Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Acute Care Hospital

Independence Health System Butler Memorial Hospita…

Butler, Pennsylvania · Butler County · Emergency services listed

Summary

Independence Health System Butler Memorial Hospita… is an acute care hospital in Butler, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 21 services, specialties and programs. Medicare lists 679 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
21Services listed

Quick answers

Does Independence Health System Butler Memorial Hospita… have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Independence Health System Butler Memorial Hospita…. In a medical emergency, call 911.
Where is Independence Health System Butler Memorial Hospita…?
One Hospital Way, Butler, PA 16001, in Butler County, Pennsylvania.
What is the phone number of Independence Health System Butler Memorial Hospita…?
(724) 284-4403, as listed by Medicare (CMS).
What is the Medicare star rating of Independence Health System Butler Memorial Hospita…?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

VisitingGeneral visiting Mon-Sat 9 a.m.-7 p.m., Sun and holidays 11 a.m.-7 p.m., two visitors at a time; ICU and maternity have separate hours[5]

Doctors and clinicians (679)

679 doctors and other clinicians list Independence Health System Butler Memorial Hospita… as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (679)

And 655 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Independence Health System Butler Memorial Hospita… reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital68%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night49%National average: 60%
Completed surveys781Response rate: 34%

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)1.066No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.477No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.16No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.368Better 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 patients13.7%
Deaths within 30 days: heart failure patients13%
Deaths within 30 days: pneumonia patients16.2%
Deaths within 30 days: COPD patients9.9%
Deaths within 30 days: stroke patients12.4%
Deaths within 30 days: coronary bypass surgery (CABG)3%
Serious complications (patient safety indicator PSI-90)1.25No different from the national rate
Complications after hip or knee replacement4.2%

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 attack14.6%
Readmitted within 30 days: heart failure21.9%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgery10.3%
Readmitted within 30 days: hip or knee replacement5.8%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)194 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)53%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Independence Health System Butler Memorial Hospita… 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 →

$ 12 amounts are marked with “!”: they are 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. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Visit New 30 Minutes $265 $185.50 $49.56 – $278.25
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $212
  • Aetna — Commercial: $132.50
  • Aetna — Rental Network: $172.25
  • CCBH - Behavioral Health — Behavioral: $132.50
  • Cigna — Commercial: $132.50
  • Devon — Commercial: $198.75
  • Devoted Health Plan — MCR Advantage: $106
  • Ellwood Group — Commercial: $79.50
  • Gateway — MCD Advantage: $278.25
  • Geisinger — MCR Advantage: $265
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient Level 3 30 $265 $185.50 $49.56 – $278.25
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $212
  • Aetna — Commercial: $132.50
  • Aetna — Rental Network: $172.25
  • CCBH - Behavioral Health — Behavioral: $132.50
  • Cigna — Commercial: $132.50
  • Devon — Commercial: $198.75
  • Devoted Health Plan — MCR Advantage: $106
  • Ellwood Group — Commercial: $79.50
  • Gateway — MCD Advantage: $278.25
  • Geisinger — MCR Advantage: $265
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Consult Level 2 30 $265 $185.50 $49.56 – $278.25
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $212
  • Aetna — Commercial: $132.50
  • Aetna — Rental Network: $172.25
  • CCBH - Behavioral Health — Behavioral: $132.50
  • Cigna — Commercial: $132.50
  • Devon — Commercial: $198.75
  • Devoted Health Plan — MCR Advantage: $106
  • Ellwood Group — Commercial: $79.50
  • Gateway — MCD Advantage: $278.25
  • Geisinger — MCR Advantage: $265
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Visit New 45 Minutes $337 $235.90 $63.02 – $353.85
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $269.60
  • Aetna — Commercial: $168.50
  • Aetna — Rental Network: $219.05
  • CCBH - Behavioral Health — Behavioral: $168.50
  • Cigna — Commercial: $168.50
  • Devon — Commercial: $252.75
  • Devoted Health Plan — MCR Advantage: $134.80
  • Ellwood Group — Commercial: $101.10
  • Gateway — MCD Advantage: $353.85
  • Geisinger — MCR Advantage: $337
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Patient Level 4 45 $337 $235.90 $63.02 – $353.85
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $269.60
  • Aetna — Commercial: $168.50
  • Aetna — Rental Network: $219.05
  • CCBH - Behavioral Health — Behavioral: $168.50
  • Cigna — Commercial: $168.50
  • Devon — Commercial: $252.75
  • Devoted Health Plan — MCR Advantage: $134.80
  • Ellwood Group — Commercial: $101.10
  • Gateway — MCD Advantage: $353.85
  • Geisinger — MCR Advantage: $337
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Alchol, Op New Pt Mod Comp $337 $235.90 $63.02 – $353.85
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $269.60
  • Aetna — Commercial: $168.50
  • Aetna — Rental Network: $219.05
  • CCBH - Behavioral Health — Behavioral: $168.50
  • Cigna — Commercial: $168.50
  • Devon — Commercial: $252.75
  • Devoted Health Plan — MCR Advantage: $134.80
  • Ellwood Group — Commercial: $101.10
  • Gateway — MCD Advantage: $353.85
  • Geisinger — MCR Advantage: $337
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new hi 60 min Not listed in the file Not listed in the file $80.84 – $420.90
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $420.90
  • CCBH - Behavioral Health — Behavioral: $333.47
  • PNOA — Workers Comp: $245.50
  • UPMC — CHIP: $80.84
  • UPMC — Commercial: $355.70
  • Workers Comp — Other: $250.67
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier AM In the file: Ft E/M New Patient 60Min $426 $298.20 $79.66 – $447.30
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $340.80
  • Aetna — Commercial: $213
  • Aetna — Rental Network: $276.90
  • CCBH - Behavioral Health — Behavioral: $213
  • Cigna — Commercial: $213
  • Devon — Commercial: $319.50
  • Devoted Health Plan — MCR Advantage: $170.40
  • Ellwood Group — Commercial: $127.80
  • Gateway — MCD Advantage: $447.30
  • Geisinger — MCR Advantage: $426
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee · modifier AM In the file: Ft E/M New Patient 60Min $426 $298.20 $170.40 – $383.40
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • Devon — Commercial: $319.50
  • Devoted Health Plan — MCR Advantage: $170.40
  • Ellwood Group — Commercial: $183.18
  • Multiplan — Percent of Charge: $383.40
  • Peak Health — MCR Advantage: $298.20
  • PNOA — Auto: $319.50
  • PNOA — Commercial: $340.80
  • PNOA — MCR Advantage: $319.50
  • PNOA — Workers Comp: $319.50
  • Private Healthcare Systems — Other: $362.10
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prep Charge 15 Min EST $225 $157.50 $42.08 – $236.25
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $180
  • Aetna — Commercial: $112.50
  • Aetna — Rental Network: $146.25
  • CCBH - Behavioral Health — Behavioral: $112.50
  • Cigna — Commercial: $112.50
  • Devon — Commercial: $168.75
  • Devoted Health Plan — MCR Advantage: $90
  • Ellwood Group — Commercial: $67.50
  • Gateway — MCD Advantage: $236.25
  • Geisinger — MCR Advantage: $225
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Op Clinic Visit Level 3 15Min $225 $157.50 $42.08 – $236.25
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $180
  • Aetna — Commercial: $112.50
  • Aetna — Rental Network: $146.25
  • CCBH - Behavioral Health — Behavioral: $112.50
  • Cigna — Commercial: $112.50
  • Devon — Commercial: $168.75
  • Devoted Health Plan — MCR Advantage: $90
  • Ellwood Group — Commercial: $67.50
  • Gateway — MCD Advantage: $236.25
  • Geisinger — MCR Advantage: $225
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Visit 15 Min Est $225 $157.50 $42.08 – $236.25
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $180
  • Aetna — Commercial: $112.50
  • Aetna — Rental Network: $146.25
  • CCBH - Behavioral Health — Behavioral: $112.50
  • Cigna — Commercial: $112.50
  • Devon — Commercial: $168.75
  • Devoted Health Plan — MCR Advantage: $90
  • Ellwood Group — Commercial: $67.50
  • Gateway — MCD Advantage: $236.25
  • Geisinger — MCR Advantage: $225
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prep Charge 25 Min EST $275 $192.50 $51.42 – $288.75
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $220
  • Aetna — Commercial: $137.50
  • Aetna — Rental Network: $178.75
  • CCBH - Behavioral Health — Behavioral: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Ellwood Group — Commercial: $82.50
  • Gateway — MCD Advantage: $288.75
  • Geisinger — MCR Advantage: $275
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Visit 25 Min Est $275 $192.50 $51.42 – $288.75
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $220
  • Aetna — Commercial: $137.50
  • Aetna — Rental Network: $178.75
  • CCBH - Behavioral Health — Behavioral: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Ellwood Group — Commercial: $82.50
  • Gateway — MCD Advantage: $288.75
  • Geisinger — MCR Advantage: $275
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Op Visit Estab 25 Min $275 $192.50 $51.42 – $288.75
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $220
  • Aetna — Commercial: $137.50
  • Aetna — Rental Network: $178.75
  • CCBH - Behavioral Health — Behavioral: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Ellwood Group — Commercial: $82.50
  • Gateway — MCD Advantage: $288.75
  • Geisinger — MCR Advantage: $275
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Consult Level 3 40 $312 $218.40 $58.34 – $327.60
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $249.60
  • Aetna — Commercial: $156
  • Aetna — Rental Network: $202.80
  • CCBH - Behavioral Health — Behavioral: $156
  • Cigna — Commercial: $156
  • Devon — Commercial: $234
  • Devoted Health Plan — MCR Advantage: $124.80
  • Ellwood Group — Commercial: $93.60
  • Gateway — MCD Advantage: $327.60
  • Geisinger — MCR Advantage: $312
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Off/op cnsltj new/est low 30 Not listed in the file Not listed in the file $45.33 – $262.20
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • Aetna — Commercial: $262.20
  • CCBH - Behavioral Health — Behavioral: $186.99
  • PNOA — Workers Comp: $207.16
  • UPMC — CHIP: $45.33
  • UPMC — Commercial: $199.45
  • Workers Comp — Other: $208.65
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Consult Level 4 60 $438 $306.60 $81.91 – $459.90
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $350.40
  • Aetna — Commercial: $219
  • Aetna — Rental Network: $284.70
  • CCBH - Behavioral Health — Behavioral: $219
  • Cigna — Commercial: $219
  • Devon — Commercial: $328.50
  • Devoted Health Plan — MCR Advantage: $175.20
  • Ellwood Group — Commercial: $131.40
  • Gateway — MCD Advantage: $459.90
  • Geisinger — MCR Advantage: $438
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Off/op cnsltj new/est mod 40 Not listed in the file Not listed in the file $40
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • Aetna — Commercial: $377.20
  • PNOA — Workers Comp: $306.53
  • UPMC — CHIP: $76.23
  • UPMC — Commercial: $335.41
  • Workers Comp — Other: $314.46
  • CCBH - Behavioral Health — Behavioral: 40% (a percentage in the contract, not a dollar amount)
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $30.67 – $308.20
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • Aetna — Commercial: $308.20
  • CCBH - Behavioral Health — Behavioral: $126.51
  • Martin's Point - USFHP — Tricare: $88.48
  • Tricare — Tricare: $88.48
  • UPMC — CHIP: $30.67
  • UPMC — Commercial: $134.95
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $30.50 – $356.50
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • Aetna — Commercial: $356.50
  • CCBH - Behavioral Health — Behavioral: $125.81
  • Martin's Point - USFHP — Tricare: $107.14
  • Tricare — Tricare: $107.14
  • UPMC — CHIP: $30.50
  • UPMC — Commercial: $134.20
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emerg Visit Level 3 36-70 $650 $455 $121.55 – $682.50
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $520
  • Aetna — Commercial: $325
  • Aetna — Rental Network: $422.50
  • CCBH - Behavioral Health — Behavioral: $325
  • Cigna — Commercial: $325
  • Devon — Commercial: $487.50
  • Devoted Health Plan — MCR Advantage: $260
  • Ellwood Group — Commercial: $195
  • Gateway — MCD Advantage: $682.50
  • Geisinger — MCR Advantage: $650
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emerg Visit Level 3 36-70 $650 $455 $260 – $585
Emergency room visit (moderate): rates for 10 insurance plans
  • Devon — Commercial: $487.50
  • Devoted Health Plan — MCR Advantage: $260
  • Ellwood Group — Commercial: $279.50
  • Multiplan — Percent of Charge: $585
  • Peak Health — MCR Advantage: $455
  • PNOA — Auto: $487.50
  • PNOA — Commercial: $520
  • PNOA — MCR Advantage: $487.50
  • PNOA — Workers Comp: $487.50
  • Private Healthcare Systems — Other: $552.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $40
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • Aetna — Auto Network: $293.01
  • Aetna — Commercial: $612.65
  • Aetna — MCD Advantage: $40.25
  • Aetna — MCR Advantage: $274.36
  • Aetna PEBTF Custom — HMO: $612.65
  • American Health Plan — MCR Advantage: $293.01
  • Amerihealth — MCD Advantage: $62.32
  • Amerihealth — MCR Advantage: $279.69
  • Cigna — Commercial: $608.62
  • Devoted Health Plan — MCR Advantage: $282.35
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emerg Visit Level 4 71-140 $850 $595 $158.95 – $892.50
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $680
  • Aetna — Commercial: $425
  • Aetna — Rental Network: $552.50
  • CCBH - Behavioral Health — Behavioral: $425
  • Cigna — Commercial: $425
  • Devon — Commercial: $637.50
  • Devoted Health Plan — MCR Advantage: $340
  • Ellwood Group — Commercial: $255
  • Gateway — MCD Advantage: $892.50
  • Geisinger — MCR Advantage: $850
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emerg Visit Level 4 71-140 $850 $595 $340 – $765
Emergency room visit (moderately high): rates for 10 insurance plans
  • Devon — Commercial: $637.50
  • Devoted Health Plan — MCR Advantage: $340
  • Ellwood Group — Commercial: $365.50
  • Multiplan — Percent of Charge: $765
  • Peak Health — MCR Advantage: $595
  • PNOA — Auto: $637.50
  • PNOA — Commercial: $680
  • PNOA — MCR Advantage: $637.50
  • PNOA — Workers Comp: $637.50
  • Private Healthcare Systems — Other: $722.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $50 – $1,050.59
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • Aetna — Auto Network: $450.61
  • Aetna — Commercial: $942.18
  • Aetna — MCD Advantage: $57.50
  • Aetna — MCR Advantage: $421.93
  • Aetna PEBTF Custom — HMO: $942.18
  • American Health Plan — MCR Advantage: $450.61
  • Amerihealth — MCD Advantage: $104.86
  • Amerihealth — MCR Advantage: $430.13
  • CCBH - Behavioral Health — Behavioral: $330.37
  • Cigna — Commercial: $935.98
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emerg Visit Level 5 141-210 $1,548 $1,083.60 $289.48 – $1,625.40
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $1,238.40
  • Aetna — Commercial: $774
  • Aetna — Rental Network: $1,006.20
  • CCBH - Behavioral Health — Behavioral: $774
  • Cigna — Commercial: $774
  • Devon — Commercial: $1,161
  • Devoted Health Plan — MCR Advantage: $619.20
  • Ellwood Group — Commercial: $464.40
  • Gateway — MCD Advantage: $1,625.40
  • Geisinger — MCR Advantage: $1,548
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emerg Visit Level 5 141-210 $1,548 $1,083.60 $619.20 – $1,393.20
Emergency room visit (high): rates for 10 insurance plans
  • Devon — Commercial: $1,161
  • Devoted Health Plan — MCR Advantage: $619.20
  • Ellwood Group — Commercial: $665.64
  • Multiplan — Percent of Charge: $1,393.20
  • Peak Health — MCR Advantage: $1,083.60
  • PNOA — Auto: $1,161
  • PNOA — Commercial: $1,238.40
  • PNOA — MCR Advantage: $1,161
  • PNOA — Workers Comp: $1,161
  • Private Healthcare Systems — Other: $1,315.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $50 – $1,512.65
Emergency room visit (high): 10 of 47 insurance plan rates
  • Aetna — Auto Network: $648.80
  • Aetna — Commercial: $1,356.57
  • Aetna — MCD Advantage: $57.50
  • Aetna — MCR Advantage: $607.51
  • Aetna PEBTF Custom — HMO: $1,356.57
  • American Health Plan — MCR Advantage: $648.80
  • Amerihealth — MCD Advantage: $152.61
  • Amerihealth — MCR Advantage: $619.30
  • CCBH - Behavioral Health — Behavioral: $402.93
  • Cigna — Commercial: $1,347.64

