Business: $5.43 CIGNA — Cigna PPO: $13.27 Cigna HealthSpring — Cigna HealthSpring: $2.09 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $35
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS URINALYSISNONAUTO W/O SCOP	$20	$20	$1.60 – $20
Urine test (manual, without microscope): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $8.52 Aetna Health Inc — Aetna Medicare HMO: $3.69 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $20 Centivo — Centivo: $6.26 Cigna — Cigna: $6.80 Cigna — Cigna Lifesource: $9 Cigna — Cigna New Business: $5.43 CIGNA — Cigna PPO: $7.58 Cigna HealthSpring — Cigna HealthSpring: $2.09 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTOMATED WITHOUT MICROSCOPY	$132	$132	$1.13 – $132
Urine test (automated, without microscope): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $5.50 Aetna Health Inc — Aetna Medicare HMO: $2.39 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $132 Centivo — Centivo: $4.05 Cigna — Cigna: $44.88 Cigna — Cigna Lifesource: $59.40 Cigna — Cigna New Business: $3.79 CIGNA — Cigna PPO: $50.03 Cigna HealthSpring — Cigna HealthSpring: $1.35 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $132
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS URINALYSIS AUTO W/O SCOPE	$20	$20	$1.13 – $20
Urine test (automated, without microscope): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $5.50 Aetna Health Inc — Aetna Medicare HMO: $2.39 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $20 Centivo — Centivo: $4.05 Cigna — Cigna: $6.80 Cigna — Cigna Lifesource: $9 Cigna — Cigna New Business: $3.79 CIGNA — Cigna PPO: $7.58 Cigna HealthSpring — Cigna HealthSpring: $1.35 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTOMATED WITHOUT MICROSCOPY	$132	$132	$22.31 – $132
Urine test (automated, without microscope): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $132 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $132 Commercial Other — Commercial Other: $132 Coventry — Coventry of Delaware: $67.32 Coventry — HealthAmerica/Coventry SEPA: $52.80 First Health Global — First Health Global: $66 Health America/CCN — First Health / Coventry National: $105.60 Health Net — Health Net: $79.20 Health Partners — Health Partners Medicaid: $132 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $64.68
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL DIAGNOSTIC	$582	$582	$9.20 – $582
PSA (prostate specific antigen) blood test: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $45.01 Aetna Health Inc — Aetna Medicare HMO: $19.49 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $582 Centivo — Centivo: $33.10 Cigna — Cigna: $197.88 Cigna — Cigna Lifesource: $261.90 Cigna — Cigna New Business: $28.77 CIGNA — Cigna PPO: $220.58 Cigna HealthSpring — Cigna HealthSpring: $11.03 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $582
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL SCREENING	$582	$582	$9.20 – $582
PSA (prostate specific antigen) blood test: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $45.01 Aetna Health Inc — Aetna Medicare HMO: $19.49 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $582 Centivo — Centivo: $33.10 Cigna — Cigna: $197.88 Cigna — Cigna Lifesource: $261.90 Cigna — Cigna New Business: $28.77 CIGNA — Cigna PPO: $220.58 Cigna HealthSpring — Cigna HealthSpring: $11.03 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $582
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA ULTRA SENSITIVE	$1,283	$1,283	$9.20 – $1,283
PSA (prostate specific antigen) blood test: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $45.01 Aetna Health Inc — Aetna Medicare HMO: $19.49 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $1,283 Centivo — Centivo: $33.10 Cigna — Cigna: $436.22 Cigna — Cigna Lifesource: $577.35 Cigna — Cigna New Business: $28.77 CIGNA — Cigna PPO: $486.26 Cigna HealthSpring — Cigna HealthSpring: $11.03 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $1,283
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$624	$624	$8.40 – $624
Thyroid stimulating hormone (TSH) test: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $41.13 Aetna Health Inc — Aetna Medicare HMO: $17.81 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $624 Centivo — Centivo: $30.24 Cigna — Cigna: $212.16 Cigna — Cigna Lifesource: $280.80 Cigna — Cigna New Business: $26.60 CIGNA — Cigna PPO: $236.50 Cigna HealthSpring — Cigna HealthSpring: $10.08 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $624
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS THYROID STIMULTNG HORMONE(TSH)	$75	$75	$6 – $75
Thyroid stimulating hormone (TSH) test: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $41.13 Aetna Health Inc — Aetna Medicare HMO: $17.81 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $75 Centivo — Centivo: $30.24 Cigna — Cigna: $25.50 Cigna — Cigna Lifesource: $33.75 Cigna — Cigna New Business: $26.60 CIGNA — Cigna PPO: $28.43 Cigna HealthSpring — Cigna HealthSpring: $10.08 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$624	$624	$105.46 – $624
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $624 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $624 Commercial Other — Commercial Other: $624 Coventry — Coventry of Delaware: $318.24 Coventry — HealthAmerica/Coventry SEPA: $249.60 First Health Global — First Health Global: $312 Health America/CCN — First Health / Coventry National: $499.20 Health Net — Health Net: $374.40 Health Partners — Health Partners Medicaid: $624 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $305.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/AUTO DIFF WBC	$311	$311	$3.89 – $311
Complete blood count (CBC) with differential: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $19.01 Aetna Health Inc — Aetna Medicare HMO: $8.24 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $311 Centivo — Centivo: $13.99 Cigna — Cigna: $105.74 Cigna — Cigna Lifesource: $139.95 Cigna — Cigna New Business: $11.95 CIGNA — Cigna PPO: $117.87 Cigna HealthSpring — Cigna HealthSpring: $4.66 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $311
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/AUTO DIFF WBC	$311	$311	$52.56 – $311
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $311 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $311 Commercial Other — Commercial Other: $311 Coventry — Coventry of Delaware: $158.61 Coventry — HealthAmerica/Coventry SEPA: $124.40 First Health Global — First Health Global: $155.50 Health America/CCN — First Health / Coventry National: $248.80 Health Net — Health Net: $186.60 Health Partners — Health Partners Medicaid: $311 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $152.39
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED	$258	$258	$3.24 – $258
Complete blood count (CBC), automated: 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $15.84 Aetna Health Inc — Aetna Medicare HMO: $6.86 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $258 Centivo — Centivo: $11.65 Cigna — Cigna: $87.72 Cigna — Cigna Lifesource: $116.10 Cigna — Cigna New Business: $10.31 CIGNA — Cigna PPO: $97.78 Cigna HealthSpring — Cigna HealthSpring: $3.88 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $258
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED	$258	$258	$43.60 – $258
Complete blood count (CBC), automated: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $258 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $258 Commercial Other — Commercial Other: $258 Coventry — Coventry of Delaware: $131.58 Coventry — HealthAmerica/Coventry SEPA: $103.20 First Health Global — First Health Global: $129 Health America/CCN — First Health / Coventry National: $206.40 Health Net — Health Net: $154.80 Health Partners — Health Partners Medicaid: $258 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $126.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$160	$160	$2.15 – $160
