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

Español Near me My list Help
US Patient GuideUSA
Surprise me
Acute Care Hospital

Independence Health System Clarion Hospital

Clarion, Pennsylvania · Clarion County · Emergency services listed

Summary

Independence Health System Clarion Hospital is an acute care hospital in Clarion, 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 337 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(814) 226‑9500 Directions Website Medicare profile
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
337Doctors and clinicians
21Services listed

Quick answers

Does Independence Health System Clarion Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Independence Health System Clarion Hospital. In a medical emergency, call 911.
Where is Independence Health System Clarion Hospital?
One Hospital Drive, Clarion, PA 16214, in Clarion County, Pennsylvania.
What is the phone number of Independence Health System Clarion Hospital?
(814) 226-9500, as listed by Medicare (CMS).
What is the Medicare star rating of Independence Health System Clarion Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6]

Treatments[6]

Procedures[7]

Programs and centers[7]

  • Total Joint Replacement Program (TotalCare, Butler/Clarion area)

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

VisitingGeneral visiting 11 a.m.-6 p.m., two visitors at a time; ICU 11 a.m.-1 p.m. and 4-6 p.m., no children under 14[5]
ParkingThe site offers a printable Clarion Hospital patient/visitor parking map (PDF); it gives no parking fee or garage details[8]
Interpreters and languagesFree medical interpreter on request, using live interpreters and video relay interpretation; deaf and hard-of-hearing patients are served[9]
Patient portalMy BHS Health (Butler/Clarion providers)

Doctors and clinicians (337)

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

Main specialties

Doctors with a page on this site (337)

And 313 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 Clarion Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1066%National average: 72%
Would definitely recommend the hospital61%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well87%National average: 80%
Staff “always” explained medicines before giving them70%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean65%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys261Response rate: 28%

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)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections1.063No different from 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients11%
Deaths within 30 days: pneumonia patients24.5%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patients14.3%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.96No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure22.4%
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)166 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)69%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in PennsylvaniaBest hospitals in Pennsylvania

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 Clarion Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

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: New Patient Level 3 30 $265 $148.40 $90.10 – $235.85
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $235.85
  • Aetna — Commercial: $132.50
  • Cigna — Commercial: $132.50
  • Devon — Commercial: $198.75
  • Devoted Health Plan — MCR Advantage: $106
  • Gateway — MCR Advantage: $98.05
  • Highmark — CHIP: $90.10
  • Highmark - Ind.& Managed Care — MCR Advantage: $90.10
  • Martin's Point - USFHP — Tricare: $92.75
  • Peak Health — Commercial: $185.50
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new low 30 min Not listed in the file Not listed in the file $51.65 – $227.22
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $218.06
  • UPMC — CHIP: $51.65
  • UPMC — Commercial: $227.22
  • UPMC — Medicaid: $67.82
  • Workers Comp — Other: $131.73
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (a percentage in the contract, not a dollar amount)
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 $188.72 $114.58 – $299.93
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $299.93
  • Aetna — Commercial: $168.50
  • Cigna — Commercial: $168.50
  • Devon — Commercial: $252.75
  • Devoted Health Plan — MCR Advantage: $134.80
  • Gateway — MCR Advantage: $124.69
  • Highmark — CHIP: $114.58
  • Highmark - Ind.& Managed Care — MCR Advantage: $114.58
  • Martin's Point - USFHP — Tricare: $117.95
  • Peak Health — Commercial: $235.90
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new mod 45 min Not listed in the file Not listed in the file $66.26 – $334.46
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $334.46
  • UPMC — CHIP: $66.26
  • UPMC — Commercial: $291.49
  • UPMC — Medicaid: $99.41
  • Workers Comp — Other: $201.52
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (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 In the file: Office o/p new hi 60 min Not listed in the file Not listed in the file $80.84 – $423.04
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $423.04
  • UPMC — CHIP: $80.84
  • UPMC — Commercial: $355.63
  • UPMC — Medicaid: $129.29
  • Workers Comp — Other: $245.50
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (a percentage in the contract, not a dollar amount)
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 $126 $76.50 – $200.25
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $200.25
  • Aetna — Commercial: $112.50
  • Cigna — Commercial: $112.50
  • Devon — Commercial: $168.75
  • Devoted Health Plan — MCR Advantage: $90
  • Gateway — MCR Advantage: $83.25
  • Highmark — CHIP: $76.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $76.50
  • Martin's Point - USFHP — Tricare: $78.75
  • Peak Health — Commercial: $157.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Op Wound Care Visit Level III $180 $100.80 $61.20 – $160.20
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $160.20
  • Aetna — Commercial: $90
  • Cigna — Commercial: $90
  • Devon — Commercial: $135
  • Devoted Health Plan — MCR Advantage: $72
  • Gateway — MCR Advantage: $66.60
  • Highmark — CHIP: $61.20
  • Highmark - Ind.& Managed Care — MCR Advantage: $61.20
  • Martin's Point - USFHP — Tricare: $63
  • Peak Health — Commercial: $126
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Estab Patient Lvl 3 15 $225 $126 $76.50 – $200.25
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $200.25
  • Aetna — Commercial: $112.50
  • Cigna — Commercial: $112.50
  • Devon — Commercial: $168.75
  • Devoted Health Plan — MCR Advantage: $90
  • Gateway — MCR Advantage: $83.25
  • Highmark — CHIP: $76.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $76.50
  • Martin's Point - USFHP — Tricare: $78.75
  • Peak Health — Commercial: $157.50
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 $154 $93.50 – $244.75
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $244.75
  • Aetna — Commercial: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Gateway — MCR Advantage: $101.75
  • Highmark — CHIP: $93.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $93.50
  • Martin's Point - USFHP — Tricare: $96.25
  • Peak Health — Commercial: $192.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Op Wound Care Visit Level IV $233 $130.48 $79.22 – $207.37
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $207.37
  • Aetna — Commercial: $116.50
  • Cigna — Commercial: $116.50
  • Devon — Commercial: $174.75
  • Devoted Health Plan — MCR Advantage: $93.20
  • Gateway — MCR Advantage: $86.21
  • Highmark — CHIP: $79.22
  • Highmark - Ind.& Managed Care — MCR Advantage: $79.22
  • Martin's Point - USFHP — Tricare: $81.55
  • Peak Health — Commercial: $163.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Estab Patient Lv 4 25 $275 $154 $93.50 – $244.75
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $244.75
  • Aetna — Commercial: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Gateway — MCR Advantage: $101.75
  • Highmark — CHIP: $93.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $93.50
  • Martin's Point - USFHP — Tricare: $96.25
  • Peak Health — Commercial: $192.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Consult Level 3 40 $312 $174.72 $106.08 – $277.68
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates
  • Aetna — Aetna: $277.68
  • Aetna — Commercial: $156
  • Cigna — Commercial: $156
  • Devon — Commercial: $234
  • Devoted Health Plan — MCR Advantage: $124.80
  • Gateway — MCR Advantage: $115.44
  • Highmark — CHIP: $106.08
  • Highmark - Ind.& Managed Care — MCR Advantage: $106.08
  • Martin's Point - USFHP — Tricare: $109.20
  • Peak Health — Commercial: $218.40
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 – $262.40
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Aetna — Commercial: $262.40
  • UPMC — CHIP: $45.33
  • UPMC — Commercial: $199.42
  • UPMC — Medicaid: $76.10
  • Workers Comp — Other: $207.16
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (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 $245.28 $148.92 – $389.82
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates
  • Aetna — Aetna: $389.82
  • Aetna — Commercial: $219
  • Cigna — Commercial: $219
  • Devon — Commercial: $328.50
  • Devoted Health Plan — MCR Advantage: $175.20
  • Gateway — MCR Advantage: $162.06
  • Highmark — CHIP: $148.92
  • Highmark - Ind.& Managed Care — MCR Advantage: $148.92
  • Martin's Point - USFHP — Tricare: $153.30
  • Peak Health — Commercial: $306.60
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 $283.62
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • Aetna — Commercial: $379.10
  • UPMC — CHIP: $76.23
  • UPMC — Commercial: $335.35
  • UPMC — Medicaid: $116.53
  • Workers Comp — Other: $283.62
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (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 $25 – $308.63
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans
  • Aetna — Commercial: $308.63
  • Martin's Point - USFHP — Tricare: $88.48
  • Tricare — Tricare: $88.48
  • UPMC — CHIP: $30.67
  • UPMC — Commercial: $134.92
  • UPMC — Medicaid: $25
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (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 $25 – $357.41
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans
  • Aetna — Commercial: $357.41
  • Martin's Point - USFHP — Tricare: $107.14
  • Tricare — Tricare: $107.14
  • UPMC — CHIP: $30.50
  • UPMC — Commercial: $134.18
  • UPMC — Medicaid: $25
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (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 $364 $221 – $578.50
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • Aetna — Aetna: $578.50
  • Aetna — Commercial: $325
  • Cigna — Commercial: $325
  • Devon — Commercial: $487.50
  • Devoted Health Plan — MCR Advantage: $260
  • Gateway — MCR Advantage: $240.50
  • Highmark — CHIP: $221
  • Highmark - Ind.& Managed Care — MCR Advantage: $221
  • Martin's Point - USFHP — Tricare: $227.50
  • Peak Health — Commercial: $455
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emerg Visit Level 3 36-70 $650 $364 $260 – $487.50
Emergency room visit (moderate): rates for 4 insurance plans
  • Devon — Commercial: $487.50
  • Devoted Health Plan — MCR Advantage: $260
  • Peak Health — Commercial: $455
  • Peak Health — MCR Advantage: $455
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 $35 – $625.97
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $293.01
  • Aetna — Commercial: $612.65
  • Aetna — MCR Advantage: $274.36
  • Aetna PEBTF Custom — HMO: $612.65
  • American Health Plan — MCR Advantage: $293.01
  • Amerihealth — MCD Advantage: $38.50
  • Amerihealth — MCR Advantage: $266.37
  • Cigna — Commercial: $266.37
  • Devoted Health Plan — MCR Advantage: $282.35
  • Gateway — MCR Advantage: $285.02
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emerg Visit Level 4 71-140 $850 $476 $289 – $756.50
Emergency room visit (moderately high): 10 of 14 insurance plan rates
  • Aetna — Aetna: $756.50
  • Aetna — Commercial: $425
  • Cigna — Commercial: $425
  • Devon — Commercial: $637.50
  • Devoted Health Plan — MCR Advantage: $340
  • Gateway — MCR Advantage: $314.50
  • Highmark — CHIP: $289
  • Highmark - Ind.& Managed Care — MCR Advantage: $289
  • Martin's Point - USFHP — Tricare: $297.50
  • Peak Health — Commercial: $595
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emerg Visit Level 4 71-140 $850 $476 $340 – $637.50
Emergency room visit (moderately high): rates for 4 insurance plans
  • Devon — Commercial: $637.50
  • Devoted Health Plan — MCR Advantage: $340
  • Peak Health — Commercial: $595
  • Peak Health — MCR Advantage: $595
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 – $962.67
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $450.61
  • Aetna — Commercial: $942.18
  • Aetna — MCR Advantage: $421.93
  • Aetna PEBTF Custom — HMO: $942.18
  • American Health Plan — MCR Advantage: $450.61
  • Amerihealth — MCD Advantage: $55
  • Amerihealth — MCR Advantage: $409.65
  • Cigna — Commercial: $409.65
  • Devoted Health Plan — MCR Advantage: $434.22
  • Gateway — MCR Advantage: $438.32
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emerg Visit Level 5 141-210 $1,548 $866.88 $526.32 – $1,377.72
Emergency room visit (high): 10 of 14 insurance plan rates
  • Aetna — Aetna: $1,377.72
  • Aetna — Commercial: $774
  • Cigna — Commercial: $774
  • Devon — Commercial: $1,161
  • Devoted Health Plan — MCR Advantage: $619.20
  • Gateway — MCR Advantage: $572.76
  • Highmark — CHIP: $526.32
  • Highmark - Ind.& Managed Care — MCR Advantage: $526.32
  • Martin's Point - USFHP — Tricare: $541.80
  • Peak Health — Commercial: $1,083.60
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emerg Visit Level 5 141-210 $1,548 $866.88 $619.20 – $1,161
Emergency room visit (high): rates for 4 insurance plans
  • Devon — Commercial: $1,161
  • Devoted Health Plan — MCR Advantage: $619.20
  • Peak Health — Commercial: $1,083.60
  • Peak Health — MCR Advantage: $1,083.60
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 – $1,386.06
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $648.80
  • Aetna — Commercial: $1,356.57
  • Aetna — MCR Advantage: $607.51
  • Aetna PEBTF Custom — HMO: $1,356.57
  • American Health Plan — MCR Advantage: $648.80
  • Amerihealth — MCD Advantage: $55
  • Amerihealth — MCR Advantage: $589.81
  • Cigna — Commercial: $589.81
  • Devoted Health Plan — MCR Advantage: $625.20
  • Gateway — MCR Advantage: $631.10