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic 8 Panel $64 $44.80 $11.97 – $67.20
Basic metabolic panel (blood test): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $51.20
  • Aetna — Commercial: $32
  • Aetna — Rental Network: $41.60
  • CCBH - Behavioral Health — Behavioral: $32
  • Cigna — Commercial: $32
  • Devon — Commercial: $48
  • Devoted Health Plan — MCR Advantage: $25.60
  • Ellwood Group — Commercial: $19.20
  • Gateway — MCD Advantage: $67.20
  • Geisinger — MCR Advantage: $64
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic 8 Panel $64 $44.80 $25.60 – $57.60
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Devon — Commercial: $48
  • Devoted Health Plan — MCR Advantage: $25.60
  • Ellwood Group — Commercial: $27.52
  • Multiplan — Percent of Charge: $57.60
  • Peak Health — MCR Advantage: $44.80
  • PNOA — Auto: $48
  • PNOA — Commercial: $51.20
  • PNOA — MCR Advantage: $48
  • PNOA — Workers Comp: $48
  • Private Healthcare Systems — Other: $54.40
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $7.85 – $43.16
Basic metabolic panel (blood test): 10 of 47 insurance plan rates
  • Aetna — Auto Network: $9.31
  • Aetna — Commercial: $16.10
  • Aetna — MCD Advantage: $10.76
  • Aetna — MCR Advantage: $8.71
  • Aetna — Rental Network: $22.38
  • Aetna PEBTF Custom — HMO: $19.46
  • American Health Plan — MCR Advantage: $9.31
  • Amerihealth — MCD Advantage: $10.30
  • Amerihealth — MCR Advantage: $8.88
  • CCBH - Behavioral Health — Behavioral: $40.47
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comp Metabolic Panel $80 $56 $14.96 – $84
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $64
  • Aetna — Commercial: $40
  • Aetna — Rental Network: $52
  • CCBH - Behavioral Health — Behavioral: $40
  • Cigna — Commercial: $40
  • Devon — Commercial: $60
  • Devoted Health Plan — MCR Advantage: $32
  • Ellwood Group — Commercial: $24
  • Gateway — MCD Advantage: $84
  • Geisinger — MCR Advantage: $80
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comp Metabolic Panel $80 $56 $32 – $72
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Devon — Commercial: $60
  • Devoted Health Plan — MCR Advantage: $32
  • Ellwood Group — Commercial: $34.40
  • Multiplan — Percent of Charge: $72
  • Peak Health — MCR Advantage: $56
  • PNOA — Auto: $60
  • PNOA — Commercial: $64
  • PNOA — MCR Advantage: $60
  • PNOA — Workers Comp: $60
  • Private Healthcare Systems — Other: $68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $40
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates
  • Aetna — Auto Network: $11.62
  • Aetna — Commercial: $20.70
  • Aetna — MCD Advantage: $13.44
  • Aetna — MCR Advantage: $10.88
  • Aetna — Rental Network: $27.95
  • Aetna PEBTF Custom — HMO: $24.29
  • American Health Plan — MCR Advantage: $11.62
  • Amerihealth — MCD Advantage: $12.86
  • Amerihealth — MCR Advantage: $11.09
  • Cigna — Commercial: $15.84
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $12 – $247.50
Obstetric blood test panel: 10 of 47 insurance plan rates
  • Aetna — Auto Network: $52.59
  • Aetna — Commercial: $101.20
  • Aetna — MCD Advantage: $13.80
  • Aetna — MCR Advantage: $49.24
  • Aetna — Rental Network: $126.50
  • Aetna PEBTF Custom — HMO: $109.96
  • American Health Plan — MCR Advantage: $52.59
  • Amerihealth — MCD Advantage: $13.20
  • Amerihealth — MCR Advantage: $50.20
  • CCBH - Behavioral Health — Behavioral: $71.16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Profile $128 $89.60 $23.94 – $134.40
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $102.40
  • Aetna — Commercial: $64
  • Aetna — Rental Network: $83.20
  • CCBH - Behavioral Health — Behavioral: $64
  • Cigna — Commercial: $64
  • Devon — Commercial: $96
  • Devoted Health Plan — MCR Advantage: $51.20
  • Ellwood Group — Commercial: $38.40
  • Gateway — MCD Advantage: $134.40
  • Geisinger — MCR Advantage: $128
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cardio Iq Adv Lipid Panel $128 $89.60 $23.94 – $134.40
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $102.40
  • Aetna — Commercial: $64
  • Aetna — Rental Network: $83.20
  • CCBH - Behavioral Health — Behavioral: $64
  • Cigna — Commercial: $64
  • Devon — Commercial: $96
  • Devoted Health Plan — MCR Advantage: $51.20
  • Ellwood Group — Commercial: $38.40
  • Gateway — MCD Advantage: $134.40
  • Geisinger — MCR Advantage: $128
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Profile $128 $89.60 $51.20 – $115.20
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Devon — Commercial: $96
  • Devoted Health Plan — MCR Advantage: $51.20
  • Ellwood Group — Commercial: $55.04
  • Multiplan — Percent of Charge: $115.20
  • Peak Health — MCR Advantage: $89.60
  • PNOA — Auto: $96
  • PNOA — Commercial: $102.40
  • PNOA — MCR Advantage: $96
  • PNOA — Workers Comp: $96
  • Private Healthcare Systems — Other: $108.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function 10 Panel $65 $45.50 $12.16 – $68.25
Kidney function panel: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $52
  • Aetna — Commercial: $32.50
  • Aetna — Rental Network: $42.25
  • CCBH - Behavioral Health — Behavioral: $32.50
  • Cigna — Commercial: $32.50
  • Devon — Commercial: $48.75
  • Devoted Health Plan — MCR Advantage: $26
  • Ellwood Group — Commercial: $19.50
  • Gateway — MCD Advantage: $68.25
  • Geisinger — MCR Advantage: $65
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function 10 Panel $65 $45.50 $26 – $58.50
Kidney function panel: rates for 10 insurance plans
  • Devon — Commercial: $48.75
  • Devoted Health Plan — MCR Advantage: $26
  • Ellwood Group — Commercial: $27.95
  • Multiplan — Percent of Charge: $58.50
  • Peak Health — MCR Advantage: $45.50
  • PNOA — Auto: $48.75
  • PNOA — Commercial: $52
  • PNOA — MCR Advantage: $48.75
  • PNOA — Workers Comp: $48.75
  • Private Healthcare Systems — Other: $55.25
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $40
Kidney function panel: 10 of 47 insurance plan rates
  • Aetna — Auto Network: $9.55
  • Aetna — Commercial: $18.40
  • Aetna — MCD Advantage: $11.04
  • Aetna — MCR Advantage: $8.94
  • Aetna — Rental Network: $22.97
  • Aetna PEBTF Custom — HMO: $19.96
  • American Health Plan — MCR Advantage: $9.55
  • Amerihealth — MCD Advantage: $10.56
  • Amerihealth — MCR Advantage: $9.11
  • Cigna — Commercial: $13.03
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function 7 Panel $60 $42 $11.22 – $63
Liver function panel: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $48
  • Aetna — Commercial: $30
  • Aetna — Rental Network: $39
  • CCBH - Behavioral Health — Behavioral: $30
  • Cigna — Commercial: $30
  • Devon — Commercial: $45
  • Devoted Health Plan — MCR Advantage: $24
  • Ellwood Group — Commercial: $18
  • Gateway — MCD Advantage: $63
  • Geisinger — MCR Advantage: $60
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function 7 Panel $60 $42 $24 – $54
Liver function panel: rates for 10 insurance plans
  • Devon — Commercial: $45
  • Devoted Health Plan — MCR Advantage: $24
  • Ellwood Group — Commercial: $25.80
  • Multiplan — Percent of Charge: $54
  • Peak Health — MCR Advantage: $42
  • PNOA — Auto: $45
  • PNOA — Commercial: $48
  • PNOA — MCR Advantage: $45
  • PNOA — Workers Comp: $45
  • Private Healthcare Systems — Other: $51
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $40
Liver function panel: 10 of 47 insurance plan rates
  • Aetna — Auto Network: $8.99
  • Aetna — Commercial: $16.10
  • Aetna — MCD Advantage: $10.38
  • Aetna — MCR Advantage: $8.42
  • Aetna — Rental Network: $21.63
  • Aetna PEBTF Custom — HMO: $18.79
  • American Health Plan — MCR Advantage: $8.99
  • Amerihealth — MCD Advantage: $9.93
  • Amerihealth — MCR Advantage: $8.58
  • Cigna — Commercial: $12.25
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Rout + Micro $32 $22.40 $5.98 – $33.60
Urine test (automated, with microscope): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $25.60
  • Aetna — Commercial: $16
  • Aetna — Rental Network: $20.80
  • CCBH - Behavioral Health — Behavioral: $16
  • Cigna — Commercial: $16
  • Devon — Commercial: $24
  • Devoted Health Plan — MCR Advantage: $12.80
  • Ellwood Group — Commercial: $9.60
  • Gateway — MCD Advantage: $33.60
  • Geisinger — MCR Advantage: $32
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Reflex 5M/Ed $32 $22.40 $5.98 – $33.60
Urine test (automated, with microscope): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $25.60
  • Aetna — Commercial: $16
  • Aetna — Rental Network: $20.80
  • CCBH - Behavioral Health — Behavioral: $16
  • Cigna — Commercial: $16
  • Devon — Commercial: $24
  • Devoted Health Plan — MCR Advantage: $12.80
  • Ellwood Group — Commercial: $9.60
  • Gateway — MCD Advantage: $33.60
  • Geisinger — MCR Advantage: $32
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Rout + Micro $32 $22.40 $12.80 – $28.80
Urine test (automated, with microscope): rates for 10 insurance plans
  • Devon — Commercial: $24
  • Devoted Health Plan — MCR Advantage: $12.80
  • Ellwood Group — Commercial: $13.76
  • Multiplan — Percent of Charge: $28.80
  • Peak Health — MCR Advantage: $22.40
  • PNOA — Auto: $24
  • PNOA — Commercial: $25.60
  • PNOA — MCR Advantage: $24
  • PNOA — Workers Comp: $24
  • Private Healthcare Systems — Other: $27.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Poc Urine Dip 81002 $28 $19.60 $5.24 – $29.40
Urine test (manual, without microscope): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $22.40
  • Aetna — Commercial: $14
  • Aetna — Rental Network: $18.20
  • CCBH - Behavioral Health — Behavioral: $14
  • Cigna — Commercial: $14
  • Devon — Commercial: $21
  • Devoted Health Plan — MCR Advantage: $11.20
  • Ellwood Group — Commercial: $8.40
  • Gateway — MCD Advantage: $29.40
  • Geisinger — MCR Advantage: $28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Reducing Subs Urine $28 $19.60 $5.24 – $29.40
Urine test (manual, without microscope): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $22.40
  • Aetna — Commercial: $14
  • Aetna — Rental Network: $18.20
  • CCBH - Behavioral Health — Behavioral: $14
  • Cigna — Commercial: $14
  • Devon — Commercial: $21
  • Devoted Health Plan — MCR Advantage: $11.20
  • Ellwood Group — Commercial: $8.40
  • Gateway — MCD Advantage: $29.40
  • Geisinger — MCR Advantage: $28
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Poc Urine Dip 81002 $28 $19.60 $11.20 – $25.20
Urine test (manual, without microscope): rates for 10 insurance plans
  • Devon — Commercial: $21
  • Devoted Health Plan — MCR Advantage: $11.20
  • Ellwood Group — Commercial: $12.04
  • Multiplan — Percent of Charge: $25.20
  • Peak Health — MCR Advantage: $19.60
  • PNOA — Auto: $21
  • PNOA — Commercial: $22.40
  • PNOA — MCR Advantage: $21
  • PNOA — Workers Comp: $21
  • Private Healthcare Systems — Other: $23.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Without Microscopy $25 $17.50 $4.68 – $26.25
Urine test (automated, without microscope): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $20
  • Aetna — Commercial: $12.50
  • Aetna — Rental Network: $16.25
  • CCBH - Behavioral Health — Behavioral: $12.50
  • Cigna — Commercial: $12.50
  • Devon — Commercial: $18.75
  • Devoted Health Plan — MCR Advantage: $10
  • Ellwood Group — Commercial: $7.50
  • Gateway — MCD Advantage: $26.25
  • Geisinger — MCR Advantage: $25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ph $25 $17.50 $4.68 – $26.25
Urine test (automated, without microscope): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $20
  • Aetna — Commercial: $12.50
  • Aetna — Rental Network: $16.25
  • CCBH - Behavioral Health — Behavioral: $12.50
  • Cigna — Commercial: $12.50
  • Devon — Commercial: $18.75
  • Devoted Health Plan — MCR Advantage: $10
  • Ellwood Group — Commercial: $7.50
  • Gateway — MCD Advantage: $26.25
  • Geisinger — MCR Advantage: $25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ketones $25 $17.50 $4.68 – $26.25
Urine test (automated, without microscope): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $20
  • Aetna — Commercial: $12.50
  • Aetna — Rental Network: $16.25
  • CCBH - Behavioral Health — Behavioral: $12.50
  • Cigna — Commercial: $12.50
  • Devon — Commercial: $18.75
  • Devoted Health Plan — MCR Advantage: $10
  • Ellwood Group — Commercial: $7.50
  • Gateway — MCD Advantage: $26.25
  • Geisinger — MCR Advantage: $25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Post Prostatectomy $173 $121.10 $32.35 – $181.65
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $138.40
  • Aetna — Commercial: $86.50
  • Aetna — Rental Network: $112.45
  • CCBH - Behavioral Health — Behavioral: $86.50
  • Cigna — Commercial: $86.50
  • Devon — Commercial: $129.75
  • Devoted Health Plan — MCR Advantage: $69.20
  • Ellwood Group — Commercial: $51.90
  • Gateway — MCD Advantage: $181.65
  • Geisinger — MCR Advantage: $173
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa, Total $173 $121.10 $32.35 – $181.65
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $138.40
  • Aetna — Commercial: $86.50
  • Aetna — Rental Network: $112.45
  • CCBH - Behavioral Health — Behavioral: $86.50
  • Cigna — Commercial: $86.50
  • Devon — Commercial: $129.75
  • Devoted Health Plan — MCR Advantage: $69.20
  • Ellwood Group — Commercial: $51.90
  • Gateway — MCD Advantage: $181.65
  • Geisinger — MCR Advantage: $173
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen-Diag $173 $121.10 $32.35 – $181.65
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $138.40
  • Aetna — Commercial: $86.50
  • Aetna — Rental Network: $112.45
  • CCBH - Behavioral Health — Behavioral: $86.50
  • Cigna — Commercial: $86.50
  • Devon — Commercial: $129.75
  • Devoted Health Plan — MCR Advantage: $69.20
  • Ellwood Group — Commercial: $51.90
  • Gateway — MCD Advantage: $181.65
  • Geisinger — MCR Advantage: $173
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh 3rd Generation $116 $81.20 $21.69 – $121.80
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $92.80
  • Aetna — Commercial: $58
  • Aetna — Rental Network: $75.40
  • CCBH - Behavioral Health — Behavioral: $58
  • Cigna — Commercial: $58
  • Devon — Commercial: $87
  • Devoted Health Plan — MCR Advantage: $46.40
  • Ellwood Group — Commercial: $34.80
  • Gateway — MCD Advantage: $121.80
  • Geisinger — MCR Advantage: $116
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh $160 $112 $29.92 – $168
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $128
  • Aetna — Commercial: $80
  • Aetna — Rental Network: $104
  • CCBH - Behavioral Health — Behavioral: $80
  • Cigna — Commercial: $80
  • Devon — Commercial: $120
  • Devoted Health Plan — MCR Advantage: $64
  • Ellwood Group — Commercial: $48
  • Gateway — MCD Advantage: $168
  • Geisinger — MCR Advantage: $160
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH Pediatric/Adolescent $116 $81.20 $21.69 – $121.80
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $92.80
  • Aetna — Commercial: $58
  • Aetna — Rental Network: $75.40
  • CCBH - Behavioral Health — Behavioral: $58
  • Cigna — Commercial: $58
  • Devon — Commercial: $87
  • Devoted Health Plan — MCR Advantage: $46.40
  • Ellwood Group — Commercial: $34.80
  • Gateway — MCD Advantage: $121.80
  • Geisinger — MCR Advantage: $116
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc And Differential 85025 $75 $52.50 $14.02 – $78.75
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $60
  • Aetna — Commercial: $37.50
  • Aetna — Rental Network: $48.75
  • CCBH - Behavioral Health — Behavioral: $37.50
  • Cigna — Commercial: $37.50
  • Devon — Commercial: $56.25
  • Devoted Health Plan — MCR Advantage: $30
  • Ellwood Group — Commercial: $22.50
  • Gateway — MCD Advantage: $78.75
  • Geisinger — MCR Advantage: $75
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc And Differential 85025 $75 $52.50 $30 – $67.50
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Devon — Commercial: $56.25
  • Devoted Health Plan — MCR Advantage: $30
  • Ellwood Group — Commercial: $32.25
  • Multiplan — Percent of Charge: $67.50
  • Peak Health — MCR Advantage: $52.50
  • PNOA — Auto: $56.25
  • PNOA — Commercial: $60
  • PNOA — MCR Advantage: $56.25
  • PNOA — Workers Comp: $56.25
  • Private Healthcare Systems — Other: $63.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $6 – $38.85
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates
  • Aetna — Auto Network: $8.55
  • Aetna — Commercial: $16.10
  • Aetna — MCD Advantage: $6.90
  • Aetna — MCR Advantage: $8
  • Aetna — Rental Network: $20.56
  • Aetna PEBTF Custom — HMO: $17.87
  • American Health Plan — MCR Advantage: $8.55
  • Amerihealth — MCD Advantage: $6.60
  • Amerihealth — MCR Advantage: $8.16
  • CCBH - Behavioral Health — Behavioral: $36.42
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc 85027 $64 $44.80 $11.97 – $67.20
Complete blood count (CBC), automated: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $51.20
  • Aetna — Commercial: $32
  • Aetna — Rental Network: $41.60
  • CCBH - Behavioral Health — Behavioral: $32
  • Cigna — Commercial: $32
  • Devon — Commercial: $48
  • Devoted Health Plan — MCR Advantage: $25.60
  • Ellwood Group — Commercial: $19.20
  • Gateway — MCD Advantage: $67.20
  • Geisinger — MCR Advantage: $64
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc 85027 $64 $44.80 $25.60 – $57.60
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Devon — Commercial: $48
  • Devoted Health Plan — MCR Advantage: $25.60
  • Ellwood Group — Commercial: $27.52
  • Multiplan — Percent of Charge: $57.60
  • Peak Health — MCR Advantage: $44.80
  • PNOA — Auto: $48
  • PNOA — Commercial: $51.20
  • PNOA — MCR Advantage: $48
  • PNOA — Workers Comp: $48
  • Private Healthcare Systems — Other: $54.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6 – $23.01
Complete blood count (CBC), automated: 10 of 47 insurance plan rates
  • Aetna — Auto Network: $7.12
  • Aetna — Commercial: $13.80
  • Aetna — MCD Advantage: $8.65
  • Aetna — MCR Advantage: $6.66
  • Aetna — Rental Network: $17.12
  • Aetna PEBTF Custom — HMO: $14.88
  • American Health Plan — MCR Advantage: $7.12
  • Amerihealth — MCD Advantage: $8.27
  • Amerihealth — MCR Advantage: $6.79
  • CCBH - Behavioral Health — Behavioral: $19.39
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time 85610 $40 $28 $7.48 – $42
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $32
  • Aetna — Commercial: $20
  • Aetna — Rental Network: $26
  • CCBH - Behavioral Health — Behavioral: $20
  • Cigna — Commercial: $20
  • Devon — Commercial: $30
  • Devoted Health Plan — MCR Advantage: $16
  • Ellwood Group — Commercial: $12
  • Gateway — MCD Advantage: $42
  • Geisinger — MCR Advantage: $40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time 85610 $40 $28 $16 – $36
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Devon — Commercial: $30
  • Devoted Health Plan — MCR Advantage: $16
  • Ellwood Group — Commercial: $17.20
  • Multiplan — Percent of Charge: $36
  • Peak Health — MCR Advantage: $28
  • PNOA — Auto: $30
  • PNOA — Commercial: $32
  • PNOA — MCR Advantage: $30
  • PNOA — Workers Comp: $30
  • Private Healthcare Systems — Other: $34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $40
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • Aetna — Auto Network: $4.72
  • Aetna — Commercial: $9.20
  • Aetna — MCD Advantage: $4.60
  • Aetna — MCR Advantage: $4.42
  • Aetna — Rental Network: $10.41
  • Aetna PEBTF Custom — HMO: $9.87
  • American Health Plan — MCR Advantage: $4.72
  • Amerihealth — MCD Advantage: $4.40
  • Amerihealth — MCR Advantage: $4.50
  • Cigna — Commercial: $6.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lupus Anti Ptt/Interpretation $48 $33.60 $8.98 – $50.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $38.40
  • Aetna — Commercial: $24
  • Aetna — Rental Network: $31.20
  • CCBH - Behavioral Health — Behavioral: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Ellwood Group — Commercial: $14.40
  • Gateway — MCD Advantage: $50.40
  • Geisinger — MCR Advantage: $48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Part Thrombo Time Ptt $48 $33.60 $8.98 – $50.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $38.40
  • Aetna — Commercial: $24
  • Aetna — Rental Network: $31.20
  • CCBH - Behavioral Health — Behavioral: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Ellwood Group — Commercial: $14.40
  • Gateway — MCD Advantage: $50.40
  • Geisinger — MCR Advantage: $48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ptt Test 85730 $48 $33.60 $8.98 – $50.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $38.40
  • Aetna — Commercial: $24
  • Aetna — Rental Network: $31.20
  • CCBH - Behavioral Health — Behavioral: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Ellwood Group — Commercial: $14.40
  • Gateway — MCD Advantage: $50.40
  • Geisinger — MCR Advantage: $48

