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Acute Care Hospital

Lancaster General Hospital

Lancaster, Pennsylvania · Lancaster County · Emergency services listed

Lancaster General Hospital is an acute care hospital at 555 North Duke Street, Lancaster, PA 17602. Phone: (717) 544-5511. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Lancaster General Hospital is an acute care hospital in Lancaster, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 56 services, specialties and programs. Medicare lists 1,939 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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(717) 544‑5511 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
525Beds (hospital website)
1,939Doctors and clinicians
56Services listed

Quick answers

Does Lancaster General Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lancaster General Hospital. In a medical emergency, call 911.
Where is Lancaster General Hospital?
555 North Duke Street, Lancaster, PA 17602, in Lancaster County, Pennsylvania.
What is the phone number of Lancaster General Hospital?
(717) 544-5511, as listed by Medicare (CMS).
What is the Medicare star rating of Lancaster General Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Lancaster General Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Lancaster General Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3368; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Treatments[4]

  • Radiation oncology
  • Physical therapy
  • Transfusion-free medicine and surgery
  • Holistic therapies

Procedures[4]

  • Wisdom teeth evaluation and removal

Programs and centers[4][5]

  • Level I Trauma Center
  • Trauma neurological care unit
  • Medical and surgical intensive care units
  • Transplant Institute
  • At-home health care services
  • Genetic testing and services
  • Occupational medicine
  • Penn Center for Community Health Workers
  • Telehealth
  • Travel medicine
  • Urgent care

Emergency care (hospital website)[4]

Emergency roomYes
Trauma designationLevel I

Visiting and practical information

Visiting24-hour open visitation; preferred visiting hours 11 a.m. to 8:30 p.m.; some ICU and trauma units have extra limits[5]
ParkingPatients and visitors park in the James Street Parking Garage (Garage A) by the main entrance; Lime Street garage is for Behavioral Health Center[6]
Patient portalMyPennMedicine

Doctors and clinicians (1,939)

1,939 doctors and other clinicians list Lancaster General 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 (1,939)

And 1,915 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Lancaster

All hospitals in Lancaster · Hospitals in Lancaster County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

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 license 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 Lancaster General 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) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1069%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted55%National average: 64%
Staff “always” explained medicines before giving them53%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean61%National average: 73%
Completed surveys480Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.384Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.506Better than the national benchmark
Surgical site infections after colon surgery1.094No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.313No different from the national benchmark
MRSA bloodstream infections0.376No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.686No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients9.8%
Deaths within 30 days: heart failure patients9.5%
Deaths within 30 days: pneumonia patients10.9%
Deaths within 30 days: COPD patients9.4%
Deaths within 30 days: stroke patients8.8%
Deaths within 30 days: coronary bypass surgery (CABG)1.6%
Serious complications (patient safety indicator PSI-90)0.92No different from the national rate
Complications after hip or knee replacement3.2%

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)13.3%
Readmitted within 30 days: heart attack13.6%
Readmitted within 30 days: heart failure19.2%
Readmitted within 30 days: pneumonia14.9%
Readmitted within 30 days: COPD18%
Readmitted within 30 days: coronary bypass surgery10%
Readmitted within 30 days: hip or knee replacement5.8%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)204 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)66%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Lancaster General Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.3368Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0626More readmissions than expected
Heart failure0.8415Fewer readmissions than expected
Pneumonia0.9093Fewer readmissions than expected
COPD (chronic lung disease)0.9488Fewer readmissions than expected
Hip or knee replacement0.9326Fewer readmissions than expected
Coronary bypass surgery (CABG)1.0986More readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score39.17 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)68.33 out of 100
Person and community engagement (patient survey)45.00 out of 100
Safety (infections and sepsis care)33.33 out of 100
Efficiency and cost reduction (Medicare spending)10.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.97Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

ER wait times in LancasterBest hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Lancaster General 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 →