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 $93 $52.08 $31.62 – $82.77
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
  • Aetna — Aetna: $82.77
  • Aetna — Commercial: $46.50
  • Cigna — Commercial: $46.50
  • Devon — Commercial: $69.75
  • Devoted Health Plan — MCR Advantage: $37.20
  • Gateway — MCR Advantage: $34.41
  • Highmark — CHIP: $31.62
  • Highmark - Ind.& Managed Care — MCR Advantage: $31.62
  • Martin's Point - USFHP — Tricare: $32.55
  • Peak Health — Commercial: $65.10
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic 8 Panel $93 $52.08 $37.20 – $69.75
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Devon — Commercial: $69.75
  • Devoted Health Plan — MCR Advantage: $37.20
  • Peak Health — Commercial: $65.10
  • Peak Health — MCR Advantage: $65.10
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 32 insurance plan rates
  • Aetna — Auto Network: $9.31
  • Aetna — Commercial: $18.28
  • Aetna — MCR Advantage: $8.71
  • Aetna PEBTF Custom — HMO: $19.46
  • American Health Plan — MCR Advantage: $9.31
  • Amerihealth — MCD Advantage: $10.30
  • Amerihealth — MCR Advantage: $8.46
  • Cigna — Commercial: $8.46
  • Devoted Health Plan — MCR Advantage: $8.97
  • Gateway — MCR Advantage: $9.05
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comp Metabolic Panel $80 $44.80 $27.20 – $71.20
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • Aetna — Aetna: $71.20
  • Aetna — Commercial: $40
  • Cigna — Commercial: $40
  • Devon — Commercial: $60
  • Devoted Health Plan — MCR Advantage: $32
  • Gateway — MCR Advantage: $29.60
  • Highmark — CHIP: $27.20
  • Highmark - Ind.& Managed Care — MCR Advantage: $27.20
  • Martin's Point - USFHP — Tricare: $28
  • Peak Health — Commercial: $56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comp Metabolic Panel $80 $44.80 $32 – $60
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Devon — Commercial: $60
  • Devoted Health Plan — MCR Advantage: $32
  • Peak Health — Commercial: $56
  • Peak Health — MCR Advantage: $56
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 $9.80 – $56.62
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Auto Network: $11.62
  • Aetna — Commercial: $22.81
  • Aetna — MCR Advantage: $10.88
  • Aetna PEBTF Custom — HMO: $24.29
  • American Health Plan — MCR Advantage: $11.62
  • Amerihealth — MCD Advantage: $12.86
  • Amerihealth — MCR Advantage: $10.56
  • Cigna — Commercial: $10.56
  • Devoted Health Plan — MCR Advantage: $11.19
  • Gateway — MCR Advantage: $11.30
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 – $112.35
Obstetric blood test panel: 10 of 32 insurance plan rates
  • Aetna — Auto Network: $52.59
  • Aetna — Commercial: $103.33
  • Aetna — MCR Advantage: $49.24
  • Aetna PEBTF Custom — HMO: $109.96
  • American Health Plan — MCR Advantage: $52.59
  • Amerihealth — MCD Advantage: $13.20
  • Amerihealth — MCR Advantage: $47.81
  • Cigna — Commercial: $47.81
  • Devoted Health Plan — MCR Advantage: $50.68
  • Gateway — MCR Advantage: $51.16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Profile $96 $53.76 $32.64 – $85.44
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • Aetna — Aetna: $85.44
  • Aetna — Commercial: $48
  • Cigna — Commercial: $48
  • Devon — Commercial: $72
  • Devoted Health Plan — MCR Advantage: $38.40
  • Gateway — MCR Advantage: $35.52
  • Highmark — CHIP: $32.64
  • Highmark - Ind.& Managed Care — MCR Advantage: $32.64
  • Martin's Point - USFHP — Tricare: $33.60
  • Peak Health — Commercial: $67.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cardio Iq Adv Lipid Panel $128 $71.68 $43.52 – $113.92
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • Aetna — Aetna: $113.92
  • Aetna — Commercial: $64
  • Cigna — Commercial: $64
  • Devon — Commercial: $96
  • Devoted Health Plan — MCR Advantage: $51.20
  • Gateway — MCR Advantage: $47.36
  • Highmark — CHIP: $43.52
  • Highmark - Ind.& Managed Care — MCR Advantage: $43.52
  • Martin's Point - USFHP — Tricare: $44.80
  • Peak Health — Commercial: $89.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Profile $96 $53.76 $38.40 – $72
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Devon — Commercial: $72
  • Devoted Health Plan — MCR Advantage: $38.40
  • Peak Health — Commercial: $67.20
  • Peak Health — MCR Advantage: $67.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function 10 Panel $65 $36.40 $22.10 – $57.85
Kidney function panel: 10 of 14 insurance plan rates
  • Aetna — Aetna: $57.85
  • Aetna — Commercial: $32.50
  • Cigna — Commercial: $32.50
  • Devon — Commercial: $48.75
  • Devoted Health Plan — MCR Advantage: $26
  • Gateway — MCR Advantage: $24.05
  • Highmark — CHIP: $22.10
  • Highmark - Ind.& Managed Care — MCR Advantage: $22.10
  • Martin's Point - USFHP — Tricare: $22.75
  • Peak Health — Commercial: $45.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function 10 Panel $65 $36.40 $26 – $48.75
Kidney function panel: rates for 4 insurance plans
  • Devon — Commercial: $48.75
  • Devoted Health Plan — MCR Advantage: $26
  • Peak Health — Commercial: $45.50
  • Peak Health — MCR Advantage: $45.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.06 – $57.84
Kidney function panel: 10 of 32 insurance plan rates
  • Aetna — Auto Network: $9.55
  • Aetna — Commercial: $18.76
  • Aetna — MCR Advantage: $8.94
  • Aetna PEBTF Custom — HMO: $19.96
  • American Health Plan — MCR Advantage: $9.55
  • Amerihealth — MCD Advantage: $10.56
  • Amerihealth — MCR Advantage: $8.68
  • Cigna — Commercial: $8.68
  • Devoted Health Plan — MCR Advantage: $9.20
  • Gateway — MCR Advantage: $9.29
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function 7 Panel $60 $33.60 $20.40 – $53.40
Liver function panel: 10 of 14 insurance plan rates
  • Aetna — Aetna: $53.40
  • Aetna — Commercial: $30
  • Cigna — Commercial: $30
  • Devon — Commercial: $45
  • Devoted Health Plan — MCR Advantage: $24
  • Gateway — MCR Advantage: $22.20
  • Highmark — CHIP: $20.40
  • Highmark - Ind.& Managed Care — MCR Advantage: $20.40
  • Martin's Point - USFHP — Tricare: $21
  • Peak Health — Commercial: $42
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function 7 Panel $60 $33.60 $24 – $45
Liver function panel: rates for 4 insurance plans
  • Devon — Commercial: $45
  • Devoted Health Plan — MCR Advantage: $24
  • Peak Health — Commercial: $42
  • Peak Health — MCR Advantage: $42
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 $7.58 – $43.07
Liver function panel: 10 of 32 insurance plan rates
  • Aetna — Auto Network: $8.99
  • Aetna — Commercial: $17.66
  • Aetna — MCR Advantage: $8.42
  • Aetna PEBTF Custom — HMO: $18.79
  • American Health Plan — MCR Advantage: $8.99
  • Amerihealth — MCD Advantage: $9.93
  • Amerihealth — MCR Advantage: $8.17
  • Cigna — Commercial: $8.17
  • Devoted Health Plan — MCR Advantage: $8.66
  • Gateway — MCR Advantage: $8.74
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Rout + Micro $32 $17.92 $10.88 – $28.48
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • Aetna — Aetna: $28.48
  • Aetna — Commercial: $16
  • Cigna — Commercial: $16
  • Devon — Commercial: $24
  • Devoted Health Plan — MCR Advantage: $12.80
  • Gateway — MCR Advantage: $11.84
  • Highmark — CHIP: $10.88
  • Highmark - Ind.& Managed Care — MCR Advantage: $10.88
  • Martin's Point - USFHP — Tricare: $11.20
  • Peak Health — Commercial: $22.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Reflex 5M/Ed $32 $17.92 $10.88 – $28.48
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • Aetna — Aetna: $28.48
  • Aetna — Commercial: $16
  • Cigna — Commercial: $16
  • Devon — Commercial: $24
  • Devoted Health Plan — MCR Advantage: $12.80
  • Gateway — MCR Advantage: $11.84
  • Highmark — CHIP: $10.88
  • Highmark - Ind.& Managed Care — MCR Advantage: $10.88
  • Martin's Point - USFHP — Tricare: $11.20
  • Peak Health — Commercial: $22.40
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Rout + Micro $32 $17.92 $12.80 – $24
Urine test (automated, with microscope): rates for 4 insurance plans
  • Devon — Commercial: $24
  • Devoted Health Plan — MCR Advantage: $12.80
  • Peak Health — Commercial: $22.40
  • Peak Health — MCR Advantage: $22.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Poc Urine Dip 81002 $28 $15.68 $9.52 – $24.92
Urine test (manual, without microscope): 10 of 14 insurance plan rates
  • Aetna — Aetna: $24.92
  • Aetna — Commercial: $14
  • Cigna — Commercial: $14
  • Devon — Commercial: $21
  • Devoted Health Plan — MCR Advantage: $11.20
  • Gateway — MCR Advantage: $10.36
  • Highmark — CHIP: $9.52
  • Highmark - Ind.& Managed Care — MCR Advantage: $9.52
  • Martin's Point - USFHP — Tricare: $9.80
  • Peak Health — Commercial: $19.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Reducing Subs Urine $28 $15.68 $9.52 – $24.92
Urine test (manual, without microscope): 10 of 14 insurance plan rates
  • Aetna — Aetna: $24.92
  • Aetna — Commercial: $14
  • Cigna — Commercial: $14
  • Devon — Commercial: $21
  • Devoted Health Plan — MCR Advantage: $11.20
  • Gateway — MCR Advantage: $10.36
  • Highmark — CHIP: $9.52
  • Highmark - Ind.& Managed Care — MCR Advantage: $9.52
  • Martin's Point - USFHP — Tricare: $9.80
  • Peak Health — Commercial: $19.60
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Poc Urine Dip 81002 $28 $15.68 $11.20 – $21
Urine test (manual, without microscope): rates for 4 insurance plans
  • Devon — Commercial: $21
  • Devoted Health Plan — MCR Advantage: $11.20
  • Peak Health — Commercial: $19.60