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head Brain wo Contrast $1,154 $807.80 $215.80 – $1,211.70
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $923.20
  • Aetna — Commercial: $577
  • Aetna — Rental Network: $750.10
  • CCBH - Behavioral Health — Behavioral: $577
  • Cigna — Commercial: $577
  • Devon — Commercial: $865.50
  • Devoted Health Plan — MCR Advantage: $461.60
  • Ellwood Group — Commercial: $346.20
  • Gateway — MCD Advantage: $1,211.70
  • Geisinger — MCR Advantage: $1,154
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head Brain wo Contrast $1,154 $807.80 $461.60 – $1,038.60
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Devon — Commercial: $865.50
  • Devoted Health Plan — MCR Advantage: $461.60
  • Ellwood Group — Commercial: $496.22
  • Multiplan — Percent of Charge: $1,038.60
  • Peak Health — MCR Advantage: $807.80
  • PNOA — Auto: $865.50
  • PNOA — Commercial: $923.20
  • PNOA — MCR Advantage: $865.50
  • PNOA — Workers Comp: $865.50
  • Private Healthcare Systems — Other: $980.90
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $100.26 – $644.91
CT scan of the head or brain, without contrast: 10 of 48 insurance plan rates
  • Aetna — Auto Network: $112.53
  • Aetna — Commercial: $235.30
  • Aetna — MCD Advantage: $134.26
  • Aetna — MCR Advantage: $105.37
  • Aetna — Rental Network: $268.87
  • Aetna PEBTF Custom — HMO: $235.30
  • American Health Plan — MCR Advantage: $112.53
  • Amerihealth — MCD Advantage: $128.43
  • Amerihealth — MCR Advantage: $107.42
  • CCBH - Behavioral Health — Behavioral: $604.60
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brn/Brn St w/wo Gad $5,035 $3,524.50 $941.54 – $5,286.75
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $4,028
  • Aetna — Commercial: $2,517.50
  • Aetna — Rental Network: $3,272.75
  • CCBH - Behavioral Health — Behavioral: $2,517.50
  • Cigna — Commercial: $2,517.50
  • Devon — Commercial: $3,776.25
  • Devoted Health Plan — MCR Advantage: $2,014
  • Ellwood Group — Commercial: $1,510.50
  • Gateway — MCD Advantage: $5,286.75
  • Geisinger — MCR Advantage: $5,035
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brn/Brn St w/wo Gad $5,035 $3,524.50 $2,014 – $4,531.50
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Devon — Commercial: $3,776.25
  • Devoted Health Plan — MCR Advantage: $2,014
  • Ellwood Group — Commercial: $2,165.05
  • Multiplan — Percent of Charge: $4,531.50
  • Peak Health — MCR Advantage: $3,524.50
  • PNOA — Auto: $3,776.25
  • PNOA — Commercial: $4,028
  • PNOA — MCR Advantage: $3,776.25
  • PNOA — Workers Comp: $3,776.25
  • Private Healthcare Systems — Other: $4,279.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $336.70 – $2,995.34
MRI of the brain, before and after contrast: 10 of 48 insurance plan rates
  • Aetna — Auto Network: $377.92
  • Aetna — Commercial: $790.20
  • Aetna — MCD Advantage: $389.85
  • Aetna — MCR Advantage: $353.87
  • Aetna — Rental Network: $918.39
  • Aetna PEBTF Custom — HMO: $790.20
  • American Health Plan — MCR Advantage: $377.92
  • Amerihealth — MCD Advantage: $372.90
  • Amerihealth — MCR Advantage: $360.75
  • CCBH - Behavioral Health — Behavioral: $2,808.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest Xray Cv Access 71010 $275 $192.50 $51.42 – $288.75
Chest X-ray, 2 views: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $220
  • Aetna — Commercial: $137.50
  • Aetna — Rental Network: $178.75
  • CCBH - Behavioral Health — Behavioral: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Ellwood Group — Commercial: $82.50
  • Gateway — MCD Advantage: $288.75
  • Geisinger — MCR Advantage: $275
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest Xray 2V $275 $192.50 $51.42 – $288.75
Chest X-ray, 2 views: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $220
  • Aetna — Commercial: $137.50
  • Aetna — Rental Network: $178.75
  • CCBH - Behavioral Health — Behavioral: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Ellwood Group — Commercial: $82.50
  • Gateway — MCD Advantage: $288.75
  • Geisinger — MCR Advantage: $275
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Chest Xray Cv Access 71010 $275 $192.50 $110 – $247.50
Chest X-ray, 2 views: rates for 10 insurance plans
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Ellwood Group — Commercial: $118.25
  • Multiplan — Percent of Charge: $247.50
  • Peak Health — MCR Advantage: $192.50
  • PNOA — Auto: $206.25
  • PNOA — Commercial: $220
  • PNOA — MCR Advantage: $206.25
  • PNOA — Workers Comp: $206.25
  • Private Healthcare Systems — Other: $233.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Spine Xray Lumbosac Min 4V $648 $453.60 $121.18 – $680.40
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $518.40
  • Aetna — Commercial: $324
  • Aetna — Rental Network: $421.20
  • CCBH - Behavioral Health — Behavioral: $324
  • Cigna — Commercial: $324
  • Devon — Commercial: $486
  • Devoted Health Plan — MCR Advantage: $259.20
  • Ellwood Group — Commercial: $194.40
  • Gateway — MCD Advantage: $680.40
  • Geisinger — MCR Advantage: $648
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spine Xray Lumbosac Min 4V $648 $453.60 $259.20 – $583.20
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Devon — Commercial: $486
  • Devoted Health Plan — MCR Advantage: $259.20
  • Ellwood Group — Commercial: $278.64
  • Multiplan — Percent of Charge: $583.20
  • Peak Health — MCR Advantage: $453.60
  • PNOA — Auto: $486
  • PNOA — Commercial: $518.40
  • PNOA — MCR Advantage: $486
  • PNOA — Workers Comp: $486
  • Private Healthcare Systems — Other: $550.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $40
X-ray of the lower spine, at least 4 views: 10 of 48 insurance plan rates
  • Aetna — Auto Network: $112.53
  • Aetna — Commercial: $235.30
  • Aetna — MCD Advantage: $42.11
  • Aetna — MCR Advantage: $105.37
  • Aetna — Rental Network: $112.39
  • Aetna PEBTF Custom — HMO: $235.30
  • American Health Plan — MCR Advantage: $112.53
  • Amerihealth — MCD Advantage: $40.28
  • Amerihealth — MCR Advantage: $107.42
  • Cigna — Commercial: $233.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine wo Gad $3,952 $2,766.40 $739.02 – $4,149.60
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $3,161.60
  • Aetna — Commercial: $1,976
  • Aetna — Rental Network: $2,568.80
  • CCBH - Behavioral Health — Behavioral: $1,976
  • Cigna — Commercial: $1,976
  • Devon — Commercial: $2,964
  • Devoted Health Plan — MCR Advantage: $1,580.80
  • Ellwood Group — Commercial: $1,185.60
  • Gateway — MCD Advantage: $4,149.60
  • Geisinger — MCR Advantage: $3,952
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lumbar Spine wo Gad $3,952 $2,766.40 $1,580.80 – $3,556.80
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Devon — Commercial: $2,964
  • Devoted Health Plan — MCR Advantage: $1,580.80
  • Ellwood Group — Commercial: $1,699.36
  • Multiplan — Percent of Charge: $3,556.80
  • Peak Health — MCR Advantage: $2,766.40
  • PNOA — Auto: $2,964
  • PNOA — Commercial: $3,161.60
  • PNOA — MCR Advantage: $2,964
  • PNOA — Workers Comp: $2,964
  • Private Healthcare Systems — Other: $3,359.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $227.89 – $1,531.24
MRI of the lower back (lumbar spine), without contrast: 10 of 48 insurance plan rates
  • Aetna — Auto Network: $255.79
  • Aetna — Commercial: $534.84
  • Aetna — MCD Advantage: $294.57
  • Aetna — MCR Advantage: $239.51
  • Aetna — Rental Network: $543.11
  • Aetna PEBTF Custom — HMO: $534.84
  • American Health Plan — MCR Advantage: $255.79
  • Amerihealth — MCD Advantage: $281.77
  • Amerihealth — MCR Advantage: $244.17
  • CCBH - Behavioral Health — Behavioral: $1,435.54
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Scan PelvisEnhanced $1,000 $700 $187 – $1,050
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $800
  • Aetna — Commercial: $500
  • Aetna — Rental Network: $650
  • CCBH - Behavioral Health — Behavioral: $500
  • Cigna — Commercial: $500
  • Devon — Commercial: $750
  • Devoted Health Plan — MCR Advantage: $400
  • Ellwood Group — Commercial: $300
  • Gateway — MCD Advantage: $1,050
  • Geisinger — MCR Advantage: $1,000
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Scan PelvisEnhanced $1,000 $700 $400 – $900
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Devon — Commercial: $750
  • Devoted Health Plan — MCR Advantage: $400
  • Ellwood Group — Commercial: $430
  • Multiplan — Percent of Charge: $900
  • Peak Health — MCR Advantage: $700
  • PNOA — Auto: $750
  • PNOA — Commercial: $800
  • PNOA — MCR Advantage: $750
  • PNOA — Workers Comp: $750
  • Private Healthcare Systems — Other: $850
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $40
CT scan of the pelvis, with contrast: 10 of 48 insurance plan rates
  • Aetna — Auto Network: $188.38
  • Aetna — Commercial: $393.89
  • Aetna — MCD Advantage: $161.10
  • Aetna — MCR Advantage: $176.39
  • Aetna — Rental Network: $519.71
  • Aetna PEBTF Custom — HMO: $393.89
  • American Health Plan — MCR Advantage: $188.38
  • Amerihealth — MCD Advantage: $154.10
  • Amerihealth — MCR Advantage: $179.82
  • Cigna — Commercial: $391.29
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lower Extr Jt wo Contrast $3,952 $2,766.40 $739.02 – $4,149.60
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $3,161.60
  • Aetna — Commercial: $1,976
  • Aetna — Rental Network: $2,568.80
  • CCBH - Behavioral Health — Behavioral: $1,976
  • Cigna — Commercial: $1,976
  • Devon — Commercial: $2,964
  • Devoted Health Plan — MCR Advantage: $1,580.80
  • Ellwood Group — Commercial: $1,185.60
  • Gateway — MCD Advantage: $4,149.60
  • Geisinger — MCR Advantage: $3,952
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lower Extr Jt wo Contrast $3,952 $2,766.40 $1,580.80 – $3,556.80
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Devon — Commercial: $2,964
  • Devoted Health Plan — MCR Advantage: $1,580.80
  • Ellwood Group — Commercial: $1,699.36
  • Multiplan — Percent of Charge: $3,556.80
  • Peak Health — MCR Advantage: $2,766.40
  • PNOA — Auto: $2,964
  • PNOA — Commercial: $3,161.60
  • PNOA — MCR Advantage: $2,964
  • PNOA — Workers Comp: $2,964
  • Private Healthcare Systems — Other: $3,359.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $227.89 – $1,320.31
MRI of a leg joint (such as the knee), without contrast: 10 of 40 insurance plan rates
  • Aetna — Auto Network: $255.79
  • Aetna — Commercial: $534.84
  • Aetna — MCR Advantage: $239.51
  • Aetna — Rental Network: $574.56
  • Aetna PEBTF Custom — HMO: $534.84
  • American Health Plan — MCR Advantage: $255.79
  • Amerihealth — MCR Advantage: $244.17
  • CCBH - Behavioral Health — Behavioral: $1,237.79
  • Cigna — Commercial: $531.32