Blood clotting time test (prothrombin time, PT): 10 of 97 insurance plan rates Aetna Commercial — Aetna Commercial: $10.51 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $10.51 Aetna Health Inc — Aetna HMO: $8.18 Aetna Health Inc — Aetna Medicare HMO: $4.55 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $160 Centivo — Centivo: $7.72 Cigna — Cigna: $54.40 Cigna — Cigna Lifesource: $72 Cigna — Cigna New Business: $6.52 CIGNA — Cigna PPO: $60.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS PROTHROMBIN TIME	$16	$16	$1.28 – $16
Blood clotting time test (prothrombin time, PT): 10 of 97 insurance plan rates Aetna Commercial — Aetna Commercial: $10.51 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $10.51 Aetna Health Inc — Aetna HMO: $8.18 Aetna Health Inc — Aetna Medicare HMO: $4.55 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $16 Centivo — Centivo: $7.72 Cigna — Cigna: $5.44 Cigna — Cigna Lifesource: $7.20 Cigna — Cigna New Business: $6.52 CIGNA — Cigna PPO: $6.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$160	$160	$27.04 – $160
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $160 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $160 Commercial Other — Commercial Other: $160 Coventry — Coventry of Delaware: $81.60 Coventry — HealthAmerica/Coventry SEPA: $64 First Health Global — First Health Global: $80 Health America/CCN — First Health / Coventry National: $128 Health Net — Health Net: $96 Health Partners — Health Partners Medicaid: $160 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $78.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME	$230	$230	$3.01 – $230
Blood clotting test (partial thromboplastin time, PTT): 10 of 95 insurance plan rates Aetna Commercial — Aetna Commercial: $14.72 Aetna Health Inc — Aetna Medicare HMO: $6.37 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $230 Centivo — Centivo: $10.82 Cigna — Cigna: $78.20 Cigna — Cigna Lifesource: $103.50 Cigna — Cigna New Business: $9.22 CIGNA — Cigna PPO: $87.17 Cigna HealthSpring — Cigna HealthSpring: $3.61 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $230
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME	$230	$230	$38.87 – $230
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $230 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $230 Commercial Other — Commercial Other: $230 Coventry — Coventry of Delaware: $117.30 Coventry — HealthAmerica/Coventry SEPA: $92 First Health Global — First Health Global: $115 Health America/CCN — First Health / Coventry National: $184 Health Net — Health Net: $138 Health Partners — Health Partners Medicaid: $230 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $112.70

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD UNENHANC EXT	$4,155	$4,155	$77.50 – $4,155
CT scan of the head or brain, without contrast: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $510.82 Aetna Health Inc — Aetna Medicare HMO: $115.91 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $4,155 Centivo — Centivo: $197.80 Cigna — Cigna: $198.59 Cigna — Cigna Lifesource: $1,869.75 Cigna — Cigna New Business: $192.82 CIGNA — Cigna PPO: $228.38 Cigna HealthSpring — Cigna HealthSpring: $112.63 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $4,155
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD UNENHANC EXT	$4,155	$4,155	$702.19 – $4,155
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $4,155 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $4,155 Commercial Other — Commercial Other: $4,155 Coventry — Coventry of Delaware: $2,119.05 Coventry — HealthAmerica/Coventry SEPA: $1,662 First Health Global — First Health Global: $2,077.50 Health America/CCN — First Health / Coventry National: $3,324 Health Net — Health Net: $2,493 Health Partners — Health Partners Medicaid: $4,155 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $2,035.95
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN WITH W/O CONTRAST	$20,478	$20,478	$269 – $20,478
MRI of the brain, before and after contrast: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $2,158 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $2,158 Aetna Health Inc — Aetna HMO: $1,864 Aetna Health Inc — Aetna Medicare HMO: $386.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $20,478 Centivo — Centivo: $660.06 Cigna — Cigna: $648.31 Cigna — Cigna Lifesource: $9,215.10 Cigna — Cigna New Business: $629.47 CIGNA — Cigna PPO: $745.59
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN WITH W/O CONTRAST	$20,478	$20,478	$3,460.78 – $20,478
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $20,478 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $20,478 Commercial Other — Commercial Other: $20,478 Coventry — Coventry of Delaware: $10,443.78 Coventry — HealthAmerica/Coventry SEPA: $8,191.20 First Health Global — First Health Global: $10,239 Health America/CCN — First Health / Coventry National: $16,382.40 Health Net — Health Net: $12,286.80 Health Partners — Health Partners Medicaid: $20,478 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $10,034.22
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$537	$537	$14.85 – $537
Chest X-ray, 2 views: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $138.42 Aetna Health Inc — Aetna Medicare HMO: $96.48 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $537 Centivo — Centivo: $164.65 Cigna — Cigna: $65.94 Cigna — Cigna Lifesource: $241.65 Cigna — Cigna New Business: $64.02 CIGNA — Cigna PPO: $75.84 Cigna HealthSpring — Cigna HealthSpring: $93.75 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $537
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEW FRONT/LAT W/FLURO	$837	$837	$14.85 – $837
Chest X-ray, 2 views: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $138.42 Aetna Health Inc — Aetna Medicare HMO: $96.48 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $837 Centivo — Centivo: $164.65 Cigna — Cigna: $65.94 Cigna — Cigna Lifesource: $376.65 Cigna — Cigna New Business: $64.02 CIGNA — Cigna PPO: $75.84 Cigna HealthSpring — Cigna HealthSpring: $93.75 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $837
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$537	$537	$90.75 – $537
Chest X-ray, 2 views: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $537 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $537 Commercial Other — Commercial Other: $537 Coventry — Coventry of Delaware: $273.87 Coventry — HealthAmerica/Coventry SEPA: $214.80 First Health Global — First Health Global: $268.50 Health America/CCN — First Health / Coventry National: $429.60 Health Net — Health Net: $322.20 Health Partners — Health Partners Medicaid: $537 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $263.13
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUMBOSACRAL SPINE MIN 4 VWS	$844	$844	$22.50 – $844
X-ray of the lower spine, at least 4 views: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $212.18 Aetna Health Inc — Aetna Medicare HMO: $115.91 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $844 Centivo — Centivo: $197.80 Cigna — Cigna: $110.80 Cigna — Cigna Lifesource: $379.80 Cigna — Cigna New Business: $107.58 CIGNA — Cigna PPO: $127.43 Cigna HealthSpring — Cigna HealthSpring: $112.63 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $844
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LUMBOSACRAL SPINE MIN 4 VWS	$844	$844	$142.64 – $844