$ 112 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 61 common services

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: HC NP OP VISIT III NO MONITORING $612 $612 $57.03 – $13,500
New patient office visit (about 30–44 minutes): 10 of 44 insurance plan rates
  • Aetna — Aetna Commercial: $409.43
  • Aetna — Aetna Medicare Advantage: $144.43
  • Affilia Home Health — Affilia Home Health Lancaster: $244.80
  • Cigna — Cigna: $502.45
  • Cigna — Cigna New Business: $485.32
  • Cigna PPO — Cigna PPO: $560.59
  • Claim Watcher — Claim Watcher: $214.20
  • Claim Watcher Plus — Claim Watcher Plus: $214.20
  • Commercial Generic — Commercial Generic: $612
  • Devon — Devon: $520.20
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NP OP VISIT III WITH MONITORIN $1,140 $1,140 $57.03 – $13,500
New patient office visit (about 30–44 minutes): 10 of 44 insurance plan rates
  • Aetna — Aetna Commercial: $762.66
  • Aetna — Aetna Medicare Advantage: $269.04
  • Affilia Home Health — Affilia Home Health Lancaster: $456
  • Cigna — Cigna: $935.94
  • Cigna — Cigna New Business: $904.02
  • Cigna PPO — Cigna PPO: $1,044.24
  • Claim Watcher — Claim Watcher: $399
  • Claim Watcher Plus — Claim Watcher Plus: $399
  • Commercial Generic — Commercial Generic: $1,140
  • Devon — Devon: $969
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PHYSICAL ASBESTOS $66 $66 $12.54 – $13,500
New patient office visit (about 30–44 minutes): 10 of 43 insurance plan rates
  • Aetna — Aetna Commercial: $44.15
  • Aetna — Aetna Medicare Advantage: $15.58
  • Affilia Home Health — Affilia Home Health Lancaster: $26.40
  • Cigna — Cigna: $54.19
  • Cigna — Cigna New Business: $52.34
  • Cigna PPO — Cigna PPO: $60.46
  • Claim Watcher — Claim Watcher: $23.10
  • Claim Watcher Plus — Claim Watcher Plus: $23.10
  • Commercial Generic — Commercial Generic: $66
  • Devon — Devon: $56.10
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NP OP VISIT IV NO MONITORING $783 $783 $78.19 – $13,500
New patient office visit (about 45–59 minutes): 10 of 44 insurance plan rates
  • Aetna — Aetna Commercial: $523.83
  • Aetna — Aetna Medicare Advantage: $184.79
  • Affilia Home Health — Affilia Home Health Lancaster: $313.20
  • Cigna — Cigna: $642.84
  • Cigna — Cigna New Business: $620.92
  • Cigna PPO — Cigna PPO: $717.23
  • Claim Watcher — Claim Watcher: $274.05
  • Claim Watcher Plus — Claim Watcher Plus: $274.05
  • Commercial Generic — Commercial Generic: $783
  • Devon — Devon: $665.55
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NP OP VISIT IV WITH MONITORING $1,277 $1,277 $78.19 – $13,500
New patient office visit (about 45–59 minutes): 10 of 44 insurance plan rates
  • Aetna — Aetna Commercial: $854.31
  • Aetna — Aetna Medicare Advantage: $301.37
  • Affilia Home Health — Affilia Home Health Lancaster: $510.80
  • Cigna — Cigna: $1,048.42
  • Cigna — Cigna New Business: $1,012.66
  • Cigna PPO — Cigna PPO: $1,169.73
  • Claim Watcher — Claim Watcher: $446.95
  • Claim Watcher Plus — Claim Watcher Plus: $446.95
  • Commercial Generic — Commercial Generic: $1,277
  • Devon — Devon: $1,085.45
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW COMPREHEN COMP VISIT $404 $404 $76.76 – $13,500
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $95.34
  • Affilia Home Health — Affilia Home Health Lancaster: $161.60
  • Cigna — Cigna: $331.68
  • Cigna PPO — Cigna PPO: $370.06
  • Claim Watcher — Claim Watcher: $141.40
  • Claim Watcher Plus — Claim Watcher Plus: $141.40
  • Commercial Generic — Commercial Generic: $404
  • Devon — Devon: $343.40
  • Devoted Health — Devoted Health Medicare Advantage: $161.60
  • EHP — EHP: $331.28
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NP OP VISIT V NO MONITORING $988 $988 $105.82 – $13,500
New patient office visit (about 60–74 minutes): 10 of 44 insurance plan rates
  • Aetna — Aetna Commercial: $660.97
  • Aetna — Aetna Medicare Advantage: $233.17
  • Affilia Home Health — Affilia Home Health Lancaster: $395.20
  • Cigna — Cigna: $811.15
  • Cigna — Cigna New Business: $783.48
  • Cigna PPO — Cigna PPO: $905.01
  • Claim Watcher — Claim Watcher: $345.80
  • Claim Watcher Plus — Claim Watcher Plus: $345.80
  • Commercial Generic — Commercial Generic: $988
  • Devon — Devon: $839.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NP OP VISIT V WITH MONITORING $1,331 $1,331 $105.82 – $13,500
New patient office visit (about 60–74 minutes): 10 of 44 insurance plan rates
  • Aetna — Aetna Commercial: $890.44
  • Aetna — Aetna Medicare Advantage: $314.12
  • Affilia Home Health — Affilia Home Health Lancaster: $532.40
  • Cigna — Cigna: $1,092.75
  • Cigna — Cigna New Business: $1,055.48
  • Cigna PPO — Cigna PPO: $1,219.20
  • Claim Watcher — Claim Watcher: $465.85
  • Claim Watcher Plus — Claim Watcher Plus: $465.85
  • Commercial Generic — Commercial Generic: $1,331
  • Devon — Devon: $1,131.35
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPHA $2,495 $2,495 $105.82 – $13,500
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $588.82
  • Affilia Home Health — Affilia Home Health Lancaster: $998
  • Cigna — Cigna: $2,048.39
  • Cigna PPO — Cigna PPO: $2,285.42