  • Devoted Health Plan — MCR Advantage: $246.49
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen Pelvis Enhanced $3,000 $2,100 $561 – $3,150
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $2,400
  • Aetna — Commercial: $1,500
  • Aetna — Rental Network: $1,950
  • CCBH - Behavioral Health — Behavioral: $1,500
  • Cigna — Commercial: $1,500
  • Devon — Commercial: $2,250
  • Devoted Health Plan — MCR Advantage: $1,200
  • Ellwood Group — Commercial: $900
  • Gateway — MCD Advantage: $3,150
  • Geisinger — MCR Advantage: $3,000
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen Pelvis Enhanced $3,000 $2,100 $1,200 – $2,700
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Devon — Commercial: $2,250
  • Devoted Health Plan — MCR Advantage: $1,200
  • Ellwood Group — Commercial: $1,290
  • Multiplan — Percent of Charge: $2,700
  • Peak Health — MCR Advantage: $2,100
  • PNOA — Auto: $2,250
  • PNOA — Commercial: $2,400
  • PNOA — MCR Advantage: $2,250
  • PNOA — Workers Comp: $2,250
  • Private Healthcare Systems — Other: $2,550
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast Not listed in the file Not listed in the file $40
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — Auto Network: $377.92
  • Aetna — Commercial: $790.20
  • Aetna — MCD Advantage: $302.63
  • Aetna — MCR Advantage: $353.87
  • Aetna — Rental Network: $716.37
  • Aetna PEBTF Custom — HMO: $790.20
  • American Health Plan — MCR Advantage: $377.92
  • Amerihealth — MCD Advantage: $289.48
  • Amerihealth — MCR Advantage: $360.75
  • Cigna — Commercial: $785
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Upper Abdominal $1,022 $715.40 $191.11 – $1,073.10
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $817.60
  • Aetna — Commercial: $511
  • Aetna — Rental Network: $664.30
  • CCBH - Behavioral Health — Behavioral: $511
  • Cigna — Commercial: $511
  • Devon — Commercial: $766.50
  • Devoted Health Plan — MCR Advantage: $408.80
  • Ellwood Group — Commercial: $306.60
  • Gateway — MCD Advantage: $1,073.10
  • Geisinger — MCR Advantage: $1,022
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Upper Abdominal $1,022 $715.40 $408.80 – $919.80
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Devon — Commercial: $766.50
  • Devoted Health Plan — MCR Advantage: $408.80
  • Ellwood Group — Commercial: $439.46
  • Multiplan — Percent of Charge: $919.80
  • Peak Health — MCR Advantage: $715.40
  • PNOA — Auto: $766.50
  • PNOA — Commercial: $817.60
  • PNOA — MCR Advantage: $766.50
  • PNOA — Workers Comp: $766.50
  • Private Healthcare Systems — Other: $868.70
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $40
Ultrasound of the abdomen, complete: 10 of 48 insurance plan rates
  • Aetna — Auto Network: $112.53
  • Aetna — Commercial: $235.30
  • Aetna — MCD Advantage: $109.56
  • Aetna — MCR Advantage: $105.37
  • Aetna — Rental Network: $284.66
  • Aetna PEBTF Custom — HMO: $235.30
  • American Health Plan — MCR Advantage: $112.53
  • Amerihealth — MCD Advantage: $104.80
  • Amerihealth — MCR Advantage: $107.42
  • Cigna — Commercial: $233.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg 14+Wks Sing Gest 76805 $1,217 $851.90 $227.58 – $1,277.85
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $973.60
  • Aetna — Commercial: $608.50
  • Aetna — Rental Network: $791.05
  • CCBH - Behavioral Health — Behavioral: $608.50
  • Cigna — Commercial: $608.50
  • Devon — Commercial: $912.75
  • Devoted Health Plan — MCR Advantage: $486.80
  • Ellwood Group — Commercial: $365.10
  • Gateway — MCD Advantage: $1,277.85
  • Geisinger — MCR Advantage: $1,217
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg 14+Wks Sing Gest Mfm $1,217 $851.90 $227.58 – $1,277.85
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $973.60
  • Aetna — Commercial: $608.50
  • Aetna — Rental Network: $791.05
  • CCBH - Behavioral Health — Behavioral: $608.50
  • Cigna — Commercial: $608.50
  • Devon — Commercial: $912.75
  • Devoted Health Plan — MCR Advantage: $486.80
  • Ellwood Group — Commercial: $365.10
  • Gateway — MCD Advantage: $1,277.85
  • Geisinger — MCR Advantage: $1,217
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Preg 14+Wks Sing Gest 76805 $1,217 $851.90 $486.80 – $1,095.30
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Devon — Commercial: $912.75
  • Devoted Health Plan — MCR Advantage: $486.80
  • Ellwood Group — Commercial: $523.31
  • Multiplan — Percent of Charge: $1,095.30
  • Peak Health — MCR Advantage: $851.90
  • PNOA — Auto: $912.75
  • PNOA — Commercial: $973.60
  • PNOA — MCR Advantage: $912.75
  • PNOA — Workers Comp: $912.75
  • Private Healthcare Systems — Other: $1,034.45
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pelvic Transvaginal 76830 $749 $524.30 $140.06 – $786.45
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $599.20
  • Aetna — Commercial: $374.50
  • Aetna — Rental Network: $486.85
  • CCBH - Behavioral Health — Behavioral: $374.50
  • Cigna — Commercial: $374.50
  • Devon — Commercial: $561.75
  • Devoted Health Plan — MCR Advantage: $299.60
  • Ellwood Group — Commercial: $224.70
  • Gateway — MCD Advantage: $786.45
  • Geisinger — MCR Advantage: $749
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Pelvic $402 $281.40 $75.17 – $422.10
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $321.60
  • Aetna — Commercial: $201
  • Aetna — Rental Network: $261.30
  • CCBH - Behavioral Health — Behavioral: $201
  • Cigna — Commercial: $201
  • Devon — Commercial: $301.50
  • Devoted Health Plan — MCR Advantage: $160.80
  • Ellwood Group — Commercial: $120.60
  • Gateway — MCD Advantage: $422.10
  • Geisinger — MCR Advantage: $402
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Pelvic Transvaginal 76830 $749 $524.30 $299.60 – $674.10
Transvaginal ultrasound: rates for 10 insurance plans
  • Devon — Commercial: $561.75
  • Devoted Health Plan — MCR Advantage: $299.60
  • Ellwood Group — Commercial: $322.07
  • Multiplan — Percent of Charge: $674.10
  • Peak Health — MCR Advantage: $524.30
  • PNOA — Auto: $561.75
  • PNOA — Commercial: $599.20
  • PNOA — MCR Advantage: $561.75
  • PNOA — Workers Comp: $561.75
  • Private Healthcare Systems — Other: $636.65
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Study Digital Lt G0206 $350 $245 $65.45 – $367.50
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $280
  • Aetna — Commercial: $175
  • Aetna — Rental Network: $227.50
  • CCBH - Behavioral Health — Behavioral: $175
  • Cigna — Commercial: $175
  • Devon — Commercial: $262.50
  • Devoted Health Plan — MCR Advantage: $140
  • Ellwood Group — Commercial: $105
  • Gateway — MCD Advantage: $367.50
  • Geisinger — MCR Advantage: $350
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Study Digital Rt G0206 $350 $245 $65.45 – $367.50
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $280
  • Aetna — Commercial: $175
  • Aetna — Rental Network: $227.50
  • CCBH - Behavioral Health — Behavioral: $175
  • Cigna — Commercial: $175
  • Devon — Commercial: $262.50
  • Devoted Health Plan — MCR Advantage: $140
  • Ellwood Group — Commercial: $105
  • Gateway — MCD Advantage: $367.50
  • Geisinger — MCR Advantage: $350
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Study Dig Lt Sp G0206 $498 $348.60 $93.13 – $522.90
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $398.40
  • Aetna — Commercial: $249
  • Aetna — Rental Network: $323.70
  • CCBH - Behavioral Health — Behavioral: $249
  • Cigna — Commercial: $249
  • Devon — Commercial: $373.50
  • Devoted Health Plan — MCR Advantage: $199.20
  • Ellwood Group — Commercial: $149.40
  • Gateway — MCD Advantage: $522.90
  • Geisinger — MCR Advantage: $498
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Digital Bilateral G0204 $520 $364 $97.24 – $546
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $416
  • Aetna — Commercial: $260
  • Aetna — Rental Network: $338
  • CCBH - Behavioral Health — Behavioral: $260
  • Cigna — Commercial: $260
  • Devon — Commercial: $390
  • Devoted Health Plan — MCR Advantage: $208
  • Ellwood Group — Commercial: $156
  • Gateway — MCD Advantage: $546
  • Geisinger — MCR Advantage: $520
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mammo Digital Bilateral G0204 $520 $364 $208 – $468
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Devon — Commercial: $390
  • Devoted Health Plan — MCR Advantage: $208
  • Ellwood Group — Commercial: $223.60
  • Multiplan — Percent of Charge: $468
  • Peak Health — MCR Advantage: $364
  • PNOA — Auto: $390
  • PNOA — Commercial: $416
  • PNOA — MCR Advantage: $390
  • PNOA — Workers Comp: $390
  • Private Healthcare Systems — Other: $442
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $98.44 – $530.38
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates
  • Aetna — Auto Network: $110.50
  • Aetna — Commercial: $370.30
  • Aetna — MCD Advantage: $149.33
  • Aetna — MCR Advantage: $103.46
  • Aetna — Rental Network: $392.98
  • Aetna PEBTF Custom — HMO: $231.04
  • American Health Plan — MCR Advantage: $110.50
  • Amerihealth — MCD Advantage: $142.84
  • Amerihealth — MCR Advantage: $105.47
  • CCBH - Behavioral Health — Behavioral: $497.23
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Screen Digital Bilat $427 $298.90 $79.85 – $448.35
Screening mammogram, both breasts: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $341.60
  • Aetna — Commercial: $213.50
  • Aetna — Rental Network: $277.55
  • CCBH - Behavioral Health — Behavioral: $213.50
  • Cigna — Commercial: $213.50
  • Devon — Commercial: $320.25
  • Devoted Health Plan — MCR Advantage: $170.80
  • Ellwood Group — Commercial: $128.10
  • Gateway — MCD Advantage: $448.35
  • Geisinger — MCR Advantage: $427
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mammo Screen Digital Bilat $427 $298.90 $170.80 – $384.30
Screening mammogram, both breasts: rates for 10 insurance plans
  • Devon — Commercial: $320.25
  • Devoted Health Plan — MCR Advantage: $170.80
  • Ellwood Group — Commercial: $183.61
  • Multiplan — Percent of Charge: $384.30
  • Peak Health — MCR Advantage: $298.90
  • PNOA — Auto: $320.25
  • PNOA — Commercial: $341.60
  • PNOA — MCR Advantage: $320.25
  • PNOA — Workers Comp: $320.25
  • Private Healthcare Systems — Other: $362.95
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $81.40 – $433.27
Screening mammogram, both breasts: 10 of 45 insurance plan rates
  • Aetna — Auto Network: $91.37
  • Aetna — Commercial: $299
  • Aetna — MCD Advantage: $120.41
  • Aetna — MCR Advantage: $85.55
  • Aetna — Rental Network: $316.86
  • Aetna PEBTF Custom — HMO: $191.04
  • American Health Plan — MCR Advantage: $91.37
  • Amerihealth — MCD Advantage: $115.17
  • Amerihealth — MCR Advantage: $87.21
  • CCBH - Behavioral Health — Behavioral: $406.19