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $844 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $844 Commercial Other — Commercial Other: $844 Coventry — Coventry of Delaware: $430.44 Coventry — HealthAmerica/Coventry SEPA: $337.60 First Health Global — First Health Global: $422 Health America/CCN — First Health / Coventry National: $675.20 Health Net — Health Net: $506.40 Health Partners — Health Partners Medicaid: $844 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $413.56
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$10,888	$10,888	$187.20 – $10,888
MRI of the lower back (lumbar spine), without contrast: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $2,158 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $2,158 Aetna Health Inc — Aetna HMO: $1,864 Aetna Health Inc — Aetna Medicare HMO: $264.53 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $10,888 Centivo — Centivo: $451.42 Cigna — Cigna: $372.35 Cigna — Cigna Lifesource: $4,899.60 Cigna — Cigna New Business: $361.53 CIGNA — Cigna PPO: $428.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$10,888	$10,888	$1,840.07 – $10,888
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $10,888 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $10,888 Commercial Other — Commercial Other: $10,888 Coventry — Coventry of Delaware: $5,552.88 Coventry — HealthAmerica/Coventry SEPA: $4,355.20 First Health Global — First Health Global: $5,444 Health America/CCN — First Health / Coventry National: $8,710.40 Health Net — Health Net: $6,532.80 Health Partners — Health Partners Medicaid: $10,888 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $5,335.12
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS WITH CONTRAST	$6,107	$6,107	$86.50 – $6,107
CT scan of the pelvis, with contrast: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $1,082.77 Aetna Health Inc — Aetna Medicare HMO: $194.47 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $6,107 Centivo — Centivo: $331.85 Cigna — Cigna: $538.28 Cigna — Cigna Lifesource: $2,748.15 Cigna — Cigna New Business: $522.63 CIGNA — Cigna PPO: $619.04 Cigna HealthSpring — Cigna HealthSpring: $188.96 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $6,107
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/INJ BY RECONSTRUCT	$6,107	$6,107	$86.50 – $6,107
CT scan of the pelvis, with contrast: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $1,082.77 Aetna Health Inc — Aetna Medicare HMO: $194.47 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $6,107 Centivo — Centivo: $331.85 Cigna — Cigna: $538.28 Cigna — Cigna Lifesource: $2,748.15 Cigna — Cigna New Business: $522.63 CIGNA — Cigna PPO: $619.04 Cigna HealthSpring — Cigna HealthSpring: $188.96 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $6,107
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS WITH CONTRAST	$6,107	$6,107	$1,032.08 – $6,107
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $6,107 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $6,107 Commercial Other — Commercial Other: $6,107 Coventry — Coventry of Delaware: $3,114.57 Coventry — HealthAmerica/Coventry SEPA: $2,442.80 First Health Global — First Health Global: $3,053.50 Health America/CCN — First Health / Coventry National: $4,885.60 Health Net — Health Net: $3,664.20 Health Partners — Health Partners Medicaid: $6,107 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $2,992.43
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTRM JOINT W/O CONT	$10,232	$10,232	$202.88 – $10,232
MRI of a leg joint (such as the knee), without contrast: 10 of 97 insurance plan rates Aetna Commercial — Aetna Commercial: $2,158 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $2,158 Aetna Health Inc — Aetna HMO: $1,864 Aetna Health Inc — Aetna Medicare HMO: $264.53 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $10,232 Centivo — Centivo: $451.42 Cigna — Cigna: $420.06 Cigna — Cigna Lifesource: $4,604.40 Cigna — Cigna New Business: $407.86 CIGNA — Cigna PPO: $483.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JNT OF KWR EXREM W/O DYE	$10,159	$10,159	$202.88 – $10,159
MRI of a leg joint (such as the knee), without contrast: 10 of 97 insurance plan rates Aetna Commercial — Aetna Commercial: $2,158 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $2,158 Aetna Health Inc — Aetna HMO: $1,864 Aetna Health Inc — Aetna Medicare HMO: $264.53 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $10,159 Centivo — Centivo: $451.42 Cigna — Cigna: $420.06 Cigna — Cigna Lifesource: $4,571.55 Cigna — Cigna New Business: $407.86 CIGNA — Cigna PPO: $483.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTRM JOINT W/O CONT	$10,232	$10,232	$1,729.21 – $10,232
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $10,232 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $10,232 Commercial Other — Commercial Other: $10,232 Coventry — Coventry of Delaware: $5,218.32 Coventry — HealthAmerica/Coventry SEPA: $4,092.80 First Health Global — First Health Global: $5,116 Health America/CCN — First Health / Coventry National: $8,185.60 Health Net — Health Net: $6,139.20 Health Partners — Health Partners Medicaid: $10,232 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $5,013.68
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN PELVIS WITH CONTR	$7,554	$7,554	$192.73 – $7,554
CT scan of the abdomen and pelvis, with contrast: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $1,509.78 Aetna Health Inc — Aetna Medicare HMO: $386.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $7,554 Centivo — Centivo: $660.06 Cigna — Cigna: $673.88 Cigna — Cigna Lifesource: $3,399.30 Cigna — Cigna New Business: $654.29 CIGNA — Cigna PPO: $774.98 Cigna HealthSpring — Cigna HealthSpring: $375.85 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $7,554
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN PELVIS WITH CONTR	$7,554	$7,554	$1,276.63 – $7,554
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $7,554 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $7,554 Commercial Other — Commercial Other: $7,554 Coventry — Coventry of Delaware: $3,852.54 Coventry — HealthAmerica/Coventry SEPA: $3,021.60 First Health Global — First Health Global: $3,777 Health America/CCN — First Health / Coventry National: $6,043.20 Health Net — Health Net: $4,532.40 Health Partners — Health Partners Medicaid: $7,554 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $3,701.46
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND ABDOMINAL B SCAN	$1,910	$1,910	$57.50 – $1,910
Ultrasound of the abdomen, complete: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $487.98 Aetna Health Inc — Aetna Medicare HMO: $115.91 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $1,910 Centivo — Centivo: $197.80 Cigna — Cigna: $228.15 Cigna — Cigna Lifesource: $859.50 Cigna — Cigna New Business: $221.52 CIGNA — Cigna PPO: $262.38 Cigna HealthSpring — Cigna HealthSpring: $112.63 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $1,910
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASOUND ABDOMINAL B SCAN	$1,910	$1,910	$322.79 – $1,910
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $1,910 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $1,910 Commercial Other — Commercial Other: $1,910 Coventry — Coventry of Delaware: $974.10 Coventry — HealthAmerica/Coventry SEPA: $764 First Health Global — First Health Global: $955 Health America/CCN — First Health / Coventry National: $1,528 Health Net — Health Net: $1,146 Health Partners — Health Partners Medicaid: $1,910 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $935.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG >/ 14 WKS SINGL GEST	$2,000	$2,000	$46.50 – $2,000