  • Peak Health — MCR Advantage: $19.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Without Microscopy $25 $14 $8.50 – $22.25
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • Aetna — Aetna: $22.25
  • Aetna — Commercial: $12.50
  • Cigna — Commercial: $12.50
  • Devon — Commercial: $18.75
  • Devoted Health Plan — MCR Advantage: $10
  • Gateway — MCR Advantage: $9.25
  • Highmark — CHIP: $8.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $8.50
  • Martin's Point - USFHP — Tricare: $8.75
  • Peak Health — Commercial: $17.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ph $25 $14 $8.50 – $22.25
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • Aetna — Aetna: $22.25
  • Aetna — Commercial: $12.50
  • Cigna — Commercial: $12.50
  • Devon — Commercial: $18.75
  • Devoted Health Plan — MCR Advantage: $10
  • Gateway — MCR Advantage: $9.25
  • Highmark — CHIP: $8.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $8.50
  • Martin's Point - USFHP — Tricare: $8.75
  • Peak Health — Commercial: $17.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ketones $25 $14 $8.50 – $22.25
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • Aetna — Aetna: $22.25
  • Aetna — Commercial: $12.50
  • Cigna — Commercial: $12.50
  • Devon — Commercial: $18.75
  • Devoted Health Plan — MCR Advantage: $10
  • Gateway — MCR Advantage: $9.25
  • Highmark — CHIP: $8.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $8.50
  • Martin's Point - USFHP — Tricare: $8.75
  • Peak Health — Commercial: $17.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Post Prostatectomy $173 $96.88 $58.82 – $153.97
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • Aetna — Aetna: $153.97
  • Aetna — Commercial: $86.50
  • Cigna — Commercial: $86.50
  • Devon — Commercial: $129.75
  • Devoted Health Plan — MCR Advantage: $69.20
  • Gateway — MCR Advantage: $64.01
  • Highmark — CHIP: $58.82
  • Highmark - Ind.& Managed Care — MCR Advantage: $58.82
  • Martin's Point - USFHP — Tricare: $60.55
  • Peak Health — Commercial: $121.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa, Total $173 $96.88 $58.82 – $153.97
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • Aetna — Aetna: $153.97
  • Aetna — Commercial: $86.50
  • Cigna — Commercial: $86.50
  • Devon — Commercial: $129.75
  • Devoted Health Plan — MCR Advantage: $69.20
  • Gateway — MCR Advantage: $64.01
  • Highmark — CHIP: $58.82
  • Highmark - Ind.& Managed Care — MCR Advantage: $58.82
  • Martin's Point - USFHP — Tricare: $60.55
  • Peak Health — Commercial: $121.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen-Diag $173 $96.88 $58.82 – $153.97
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • Aetna — Aetna: $153.97
  • Aetna — Commercial: $86.50
  • Cigna — Commercial: $86.50
  • Devon — Commercial: $129.75
  • Devoted Health Plan — MCR Advantage: $69.20
  • Gateway — MCR Advantage: $64.01
  • Highmark — CHIP: $58.82
  • Highmark - Ind.& Managed Care — MCR Advantage: $58.82
  • Martin's Point - USFHP — Tricare: $60.55
  • Peak Health — Commercial: $121.10
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh 3rd Generation $116 $64.96 $39.44 – $103.24
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • Aetna — Aetna: $103.24
  • Aetna — Commercial: $58
  • Cigna — Commercial: $58
  • Devon — Commercial: $87
  • Devoted Health Plan — MCR Advantage: $46.40
  • Gateway — MCR Advantage: $42.92
  • Highmark — CHIP: $39.44
  • Highmark - Ind.& Managed Care — MCR Advantage: $39.44
  • Martin's Point - USFHP — Tricare: $40.60
  • Peak Health — Commercial: $81.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh $116 $64.96 $39.44 – $103.24
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • Aetna — Aetna: $103.24
  • Aetna — Commercial: $58
  • Cigna — Commercial: $58
  • Devon — Commercial: $87
  • Devoted Health Plan — MCR Advantage: $46.40
  • Gateway — MCR Advantage: $42.92
  • Highmark — CHIP: $39.44
  • Highmark - Ind.& Managed Care — MCR Advantage: $39.44
  • Martin's Point - USFHP — Tricare: $40.60
  • Peak Health — Commercial: $81.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH Pediatric/Adolescent $116 $64.96 $39.44 – $103.24
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • Aetna — Aetna: $103.24
  • Aetna — Commercial: $58
  • Cigna — Commercial: $58
  • Devon — Commercial: $87
  • Devoted Health Plan — MCR Advantage: $46.40
  • Gateway — MCR Advantage: $42.92
  • Highmark — CHIP: $39.44
  • Highmark - Ind.& Managed Care — MCR Advantage: $39.44
  • Martin's Point - USFHP — Tricare: $40.60
  • Peak Health — Commercial: $81.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc And Differential 85025 $48 $26.88 $16.32 – $42.72
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • Aetna — Aetna: $42.72
  • Aetna — Commercial: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Gateway — MCR Advantage: $17.76
  • Highmark — CHIP: $16.32
  • Highmark - Ind.& Managed Care — MCR Advantage: $16.32
  • Martin's Point - USFHP — Tricare: $16.80
  • Peak Health — Commercial: $33.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc And Differential 85025 $48 $26.88 $19.20 – $36
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Peak Health — Commercial: $33.60
  • Peak Health — MCR Advantage: $33.60
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 – $38.84
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • Aetna — Auto Network: $8.55
  • Aetna — Commercial: $16.78
  • Aetna — MCR Advantage: $8
  • Aetna PEBTF Custom — HMO: $17.87
  • American Health Plan — MCR Advantage: $8.55
  • Amerihealth — MCD Advantage: $6.60
  • Amerihealth — MCR Advantage: $7.77
  • Cigna — Commercial: $7.77
  • Devoted Health Plan — MCR Advantage: $8.24
  • Gateway — MCR Advantage: $8.31
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc 85027 $48 $26.88 $16.32 – $42.72
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • Aetna — Aetna: $42.72
  • Aetna — Commercial: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Gateway — MCR Advantage: $17.76
  • Highmark — CHIP: $16.32
  • Highmark - Ind.& Managed Care — MCR Advantage: $16.32
  • Martin's Point - USFHP — Tricare: $16.80
  • Peak Health — Commercial: $33.60
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cbc 85027 $48 $26.88 $19.20 – $36
Complete blood count (CBC), automated: rates for 4 insurance plans
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Peak Health — Commercial: $33.60
  • Peak Health — MCR Advantage: $33.60
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 – $20.68
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • Aetna — Auto Network: $7.12
  • Aetna — Commercial: $13.98
  • Aetna — MCR Advantage: $6.66
  • Aetna PEBTF Custom — HMO: $14.88
  • American Health Plan — MCR Advantage: $7.12
  • Amerihealth — MCD Advantage: $8.27
  • Amerihealth — MCR Advantage: $6.47
  • Cigna — Commercial: $6.47
  • Devoted Health Plan — MCR Advantage: $6.86
  • Gateway — MCR Advantage: $6.92
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time 85610 $40 $22.40 $13.60 – $35.60
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • Aetna — Aetna: $35.60
  • Aetna — Commercial: $20
  • Cigna — Commercial: $20
  • Devon — Commercial: $30
  • Devoted Health Plan — MCR Advantage: $16
  • Gateway — MCR Advantage: $14.80
  • Highmark — CHIP: $13.60
  • Highmark - Ind.& Managed Care — MCR Advantage: $13.60
  • Martin's Point - USFHP — Tricare: $14
  • Peak Health — Commercial: $28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time 85610 $40 $22.40 $16 – $30
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • Devon — Commercial: $30
  • Devoted Health Plan — MCR Advantage: $16
  • Peak Health — Commercial: $28
  • Peak Health — MCR Advantage: $28
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 $3.98 – $10.20
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — Auto Network: $4.72
  • Aetna — Commercial: $9.26
  • Aetna — MCR Advantage: $4.42
  • Aetna PEBTF Custom — HMO: $9.87
  • American Health Plan — MCR Advantage: $4.72
  • Amerihealth — MCD Advantage: $4.40
  • Amerihealth — MCR Advantage: $4.29
  • Cigna — Commercial: $4.29
  • Devoted Health Plan — MCR Advantage: $4.55
  • Gateway — MCR Advantage: $4.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lupus Anti Ptt/Interpretation $48 $26.88 $16.32 – $42.72
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • Aetna — Aetna: $42.72
  • Aetna — Commercial: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Gateway — MCR Advantage: $17.76
  • Highmark — CHIP: $16.32
  • Highmark - Ind.& Managed Care — MCR Advantage: $16.32
  • Martin's Point - USFHP — Tricare: $16.80
  • Peak Health — Commercial: $33.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Part Thrombo Time Ptt $48 $26.88 $16.32 – $42.72
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • Aetna — Aetna: $42.72
  • Aetna — Commercial: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Gateway — MCR Advantage: $17.76
  • Highmark — CHIP: $16.32
  • Highmark - Ind.& Managed Care — MCR Advantage: $16.32
  • Martin's Point - USFHP — Tricare: $16.80
  • Peak Health — Commercial: $33.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ptt Test 85730 $48 $26.88 $16.32 – $42.72
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • Aetna — Aetna: $42.72
  • Aetna — Commercial: $24
  • Cigna — Commercial: $24
  • Devon — Commercial: $36
  • Devoted Health Plan — MCR Advantage: $19.20
  • Gateway — MCR Advantage: $17.76
  • Highmark — CHIP: $16.32
  • Highmark - Ind.& Managed Care — MCR Advantage: $16.32
  • Martin's Point - USFHP — Tricare: $16.80
  • Peak Health — Commercial: $33.60