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $40
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates
  • Aetna — Commercial: $34.50
  • Aetna — MCD Advantage: $22.10
  • Amerihealth — MCD Advantage: $21.14
  • Gateway — MCD Advantage: $21.72
  • Geisinger — MCD Advantage: $20.95
  • Jefferson Health Plan — MCD Advantage: $21.14
  • Martin's Point - USFHP — Tricare: $13.29
  • Medicaid — Traditional Medicaid: $19.22
  • PNOA — Workers Comp: $68.43
  • Tricare — Tricare: $13.29
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L Heart Cath w/Wo Lv $6,500 $4,550 $1,215.50 – $6,825
Left heart catheterization (diagnostic): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $5,200
  • Aetna — Commercial: $3,250
  • Aetna — Rental Network: $4,225
  • CCBH - Behavioral Health — Behavioral: $3,250
  • Cigna — Commercial: $3,250
  • Devon — Commercial: $4,875
  • Devoted Health Plan — MCR Advantage: $2,600
  • Ellwood Group — Commercial: $1,950
  • Gateway — MCD Advantage: $6,825
  • Geisinger — MCR Advantage: $6,500
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: L Heart Cath w/Wo Lv $6,500 $4,550 $2,600 – $5,850
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • Devon — Commercial: $4,875
  • Devoted Health Plan — MCR Advantage: $2,600
  • Ellwood Group — Commercial: $2,795
  • Multiplan — Percent of Charge: $5,850
  • Peak Health — MCR Advantage: $4,550
  • PNOA — Auto: $4,875
  • PNOA — Commercial: $5,200
  • PNOA — MCR Advantage: $4,875
  • PNOA — Workers Comp: $4,875
  • Private Healthcare Systems — Other: $5,525
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Left heart catheterization (diagnostic): 10 of 40 insurance plan rates
  • Aetna — Auto Network: $3,403.68
  • Aetna — Commercial: $7,116.79
  • Aetna — MCR Advantage: $3,187.08
  • Aetna — Rental Network: $6,285
  • Aetna PEBTF Custom — HMO: $7,116.79
  • American Health Plan — MCR Advantage: $3,403.68
  • Amerihealth — MCD Advantage: $1,000
  • Amerihealth — MCR Advantage: $3,248.97
  • Cigna — Commercial: $7,069.92
  • Devoted Health Plan — MCR Advantage: $3,279.91
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ep Evaluation $13,000 $9,100 $2,431 – $13,650
Heart rhythm study (electrophysiology evaluation): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $10,400
  • Aetna — Commercial: $6,500
  • Aetna — Rental Network: $8,450
  • CCBH - Behavioral Health — Behavioral: $6,500
  • Cigna — Commercial: $6,500
  • Devon — Commercial: $9,750
  • Devoted Health Plan — MCR Advantage: $5,200
  • Ellwood Group — Commercial: $3,900
  • Gateway — MCD Advantage: $13,650
  • Geisinger — MCR Advantage: $13,000
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ep Evaluation $13,000 $9,100 $5,200 – $11,700
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
  • Devon — Commercial: $9,750
  • Devoted Health Plan — MCR Advantage: $5,200
  • Ellwood Group — Commercial: $5,590
  • Multiplan — Percent of Charge: $11,700
  • Peak Health — MCR Advantage: $9,100
  • PNOA — Auto: $9,750
  • PNOA — Commercial: $10,400
  • PNOA — MCR Advantage: $9,750
  • PNOA — Workers Comp: $9,750
  • Private Healthcare Systems — Other: $11,050
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $402.31 – $18,721.56
Heart rhythm study (electrophysiology evaluation): 10 of 40 insurance plan rates
  • Aetna — Auto Network: $8,029.90
  • Aetna — Commercial: $16,789.79
  • Aetna — MCR Advantage: $7,518.90
  • Aetna — Rental Network: $4,482
  • Aetna PEBTF Custom — HMO: $16,789.79
  • American Health Plan — MCR Advantage: $8,029.90
  • Amerihealth — MCR Advantage: $7,664.90
  • CCBH - Behavioral Health — Behavioral: $1,659.53
  • Cigna — Commercial: $16,679.21
  • Devoted Health Plan — MCR Advantage: $7,737.90
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comp Ep Eval w/Abl A Fib 93656 $64,676 $45,273.20 $12,094.41 – $67,909.80
Heart rhythm study with ablation for atrial fibrillation: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $51,740.80
  • Aetna — Commercial: $32,338
  • Aetna — Rental Network: $42,039.40
  • CCBH - Behavioral Health — Behavioral: $32,338
  • Cigna — Commercial: $32,338
  • Devon — Commercial: $48,507
  • Devoted Health Plan — MCR Advantage: $25,870.40
  • Ellwood Group — Commercial: $19,402.80
  • Gateway — MCD Advantage: $67,909.80
  • Geisinger — MCR Advantage: $64,676
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comp Ep Eval w/Abl A Fib 93656 $64,676 $45,273.20 $25,870.40 – $58,208.40
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
  • Devon — Commercial: $48,507
  • Devoted Health Plan — MCR Advantage: $25,870.40
  • Ellwood Group — Commercial: $27,810.68
  • Multiplan — Percent of Charge: $58,208.40
  • Peak Health — MCR Advantage: $45,273.20
  • PNOA — Auto: $48,507
  • PNOA — Commercial: $51,740.80
  • PNOA — MCR Advantage: $48,507
  • PNOA — Workers Comp: $48,507
  • Private Healthcare Systems — Other: $54,974.60
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $1,622.70 – $60,526.71
Heart rhythm study with ablation for atrial fibrillation: 10 of 39 insurance plan rates
  • Aetna — Auto Network: $25,960.62
  • Aetna — Commercial: $54,281.30
  • Aetna — MCR Advantage: $24,308.58
  • Aetna — Rental Network: $4,482
  • Aetna PEBTF Custom — HMO: $54,281.30
  • American Health Plan — MCR Advantage: $25,960.62
  • Amerihealth — MCR Advantage: $24,780.59
  • CCBH - Behavioral Health — Behavioral: $11,202.68
  • Cigna — Commercial: $53,923.79
  • Devoted Health Plan — MCR Advantage: $25,016.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography $4,947 $3,462.90 $925.09 – $5,194.35
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $3,957.60
  • Aetna — Commercial: $2,473.50
  • Aetna — Rental Network: $3,215.55
  • CCBH - Behavioral Health — Behavioral: $2,473.50
  • Cigna — Commercial: $2,473.50
  • Devon — Commercial: $3,710.25
  • Devoted Health Plan — MCR Advantage: $1,978.80
  • Ellwood Group — Commercial: $1,484.10
  • Gateway — MCD Advantage: $5,194.35
  • Geisinger — MCR Advantage: $4,947
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Polysomnography $4,947 $3,462.90 $1,978.80 – $4,452.30
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • Devon — Commercial: $3,710.25
  • Devoted Health Plan — MCR Advantage: $1,978.80
  • Ellwood Group — Commercial: $2,127.21
  • Multiplan — Percent of Charge: $4,452.30
  • Peak Health — MCR Advantage: $3,462.90
  • PNOA — Auto: $3,710.25
  • PNOA — Commercial: $3,957.60
  • PNOA — MCR Advantage: $3,710.25
  • PNOA — Workers Comp: $3,710.25
  • Private Healthcare Systems — Other: $4,204.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $40
Sleep study (overnight, in a sleep lab): 10 of 48 insurance plan rates
  • Aetna — Auto Network: $1,076.63
  • Aetna — Commercial: $2,251.13
  • Aetna — MCD Advantage: $398.54
  • Aetna — MCR Advantage: $1,008.11
  • Aetna — Rental Network: $960.95
  • Aetna PEBTF Custom — HMO: $2,251.13
  • American Health Plan — MCR Advantage: $1,076.63
  • Amerihealth — MCD Advantage: $297.35
  • Amerihealth — MCR Advantage: $1,027.69
  • Cigna — Commercial: $2,236.30