Pregnancy ultrasound (after the first trimester): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $559.28 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $559.28 Aetna Health Inc — Aetna HMO: $473.34 Aetna Health Inc — Aetna Medicare HMO: $115.91 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,000 Centivo — Centivo: $197.80 Cigna — Cigna: $252.97 Cigna — Cigna Lifesource: $900 Cigna — Cigna New Business: $245.62 CIGNA — Cigna PPO: $290.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS US PREG >/ 14 WKS SINGL GEST	$327	$327	$26.16 – $559.28
Pregnancy ultrasound (after the first trimester): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $559.28 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $559.28 Aetna Health Inc — Aetna HMO: $473.34 Aetna Health Inc — Aetna Medicare HMO: $115.91 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $327 Centivo — Centivo: $197.80 Cigna — Cigna: $252.97 Cigna — Cigna Lifesource: $147.15 Cigna — Cigna New Business: $245.62 CIGNA — Cigna PPO: $290.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREG >/ 14 WKS SINGL GEST	$2,000	$2,000	$338 – $2,000
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $2,000 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,000 Commercial Other — Commercial Other: $2,000 Coventry — Coventry of Delaware: $1,020 Coventry — HealthAmerica/Coventry SEPA: $800 First Health Global — First Health Global: $1,000 Health America/CCN — First Health / Coventry National: $1,600 Health Net — Health Net: $1,200 Health Partners — Health Partners Medicaid: $2,000 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $980
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND TRANSVAGINAL	$1,575	$1,575	$46.50 – $1,575
Transvaginal ultrasound: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $500.12 Aetna Health Inc — Aetna Medicare HMO: $115.91 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $1,575 Centivo — Centivo: $197.80 Cigna — Cigna: $251.06 Cigna — Cigna Lifesource: $708.75 Cigna — Cigna New Business: $243.76 CIGNA — Cigna PPO: $288.73 Cigna HealthSpring — Cigna HealthSpring: $112.63 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $1,575
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS ULTRASOUND TRANSVAGINAL	$370	$370	$29.60 – $500.12
Transvaginal ultrasound: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $500.12 Aetna Health Inc — Aetna Medicare HMO: $115.91 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $370 Centivo — Centivo: $197.80 Cigna — Cigna: $251.06 Cigna — Cigna Lifesource: $166.50 Cigna — Cigna New Business: $243.76 CIGNA — Cigna PPO: $288.73 Cigna HealthSpring — Cigna HealthSpring: $112.63 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $370
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASOUND TRANSVAGINAL	$1,575	$1,575	$266.17 – $1,575
Transvaginal ultrasound: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $1,575 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $1,575 Commercial Other — Commercial Other: $1,575 Coventry — Coventry of Delaware: $803.25 Coventry — HealthAmerica/Coventry SEPA: $630 First Health Global — First Health Global: $787.50 Health America/CCN — First Health / Coventry National: $1,260 Health Net — Health Net: $945 Health Partners — Health Partners Medicaid: $1,575 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $771.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI	$2,134	$2,134	$44.88 – $2,134
Diagnostic mammogram, one breast: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $520.13 Aetna Health Inc — Aetna Medicare HMO: $95.15 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,134 Centivo — Centivo: $161.57 Cigna — Cigna: $250.09 Cigna — Cigna Lifesource: $960.30 Cigna — Cigna New Business: $242.82 CIGNA — Cigna PPO: $287.62 Cigna HealthSpring — Cigna HealthSpring: $92.45 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,134
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI	$2,134	$2,134	$360.65 – $2,134
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $2,134 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,134 Commercial Other — Commercial Other: $2,134 Coventry — Coventry of Delaware: $1,088.34 Coventry — HealthAmerica/Coventry SEPA: $853.60 First Health Global — First Health Global: $1,067 Health America/CCN — First Health / Coventry National: $1,707.20 Health Net — Health Net: $1,280.40 Health Partners — Health Partners Medicaid: $2,134 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $1,045.66
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAG BILATERAL	$2,571	$2,571	$57.59 – $2,571
Diagnostic mammogram, both breasts: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $657.23 Aetna Health Inc — Aetna Medicare HMO: $122.10 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,571 Centivo — Centivo: $207.34 Cigna — Cigna: $318.81 Cigna — Cigna Lifesource: $1,156.95 Cigna — Cigna New Business: $309.54 CIGNA — Cigna PPO: $366.64 Cigna HealthSpring — Cigna HealthSpring: $118.65 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,571
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAG BILATERAL	$2,571	$2,571	$434.50 – $2,571
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $2,571 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,571 Commercial Other — Commercial Other: $2,571 Coventry — Coventry of Delaware: $1,311.21 Coventry — HealthAmerica/Coventry SEPA: $1,028.40 First Health Global — First Health Global: $1,285.50 Health America/CCN — First Health / Coventry National: $2,056.80 Health Net — Health Net: $1,542.60 Health Partners — Health Partners Medicaid: $2,571 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $1,259.79
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD	$2,508	$2,508	$47.48 – $2,508
Screening mammogram, both breasts: 10 of 96 insurance plan rates Aetna Commercial — Aetna Commercial: $530.33 Aetna Health Inc — Aetna Medicare HMO: $100.67 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,508 Centivo — Centivo: $170.95 Cigna — Cigna: $263.46 Cigna — Cigna Lifesource: $1,128.60 Cigna — Cigna New Business: $255.80 CIGNA — Cigna PPO: $302.99 Cigna HealthSpring — Cigna HealthSpring: $97.82 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,508
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD	$2,508	$2,508	$423.85 – $2,508
Screening mammogram, both breasts: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $2,508 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,508 Commercial Other — Commercial Other: $2,508 Coventry — Coventry of Delaware: $1,279.08 Coventry — HealthAmerica/Coventry SEPA: $1,003.20 First Health Global — First Health Global: $1,254 Health America/CCN — First Health / Coventry National: $2,006.40 Health Net — Health Net: $1,504.80 Health Partners — Health Partners Medicaid: $2,508 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $1,228.92

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$50,528	$50,528	$776 – $50,528
Left heart catheterization (diagnostic): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $11,253 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $11,253 Aetna Health Inc — Aetna HMO: $8,486 Aetna Health Inc — Aetna Medicare HMO: $3,594.29 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $50,528 Centivo — Centivo: $6,133.57 Cigna — Cigna: $17,179.52 Cigna — Cigna Lifesource: $22,737.60 Cigna — Cigna New Business: $14,483 CIGNA — Cigna PPO: $19,150.11
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$50,528	$50,528	$8,539.23 – $50,528
Left heart catheterization (diagnostic): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $50,528 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $50,528 Commercial Other — Commercial Other: $50,528 Coventry — Coventry of Delaware: $25,769.28 Coventry — HealthAmerica/Coventry SEPA: $20,211.20 First Health Global — First Health Global: $25,264 Health America/CCN — First Health / Coventry National: $40,422.40 Health Net — Health Net: $30,316.80 Health Partners — Health Partners Medicaid: $50,528 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $24,758.72