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 $517 $289.52 $175.78 – $460.13
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $460.13
  • Aetna — Commercial: $258.50
  • Cigna — Commercial: $258.50
  • Devon — Commercial: $387.75
  • Devoted Health Plan — MCR Advantage: $206.80
  • Gateway — MCR Advantage: $191.29
  • Highmark — CHIP: $175.78
  • Highmark - Ind.& Managed Care — MCR Advantage: $175.78
  • Martin's Point - USFHP — Tricare: $180.95
  • Peak Health — Commercial: $361.90
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 $517 $289.52 $206.80 – $387.75
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • Devon — Commercial: $387.75
  • Devoted Health Plan — MCR Advantage: $206.80
  • Peak Health — Commercial: $361.90
  • Peak Health — MCR Advantage: $361.90
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 $96.88 – $644.79
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $112.53
  • Aetna — Commercial: $235.30
  • Aetna — MCR Advantage: $105.37
  • Aetna PEBTF Custom — HMO: $235.30
  • American Health Plan — MCR Advantage: $112.53
  • Amerihealth — MCD Advantage: $128.43
  • Amerihealth — MCR Advantage: $102.30
  • Cigna — Commercial: $102.30
  • Devoted Health Plan — MCR Advantage: $108.44
  • Gateway — MCR Advantage: $109.47
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 $3,000 $1,680 $1,020 – $2,670
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $2,670
  • Aetna — Commercial: $1,500
  • Cigna — Commercial: $1,500
  • Devon — Commercial: $2,250
  • Devoted Health Plan — MCR Advantage: $1,200
  • Gateway — MCR Advantage: $1,110
  • Highmark — CHIP: $1,020
  • Highmark - Ind.& Managed Care — MCR Advantage: $1,020
  • Martin's Point - USFHP — Tricare: $1,050
  • Peak Health — Commercial: $2,100
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 $3,000 $1,680 $1,200 – $2,250
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • Devon — Commercial: $2,250
  • Devoted Health Plan — MCR Advantage: $1,200
  • Peak Health — Commercial: $2,100
  • Peak Health — MCR Advantage: $2,100
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 $336.25 – $2,994.79
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $377.92
  • Aetna — Commercial: $790.20
  • Aetna — MCR Advantage: $353.87
  • Aetna PEBTF Custom — HMO: $790.20
  • American Health Plan — MCR Advantage: $377.92
  • Amerihealth — MCD Advantage: $372.90
  • Amerihealth — MCR Advantage: $343.57
  • Cigna — Commercial: $343.57
  • Devoted Health Plan — MCR Advantage: $364.18
  • Gateway — MCR Advantage: $367.62
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest Xray Cv Access 71010 $275 $154 $93.50 – $244.75
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • Aetna — Aetna: $244.75
  • Aetna — Commercial: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Gateway — MCR Advantage: $101.75
  • Highmark — CHIP: $93.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $93.50
  • Martin's Point - USFHP — Tricare: $96.25
  • Peak Health — Commercial: $192.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest Xray 2V $275 $154 $93.50 – $244.75
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • Aetna — Aetna: $244.75
  • Aetna — Commercial: $137.50
  • Cigna — Commercial: $137.50
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Gateway — MCR Advantage: $101.75
  • Highmark — CHIP: $93.50
  • Highmark - Ind.& Managed Care — MCR Advantage: $93.50
  • Martin's Point - USFHP — Tricare: $96.25
  • Peak Health — Commercial: $192.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Chest Xray Cv Access 71010 $275 $154 $110 – $206.25
Chest X-ray, 2 views: rates for 4 insurance plans
  • Devon — Commercial: $206.25
  • Devoted Health Plan — MCR Advantage: $110
  • Peak Health — Commercial: $192.50
  • Peak Health — MCR Advantage: $192.50
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 $299 $167.44 $101.66 – $266.11
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • Aetna — Aetna: $266.11
  • Aetna — Commercial: $149.50
  • Cigna — Commercial: $149.50
  • Devon — Commercial: $224.25
  • Devoted Health Plan — MCR Advantage: $119.60
  • Gateway — MCR Advantage: $110.63
  • Highmark — CHIP: $101.66
  • Highmark - Ind.& Managed Care — MCR Advantage: $101.66
  • Martin's Point - USFHP — Tricare: $104.65
  • Peak Health — Commercial: $209.30
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 $299 $167.44 $119.60 – $224.25
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • Devon — Commercial: $224.25
  • Devoted Health Plan — MCR Advantage: $119.60
  • Peak Health — Commercial: $209.30
  • Peak Health — MCR Advantage: $209.30
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 $28.13 – $240.41
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $112.53
  • Aetna — Commercial: $235.30
  • Aetna — MCR Advantage: $105.37
  • Aetna PEBTF Custom — HMO: $235.30
  • American Health Plan — MCR Advantage: $112.53
  • Amerihealth — MCD Advantage: $40.28
  • Amerihealth — MCR Advantage: $102.30
  • Cigna — Commercial: $102.30
  • Devoted Health Plan — MCR Advantage: $108.44
  • Gateway — MCR Advantage: $109.47
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 $2,200 $1,232 $748 – $1,958
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $1,958
  • Aetna — Commercial: $1,100
  • Cigna — Commercial: $1,100
  • Devon — Commercial: $1,650
  • Devoted Health Plan — MCR Advantage: $880
  • Gateway — MCR Advantage: $814
  • Highmark — CHIP: $748
  • Highmark - Ind.& Managed Care — MCR Advantage: $748
  • Martin's Point - USFHP — Tricare: $770
  • Peak Health — Commercial: $1,540
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 $2,200 $1,232 $880 – $1,650
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans
  • Devon — Commercial: $1,650
  • Devoted Health Plan — MCR Advantage: $880
  • Peak Health — Commercial: $1,540
  • Peak Health — MCR Advantage: $1,540
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 $230.21 – $1,530.96
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $255.79
  • Aetna — Commercial: $534.84
  • Aetna — MCR Advantage: $239.51
  • Aetna PEBTF Custom — HMO: $534.84
  • American Health Plan — MCR Advantage: $255.79
  • Amerihealth — MCD Advantage: $281.77
  • Amerihealth — MCR Advantage: $232.54
  • Cigna — Commercial: $232.54
  • Devoted Health Plan — MCR Advantage: $246.49
  • Gateway — MCR Advantage: $248.82
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CTA Lower Ext Rt Enhance 73706 $1,000 $560 $340 – $890
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $890
  • Aetna — Commercial: $500
  • Cigna — Commercial: $500
  • Devon — Commercial: $750
  • Devoted Health Plan — MCR Advantage: $400
  • Gateway — MCR Advantage: $370
  • Highmark — CHIP: $340
  • Highmark - Ind.& Managed Care — MCR Advantage: $340
  • Martin's Point - USFHP — Tricare: $350
  • Peak Health — Commercial: $700
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Scan PelvisEnhanced $1,138 $637.28 $386.92 – $1,012.82
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $1,012.82
  • Aetna — Commercial: $569
  • Cigna — Commercial: $569
  • Devon — Commercial: $853.50
  • Devoted Health Plan — MCR Advantage: $455.20
  • Gateway — MCR Advantage: $421.06
  • Highmark — CHIP: $386.92
  • Highmark - Ind.& Managed Care — MCR Advantage: $386.92
  • Martin's Point - USFHP — Tricare: $398.30
  • Peak Health — Commercial: $796.60
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CTA Lower Ext Rt Enhance 73706 $1,000 $560 $400 – $750
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • Devon — Commercial: $750
  • Devoted Health Plan — MCR Advantage: $400
  • Peak Health — Commercial: $700
  • Peak Health — MCR Advantage: $700
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 $2,514 $1,407.84 $854.76 – $2,237.46
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $2,237.46
  • Aetna — Commercial: $1,257
  • Cigna — Commercial: $1,257
  • Devon — Commercial: $1,885.50
  • Devoted Health Plan — MCR Advantage: $1,005.60
  • Gateway — MCR Advantage: $930.18
  • Highmark — CHIP: $854.76
  • Highmark - Ind.& Managed Care — MCR Advantage: $854.76
  • Martin's Point - USFHP — Tricare: $879.90
  • Peak Health — Commercial: $1,759.80
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 $2,514 $1,407.84 $1,005.60 – $1,885.50
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans
  • Devon — Commercial: $1,885.50
  • Devoted Health Plan — MCR Advantage: $1,005.60
  • Peak Health — Commercial: $1,759.80
  • Peak Health — MCR Advantage: $1,759.80
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 $230.21 – $1,320.07
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna — Auto Network: $255.79
  • Aetna — Commercial: $534.84
  • Aetna — MCR Advantage: $239.51
  • Aetna PEBTF Custom — HMO: $534.84
  • American Health Plan — MCR Advantage: $255.79
  • Amerihealth — MCR Advantage: $232.54
  • Cigna — Commercial: $232.54
  • Devoted Health Plan — MCR Advantage: $246.49
  • Gateway — MCR Advantage: $248.82
  • Geisinger — MCR Advantage: $244.17
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 $2,291 $1,282.96 $778.94 – $2,038.99
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $2,038.99
  • Aetna — Commercial: $1,145.50
  • Cigna — Commercial: $1,145.50
  • Devon — Commercial: $1,718.25
  • Devoted Health Plan — MCR Advantage: $916.40
  • Gateway — MCR Advantage: $847.67
  • Highmark — CHIP: $778.94
  • Highmark - Ind.& Managed Care — MCR Advantage: $778.94
  • Martin's Point - USFHP — Tricare: $801.85
  • Peak Health — Commercial: $1,603.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen Pelvis Enhanced $2,291 $1,282.96 $916.40 – $1,718.25
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • Devon — Commercial: $1,718.25
  • Devoted Health Plan — MCR Advantage: $916.40
  • Peak Health — Commercial: $1,603.70
  • Peak Health — MCR Advantage: $1,603.70
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 $240.91 – $3,104.91
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — Auto Network: $377.92
  • Aetna — Commercial: $790.20
  • Aetna — MCR Advantage: $353.87
  • Aetna PEBTF Custom — HMO: $790.20
  • American Health Plan — MCR Advantage: $377.92
  • Amerihealth — MCD Advantage: $289.48
  • Amerihealth — MCR Advantage: $343.57
  • Cigna — Commercial: $343.57
  • Devoted Health Plan — MCR Advantage: $364.18
  • Gateway — MCR Advantage: $367.62
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Upper Abdominal $1,022 $572.32 $347.48 – $909.58
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • Aetna — Aetna: $909.58
  • Aetna — Commercial: $511
  • Cigna — Commercial: $511
  • Devon — Commercial: $766.50
  • Devoted Health Plan — MCR Advantage: $408.80
  • Gateway — MCR Advantage: $378.14
  • Highmark — CHIP: $347.48
  • Highmark - Ind.& Managed Care — MCR Advantage: $347.48
  • Martin's Point - USFHP — Tricare: $357.70
  • Peak Health — Commercial: $715.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Upper Abdominal $1,022 $572.32 $408.80 – $766.50
Ultrasound of the abdomen, complete: rates for 4 insurance plans
  • Devon — Commercial: $766.50
  • Devoted Health Plan — MCR Advantage: $408.80
  • Peak Health — Commercial: $715.40
  • Peak Health — MCR Advantage: $715.40
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 $71.88 – $326.90
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $112.53
  • Aetna — Commercial: $235.30
  • Aetna — MCR Advantage: $105.37
  • Aetna PEBTF Custom — HMO: $235.30
  • American Health Plan — MCR Advantage: $112.53
  • Amerihealth — MCD Advantage: $104.80
  • Amerihealth — MCR Advantage: $102.30
  • Cigna — Commercial: $102.30
  • Devoted Health Plan — MCR Advantage: $108.44
  • Gateway — MCR Advantage: $109.47
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 $398 $222.88 $135.32 – $354.22
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • Aetna — Aetna: $354.22
  • Aetna — Commercial: $199
  • Cigna — Commercial: $199
  • Devon — Commercial: $298.50
  • Devoted Health Plan — MCR Advantage: $159.20
  • Gateway — MCR Advantage: $147.26
  • Highmark — CHIP: $135.32
  • Highmark - Ind.& Managed Care — MCR Advantage: $135.32
  • Martin's Point - USFHP — Tricare: $139.30
  • Peak Health — Commercial: $278.60
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 $681.52 $413.78 – $1,083.13
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • Aetna — Aetna: $1,083.13
  • Aetna — Commercial: $608.50
  • Cigna — Commercial: $608.50
  • Devon — Commercial: $912.75
  • Devoted Health Plan — MCR Advantage: $486.80
  • Gateway — MCR Advantage: $450.29
  • Highmark — CHIP: $413.78
  • Highmark - Ind.& Managed Care — MCR Advantage: $413.78
  • Martin's Point - USFHP — Tricare: $425.95
  • Peak Health — Commercial: $851.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Preg 14+Wks Sing Gest 76805 $398 $222.88 $159.20 – $298.50
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • Devon — Commercial: $298.50
  • Devoted Health Plan — MCR Advantage: $159.20
  • Peak Health — Commercial: $278.60
  • Peak Health — MCR Advantage: $278.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pelvic Transvaginal 76830 $402 $225.12 $136.68 – $357.78
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • Aetna — Aetna: $357.78
  • Aetna — Commercial: $201
  • Cigna — Commercial: $201
  • Devon — Commercial: $301.50
  • Devoted Health Plan — MCR Advantage: $160.80
  • Gateway — MCR Advantage: $148.74
  • Highmark — CHIP: $136.68
  • Highmark - Ind.& Managed Care — MCR Advantage: $136.68
  • Martin's Point - USFHP — Tricare: $140.70
  • Peak Health — Commercial: $281.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Pelvic $402 $225.12 $136.68 – $357.78
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • Aetna — Aetna: $357.78
  • Aetna — Commercial: $201
  • Cigna — Commercial: $201
  • Devon — Commercial: $301.50
  • Devoted Health Plan — MCR Advantage: $160.80
  • Gateway — MCR Advantage: $148.74
  • Highmark — CHIP: $136.68
  • Highmark - Ind.& Managed Care — MCR Advantage: $136.68
  • Martin's Point - USFHP — Tricare: $140.70
  • Peak Health — Commercial: $281.40
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Pelvic Transvaginal 76830 $402 $225.12 $160.80 – $301.50
Transvaginal ultrasound: rates for 4 insurance plans
  • Devon — Commercial: $301.50
  • Devoted Health Plan — MCR Advantage: $160.80
  • Peak Health — Commercial: $281.40
  • Peak Health — MCR Advantage: $281.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Study Digital Lt G0206 $350 $196 $119 – $311.50
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $311.50
  • Aetna — Commercial: $175
  • Cigna — Commercial: $175
  • Devon — Commercial: $262.50
  • Devoted Health Plan — MCR Advantage: $140
  • Gateway — MCR Advantage: $129.50
  • Highmark — CHIP: $119
  • Highmark - Ind.& Managed Care — MCR Advantage: $119
  • Martin's Point - USFHP — Tricare: $122.50
  • Peak Health — Commercial: $245
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Study Digital Rt G0206 $350 $196 $119 – $311.50
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $311.50
  • Aetna — Commercial: $175
  • Cigna — Commercial: $175
  • Devon — Commercial: $262.50
  • Devoted Health Plan — MCR Advantage: $140
  • Gateway — MCR Advantage: $129.50
  • Highmark — CHIP: $119
  • Highmark - Ind.& Managed Care — MCR Advantage: $119
  • Martin's Point - USFHP — Tricare: $122.50
  • Peak Health — Commercial: $245
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Study Dig Rt Sp G0206 $350 $196 $119 – $311.50
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • Aetna — Aetna: $311.50
  • Aetna — Commercial: $175
  • Cigna — Commercial: $175
  • Devon — Commercial: $262.50
  • Devoted Health Plan — MCR Advantage: $140
  • Gateway — MCR Advantage: $129.50
  • Highmark — CHIP: $119
  • Highmark - Ind.& Managed Care — MCR Advantage: $119
  • Martin's Point - USFHP — Tricare: $122.50
  • Peak Health — Commercial: $245
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Digital Bilateral G0204 $520 $291.20 $176.80 – $462.80
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates
  • Aetna — Aetna: $462.80
  • Aetna — Commercial: $260
  • Cigna — Commercial: $260
  • Devon — Commercial: $390
  • Devoted Health Plan — MCR Advantage: $208
  • Gateway — MCR Advantage: $192.40
  • Highmark — CHIP: $176.80
  • Highmark - Ind.& Managed Care — MCR Advantage: $176.80
  • Martin's Point - USFHP — Tricare: $182
  • Peak Health — Commercial: $364
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mammo Digital Bilateral G0204 $520 $291.20 $208 – $390
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Devon — Commercial: $390
  • Devoted Health Plan — MCR Advantage: $208
  • Peak Health — Commercial: $364
  • Peak Health — MCR Advantage: $364
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 $99.45 – $530.28
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Auto Network: $110.50
  • Aetna — Commercial: $371.28
  • Aetna — MCR Advantage: $103.46
  • Aetna PEBTF Custom — HMO: $231.04
  • American Health Plan — MCR Advantage: $110.50
  • Amerihealth — MCD Advantage: $142.84
  • Amerihealth — MCR Advantage: $100.45
  • Cigna — Commercial: $100.45
  • Devoted Health Plan — MCR Advantage: $106.48
  • Gateway — MCR Advantage: $107.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammo Screen Digital Bilat $427 $239.12 $145.18 – $380.03
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • Aetna — Aetna: $380.03
  • Aetna — Commercial: $213.50
  • Cigna — Commercial: $213.50
  • Devon — Commercial: $320.25
  • Devoted Health Plan — MCR Advantage: $170.80
  • Gateway — MCR Advantage: $157.99
  • Highmark — CHIP: $145.18
  • Highmark - Ind.& Managed Care — MCR Advantage: $145.18
  • Martin's Point - USFHP — Tricare: $149.45
  • Peak Health — Commercial: $298.90
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mammo Screen Digital Bilat $427 $239.12 $170.80 – $320.25
Screening mammogram, both breasts: rates for 4 insurance plans
  • Devon — Commercial: $320.25
  • Devoted Health Plan — MCR Advantage: $170.80
  • Peak Health — Commercial: $298.90
  • Peak Health — MCR Advantage: $298.90
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 $82.23 – $433.19
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Auto Network: $91.37
  • Aetna — Commercial: $299.14
  • Aetna — MCR Advantage: $85.55
  • Aetna PEBTF Custom — HMO: $191.04
  • American Health Plan — MCR Advantage: $91.37
  • Amerihealth — MCD Advantage: $115.17
  • Amerihealth — MCR Advantage: $83.06
  • Cigna — Commercial: $83.06
  • Devoted Health Plan — MCR Advantage: $88.04
  • Gateway — MCR Advantage: $88.87