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exercise Attended @15Min $236 $165.20 $44.13 – $247.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $188.80
  • Aetna — Commercial: $118
  • Aetna — Rental Network: $153.40
  • CCBH - Behavioral Health — Behavioral: $118
  • Cigna — Commercial: $118
  • Devon — Commercial: $177
  • Devoted Health Plan — MCR Advantage: $94.40
  • Ellwood Group — Commercial: $70.80
  • Gateway — MCD Advantage: $247.80
  • Geisinger — MCR Advantage: $236
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exercise @15 Min $236 $165.20 $44.13 – $247.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $188.80
  • Aetna — Commercial: $118
  • Aetna — Rental Network: $153.40
  • CCBH - Behavioral Health — Behavioral: $118
  • Cigna — Commercial: $118
  • Devon — Commercial: $177
  • Devoted Health Plan — MCR Advantage: $94.40
  • Ellwood Group — Commercial: $70.80
  • Gateway — MCD Advantage: $247.80
  • Geisinger — MCR Advantage: $236
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lymph Pt Ther Exercise $236 $165.20 $44.13 – $247.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $188.80
  • Aetna — Commercial: $118
  • Aetna — Rental Network: $153.40
  • CCBH - Behavioral Health — Behavioral: $118
  • Cigna — Commercial: $118
  • Devon — Commercial: $177
  • Devoted Health Plan — MCR Advantage: $94.40
  • Ellwood Group — Commercial: $70.80
  • Gateway — MCD Advantage: $247.80
  • Geisinger — MCR Advantage: $236
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $69.97 – $236.23
Physical therapy evaluation (low complexity): 10 of 40 insurance plan rates
  • Aetna — Auto Network: $103.94
  • Aetna — Commercial: $184
  • Aetna — MCR Advantage: $97.32
  • Aetna — Rental Network: $108.04
  • Aetna PEBTF Custom — HMO: $217.33
  • American Health Plan — MCR Advantage: $103.94
  • Amerihealth — MCD Advantage: $69.97
  • Amerihealth — MCR Advantage: $99.21
  • CCBH - Behavioral Health — Behavioral: $141.24
  • Cigna — Commercial: $236.23
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP|KX In the file: Evaluation Low Complexity $470 $329 $87.89 – $493.50
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $376
  • Aetna — Commercial: $235
  • Aetna — Rental Network: $305.50
  • CCBH - Behavioral Health — Behavioral: $235
  • Cigna — Commercial: $235
  • Devon — Commercial: $352.50
  • Devoted Health Plan — MCR Advantage: $188
  • Ellwood Group — Commercial: $141
  • Gateway — MCD Advantage: $493.50
  • Geisinger — MCR Advantage: $470
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Evaluation Low Complexity $470 $329 $87.89 – $493.50
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $376
  • Aetna — Commercial: $235
  • Aetna — Rental Network: $305.50
  • CCBH - Behavioral Health — Behavioral: $235
  • Cigna — Commercial: $235
  • Devon — Commercial: $352.50
  • Devoted Health Plan — MCR Advantage: $188
  • Ellwood Group — Commercial: $141
  • Gateway — MCD Advantage: $493.50
  • Geisinger — MCR Advantage: $470
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Reevaluation $470 $329 $87.89 – $493.50
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $376
  • Aetna — Commercial: $235
  • Aetna — Rental Network: $305.50
  • CCBH - Behavioral Health — Behavioral: $235
  • Cigna — Commercial: $235
  • Devon — Commercial: $352.50
  • Devoted Health Plan — MCR Advantage: $188
  • Ellwood Group — Commercial: $141
  • Gateway — MCD Advantage: $493.50
  • Geisinger — MCR Advantage: $470
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pt Reevaluation $470 $329 $188 – $423
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Devon — Commercial: $352.50
  • Devoted Health Plan — MCR Advantage: $188
  • Ellwood Group — Commercial: $202.10
  • Multiplan — Percent of Charge: $423
  • Peak Health — MCR Advantage: $329
  • PNOA — Auto: $352.50
  • PNOA — Commercial: $376
  • PNOA — MCR Advantage: $352.50
  • PNOA — Workers Comp: $352.50
  • Private Healthcare Systems — Other: $399.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $92.60 – $236.23
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates
  • Aetna — Auto Network: $103.94
  • Aetna — Commercial: $184
  • Aetna — MCR Advantage: $97.32
  • Aetna — Rental Network: $108.04
  • Aetna PEBTF Custom — HMO: $217.33
  • American Health Plan — MCR Advantage: $103.94
  • Amerihealth — MCR Advantage: $99.21
  • CCBH - Behavioral Health — Behavioral: $155.80
  • Cigna — Commercial: $236.23
  • Devoted Health Plan — MCR Advantage: $100.16
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Complexity $470 $329 $87.89 – $493.50
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $376
  • Aetna — Commercial: $235
  • Aetna — Rental Network: $305.50
  • CCBH - Behavioral Health — Behavioral: $235
  • Cigna — Commercial: $235
  • Devon — Commercial: $352.50
  • Devoted Health Plan — MCR Advantage: $188
  • Ellwood Group — Commercial: $141
  • Gateway — MCD Advantage: $493.50
  • Geisinger — MCR Advantage: $470
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval High Complexity $470 $329 $188 – $423
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Devon — Commercial: $352.50
  • Devoted Health Plan — MCR Advantage: $188
  • Ellwood Group — Commercial: $202.10
  • Multiplan — Percent of Charge: $423
  • Peak Health — MCR Advantage: $329
  • PNOA — Auto: $352.50
  • PNOA — Commercial: $376
  • PNOA — MCR Advantage: $352.50
  • PNOA — Workers Comp: $352.50
  • Private Healthcare Systems — Other: $399.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $92.60 – $236.23
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates
  • Aetna — Auto Network: $103.94
  • Aetna — Commercial: $184
  • Aetna — MCR Advantage: $97.32
  • Aetna — Rental Network: $108.04
  • Aetna PEBTF Custom — HMO: $217.33
  • American Health Plan — MCR Advantage: $103.94
  • Amerihealth — MCR Advantage: $99.21
  • CCBH - Behavioral Health — Behavioral: $163.93
  • Cigna — Commercial: $236.23
  • Devoted Health Plan — MCR Advantage: $100.16
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Indv Ther-Alcohol 30 Min $353 $247.10 $66.01 – $370.65
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $282.40
  • Aetna — Commercial: $176.50
  • Aetna — Rental Network: $229.45
  • CCBH - Behavioral Health — Behavioral: $176.50
  • Cigna — Commercial: $176.50
  • Devon — Commercial: $264.75
  • Devoted Health Plan — MCR Advantage: $141.20
  • Ellwood Group — Commercial: $105.90
  • Gateway — MCD Advantage: $370.65
  • Geisinger — MCR Advantage: $353
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Indv Ther-Drug 30 Min $353 $247.10 $66.01 – $370.65
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $282.40
  • Aetna — Commercial: $176.50
  • Aetna — Rental Network: $229.45
  • CCBH - Behavioral Health — Behavioral: $176.50
  • Cigna — Commercial: $176.50
  • Devon — Commercial: $264.75
  • Devoted Health Plan — MCR Advantage: $141.20
  • Ellwood Group — Commercial: $105.90
  • Gateway — MCD Advantage: $370.65
  • Geisinger — MCR Advantage: $353
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Indv Ther-Alcohol 30 Min $353 $247.10 $141.20 – $317.70
Psychotherapy, 30 minutes: rates for 10 insurance plans
  • Devon — Commercial: $264.75
  • Devoted Health Plan — MCR Advantage: $141.20
  • Ellwood Group — Commercial: $151.79
  • Multiplan — Percent of Charge: $317.70
  • Peak Health — MCR Advantage: $247.10
  • PNOA — Auto: $264.75
  • PNOA — Commercial: $282.40
  • PNOA — MCR Advantage: $264.75
  • PNOA — Workers Comp: $264.75
  • Private Healthcare Systems — Other: $300.05
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Telehealth Alcohol 45Min Indv $375 $262.50 $70.12 – $393.75
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $300
  • Aetna — Commercial: $187.50
  • Aetna — Rental Network: $243.75
  • CCBH - Behavioral Health — Behavioral: $187.50
  • Cigna — Commercial: $187.50
  • Devon — Commercial: $281.25
  • Devoted Health Plan — MCR Advantage: $150
  • Ellwood Group — Commercial: $112.50
  • Gateway — MCD Advantage: $393.75
  • Geisinger — MCR Advantage: $375
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Telehealth Drug 45 Min Indv $375 $262.50 $70.12 – $393.75
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $300
  • Aetna — Commercial: $187.50
  • Aetna — Rental Network: $243.75
  • CCBH - Behavioral Health — Behavioral: $187.50
  • Cigna — Commercial: $187.50
  • Devon — Commercial: $281.25
  • Devoted Health Plan — MCR Advantage: $150
  • Ellwood Group — Commercial: $112.50
  • Gateway — MCD Advantage: $393.75
  • Geisinger — MCR Advantage: $375
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Alcohol, 45 Min Individual $375 $262.50 $70.12 – $393.75
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $300
  • Aetna — Commercial: $187.50
  • Aetna — Rental Network: $243.75
  • CCBH - Behavioral Health — Behavioral: $187.50
  • Cigna — Commercial: $187.50
  • Devon — Commercial: $281.25
  • Devoted Health Plan — MCR Advantage: $150
  • Ellwood Group — Commercial: $112.50
  • Gateway — MCD Advantage: $393.75
  • Geisinger — MCR Advantage: $375
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Indv Ther-Alcohol 60 Min $400 $280 $74.80 – $420
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $320
  • Aetna — Commercial: $200
  • Aetna — Rental Network: $260
  • CCBH - Behavioral Health — Behavioral: $200
  • Cigna — Commercial: $200
  • Devon — Commercial: $300
  • Devoted Health Plan — MCR Advantage: $160
  • Ellwood Group — Commercial: $120
  • Gateway — MCD Advantage: $420
  • Geisinger — MCR Advantage: $400
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Indv Ther-Drug 60 Min $400 $280 $74.80 – $420
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $320
  • Aetna — Commercial: $200
  • Aetna — Rental Network: $260
  • CCBH - Behavioral Health — Behavioral: $200
  • Cigna — Commercial: $200
  • Devon — Commercial: $300
  • Devoted Health Plan — MCR Advantage: $160
  • Ellwood Group — Commercial: $120
  • Gateway — MCD Advantage: $420
  • Geisinger — MCR Advantage: $400
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ft Indv Therapy 60Min $400 $280 $74.80 – $420
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $320
  • Aetna — Commercial: $200
  • Aetna — Rental Network: $260
  • CCBH - Behavioral Health — Behavioral: $200
  • Cigna — Commercial: $200
  • Devon — Commercial: $300
  • Devoted Health Plan — MCR Advantage: $160
  • Ellwood Group — Commercial: $120
  • Gateway — MCD Advantage: $420
  • Geisinger — MCR Advantage: $400
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ft Collateral Fam Tx $353 $247.10 $66.01 – $370.65
Family psychotherapy, without the patient: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $282.40
  • Aetna — Commercial: $176.50
  • Aetna — Rental Network: $229.45
  • CCBH - Behavioral Health — Behavioral: $176.50
  • Cigna — Commercial: $176.50
  • Devon — Commercial: $264.75
  • Devoted Health Plan — MCR Advantage: $141.20
  • Ellwood Group — Commercial: $105.90
  • Gateway — MCD Advantage: $370.65
  • Geisinger — MCR Advantage: $353
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ft Collateral Fam Tx @15 Min $353 $247.10 $66.01 – $370.65
Family psychotherapy, without the patient: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $282.40
  • Aetna — Commercial: $176.50
  • Aetna — Rental Network: $229.45
  • CCBH - Behavioral Health — Behavioral: $176.50
  • Cigna — Commercial: $176.50
  • Devon — Commercial: $264.75
  • Devoted Health Plan — MCR Advantage: $141.20
  • Ellwood Group — Commercial: $105.90
  • Gateway — MCD Advantage: $370.65
  • Geisinger — MCR Advantage: $353
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ft Collateral Fam Tx $353 $247.10 $141.20 – $317.70
Family psychotherapy, without the patient: rates for 10 insurance plans
  • Devon — Commercial: $264.75
  • Devoted Health Plan — MCR Advantage: $141.20
  • Ellwood Group — Commercial: $151.79
  • Multiplan — Percent of Charge: $317.70
  • Peak Health — MCR Advantage: $247.10
  • PNOA — Auto: $264.75
  • PNOA — Commercial: $282.40
  • PNOA — MCR Advantage: $264.75
  • PNOA — Workers Comp: $264.75
  • Private Healthcare Systems — Other: $300.05
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ft Family Therapy @30 Min $375 $262.50 $70.12 – $393.75
Family psychotherapy, with the patient: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $300
  • Aetna — Commercial: $187.50
  • Aetna — Rental Network: $243.75
  • CCBH - Behavioral Health — Behavioral: $187.50
  • Cigna — Commercial: $187.50
  • Devon — Commercial: $281.25
  • Devoted Health Plan — MCR Advantage: $150
  • Ellwood Group — Commercial: $112.50
  • Gateway — MCD Advantage: $393.75
  • Geisinger — MCR Advantage: $375
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ft Family Therapy @15 Min $375 $262.50 $70.12 – $393.75
Family psychotherapy, with the patient: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $300
  • Aetna — Commercial: $187.50
  • Aetna — Rental Network: $243.75
  • CCBH - Behavioral Health — Behavioral: $187.50
  • Cigna — Commercial: $187.50
  • Devon — Commercial: $281.25
  • Devoted Health Plan — MCR Advantage: $150
  • Ellwood Group — Commercial: $112.50
  • Gateway — MCD Advantage: $393.75
  • Geisinger — MCR Advantage: $375
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ftnp Coll Family Ther W Pt 15 $375 $262.50 $70.12 – $393.75
Family psychotherapy, with the patient: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $300
  • Aetna — Commercial: $187.50
  • Aetna — Rental Network: $243.75
  • CCBH - Behavioral Health — Behavioral: $187.50
  • Cigna — Commercial: $187.50
  • Devon — Commercial: $281.25
  • Devoted Health Plan — MCR Advantage: $150
  • Ellwood Group — Commercial: $112.50
  • Gateway — MCD Advantage: $393.75
  • Geisinger — MCR Advantage: $375
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Telehlth Grp Ther Alcohol 30m $254 $177.80 $47.50 – $266.70
Group psychotherapy: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $203.20
  • Aetna — Commercial: $127
  • Aetna — Rental Network: $165.10
  • CCBH - Behavioral Health — Behavioral: $127
  • Cigna — Commercial: $127
  • Devon — Commercial: $190.50
  • Devoted Health Plan — MCR Advantage: $101.60
  • Ellwood Group — Commercial: $76.20
  • Gateway — MCD Advantage: $266.70
  • Geisinger — MCR Advantage: $254
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Telehlth Intensive Alcohol HR $254 $177.80 $47.50 – $266.70
Group psychotherapy: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $203.20
  • Aetna — Commercial: $127
  • Aetna — Rental Network: $165.10
  • CCBH - Behavioral Health — Behavioral: $127
  • Cigna — Commercial: $127
  • Devon — Commercial: $190.50
  • Devoted Health Plan — MCR Advantage: $101.60
  • Ellwood Group — Commercial: $76.20
  • Gateway — MCD Advantage: $266.70
  • Geisinger — MCR Advantage: $254
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Opiate Detox Drug $254 $177.80 $47.50 – $266.70
Group psychotherapy: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $203.20
  • Aetna — Commercial: $127
  • Aetna — Rental Network: $165.10
  • CCBH - Behavioral Health — Behavioral: $127
  • Cigna — Commercial: $127
  • Devon — Commercial: $190.50
  • Devoted Health Plan — MCR Advantage: $101.60
  • Ellwood Group — Commercial: $76.20
  • Gateway — MCD Advantage: $266.70
  • Geisinger — MCR Advantage: $254