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ELECTROPHYSIOLOGY EVALUATION W/O INDUCTION	$34,550	$34,550	$776 – $49,282
Heart rhythm study (electrophysiology evaluation): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $32,363 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $32,363 Aetna Health Inc — Aetna HMO: $26,096 Aetna Health Inc — Aetna Medicare HMO: $8,647.41 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $34,550 Centivo — Centivo: $14,756.58 Cigna — Cigna: $11,747 Cigna — Cigna Lifesource: $15,547.50 Cigna — Cigna New Business: $14,483 CIGNA — Cigna PPO: $13,094.45
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ELECTROPHYSIOLOGY EVALUATION W/O INDUCTION	$34,550	$34,550	$5,838.95 – $34,550
Heart rhythm study (electrophysiology evaluation): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $34,550 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $34,550 Commercial Other — Commercial Other: $34,550 Coventry — Coventry of Delaware: $17,620.50 Coventry — HealthAmerica/Coventry SEPA: $13,820 First Health Global — First Health Global: $17,275 Health America/CCN — First Health / Coventry National: $27,640 Health Net — Health Net: $20,730 Health Partners — Health Partners Medicaid: $34,550 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $16,929.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TX ATRIAL FIB PULM VEIN ISOL	$86,111	$86,111	$776 – $86,111
Heart rhythm study with ablation for atrial fibrillation: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $32,363 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $32,363 Aetna Health Inc — Aetna HMO: $26,096 Aetna Health Inc — Aetna Medicare HMO: $28,978.76 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $86,111 Centivo — Centivo: $49,451.51 Cigna — Cigna: $29,277.74 Cigna — Cigna Lifesource: $38,749.95 Cigna — Cigna New Business: $14,483 CIGNA — Cigna PPO: $32,636.07
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TX ATRIAL FIB PULM VEIN ISOL	$86,111	$86,111	$14,552.76 – $86,111
Heart rhythm study with ablation for atrial fibrillation: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $86,111 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $86,111 Commercial Other — Commercial Other: $86,111 Coventry — Coventry of Delaware: $43,916.61 Coventry — HealthAmerica/Coventry SEPA: $34,444.40 First Health Global — First Health Global: $43,055.50 Health America/CCN — First Health / Coventry National: $68,888.80 Health Net — Health Net: $51,666.60 Health Partners — Health Partners Medicaid: $86,111 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $42,194.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/> YRS 4/> PARAM	$11,088	$11,088	$270.32 – $11,088
Sleep study (overnight, in a sleep lab): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $2,698 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $2,698 Aetna Health Inc — Aetna HMO: $2,431 Aetna Health Inc — Aetna Medicare HMO: $952.07 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $11,088 Centivo — Centivo: $1,624.70 Cigna — Cigna: $3,769.92 Cigna — Cigna Lifesource: $4,989.60 Cigna — Cigna New Business: $605.47 CIGNA — Cigna PPO: $4,202.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/> YRS 4/> PARAM	$11,088	$11,088	$1,873.87 – $11,088
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $11,088 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $11,088 Commercial Other — Commercial Other: $11,088 Coventry — Coventry of Delaware: $5,654.88 Coventry — HealthAmerica/Coventry SEPA: $4,435.20 First Health Global — First Health Global: $5,544 Health America/CCN — First Health / Coventry National: $8,870.40 Health Net — Health Net: $6,652.80 Health Partners — Health Partners Medicaid: $11,088 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $5,433.12

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISES	$478	$478	$14.98 – $478
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 91 insurance plan rates Aetna Commercial — Aetna Commercial: $175.43 Aetna Health Inc — Aetna Medicare HMO: $31.76 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $478 Centivo — Centivo: $53.93 Cigna — Cigna: $162.52 Cigna — Cigna Lifesource: $215.10 Cigna — Cigna New Business: $139 CIGNA — Cigna PPO: $181.16 Cigna HealthSpring — Cigna HealthSpring: $30.86 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $478
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISES	$478	$478	$80.78 – $478
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $478 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $478 Commercial Other — Commercial Other: $478 Coventry — Coventry of Delaware: $243.78 Coventry — HealthAmerica/Coventry SEPA: $191.20 First Health Global — First Health Global: $239 Health America/CCN — First Health / Coventry National: $382.40 Health Net — Health Net: $286.80 Health Partners — Health Partners Medicaid: $478 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $234.22
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN	$744	$744	$50.37 – $744
Physical therapy evaluation (low complexity): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $273.05 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $273.05 Aetna Health Inc — Aetna HMO: $353.40 Aetna Health Inc — Aetna Medicare HMO: $106.78 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $744 Centivo — Centivo: $181.33 Cigna — Cigna: $252.96 Cigna — Cigna Lifesource: $334.80 Cigna — Cigna New Business: $139 CIGNA — Cigna PPO: $281.98
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN	$744	$744	$125.74 – $744
Physical therapy evaluation (low complexity): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $744 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $744 Commercial Other — Commercial Other: $744 Coventry — Coventry of Delaware: $379.44 Coventry — HealthAmerica/Coventry SEPA: $297.60 First Health Global — First Health Global: $372 Health America/CCN — First Health / Coventry National: $595.20 Health Net — Health Net: $446.40 Health Partners — Health Partners Medicaid: $744 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $364.56
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEX 30 MIN	$744	$744	$49.90 – $744
Physical therapy evaluation (moderate complexity): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $273.05 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $273.05 Aetna Health Inc — Aetna HMO: $353.40 Aetna Health Inc — Aetna Medicare HMO: $106.78 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $744 Centivo — Centivo: $181.33 Cigna — Cigna: $252.96 Cigna — Cigna Lifesource: $334.80 Cigna — Cigna New Business: $139 CIGNA — Cigna PPO: $281.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEX 30 MIN	$744	$744	$125.74 – $744
Physical therapy evaluation (moderate complexity): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $744 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $744 Commercial Other — Commercial Other: $744 Coventry — Coventry of Delaware: $379.44 Coventry — HealthAmerica/Coventry SEPA: $297.60 First Health Global — First Health Global: $372 Health America/CCN — First Health / Coventry National: $595.20 Health Net — Health Net: $446.40 Health Partners — Health Partners Medicaid: $744 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $364.56
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$744	$744	$50.37 – $744