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 $10.90 – $68.43
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates
  • Aetna — Commercial: $35.03
  • Amerihealth — MCD Advantage: $21.14
  • Geisinger — MCD Advantage: $23.04
  • Jefferson Health Plan — MCD Advantage: $21.14
  • Martin's Point - USFHP — Tricare: $13.29
  • Medicaid — Traditional Medicaid: $19.22
  • Tricare — Tricare: $13.29
  • UPMC — CHIP: $10.90
  • UPMC — Commercial: $47.95
  • UPMC — Medicaid: $24.02
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 $1,308.06 – $7,271.50
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates
  • Aetna — Auto Network: $3,403.68
  • Aetna — Commercial: $7,116.79
  • Aetna — MCR Advantage: $3,187.08
  • Aetna PEBTF Custom — HMO: $7,116.79
  • American Health Plan — MCR Advantage: $3,403.68
  • Amerihealth — MCR Advantage: $3,094.26
  • Cigna — Commercial: $3,094.26
  • Devoted Health Plan — MCR Advantage: $3,279.91
  • Gateway — MCR Advantage: $3,310.85
  • Geisinger — MCR Advantage: $3,248.97
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 – $17,154.78
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates
  • Aetna — Auto Network: $8,029.90
  • Aetna — Commercial: $16,789.79
  • Aetna — MCR Advantage: $7,518.90
  • Aetna PEBTF Custom — HMO: $16,789.79
  • American Health Plan — MCR Advantage: $8,029.90
  • Amerihealth — MCR Advantage: $7,299.91
  • Cigna — Commercial: $7,299.91
  • Devoted Health Plan — MCR Advantage: $7,737.90
  • Gateway — MCR Advantage: $7,810.90
  • Geisinger — MCR Advantage: $7,664.90
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 $961.95 – $55,461.32
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates
  • Aetna — Auto Network: $25,960.62
  • Aetna — Commercial: $54,281.30
  • Aetna — MCR Advantage: $24,308.58
  • Aetna PEBTF Custom — HMO: $54,281.30
  • American Health Plan — MCR Advantage: $25,960.62
  • Amerihealth — MCR Advantage: $23,600.56
  • Cigna — Commercial: $23,600.56
  • Devoted Health Plan — MCR Advantage: $25,016.60
  • Gateway — MCR Advantage: $25,252.60
  • Geisinger — MCR Advantage: $24,780.59
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnography $2,260 $1,265.60 $768.40 – $2,011.40
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • Aetna — Aetna: $2,011.40
  • Aetna — Commercial: $1,130
  • Cigna — Commercial: $1,130
  • Devon — Commercial: $1,695
  • Devoted Health Plan — MCR Advantage: $904
  • Gateway — MCR Advantage: $836.20
  • Highmark — CHIP: $768.40
  • Highmark - Ind.& Managed Care — MCR Advantage: $768.40
  • Martin's Point - USFHP — Tricare: $791
  • Peak Health — Commercial: $1,582
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Polysomnography $2,260 $1,265.60 $904 – $1,695
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans
  • Devon — Commercial: $1,695
  • Devoted Health Plan — MCR Advantage: $904
  • Peak Health — Commercial: $1,582
  • Peak Health — MCR Advantage: $1,582
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 $168.61 – $2,300.06
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $1,076.63
  • Aetna — Commercial: $2,251.13
  • Aetna — MCR Advantage: $1,008.11
  • Aetna PEBTF Custom — HMO: $2,251.13
  • American Health Plan — MCR Advantage: $1,076.63
  • Amerihealth — MCD Advantage: $381.22
  • Amerihealth — MCR Advantage: $978.75
  • Cigna — Commercial: $978.75
  • Devoted Health Plan — MCR Advantage: $1,037.48
  • Gateway — MCR Advantage: $1,047.26