  • Claim Watcher — Claim Watcher: $873.25
  • Claim Watcher Plus — Claim Watcher Plus: $873.25
  • Commercial Generic — Commercial Generic: $2,495
  • Devon — Devon: $2,120.75
  • Devoted Health — Devoted Health Medicare Advantage: $998
  • EHP — EHP: $2,045.90
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EST OP VISIT III WITH MONITOR $1,140 $1,140 $38.50 – $13,500
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates
  • Aetna — Aetna Commercial: $762.66
  • Aetna — Aetna Medicare Advantage: $269.04
  • Affilia Home Health — Affilia Home Health Lancaster: $456
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $52.80
  • Cigna — Cigna: $935.94
  • Cigna — Cigna New Business: $904.02
  • Cigna PPO — Cigna PPO: $1,044.24
  • Claim Watcher — Claim Watcher: $399
  • Claim Watcher Plus — Claim Watcher Plus: $399
  • Commercial Generic — Commercial Generic: $1,140
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EST OP VISIT III NO MONITORING $444 $444 $38.50 – $13,500
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates
  • Aetna — Aetna Commercial: $297.04
  • Aetna — Aetna Medicare Advantage: $104.78
  • Affilia Home Health — Affilia Home Health Lancaster: $177.60
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $52.80
  • Cigna — Cigna: $364.52
  • Cigna — Cigna New Business: $352.09
  • Cigna PPO — Cigna PPO: $406.70
  • Claim Watcher — Claim Watcher: $155.40
  • Claim Watcher Plus — Claim Watcher Plus: $155.40
  • Commercial Generic — Commercial Generic: $444
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RTW/FFD/WORKRESTRICT-ESTAB $115 $115 $21.85 – $13,500
Established patient office visit (about 20–29 minutes): 10 of 46 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $27.14
  • Affilia Home Health — Affilia Home Health Lancaster: $46
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $52.80
  • Cigna — Cigna: $94.41
  • Cigna PPO — Cigna PPO: $105.34
  • Claim Watcher — Claim Watcher: $40.25
  • Claim Watcher Plus — Claim Watcher Plus: $40.25
  • Commercial Generic — Commercial Generic: $115
  • Devon — Devon: $97.75
  • Devoted Health — Devoted Health Medicare Advantage: $46
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EST OP VISIT IV NO MONITORING $612 $612 $54.42 – $13,500
Established patient office visit (about 30–39 minutes): 10 of 48 insurance plan rates
  • Aetna — Aetna Commercial: $409.43
  • Aetna — Aetna Medicare Advantage: $144.43
  • Affilia Home Health — Affilia Home Health Lancaster: $244.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $71.83
  • Cigna — Cigna: $502.45
  • Cigna — Cigna New Business: $485.32
  • Cigna PPO — Cigna PPO: $560.59
  • Claim Watcher — Claim Watcher: $214.20
  • Claim Watcher Plus — Claim Watcher Plus: $214.20
  • Commercial Generic — Commercial Generic: $612
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EST OP VISIT IV WITH MONITOR $1,277 $1,277 $54.42 – $13,500
Established patient office visit (about 30–39 minutes): 10 of 48 insurance plan rates
  • Aetna — Aetna Commercial: $854.31
  • Aetna — Aetna Medicare Advantage: $301.37
  • Affilia Home Health — Affilia Home Health Lancaster: $510.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $71.83
  • Cigna — Cigna: $1,048.42
  • Cigna — Cigna New Business: $1,012.66
  • Cigna PPO — Cigna PPO: $1,169.73
  • Claim Watcher — Claim Watcher: $446.95
  • Claim Watcher Plus — Claim Watcher Plus: $446.95
  • Commercial Generic — Commercial Generic: $1,277
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESTAB EXT COMP VISIT W/PROCEDU $257 $257 $48.83 – $13,500
Established patient office visit (about 30–39 minutes): 10 of 46 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $60.65
  • Affilia Home Health — Affilia Home Health Lancaster: $102.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $71.83
  • Cigna — Cigna: $211
  • Cigna PPO — Cigna PPO: $235.41
  • Claim Watcher — Claim Watcher: $89.95
  • Claim Watcher Plus — Claim Watcher Plus: $89.95
  • Commercial Generic — Commercial Generic: $257
  • Devon — Devon: $218.45
  • Devoted Health — Devoted Health Medicare Advantage: $102.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CONSULT VISIT LEVEL 3 $263 $263 $49.97 – $13,500
Office consultation with a specialist (moderate): 10 of 42 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $62.07
  • Affilia Home Health — Affilia Home Health Lancaster: $105.20
  • Cigna — Cigna: $215.92
  • Cigna PPO — Cigna PPO: $240.91
  • Claim Watcher — Claim Watcher: $92.05
  • Claim Watcher Plus — Claim Watcher Plus: $92.05
  • Commercial Generic — Commercial Generic: $263
  • Devon — Devon: $223.55
  • Devoted Health — Devoted Health Medicare Advantage: $105.20
  • EHP — EHP: $215.66
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CONSULT VISIT LEVEL 3 $263 $263 $74.96 – $263
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $263
  • Cigna — Cigna: $198.51
  • Cigna PPO — Cigna PPO: $217.50
  • Commercial Generic — Commercial Generic: $263
  • Devon — Devon: $223.55
  • EHP — EHP: $215.66
  • Eliance Health Solutions — Eliance Commercial: $168.32
  • Geisinger Commercial — Geisinger Commercial: $223.55
  • Highmark — Highmark ACA: $263