Physical therapy evaluation (high complexity): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $273.05 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $273.05 Aetna Health Inc — Aetna HMO: $353.40 Aetna Health Inc — Aetna Medicare HMO: $106.78 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $744 Centivo — Centivo: $181.33 Cigna — Cigna: $252.96 Cigna — Cigna Lifesource: $334.80 Cigna — Cigna New Business: $139 CIGNA — Cigna PPO: $281.98
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$744	$744	$125.74 – $744
Physical therapy evaluation (high complexity): 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $744 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $744 Commercial Other — Commercial Other: $744 Coventry — Coventry of Delaware: $379.44 Coventry — HealthAmerica/Coventry SEPA: $297.60 First Health Global — First Health Global: $372 Health America/CCN — First Health / Coventry National: $595.20 Health Net — Health Net: $446.40 Health Partners — Health Partners Medicaid: $744 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $364.56
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX PT /FAMILY 30 MINUTES	$580	$580	$51.22 – $580
Psychotherapy, 30 minutes: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $129.92 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $129.92 Aetna Health Inc — Aetna HMO: $275.50 Aetna Health Inc — Aetna Medicare HMO: $196.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $580 Centivo — Centivo: $335.81 Cigna — Cigna: $197.20 Cigna — Cigna Lifesource: $261 Cigna — Cigna New Business: $219.24 CIGNA — Cigna PPO: $219.82
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH INDIV THERAPY W/MD (30 MINS)	$99	$99	$17.40 – $214.54
Psychotherapy, 30 minutes: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $22.18 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $22.18 Aetna Health Inc — Aetna HMO: $47.02 Aetna Health Inc — Aetna Medicare HMO: $196.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $99 Centivo — Centivo: $335.81 Cigna — Cigna: $33.66 Cigna — Cigna Lifesource: $44.55 Cigna — Cigna New Business: $37.42 CIGNA — Cigna PPO: $37.52
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS PSYTX PT /FAMILY 30 MINUTES	$241	$241	$42.37 – $241
Psychotherapy, 30 minutes: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $53.98 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $53.98 Aetna Health Inc — Aetna HMO: $114.47 Aetna Health Inc — Aetna Medicare HMO: $196.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $241 Centivo — Centivo: $335.81 Cigna — Cigna: $81.94 Cigna — Cigna Lifesource: $108.45 Cigna — Cigna New Business: $91.10 CIGNA — Cigna PPO: $91.34
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS PSYTX PT /FAMILY 45 MINUTES	$161	$161	$28.30 – $214.54
Psychotherapy, 45 minutes: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $36.06 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $36.06 Aetna Health Inc — Aetna HMO: $76.47 Aetna Health Inc — Aetna Medicare HMO: $196.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $161 Centivo — Centivo: $335.81 Cigna — Cigna: $54.74 Cigna — Cigna Lifesource: $72.45 Cigna — Cigna New Business: $60.86 CIGNA — Cigna PPO: $61.02
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS PSYTX PT /FAMILY 45 MINUTES	$161	$161	$27.21 – $161
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates Aetna Health Inc — Aetna HMO: $161 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $161 Commercial Other — Commercial Other: $161 Coventry — Coventry of Delaware: $82.11 Coventry — HealthAmerica/Coventry SEPA: $64.40 First Health Global — First Health Global: $80.50 Health America/CCN — First Health / Coventry National: $128.80 Health Net — Health Net: $96.60 Health Partners — Health Partners Medicaid: $161 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $78.89
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS PSYTX PT /FAMILY 60 MINUTES	$189	$189	$33.23 – $214.54
Psychotherapy, 60 minutes: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $42.34 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $42.34 Aetna Health Inc — Aetna HMO: $89.78 Aetna Health Inc — Aetna Medicare HMO: $196.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $189 Centivo — Centivo: $335.81 Cigna — Cigna: $64.26 Cigna — Cigna Lifesource: $85.05 Cigna — Cigna New Business: $71.44 CIGNA — Cigna PPO: $71.63
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS PSYTX PT /FAMILY 60 MINUTES	$189	$189	$31.94 – $189
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates Aetna Health Inc — Aetna HMO: $189 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $189 Commercial Other — Commercial Other: $189 Coventry — Coventry of Delaware: $96.39 Coventry — HealthAmerica/Coventry SEPA: $75.60 First Health Global — First Health Global: $94.50 Health America/CCN — First Health / Coventry National: $151.20 Health Net — Health Net: $113.40 Health Partners — Health Partners Medicaid: $189 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $92.61
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS FAMILY PSYTX W/O PATIENT	$139	$139	$24.44 – $214.54
Family psychotherapy, without the patient: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $31.14 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $31.14 Aetna Health Inc — Aetna HMO: $66.03 Aetna Health Inc — Aetna Medicare HMO: $196.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $139 Centivo — Centivo: $335.81 Cigna — Cigna: $47.26 Cigna — Cigna Lifesource: $62.55 Cigna — Cigna New Business: $52.54 CIGNA — Cigna PPO: $52.68
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS FAMILY PSYTX W/O PATIENT	$139	$139	$23.49 – $139
Family psychotherapy, without the patient: 10 of 29 insurance plan rates Aetna Health Inc — Aetna HMO: $139 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $139 Commercial Other — Commercial Other: $139 Coventry — Coventry of Delaware: $70.89 Coventry — HealthAmerica/Coventry SEPA: $55.60 First Health Global — First Health Global: $69.50 Health America/CCN — First Health / Coventry National: $111.20 Health Net — Health Net: $83.40 Health Partners — Health Partners Medicaid: $139 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $68.11
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS FAMILY PSYTX W/PATIENT	$139	$139	$24.44 – $214.54
Family psychotherapy, with the patient: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $31.14 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $31.14 Aetna Health Inc — Aetna HMO: $66.03 Aetna Health Inc — Aetna Medicare HMO: $196.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $139 Centivo — Centivo: $335.81 Cigna — Cigna: $47.26 Cigna — Cigna Lifesource: $62.55 Cigna — Cigna New Business: $52.54 CIGNA — Cigna PPO: $52.68
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS FAMILY PSYTX W/PATIENT	$139	$139	$23.49 – $139
Family psychotherapy, with the patient: 10 of 29 insurance plan rates Aetna Health Inc — Aetna HMO: $139 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $139 Commercial Other — Commercial Other: $139 Coventry — Coventry of Delaware: $70.89 Coventry — HealthAmerica/Coventry SEPA: $55.60 First Health Global — First Health Global: $69.50 Health America/CCN — First Health / Coventry National: $111.20 Health Net — Health Net: $83.40 Health Partners — Health Partners Medicaid: $139 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $68.11
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS GROUP PSYCHOTHERAPY	$115	$115	$20.22 – $122.80
Group psychotherapy: 10 of 92 insurance plan rates Aetna Commercial — Aetna Commercial: $25.76 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $25.76 Aetna Health Inc — Aetna HMO: $54.63 Aetna Health Inc — Aetna Medicare HMO: $112.64 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $115 Centivo — Centivo: $192.20 Cigna — Cigna: $39.10 Cigna — Cigna Lifesource: $51.75 Cigna — Cigna New Business: $43.47 CIGNA — Cigna PPO: $43.59