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: Lymph Pt Ther Exercise $236 $132.16 $80.24 – $210.04
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Aetna — Aetna: $210.04
  • Aetna — Commercial: $118
  • Cigna — Commercial: $118
  • Devon — Commercial: $177
  • Devoted Health Plan — MCR Advantage: $94.40
  • Gateway — MCR Advantage: $87.32
  • Highmark — CHIP: $80.24
  • Highmark - Ind.& Managed Care — MCR Advantage: $80.24
  • Martin's Point - USFHP — Tricare: $82.60
  • Peak Health — Commercial: $165.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lymph Pt Ther Exercise $236 $132.16 $94.40 – $177
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Devon — Commercial: $177
  • Devoted Health Plan — MCR Advantage: $94.40
  • Peak Health — Commercial: $165.20
  • Peak Health — MCR Advantage: $165.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $9.22 – $68.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna — Auto Network: $30.53
  • Aetna — Commercial: $54.51
  • Aetna — MCR Advantage: $28.58
  • Aetna PEBTF Custom — HMO: $63.83
  • American Health Plan — MCR Advantage: $30.53
  • Amerihealth — MCR Advantage: $27.75
  • Cigna — Commercial: $27.75
  • Devoted Health Plan — MCR Advantage: $29.42
  • Gateway — MCR Advantage: $29.69
  • Geisinger — MCR Advantage: $29.14
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 $93.55 – $222.05
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $103.94
  • Aetna — Commercial: $185.48
  • Aetna — MCR Advantage: $97.32
  • Aetna PEBTF Custom — HMO: $217.33
  • American Health Plan — MCR Advantage: $103.94
  • Amerihealth — MCR Advantage: $94.49
  • Cigna — Commercial: $94.49
  • Devoted Health Plan — MCR Advantage: $100.16
  • Gateway — MCR Advantage: $101.10
  • Geisinger — MCR Advantage: $99.21
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Evaluation Low Complexity $234 $131.04 $79.56 – $208.26
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Aetna — Aetna: $208.26
  • Aetna — Commercial: $117
  • Cigna — Commercial: $117
  • Devon — Commercial: $175.50
  • Devoted Health Plan — MCR Advantage: $93.60
  • Gateway — MCR Advantage: $86.58
  • Highmark — CHIP: $79.56
  • Highmark - Ind.& Managed Care — MCR Advantage: $79.56
  • Martin's Point - USFHP — Tricare: $81.90
  • Peak Health — Commercial: $163.80
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: Evaluation Low Complexity $234 $131.04 $93.60 – $175.50
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Devon — Commercial: $175.50
  • Devoted Health Plan — MCR Advantage: $93.60
  • Peak Health — Commercial: $163.80
  • Peak Health — MCR Advantage: $163.80
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 $190.93
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $103.94
  • Aetna — Commercial: $185.48
  • Aetna — MCR Advantage: $97.32
  • Aetna PEBTF Custom — HMO: $217.33
  • American Health Plan — MCR Advantage: $103.94
  • Amerihealth — MCR Advantage: $94.49
  • Cigna — Commercial: $94.49
  • Devoted Health Plan — MCR Advantage: $100.16
  • Gateway — MCR Advantage: $101.10
  • Geisinger — MCR Advantage: $99.21
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Eval Mod Complexity $234 $131.04 $79.56 – $208.26
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Aetna — Aetna: $208.26
  • Aetna — Commercial: $117
  • Cigna — Commercial: $117
  • Devon — Commercial: $175.50
  • Devoted Health Plan — MCR Advantage: $93.60
  • Gateway — MCR Advantage: $86.58
  • Highmark — CHIP: $79.56
  • Highmark - Ind.& Managed Care — MCR Advantage: $79.56
  • Martin's Point - USFHP — Tricare: $81.90
  • Peak Health — Commercial: $163.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT Eval Mod Complexity $234 $131.04 $93.60 – $175.50
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Devon — Commercial: $175.50
  • Devoted Health Plan — MCR Advantage: $93.60
  • Peak Health — Commercial: $163.80
  • Peak Health — MCR Advantage: $163.80
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 $190.93
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates
  • Aetna — Auto Network: $103.94
  • Aetna — Commercial: $185.48
  • Aetna — MCR Advantage: $97.32
  • Aetna PEBTF Custom — HMO: $217.33
  • American Health Plan — MCR Advantage: $103.94
  • Amerihealth — MCR Advantage: $94.49
  • Cigna — Commercial: $94.49
  • Devoted Health Plan — MCR Advantage: $100.16
  • Gateway — MCR Advantage: $101.10
  • Geisinger — MCR Advantage: $99.21
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Eval High Complexity $256 $143.36 $87.04 – $227.84
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Aetna — Aetna: $227.84
  • Aetna — Commercial: $128
  • Cigna — Commercial: $128
  • Devon — Commercial: $192
  • Devoted Health Plan — MCR Advantage: $102.40
  • Gateway — MCR Advantage: $94.72
  • Highmark — CHIP: $87.04
  • Highmark - Ind.& Managed Care — MCR Advantage: $87.04
  • Martin's Point - USFHP — Tricare: $89.60
  • Peak Health — Commercial: $179.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT SWG Eval HI 45 $256 $143.36 $87.04 – $227.84
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Aetna — Aetna: $227.84
  • Aetna — Commercial: $128
  • Cigna — Commercial: $128
  • Devon — Commercial: $192
  • Devoted Health Plan — MCR Advantage: $102.40
  • Gateway — MCR Advantage: $94.72
  • Highmark — CHIP: $87.04
  • Highmark - Ind.& Managed Care — MCR Advantage: $87.04
  • Martin's Point - USFHP — Tricare: $89.60
  • Peak Health — Commercial: $179.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $90.88 – $363.24
Psychotherapy, 30 minutes: 10 of 26 insurance plan rates
  • Aetna — Auto Network: $170.03
  • Aetna — Commercial: $355.51
  • Aetna — MCR Advantage: $159.21
  • Aetna PEBTF Custom — HMO: $355.51
  • American Health Plan — MCR Advantage: $170.03
  • Amerihealth — MCR Advantage: $154.57
  • Cigna — Commercial: $154.57
  • Devoted Health Plan — MCR Advantage: $163.85
  • Gateway — MCR Advantage: $165.39
  • Geisinger — MCR Advantage: $162.30
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $118.32 – $363.24
Psychotherapy, 45 minutes: 10 of 26 insurance plan rates
  • Aetna — Auto Network: $170.03
  • Aetna — Commercial: $355.51
  • Aetna — MCR Advantage: $159.21
  • Aetna PEBTF Custom — HMO: $355.51
  • American Health Plan — MCR Advantage: $170.03
  • Amerihealth — MCR Advantage: $154.57
  • Cigna — Commercial: $154.57
  • Devoted Health Plan — MCR Advantage: $163.85
  • Gateway — MCR Advantage: $165.39
  • Geisinger — MCR Advantage: $162.30
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $153.03 – $363.24
Psychotherapy, 60 minutes: 10 of 26 insurance plan rates
  • Aetna — Auto Network: $170.03
  • Aetna — Commercial: $355.51
  • Aetna — MCR Advantage: $159.21
  • Aetna PEBTF Custom — HMO: $355.51
  • American Health Plan — MCR Advantage: $170.03
  • Amerihealth — MCR Advantage: $154.57
  • Cigna — Commercial: $154.57
  • Devoted Health Plan — MCR Advantage: $163.85
  • Gateway — MCR Advantage: $165.39
  • Geisinger — MCR Advantage: $162.30
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $38.41 – $363.24
Family psychotherapy, without the patient: 10 of 28 insurance plan rates
  • Aetna — Auto Network: $170.03
  • Aetna — Commercial: $355.51
  • Aetna — MCR Advantage: $159.21
  • Aetna PEBTF Custom — HMO: $355.51
  • American Health Plan — MCR Advantage: $170.03
  • Amerihealth — MCR Advantage: $154.57
  • Cigna — Commercial: $154.57
  • Devoted Health Plan — MCR Advantage: $163.85
  • Gateway — MCR Advantage: $165.39
  • Geisinger — MCR Advantage: $162.30
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $45.27 – $363.24
Family psychotherapy, with the patient: 10 of 28 insurance plan rates
  • Aetna — Auto Network: $170.03
  • Aetna — Commercial: $355.51
  • Aetna — MCR Advantage: $159.21
  • Aetna PEBTF Custom — HMO: $355.51
  • American Health Plan — MCR Advantage: $170.03
  • Amerihealth — MCR Advantage: $154.57
  • Cigna — Commercial: $154.57
  • Devoted Health Plan — MCR Advantage: $163.85
  • Gateway — MCR Advantage: $165.39
  • Geisinger — MCR Advantage: $162.30
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $57.78 – $254.19
Group psychotherapy: 10 of 28 insurance plan rates
  • Aetna — Auto Network: $97.89
  • Aetna — Commercial: $204.68
  • Aetna — MCR Advantage: $91.66
  • Aetna PEBTF Custom — HMO: $204.68
  • American Health Plan — MCR Advantage: $97.89
  • Amerihealth — MCR Advantage: $88.99
  • Cigna — Commercial: $88.99
  • Devoted Health Plan — MCR Advantage: $94.33
  • Gateway — MCR Advantage: $95.22
  • Geisinger — MCR Advantage: $93.44