  • Highmark — Highmark CHIP: $263
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CONSULT VISIT LEVEL 4 $452 $452 $85.88 – $13,500
Office consultation with a specialist (moderate to high): 10 of 42 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $106.67
  • Affilia Home Health — Affilia Home Health Lancaster: $180.80
  • Cigna — Cigna: $371.09
  • Cigna PPO — Cigna PPO: $414.03
  • Claim Watcher — Claim Watcher: $158.20
  • Claim Watcher Plus — Claim Watcher Plus: $158.20
  • Commercial Generic — Commercial Generic: $452
  • Devon — Devon: $384.20
  • Devoted Health — Devoted Health Medicare Advantage: $180.80
  • EHP — EHP: $370.64
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CONSULT VISIT LEVEL 4 $452 $452 $128.82 – $452
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $452
  • Cigna — Cigna: $341.17
  • Cigna PPO — Cigna PPO: $373.80
  • Commercial Generic — Commercial Generic: $452
  • Devon — Devon: $384.20
  • EHP — EHP: $370.64
  • Eliance Health Solutions — Eliance Commercial: $289.28
  • Geisinger Commercial — Geisinger Commercial: $384.20
  • Highmark — Highmark ACA: $452
  • Highmark — Highmark CHIP: $452
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT NEW 18-39 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $13,500
Preventive checkup, new patient, age 18–39: 10 of 43 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $0.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Affilia Home Health — Affilia Home Health Lancaster: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Cigna: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna PPO — Cigna PPO: $0.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher — Claim Watcher: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher Plus — Claim Watcher Plus: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Commercial Generic — Commercial Generic: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devon — Devon: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health — Devoted Health Medicare Advantage: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EHP — EHP: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT, NEW 18-39 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $13,500
Preventive checkup, new patient, age 18–39: 10 of 43 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $0.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Affilia Home Health — Affilia Home Health Lancaster: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Cigna: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna PPO — Cigna PPO: $0.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher — Claim Watcher: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher Plus — Claim Watcher Plus: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Commercial Generic — Commercial Generic: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devon — Devon: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health — Devoted Health Medicare Advantage: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EHP — EHP: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT NEW 18-39 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Cigna: $0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna PPO — Cigna PPO: $0.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Commercial Generic — Commercial Generic: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devon — Devon: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EHP — EHP: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Eliance Health Solutions — Eliance Commercial: $0.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Geisinger Commercial — Geisinger Commercial: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Highmark — Highmark ACA: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Highmark — Highmark CHIP: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT NEW 40-64 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $13,500
Preventive checkup, new patient, age 40–64: 10 of 43 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $0.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Affilia Home Health — Affilia Home Health Lancaster: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Cigna: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna PPO — Cigna PPO: $0.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher — Claim Watcher: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher Plus — Claim Watcher Plus: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Commercial Generic — Commercial Generic: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devon — Devon: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health — Devoted Health Medicare Advantage: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EHP — EHP: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT, NEW 40-64 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $13,500
Preventive checkup, new patient, age 40–64: 10 of 43 insurance plan rates