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS GROUP PSYCHOTHERAPY	$115	$115	$19.43 – $115
Group psychotherapy: 10 of 29 insurance plan rates Aetna Health Inc — Aetna HMO: $115 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $115 Commercial Other — Commercial Other: $115 Coventry — Coventry of Delaware: $58.65 Coventry — HealthAmerica/Coventry SEPA: $46 First Health Global — First Health Global: $57.50 Health America/CCN — First Health / Coventry National: $92 Health Net — Health Net: $69 Health Partners — Health Partners Medicaid: $115 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $56.35

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS EXCISN-CYSTFIBROADENMAOTH	$2,322	$2,322	$173 – $5,292
Removal of breast growth (open surgery): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $520.13 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $520.13 Aetna Health Inc — Aetna HMO: $1,102.95 Aetna Health Inc — Aetna Medicare HMO: $4,341 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,322 Centivo — Centivo: $7,407.81 Cigna — Cigna: $789.48 Cigna — Cigna Lifesource: $1,044.90 Cigna — Cigna New Business: $5,292 CIGNA — Cigna PPO: $880.04
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS EXCISN-CYSTFIBROADENMAOTH	$2,322	$2,322	$392.42 – $2,322
Removal of breast growth (open surgery): 10 of 30 insurance plan rates Aetna Health Inc — Aetna HMO: $2,322 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,322 Commercial Other — Commercial Other: $2,322 Coventry — Coventry of Delaware: $1,184.22 Coventry — HealthAmerica/Coventry SEPA: $928.80 First Health Global — First Health Global: $1,161 Health America/CCN — First Health / Coventry National: $1,857.60 Health Net — Health Net: $1,393.20 Health Partners — Health Partners Medicaid: $2,322 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $1,137.78
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS UPPER GI ENDOSCOPY DIAGNOS	$938	$938	$125.22 – $3,342
Upper GI endoscopy (diagnostic): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $210.11 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $210.11 Aetna Health Inc — Aetna HMO: $445.55 Aetna Health Inc — Aetna Medicare HMO: $1,005.57 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $938 Centivo — Centivo: $1,715.98 Cigna — Cigna: $318.92 Cigna — Cigna Lifesource: $422.10 Cigna — Cigna New Business: $3,342 CIGNA — Cigna PPO: $355.50
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS UPPER GI ENDOSCOPY DIAGNOS	$938	$938	$158.52 – $938
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates Aetna Health Inc — Aetna HMO: $938 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $938 Commercial Other — Commercial Other: $938 Coventry — Coventry of Delaware: $478.38 Coventry — HealthAmerica/Coventry SEPA: $375.20 First Health Global — First Health Global: $469 Health America/CCN — First Health / Coventry National: $750.40 Health Net — Health Net: $562.80 Health Partners — Health Partners Medicaid: $938 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $459.62
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS DIAGNOSTIC COLONOSCOPY	$418	$418	$73.48 – $4,456
Colonoscopy (diagnostic): 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $93.63 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $93.63 Aetna Health Inc — Aetna HMO: $198.55 Aetna Health Inc — Aetna Medicare HMO: $1,031.03 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $418 Centivo — Centivo: $1,759.43 Cigna — Cigna: $142.12 Cigna — Cigna Lifesource: $188.10 Cigna — Cigna New Business: $4,456 CIGNA — Cigna PPO: $158.42
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS DIAGNOSTIC COLONOSCOPY	$418	$418	$70.64 – $418
Colonoscopy (diagnostic): 10 of 30 insurance plan rates Aetna Health Inc — Aetna HMO: $418 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $418 Commercial Other — Commercial Other: $418 Coventry — Coventry of Delaware: $213.18 Coventry — HealthAmerica/Coventry SEPA: $167.20 First Health Global — First Health Global: $209 Health America/CCN — First Health / Coventry National: $334.40 Health Net — Health Net: $250.80 Health Partners — Health Partners Medicaid: $418 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $204.82
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REPAIR 1ST INGUINL HERN 5 YRS	$14,271	$14,271	$346.08 – $38,289.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $7,119 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $7,119 Aetna Health Inc — Aetna HMO: $6,270 Aetna Health Inc — Aetna Medicare HMO: $3,969.55 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $14,271 Centivo — Centivo: $6,773.94 Cigna — Cigna: $4,852.14 Cigna — Cigna Lifesource: $6,421.95 Cigna — Cigna New Business: $7,520 CIGNA — Cigna PPO: $5,408.71
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC REPAIR 1ST INGUINL HERN 5 YRS	$14,271	$14,271	$2,411.80 – $14,271
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $14,271 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $14,271 Commercial Other — Commercial Other: $14,271 Coventry — Coventry of Delaware: $7,278.21 Coventry — HealthAmerica/Coventry SEPA: $5,708.40 First Health Global — First Health Global: $7,135.50 Health America/CCN — First Health / Coventry National: $11,416.80 Health Net — Health Net: $8,562.60 Health Partners — Health Partners Medicaid: $14,271 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $6,992.79
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BX PROSTATE	$8,547	$8,547	$97.56 – $8,547
Prostate biopsy: 10 of 82 insurance plan rates Aetna Commercial — Aetna Commercial: $8,091 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $8,091 Aetna Health Inc — Aetna HMO: $6,558 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $8,547 Centivo — Centivo: $8,547 Cigna — Cigna: $2,905.98 Cigna — Cigna Lifesource: $3,846.15 Cigna — Cigna New Business: $4,456 CIGNA — Cigna PPO: $3,239.31 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $8,547
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BX PROSTATE	$8,547	$8,547	$1,444.44 – $8,547
Prostate biopsy: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $8,547 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $8,547 Commercial Other — Commercial Other: $8,547 Coventry — Coventry of Delaware: $4,358.97 Coventry — HealthAmerica/Coventry SEPA: $3,418.80 First Health Global — First Health Global: $4,273.50 Health America/CCN — First Health / Coventry National: $6,837.60 Health Net — Health Net: $5,128.20 Health Partners — Health Partners Medicaid: $8,547 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $4,188.03
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX INTERLAMINAR LMBR/SAC	$6,738	$6,738	$104.09 – $12,091.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $3,452 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $3,452 Aetna Health Inc — Aetna HMO: $2,500 Aetna Health Inc — Aetna Medicare HMO: $782.60 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $6,738 Centivo — Centivo: $1,335.49 Cigna — Cigna: $2,290.92 Cigna — Cigna Lifesource: $3,032.10 Cigna — Cigna New Business: $3,342 CIGNA — Cigna PPO: $2,553.70
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS NJX INTERLAMINAR LMBR/SAC	$625	$625	$81.32 – $3,342
Spinal injection, lower back (epidural), with imaging guidance: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $140 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $140 Aetna Health Inc — Aetna HMO: $296.88 Aetna Health Inc — Aetna Medicare HMO: $782.60 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $625 Centivo — Centivo: $1,335.49 Cigna — Cigna: $212.50 Cigna — Cigna Lifesource: $281.25 Cigna — Cigna New Business: $3,342 CIGNA — Cigna PPO: $236.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX INTERLAMINAR LMBR/SAC	$6,738	$6,738	$1,138.72 – $6,738