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 – $8,657.04
Removal of breast growth (open surgery): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $4,052.23
  • Aetna — Commercial: $8,472.85
  • Aetna — MCR Advantage: $3,794.36
  • Aetna PEBTF Custom — HMO: $8,472.85
  • American Health Plan — MCR Advantage: $4,052.23
  • Amerihealth — MCD Advantage: $190.30
  • Amerihealth — MCR Advantage: $3,683.85
  • Cigna — Commercial: $3,683.85
  • Devoted Health Plan — MCR Advantage: $3,904.88
  • Gateway — MCR Advantage: $3,941.72
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 $1,100 – $29,088.62
Total hip replacement: 10 of 27 insurance plan rates
  • Aetna — Auto Network: $13,615.95
  • Aetna — Commercial: $28,469.72
  • Aetna — MCR Advantage: $12,749.48
  • Aetna PEBTF Custom — HMO: $28,469.72
  • American Health Plan — MCR Advantage: $13,615.95
  • Amerihealth — MCR Advantage: $12,378.14
  • Cigna — Commercial: $12,378.14
  • Devoted Health Plan — MCR Advantage: $13,120.83
  • Gateway — MCR Advantage: $13,244.61
  • Geisinger — MCR Advantage: $12,997.04
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 $1,100 – $29,088.62
Total knee replacement: 10 of 28 insurance plan rates
  • Aetna — Auto Network: $13,615.95
  • Aetna — Commercial: $28,469.72
  • Aetna — MCR Advantage: $12,749.48
  • Aetna PEBTF Custom — HMO: $28,469.72
  • American Health Plan — MCR Advantage: $13,615.95
  • Amerihealth — MCR Advantage: $12,378.14
  • Cigna — Commercial: $12,378.14
  • Devoted Health Plan — MCR Advantage: $13,120.83
  • Gateway — MCR Advantage: $13,244.61
  • Geisinger — MCR Advantage: $12,997.04
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 $415.17 – $2,224.93
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans
  • Aetna — Commercial: $415.17
  • Amerihealth — MCD Advantage: $597.85
  • Geisinger — MCD Advantage: $657.64
  • Jefferson Health Plan — MCD Advantage: $597.85
  • Medicaid — Traditional Medicaid: $543.50
  • UPMC — CHIP: $474.21
  • UPMC — Commercial: $2,086.15
  • UPMC — Medicaid: $597.85
  • Workers Comp — Other: $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 – $7,335.24
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $3,433.52
  • Aetna — Commercial: $7,179.17
  • Aetna — MCR Advantage: $3,215.02
  • Aetna PEBTF Custom — HMO: $7,179.17
  • American Health Plan — MCR Advantage: $3,433.52
  • Amerihealth — MCD Advantage: $597.85
  • Amerihealth — MCR Advantage: $3,121.38
  • Cigna — Commercial: $3,121.38
  • Devoted Health Plan — MCR Advantage: $3,308.66
  • Gateway — MCR Advantage: $3,339.88
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 $230 – $13,373.81
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • Aetna — Auto Network: $6,260.08
  • Aetna — Commercial: $13,089.26
  • Aetna — MCR Advantage: $5,861.71
  • Aetna PEBTF Custom — HMO: $13,089.26
  • American Health Plan — MCR Advantage: $6,260.08
  • Amerihealth — MCR Advantage: $5,690.98
  • Cigna — Commercial: $5,690.98
  • Devoted Health Plan — MCR Advantage: $6,032.44
  • Gateway — MCR Advantage: $6,089.35
  • Geisinger — MCR Advantage: $5,975.53
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 $125.22 – $2,119.58
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $992.15
  • Aetna — Commercial: $2,074.49
  • Aetna — MCR Advantage: $929.01
  • Aetna PEBTF Custom — HMO: $2,074.49
  • American Health Plan — MCR Advantage: $992.15
  • Amerihealth — MCD Advantage: $137.74
  • Amerihealth — MCR Advantage: $901.95
  • Cigna — Commercial: $901.95
  • Devoted Health Plan — MCR Advantage: $956.07
  • Gateway — MCR Advantage: $965.09
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 – $2,119.58
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $992.15
  • Aetna — Commercial: $2,074.49
  • Aetna — MCR Advantage: $929.01
  • Aetna PEBTF Custom — HMO: $2,074.49
  • American Health Plan — MCR Advantage: $992.15
  • Amerihealth — MCD Advantage: $163.44
  • Amerihealth — MCR Advantage: $901.95
  • Cigna — Commercial: $901.95
  • Devoted Health Plan — MCR Advantage: $956.07
  • Gateway — MCR Advantage: $965.09
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 – $2,061.14
Colonoscopy (diagnostic): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $964.79
  • Aetna — Commercial: $2,017.29
  • Aetna — MCR Advantage: $903.39
  • Aetna PEBTF Custom — HMO: $2,017.29
  • American Health Plan — MCR Advantage: $964.79
  • Amerihealth — MCD Advantage: $198.55
  • Amerihealth — MCR Advantage: $877.08
  • Cigna — Commercial: $877.08
  • Devoted Health Plan — MCR Advantage: $929.71
  • Gateway — MCR Advantage: $938.48
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 $225.42 – $2,665.61
Colonoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $1,247.73
  • Aetna — Commercial: $2,608.89
  • Aetna — MCR Advantage: $1,168.33
  • Aetna PEBTF Custom — HMO: $2,608.89
  • American Health Plan — MCR Advantage: $1,247.73
  • Amerihealth — MCD Advantage: $247.96
  • Amerihealth — MCR Advantage: $1,134.30
  • Cigna — Commercial: $1,134.30
  • Devoted Health Plan — MCR Advantage: $1,202.36
  • Gateway — MCR Advantage: $1,213.70
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 $268.08 – $2,665.61
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • Aetna — Auto Network: $1,247.73
  • Aetna — Commercial: $2,608.89
  • Aetna — MCR Advantage: $1,168.33
  • Aetna PEBTF Custom — HMO: $2,608.89
  • American Health Plan — MCR Advantage: $1,247.73
  • Amerihealth — MCD Advantage: $294.89
  • Amerihealth — MCR Advantage: $1,134.30
  • Cigna — Commercial: $1,134.30
  • Devoted Health Plan — MCR Advantage: $1,202.36
  • Gateway — MCR Advantage: $1,213.70
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 – $2,665.61
Ultrasound of the lower bowel by endoscope: 10 of 32 insurance plan rates
  • Aetna — Auto Network: $1,247.73
  • Aetna — Commercial: $2,608.89
  • Aetna — MCR Advantage: $1,168.33
  • Aetna PEBTF Custom — HMO: $2,608.89
  • American Health Plan — MCR Advantage: $1,247.73
  • Amerihealth — MCD Advantage: $241.22
  • Amerihealth — MCR Advantage: $1,134.30
  • Cigna — Commercial: $1,134.30
  • Devoted Health Plan — MCR Advantage: $1,202.36
  • Gateway — MCR Advantage: $1,213.70
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 $868.31 – $2,061.14
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates
  • Aetna — Auto Network: $964.79
  • Aetna — Commercial: $2,017.29
  • Aetna — MCR Advantage: $903.39
  • Aetna PEBTF Custom — HMO: $2,017.29
  • American Health Plan — MCR Advantage: $964.79
  • Amerihealth — MCR Advantage: $877.08
  • Cigna — Commercial: $877.08
  • Devoted Health Plan — MCR Advantage: $929.71
  • Gateway — MCR Advantage: $938.48
  • Geisinger — MCR Advantage: $920.94
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 $736.69 – $13,190.02
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • Aetna — Auto Network: $6,174.05
  • Aetna — Commercial: $12,909.38
  • Aetna — MCR Advantage: $5,781.16
  • Aetna PEBTF Custom — HMO: $12,909.38
  • American Health Plan — MCR Advantage: $6,174.05
  • Amerihealth — MCR Advantage: $5,612.77
  • Cigna — Commercial: $5,612.77
  • Devoted Health Plan — MCR Advantage: $5,949.54
  • Gateway — MCR Advantage: $6,005.67
  • Geisinger — MCR Advantage: $5,893.41
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 $317.50 – $7,978.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $3,734.53
  • Aetna — Commercial: $7,808.56
  • Aetna — MCR Advantage: $3,496.88
  • Aetna PEBTF Custom — HMO: $7,808.56
  • American Health Plan — MCR Advantage: $3,734.53
  • Amerihealth — MCD Advantage: $349.25
  • Amerihealth — MCR Advantage: $3,395.03
  • Cigna — Commercial: $3,395.03
  • Devoted Health Plan — MCR Advantage: $3,598.73
  • Gateway — MCR Advantage: $3,632.68
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biospy Prostate $3,500 $1,960 $1,190 – $3,115
Prostate biopsy: 10 of 14 insurance plan rates
  • Aetna — Aetna: $3,115
  • Aetna — Commercial: $1,750
  • Cigna — Commercial: $1,750
  • Devon — Commercial: $2,625
  • Devoted Health Plan — MCR Advantage: $1,400
  • Gateway — MCR Advantage: $1,295
  • Highmark — CHIP: $1,190
  • Highmark - Ind.& Managed Care — MCR Advantage: $1,190
  • Martin's Point - USFHP — Tricare: $1,225
  • Peak Health — Commercial: $2,450
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy Prostate 55700 $3,500 $1,960 $1,190 – $3,115
Prostate biopsy: 10 of 14 insurance plan rates
  • Aetna — Aetna: $3,115
  • Aetna — Commercial: $1,750
  • Cigna — Commercial: $1,750
  • Devon — Commercial: $2,625
  • Devoted Health Plan — MCR Advantage: $1,400
  • Gateway — MCR Advantage: $1,295
  • Highmark — CHIP: $1,190
  • Highmark - Ind.& Managed Care — MCR Advantage: $1,190
  • Martin's Point - USFHP — Tricare: $1,225
  • Peak Health — Commercial: $2,450
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Biospy Prostate $3,500 $1,960 $1,400 – $2,625
Prostate biopsy: rates for 4 insurance plans
  • Devon — Commercial: $2,625
  • Devoted Health Plan — MCR Advantage: $1,400
  • Peak Health — Commercial: $2,450
  • Peak Health — MCR Advantage: $2,450
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 $1,100 – $23,537.14
Prostate removal by laparoscope (radical prostatectomy): 10 of 28 insurance plan rates
  • Aetna — Auto Network: $11,017.38
  • Aetna — Commercial: $23,036.35
  • Aetna — MCR Advantage: $10,316.28
  • Aetna PEBTF Custom — HMO: $23,036.35
  • American Health Plan — MCR Advantage: $11,017.38
  • Amerihealth — MCR Advantage: $10,015.80
  • Cigna — Commercial: $10,015.80
  • Devoted Health Plan — MCR Advantage: $10,616.75
  • Gateway — MCR Advantage: $10,716.91
  • Geisinger — MCR Advantage: $10,516.59
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 $298.47 – $7,188.10
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • Aetna — Auto Network: $3,364.64
  • Aetna — Commercial: $7,035.17
  • Aetna — MCR Advantage: $3,150.53
  • Aetna PEBTF Custom — HMO: $7,035.17
  • American Health Plan — MCR Advantage: $3,364.64
  • Amerihealth — MCR Advantage: $3,058.77
  • Cigna — Commercial: $3,058.77
  • Devoted Health Plan — MCR Advantage: $3,242.29
  • Gateway — MCR Advantage: $3,272.88
  • Geisinger — MCR Advantage: $3,211.71
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 $896 $544 – $1,424
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates
  • Aetna — Aetna: $1,424
  • Aetna — Commercial: $800
  • Cigna — Commercial: $800
  • Devon — Commercial: $1,200
  • Devoted Health Plan — MCR Advantage: $640
  • Gateway — MCR Advantage: $592
  • Highmark — CHIP: $544
  • Highmark - Ind.& Managed Care — MCR Advantage: $544
  • Martin's Point - USFHP — Tricare: $560
  • Peak Health — Commercial: $1,120
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PN lumbar epidural steroid inj $1,600 $896 $544 – $1,424
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates
  • Aetna — Aetna: $1,424
  • Aetna — Commercial: $800
  • Cigna — Commercial: $800
  • Devon — Commercial: $1,200
  • Devoted Health Plan — MCR Advantage: $640
  • Gateway — MCR Advantage: $592
  • Highmark — CHIP: $544
  • Highmark - Ind.& Managed Care — MCR Advantage: $544
  • Martin's Point - USFHP — Tricare: $560
  • Peak Health — Commercial: $1,120
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inj Lumbar/Sacra/Epid Steroid $1,600 $896 $640 – $1,200
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans
  • Devon — Commercial: $1,200
  • Devoted Health Plan — MCR Advantage: $640
  • Peak Health — Commercial: $1,120
  • Peak Health — MCR Advantage: $1,120
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PN transforam.epi.l-sp 1level $2,371 $1,327.76 $806.14 – $2,110.19
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates
  • Aetna — Aetna: $2,110.19
  • Aetna — Commercial: $1,185.50
  • Cigna — Commercial: $1,185.50
  • Devon — Commercial: $1,778.25
  • Devoted Health Plan — MCR Advantage: $948.40
  • Gateway — MCR Advantage: $877.27
  • Highmark — CHIP: $806.14
  • Highmark - Ind.& Managed Care — MCR Advantage: $806.14
  • Martin's Point - USFHP — Tricare: $829.85
  • Peak Health — Commercial: $1,659.70
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PN transforam.epi.l-sp 1level $2,371 $1,327.76 $948.40 – $1,778.25
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • Devon — Commercial: $1,778.25
  • Devoted Health Plan — MCR Advantage: $948.40
  • Peak Health — Commercial: $1,659.70
  • Peak Health — MCR Advantage: $1,659.70
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $95.04 – $2,012.72
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $942.12
  • Aetna — Commercial: $1,969.90
  • Aetna — MCR Advantage: $882.17
  • Aetna PEBTF Custom — HMO: $1,969.90
  • American Health Plan — MCR Advantage: $942.12
  • Amerihealth — MCD Advantage: $104.54
  • Amerihealth — MCR Advantage: $856.48
  • Cigna — Commercial: $856.48
  • Devoted Health Plan — MCR Advantage: $907.87
  • Gateway — MCR Advantage: $916.43
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 – $4,414.73
Carpal tunnel release: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $2,066.47
  • Aetna — Commercial: $4,320.80
  • Aetna — MCR Advantage: $1,934.97
  • Aetna PEBTF Custom — HMO: $4,320.80
  • American Health Plan — MCR Advantage: $2,066.47
  • Amerihealth — MCD Advantage: $330
  • Amerihealth — MCR Advantage: $1,878.61
  • Cigna — Commercial: $1,878.61
  • Devoted Health Plan — MCR Advantage: $1,991.32
  • Gateway — MCR Advantage: $2,010.11
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 – $1,819.02
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $580.54
  • Aetna — Commercial: $1,213.87
  • Aetna — MCR Advantage: $543.60
  • Aetna PEBTF Custom — HMO: $1,213.87
  • American Health Plan — MCR Advantage: $580.54
  • Amerihealth — MCD Advantage: $238.16
  • Amerihealth — MCR Advantage: $527.77
  • Cigna — Commercial: $527.77
  • Devoted Health Plan — MCR Advantage: $559.43
  • Gateway — MCR Advantage: $564.71
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 $602.53 – $5,156.15
Cataract removal with lens implant: 10 of 33 insurance plan rates
  • Aetna — Auto Network: $2,413.52
  • Aetna — Commercial: $5,046.45
  • Aetna — MCR Advantage: $2,259.93
  • Aetna PEBTF Custom — HMO: $5,046.45
  • American Health Plan — MCR Advantage: $2,413.52
  • Amerihealth — MCD Advantage: $662.78
  • Amerihealth — MCR Advantage: $2,194.11
  • Cigna — Commercial: $2,194.11
  • Devoted Health Plan — MCR Advantage: $2,325.75
  • Gateway — MCR Advantage: $2,347.69