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $173 – $9,447.70
Removal of breast growth (open surgery): 10 of 49 insurance plan rates
  • Aetna — Auto Network: $4,052.23
  • Aetna — Commercial: $8,472.85
  • Aetna — MCD Advantage: $198.95
  • Aetna — MCR Advantage: $3,794.36
  • Aetna — Rental Network: $2,327
  • Aetna PEBTF Custom — HMO: $8,472.85
  • American Health Plan — MCR Advantage: $4,052.23
  • Amerihealth — MCD Advantage: $190.30
  • Amerihealth — MCR Advantage: $3,868.04
  • CCBH - Behavioral Health — Behavioral: $1,955.58
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Total hip replacement: 10 of 39 insurance plan rates
  • Aetna — Auto Network: $13,615.95
  • Aetna — Commercial: $28,469.72
  • Aetna — MCR Advantage: $12,749.48
  • Aetna — Rental Network: $3,339
  • Aetna PEBTF Custom — HMO: $28,469.72
  • American Health Plan — MCR Advantage: $13,615.95
  • Amerihealth — MCR Advantage: $12,997.04
  • Cigna — Commercial: $28,282.21
  • Devoted Health Plan — MCR Advantage: $13,120.83
  • Ellwood Group — Commercial: $24,756.27
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Total knee replacement: 10 of 40 insurance plan rates
  • Aetna — Auto Network: $13,615.95
  • Aetna — Commercial: $28,469.72
  • Aetna — MCR Advantage: $12,749.48
  • Aetna — Rental Network: $3,339
  • Aetna PEBTF Custom — HMO: $28,469.72
  • American Health Plan — MCR Advantage: $13,615.95
  • Amerihealth — MCR Advantage: $12,997.04
  • Cigna — Commercial: $28,282.21
  • Devoted Health Plan — MCR Advantage: $13,120.83
  • Ellwood Group — Commercial: $24,756.27
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $414 – $6,132
Shoulder arthroscopy: shaving of shoulder bone: 10 of 16 insurance plan rates
  • Aetna — Commercial: $414
  • Aetna — MCD Advantage: $625.03
  • Aetna — Rental Network: $6,132
  • Amerihealth — MCD Advantage: $597.85
  • CCBH - Behavioral Health — Behavioral: $1,368.61
  • Gateway — MCD Advantage: $614.16
  • Geisinger — MCD Advantage: $592.42
  • Jefferson Health Plan — MCD Advantage: $597.85
  • Medicaid — Traditional Medicaid: $543.50
  • PNOA — Workers Comp: $2,224.93
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $543.50 – $8,005.18
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 49 insurance plan rates
  • Aetna — Auto Network: $3,433.52
  • Aetna — Commercial: $7,179.17
  • Aetna — MCD Advantage: $625.03
  • Aetna — MCR Advantage: $3,215.02
  • Aetna — Rental Network: $6,132
  • Aetna PEBTF Custom — HMO: $7,179.17
  • American Health Plan — MCR Advantage: $3,433.52
  • Amerihealth — MCD Advantage: $597.85
  • Amerihealth — MCR Advantage: $3,277.45
  • CCBH - Behavioral Health — Behavioral: $1,368.61
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $40
Removal of tonsils and adenoids (under age 12): 10 of 41 insurance plan rates
  • Aetna — Auto Network: $6,260.08
  • Aetna — Commercial: $13,089.26
  • Aetna — MCR Advantage: $5,861.71
  • Aetna — Rental Network: $2,327
  • Aetna PEBTF Custom — HMO: $13,089.26
  • American Health Plan — MCR Advantage: $6,260.08
  • Amerihealth — MCR Advantage: $5,975.53
  • Cigna — Commercial: $13,003.05
  • Devoted Health Plan — MCR Advantage: $6,032.44
  • Ellwood Group — Commercial: $11,381.96
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $40
Upper GI endoscopy (diagnostic): 10 of 49 insurance plan rates
  • Aetna — Auto Network: $992.15
  • Aetna — Commercial: $2,074.49
  • Aetna — MCD Advantage: $144
  • Aetna — MCR Advantage: $929.01
  • Aetna — Rental Network: $1,489
  • Aetna PEBTF Custom — HMO: $2,074.49
  • American Health Plan — MCR Advantage: $992.15
  • Amerihealth — MCD Advantage: $137.74
  • Amerihealth — MCR Advantage: $947.05
  • Cigna — Commercial: $2,060.82
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $148.58 – $2,313.17
Upper GI endoscopy with biopsy: 10 of 49 insurance plan rates
  • Aetna — Auto Network: $992.15
  • Aetna — Commercial: $2,074.49
  • Aetna — MCD Advantage: $170.87
  • Aetna — MCR Advantage: $929.01
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $2,074.49
  • American Health Plan — MCR Advantage: $992.15
  • Amerihealth — MCD Advantage: $163.44
  • Amerihealth — MCR Advantage: $947.05
  • CCBH - Behavioral Health — Behavioral: $390.02
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $180.50 – $2,249.39
Colonoscopy (diagnostic): 10 of 49 insurance plan rates
  • Aetna — Auto Network: $964.79
  • Aetna — Commercial: $2,017.29
  • Aetna — MCD Advantage: $207.58
  • Aetna — MCR Advantage: $903.39
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $2,017.29
  • American Health Plan — MCR Advantage: $964.79
  • Amerihealth — MCD Advantage: $198.55
  • Amerihealth — MCR Advantage: $920.94
  • CCBH - Behavioral Health — Behavioral: $432.31
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $40
Colonoscopy with biopsy: 10 of 49 insurance plan rates
  • Aetna — Auto Network: $1,247.73
  • Aetna — Commercial: $2,608.89
  • Aetna — MCD Advantage: $259.23
  • Aetna — MCR Advantage: $1,168.33
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $2,608.89
  • American Health Plan — MCR Advantage: $1,247.73
  • Amerihealth — MCD Advantage: $247.96
  • Amerihealth — MCR Advantage: $1,191.02
  • Cigna — Commercial: $2,591.71
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $40
Colonoscopy with removal of polyps (snare): 10 of 49 insurance plan rates
  • Aetna — Auto Network: $1,247.73
  • Aetna — Commercial: $2,608.89
  • Aetna — MCD Advantage: $308.29
  • Aetna — MCR Advantage: $1,168.33
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $2,608.89
  • American Health Plan — MCR Advantage: $1,247.73
  • Amerihealth — MCD Advantage: $294.89
  • Amerihealth — MCR Advantage: $1,191.02
  • Cigna — Commercial: $2,591.71
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $219.29 – $2,909.06
Ultrasound of the lower bowel by endoscope: 10 of 48 insurance plan rates
  • Aetna — Auto Network: $1,247.73
  • Aetna — Commercial: $2,608.89
  • Aetna — MCD Advantage: $252.18
  • Aetna — MCR Advantage: $1,168.33
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $2,608.89
  • American Health Plan — MCR Advantage: $1,247.73
  • Amerihealth — MCD Advantage: $241.22
  • Amerihealth — MCR Advantage: $1,191.02
  • CCBH - Behavioral Health — Behavioral: $1,290.96
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $824.35 – $2,249.39
Screening colonoscopy (not high risk): 10 of 38 insurance plan rates
  • Aetna — Auto Network: $964.79
  • Aetna — Commercial: $2,017.29
  • Aetna — MCR Advantage: $903.39
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $2,017.29
  • American Health Plan — MCR Advantage: $964.79
  • Amerihealth — MCR Advantage: $920.94
  • CCBH - Behavioral Health — Behavioral: $1,607.84
  • Cigna — Commercial: $2,004
  • Devoted Health Plan — MCR Advantage: $929.71
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates
  • Aetna — Auto Network: $6,174.05
  • Aetna — Commercial: $12,909.38
  • Aetna — MCR Advantage: $5,781.16
  • Aetna — Rental Network: $6,623
  • Aetna PEBTF Custom — HMO: $12,909.38
  • American Health Plan — MCR Advantage: $6,174.05
  • Amerihealth — MCR Advantage: $5,893.41
  • Cigna — Commercial: $12,824.36
  • Devoted Health Plan — MCR Advantage: $5,949.54
  • Ellwood Group — Commercial: $11,225.55
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $40
Groin (inguinal) hernia repair, age 5 or older: 10 of 49 insurance plan rates
  • Aetna — Auto Network: $3,734.53
  • Aetna — Commercial: $7,808.56
  • Aetna — MCD Advantage: $365.13
  • Aetna — MCR Advantage: $3,496.88
  • Aetna — Rental Network: $2,791
  • Aetna PEBTF Custom — HMO: $7,808.56
  • American Health Plan — MCR Advantage: $3,734.53
  • Amerihealth — MCD Advantage: $349.25
  • Amerihealth — MCR Advantage: $3,564.78
  • Cigna — Commercial: $7,757.13
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biospy Prostate $3,500 $2,450 $654.50 – $3,675
Prostate biopsy: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $2,800
  • Aetna — Commercial: $1,750
  • Aetna — Rental Network: $2,275
  • CCBH - Behavioral Health — Behavioral: $1,750
  • Cigna — Commercial: $1,750
  • Devon — Commercial: $2,625
  • Devoted Health Plan — MCR Advantage: $1,400
  • Ellwood Group — Commercial: $1,050
  • Gateway — MCD Advantage: $3,675
  • Geisinger — MCR Advantage: $3,500
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy Prostate 55700 $3,500 $2,450 $654.50 – $3,675
Prostate biopsy: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $2,800
  • Aetna — Commercial: $1,750
  • Aetna — Rental Network: $2,275
  • CCBH - Behavioral Health — Behavioral: $1,750
  • Cigna — Commercial: $1,750
  • Devon — Commercial: $2,625
  • Devoted Health Plan — MCR Advantage: $1,400
  • Ellwood Group — Commercial: $1,050
  • Gateway — MCD Advantage: $3,675
  • Geisinger — MCR Advantage: $3,500
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Biospy Prostate $3,500 $2,450 $1,400 – $3,150
Prostate biopsy: rates for 10 insurance plans
  • Devon — Commercial: $2,625
  • Devoted Health Plan — MCR Advantage: $1,400
  • Ellwood Group — Commercial: $1,505
  • Multiplan — Percent of Charge: $3,150
  • Peak Health — MCR Advantage: $2,450
  • PNOA — Auto: $2,625
  • PNOA — Commercial: $2,800
  • PNOA — MCR Advantage: $2,625
  • PNOA — Workers Comp: $2,625
  • Private Healthcare Systems — Other: $2,975
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Prostate removal by laparoscope (radical prostatectomy): 10 of 40 insurance plan rates
  • Aetna — Auto Network: $11,017.38
  • Aetna — Commercial: $23,036.35
  • Aetna — MCR Advantage: $10,316.28
  • Aetna — Rental Network: $6,623
  • Aetna PEBTF Custom — HMO: $23,036.35
  • American Health Plan — MCR Advantage: $11,017.38
  • Amerihealth — MCR Advantage: $10,516.59
  • Cigna — Commercial: $22,884.63
  • Devoted Health Plan — MCR Advantage: $10,616.75
  • Ellwood Group — Commercial: $20,031.61
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $601.04 – $7,844.61
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates
  • Aetna — Auto Network: $3,364.64
  • Aetna — Commercial: $7,035.17
  • Aetna — MCR Advantage: $3,150.53
  • Aetna — Rental Network: $2,327
  • Aetna PEBTF Custom — HMO: $7,035.17
  • American Health Plan — MCR Advantage: $3,364.64
  • Amerihealth — MCR Advantage: $3,211.71
  • CCBH - Behavioral Health — Behavioral: $984.18
  • Cigna — Commercial: $6,988.83
  • Devoted Health Plan — MCR Advantage: $3,242.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection Lumbar/Sacral Single $1,600 $1,120 $299.20 – $1,680
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $1,280
  • Aetna — Commercial: $800
  • Aetna — Rental Network: $1,040
  • CCBH - Behavioral Health — Behavioral: $800
  • Cigna — Commercial: $800
  • Devon — Commercial: $1,200
  • Devoted Health Plan — MCR Advantage: $640
  • Ellwood Group — Commercial: $480
  • Gateway — MCD Advantage: $1,680
  • Geisinger — MCR Advantage: $1,600
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Lumb/Sacral Epid Steroid $1,600 $1,120 $299.20 – $1,680
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $1,280
  • Aetna — Commercial: $800
  • Aetna — Rental Network: $1,040
  • CCBH - Behavioral Health — Behavioral: $800
  • Cigna — Commercial: $800
  • Devon — Commercial: $1,200
  • Devoted Health Plan — MCR Advantage: $640
  • Ellwood Group — Commercial: $480
  • Gateway — MCD Advantage: $1,680
  • Geisinger — MCR Advantage: $1,600
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Lumbar/Sacra/Epid Steroid $1,600 $1,120 $299.20 – $1,680
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $1,280
  • Aetna — Commercial: $800
  • Aetna — Rental Network: $1,040
  • CCBH - Behavioral Health — Behavioral: $800
  • Cigna — Commercial: $800
  • Devon — Commercial: $1,200
  • Devoted Health Plan — MCR Advantage: $640
  • Ellwood Group — Commercial: $480
  • Gateway — MCD Advantage: $1,680
  • Geisinger — MCR Advantage: $1,600
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PN single view spine $2,371 $1,659.70 $443.38 – $2,489.55
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $1,896.80
  • Aetna — Commercial: $1,185.50
  • Aetna — Rental Network: $1,541.15
  • CCBH - Behavioral Health — Behavioral: $1,185.50
  • Cigna — Commercial: $1,185.50
  • Devon — Commercial: $1,778.25
  • Devoted Health Plan — MCR Advantage: $948.40
  • Ellwood Group — Commercial: $711.30
  • Gateway — MCD Advantage: $2,489.55
  • Geisinger — MCR Advantage: $2,371
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Trans Steroi Inj Lum Sin 64483 $2,371 $1,659.70 $443.38 – $2,489.55
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $1,896.80
  • Aetna — Commercial: $1,185.50
  • Aetna — Rental Network: $1,541.15
  • CCBH - Behavioral Health — Behavioral: $1,185.50
  • Cigna — Commercial: $1,185.50
  • Devon — Commercial: $1,778.25
  • Devoted Health Plan — MCR Advantage: $948.40
  • Ellwood Group — Commercial: $711.30
  • Gateway — MCD Advantage: $2,489.55
  • Geisinger — MCR Advantage: $2,371
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PN single view spine $2,371 $1,659.70 $948.40 – $2,133.90
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Devon — Commercial: $1,778.25
  • Devoted Health Plan — MCR Advantage: $948.40
  • Ellwood Group — Commercial: $1,019.53
  • Multiplan — Percent of Charge: $2,133.90
  • Peak Health — MCR Advantage: $1,659.70
  • PNOA — Auto: $1,778.25
  • PNOA — Commercial: $1,896.80
  • PNOA — MCR Advantage: $1,778.25
  • PNOA — Workers Comp: $1,778.25
  • Private Healthcare Systems — Other: $2,015.35
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $300 – $4,817.93
Carpal tunnel release: 10 of 49 insurance plan rates
  • Aetna — Auto Network: $2,066.47
  • Aetna — Commercial: $4,320.80
  • Aetna — MCD Advantage: $345
  • Aetna — MCR Advantage: $1,934.97
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $4,320.80
  • American Health Plan — MCR Advantage: $2,066.47
  • Amerihealth — MCD Advantage: $330
  • Amerihealth — MCR Advantage: $1,972.54
  • CCBH - Behavioral Health — Behavioral: $1,693.60
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $216.51 – $2,045
Laser treatment of clouding after cataract surgery: 10 of 49 insurance plan rates
  • Aetna — Auto Network: $580.54
  • Aetna — Commercial: $1,213.87
  • Aetna — MCD Advantage: $248.99
  • Aetna — MCR Advantage: $543.60
  • Aetna — Rental Network: $2,045
  • Aetna PEBTF Custom — HMO: $1,213.87
  • American Health Plan — MCR Advantage: $580.54
  • Amerihealth — MCD Advantage: $238.16
  • Amerihealth — MCR Advantage: $554.16
  • CCBH - Behavioral Health — Behavioral: $1,705.65
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $40
Cataract removal with lens implant: 10 of 49 insurance plan rates
  • Aetna — Auto Network: $2,413.52
  • Aetna — Commercial: $5,046.45
  • Aetna — MCD Advantage: $692.91
  • Aetna — MCR Advantage: $2,259.93
  • Aetna — Rental Network: $3,931
  • Aetna PEBTF Custom — HMO: $5,046.45
  • American Health Plan — MCR Advantage: $2,413.52
  • Amerihealth — MCD Advantage: $662.78
  • Amerihealth — MCR Advantage: $2,303.81
  • Cigna — Commercial: $5,013.21