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $6,738 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $6,738 Commercial Other — Commercial Other: $6,738 Coventry — Coventry of Delaware: $3,436.38 Coventry — HealthAmerica/Coventry SEPA: $2,695.20 First Health Global — First Health Global: $3,369 Health America/CCN — First Health / Coventry National: $5,390.40 Health Net — Health Net: $4,042.80 Health Partners — Health Partners Medicaid: $6,738 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $3,301.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S SINGL	$2,485	$2,485	$103.59 – $12,091.50
Nerve root injection, lower back, with imaging guidance: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $2,485 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $2,485 Aetna Health Inc — Aetna HMO: $2,500 Aetna Health Inc — Aetna Medicare HMO: $980.61 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $2,485 Centivo — Centivo: $1,673.37 Cigna — Cigna: $844.90 Cigna — Cigna Lifesource: $1,118.25 Cigna — Cigna New Business: $3,342 CIGNA — Cigna PPO: $941.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS INJ FORAMEN EPIDURAL L/S SINGL	$822	$822	$95.04 – $3,342
Nerve root injection, lower back, with imaging guidance: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $184.13 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $184.13 Aetna Health Inc — Aetna HMO: $390.45 Aetna Health Inc — Aetna Medicare HMO: $980.61 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $822 Centivo — Centivo: $1,673.37 Cigna — Cigna: $279.48 Cigna — Cigna Lifesource: $369.90 Cigna — Cigna New Business: $3,342 CIGNA — Cigna PPO: $311.54
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S SINGL	$2,485	$2,485	$419.96 – $2,485
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates Aetna Health Inc — Aetna HMO: $2,485 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $2,485 Commercial Other — Commercial Other: $2,485 Coventry — Coventry of Delaware: $1,267.35 Coventry — HealthAmerica/Coventry SEPA: $994 First Health Global — First Health Global: $1,242.50 Health America/CCN — First Health / Coventry National: $1,988 Health Net — Health Net: $1,491 Health Partners — Health Partners Medicaid: $2,485 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $1,217.65
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAPS AFTER CATARACT LASER SURGERY	$960	$960	$168.77 – $4,456
Laser treatment of clouding after cataract surgery: 10 of 98 insurance plan rates Aetna Commercial — Aetna Commercial: $215.04 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $215.04 Aetna Health Inc — Aetna HMO: $456 Aetna Health Inc — Aetna Medicare HMO: $609.78 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $960 Centivo — Centivo: $1,040.56 Cigna — Cigna: $326.40 Cigna — Cigna Lifesource: $432 Cigna — Cigna New Business: $4,456 CIGNA — Cigna PPO: $363.84
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAPS AFTER CATARACT LASER SURGERY	$960	$960	$162.24 – $960
Laser treatment of clouding after cataract surgery: 10 of 30 insurance plan rates Aetna Health Inc — Aetna HMO: $960 City of Philadelphia Behavioral Health — City of Philadelphia Behavioral Health: $960 Commercial Other — Commercial Other: $960 Coventry — Coventry of Delaware: $489.60 Coventry — HealthAmerica/Coventry SEPA: $384 First Health Global — First Health Global: $480 Health America/CCN — First Health / Coventry National: $768 Health Net — Health Net: $576 Health Partners — Health Partners Medicaid: $960 HealthAmerica/Coventry — HealthAmerica/HealthAssurance: $470.40

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$544.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $441,251
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 85 insurance plan rates Aetna Commercial — Aetna Commercial: $214,979.37 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $214,979.37 Aetna Health Inc — Aetna HMO: $181,078 Aetna Health Inc — Aetna Medicare HMO: $86,973.99 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $4,655 Centivo — Centivo: $195,427.37 Cigna — Cigna: $214,584.04 Cigna — Cigna Lifesource: $4,910 Cigna — Cigna New Business: $202,259.69 CIGNA — Cigna PPO: $246,773.62
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	$544.94 – $166,306
Spinal fusion (not neck), without major complications: 10 of 83 insurance plan rates Aetna Commercial — Aetna Commercial: $79,728.89 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $79,728.89 Aetna Health Inc — Aetna HMO: $76,048 Aetna Health Inc — Aetna Medicare HMO: $32,698.77 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $4,655 Centivo — Centivo: $73,193.81 Cigna — Cigna: $79,728.89 Cigna — Cigna Lifesource: $4,910 CIGNA — Cigna PPO: $79,728.89 Cigna HealthSpring — Cigna HealthSpring: $31,773.34
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	$544.94 – $85,551
Hip or knee replacement (major joint of the leg), without major complications: 10 of 85 insurance plan rates Aetna Commercial — Aetna Commercial: $42,553.44 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $42,553.44 Aetna Health Inc — Aetna HMO: $40,188 Aetna Health Inc — Aetna Medicare HMO: $17,863.41 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $4,655 Centivo — Centivo: $39,782.98 Cigna — Cigna: $42,475.19 Cigna — Cigna Lifesource: $4,910 Cigna — Cigna New Business: $40,035.68 CIGNA — Cigna PPO: $48,846.85
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	$544.94 – $111,871
Neck (cervical) spinal fusion, without complications: 10 of 85 insurance plan rates Aetna Commercial — Aetna Commercial: $53,331.55 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $53,331.55 Aetna Health Inc — Aetna HMO: $43,074 Aetna Health Inc — Aetna Medicare HMO: $22,183.41 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $4,655 Centivo — Centivo: $49,512.10 Cigna — Cigna: $53,233.48 Cigna — Cigna Lifesource: $4,910 Cigna — Cigna New Business: $50,176.09 CIGNA — Cigna PPO: $61,218.99
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	$544.94 – $52,830
Uterus and ovary surgery (not for cancer), without complications: 10 of 85 insurance plan rates Aetna Commercial — Aetna Commercial: $28,221.04 Aetna Commercial HMO with Capitation — Aetna Commercial HMO with Capitation: $28,221.04 Aetna Health Inc — Aetna HMO: $18,926 Aetna Health Inc — Aetna Medicare HMO: $12,118.79 Blue Quality Centers for Transplant (BQCT) — Blue Quality Centers for Transplant (BQCT): $4,655 Centivo — Centivo: $26,845.49 Cigna — Cigna: $28,169.15 Cigna — Cigna Lifesource: $4,910 Cigna — Cigna New Business: $26,551.29 CIGNA — Cigna PPO: $32,394.78

Source: Hospital of Univ of Pennsylvania’s standard charges file (tupa-q-001.sitecorecontenthub.cloud, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 20, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	3400 Spruce St, Philadelphia, PA 19104
County	Philadelphia County
State	Pennsylvania
Phone	(215) 662‑6289
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	390111
Name in Medicare records	HOSPITAL OF UNIV OF PENNSYLVANIA
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(215) 662‑4000^[4][5][6]
Name on the hospital’s website	Hospital of the University of Pennsylvania
Official website	pennmedicine.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Hospital of the University of Pennsylvania | Penn Medicine — pennmedicine.org
Hospital of the University of Pennsylvania visitor policies | Penn Medicine — pennmedicine.org
HUP directions and parking | Penn Medicine — pennmedicine.org