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 $2,104.27 – $5,249.29
Vaginal delivery, with care before and after: rates for 7 insurance plans
  • Aetna — Commercial: $5,249.29
  • UPMC — Commercial: $2,104.27
  • UPMC — Medicaid: $2,232.50
  • Workers Comp — Other: $2,761.17
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (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 $2,232.50 – $5,792.65
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • Aetna — Commercial: $5,792.65
  • UPMC — Commercial: $3,297.94
  • UPMC — Medicaid: $2,232.50
  • Workers Comp — Other: $4,183.78
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (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 – $5,485.41
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
  • Aetna — Commercial: $5,485.41
  • Workers Comp — Other: $3,997.07
  • Highmark — CHIP: 56.41% (a percentage in the contract, not a dollar amount)
  • Highmark - Ind.& Managed Care — MCR Advantage: 76.34% (a percentage in the contract, not a dollar amount)
  • Highmark Community Blue — MCR Advantage: 33.86% (a percentage in the contract, not a dollar amount)

Source: Independence Health System Clarion Hospital’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 Drive, Clarion, PA 16214
CountyClarion County
StatePennsylvania
Phone(814) 226‑9500
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
CMS Certification Number390093
Name in Medicare recordsINDEPENDENCE HEALTH SYSTEM CLARION HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteClarion 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. Clarion Hospital — independence.health
  2. Visiting Hours & Guidelines — independence.health
  3. Cancer Care | WVU Medicine – Western PA — independence.health
  4. Joint Replacement | Independence Health System — independence.health
  5. Parking & Directions | Healthcare Services in Western PA — independence.health
  6. Language Assistance | WVU Medicine – Western PA — independence.health