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $40
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates
  • Aetna — Commercial: $5,248.60
  • PNOA — Workers Comp: $2,761.17
  • UPMC — Commercial: $2,104.65
  • Workers Comp — Other: $2,862.72
  • CCBH - Behavioral Health — Behavioral: 40% (a percentage in the contract, not a dollar amount)
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — Commercial: 38.67% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates
  • Aetna — Commercial: $5,791.40
  • PNOA — Workers Comp: $4,183.78
  • UPMC — Commercial: $3,298.55
  • Workers Comp — Other: $4,231.19
  • CCBH - Behavioral Health — Behavioral: 40% (a percentage in the contract, not a dollar amount)
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — Commercial: 38.67% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $3,997.07 – $5,483.20
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
  • Aetna — Commercial: $5,483.20
  • PNOA — Workers Comp: $3,997.07
  • Workers Comp — Other: $4,055.54
  • CCBH - Behavioral Health — Behavioral: 50% (a percentage in the contract, not a dollar amount)
  • Highmark — CHIP: 23.49% (a percentage in the contract, not a dollar amount)
  • Highmark — Commercial: 39.45% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 43.83% (a percentage in the contract, not a dollar amount)
  • Highmark ACA - Direct Blue — Commercial: 24.65% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — Commercial: 38.67% (a percentage in the contract, not a dollar amount)
  • Private Healthcare Systems — Other: 85% (a percentage in the contract, not a dollar amount)

Source: Independence Health System Butler Memorial Hospita…’s standard charges file (independence.health, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
AddressOne Hospital Way, Butler, PA 16001
CountyButler County
StatePennsylvania
Phone(724) 284‑4403
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390168
Name in Medicare recordsINDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA
Medicare’s file shortens long names to 50 characters, so the end of this name is missing.
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(724) 283‑6666[4]
Name on the hospital’s websiteButler Memorial Hospital
Official websiteindependence.health
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Hospital Butler, PA — independence.health
  2. Visiting Hours & Guidelines — independence.health