  • Aetna — Aetna Medicare Advantage: $0.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Affilia Home Health — Affilia Home Health Lancaster: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Cigna: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna PPO — Cigna PPO: $0.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher — Claim Watcher: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Claim Watcher Plus — Claim Watcher Plus: $0.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Commercial Generic — Commercial Generic: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devon — Devon: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health — Devoted Health Medicare Advantage: $0.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EHP — EHP: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT NEW 40-64 $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Cigna: $0.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna PPO — Cigna PPO: $0.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Commercial Generic — Commercial Generic: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devon — Devon: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • EHP — EHP: $0.82 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Eliance Health Solutions — Eliance Commercial: $0.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Geisinger Commercial — Geisinger Commercial: $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Highmark — Highmark ACA: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Highmark — Highmark CHIP: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 3 VISIT $851 $851 $56.65 – $13,500
Emergency room visit (moderate): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $569.32
  • Aetna — Aetna Medicare Advantage: $280.09
  • Affilia Home Health — Affilia Home Health Lancaster: $340.40
  • Albright Life — Albright Life: $277.32
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $284.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $240
  • Capital Blue Cross — CBC Commercial: $1,439.66
  • Capital Blue Cross — CBC Medicare Advantage: $281.48
  • Cigna — Cigna: $698.67
  • Cigna — Cigna New Business: $674.84
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEVEL 3 VISIT $851 $851 $242.54 – $851
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $851
  • Cigna — Cigna: $642.33
  • Cigna PPO — Cigna PPO: $703.78
  • Commercial Generic — Commercial Generic: $851
  • Devon — Devon: $723.35
  • EHP — EHP: $697.82
  • Eliance Health Solutions — Eliance Commercial: $544.64
  • Geisinger Commercial — Geisinger Commercial: $723.35
  • Highmark — Highmark ACA: $851
  • Highmark — Highmark CHIP: $851
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC LEVEL 3 VISIT $851 $851 $68.34
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 4 VISIT $3,062 $3,062 $95.33 – $13,500
Emergency room visit (moderately high): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $2,048.48
  • Aetna — Aetna Medicare Advantage: $428.14
  • Affilia Home Health — Affilia Home Health Lancaster: $1,224.80
  • Albright Life — Albright Life: $423.90
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $434.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $240
  • Capital Blue Cross — CBC Commercial: $4,165.63
  • Capital Blue Cross — CBC Medicare Advantage: $430.26
  • Cigna — Cigna: $2,513.90
  • Cigna — Cigna New Business: $2,428.17
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEVEL 4 VISIT $3,062 $3,062 $872.67 – $3,062
Emergency room visit (moderately high): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $3,062
  • Cigna — Cigna: $2,311.20
  • Cigna PPO — Cigna PPO: $2,532.27
  • Commercial Generic — Commercial Generic: $3,062
  • Devon — Devon: $2,602.70
  • EHP — EHP: $2,510.84
  • Eliance Health Solutions — Eliance Commercial: $1,959.68
  • Geisinger Commercial — Geisinger Commercial: $2,602.70
  • Highmark — Highmark ACA: $3,062
  • Highmark — Highmark CHIP: $3,062
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC LEVEL 4 VISIT $3,062 $3,062 $116.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 5 ER VISIT-TRAUMA $3,890 $3,890 $138.74 – $13,500
Emergency room visit (high): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $2,602.41
  • Aetna — Aetna Medicare Advantage: $611.05
  • Affilia Home Health — Affilia Home Health Lancaster: $1,556
  • Albright Life — Albright Life: $605
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $620.13
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $240
  • Capital Blue Cross — CBC Commercial: $4,998.75
  • Capital Blue Cross — CBC Medicare Advantage: $614.07
  • Cigna — Cigna: $3,193.69
  • Cigna — Cigna New Business: $3,084.77
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 5 VISIT $3,890 $3,890 $138.74 – $13,500
Emergency room visit (high): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $2,602.41
  • Aetna — Aetna Medicare Advantage: $611.05
  • Affilia Home Health — Affilia Home Health Lancaster: $1,556
  • Albright Life — Albright Life: $605
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $620.13
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $240
  • Capital Blue Cross — CBC Commercial: $4,998.75
  • Capital Blue Cross — CBC Medicare Advantage: $614.07
  • Cigna — Cigna: $3,193.69
  • Cigna — Cigna New Business: $3,084.77
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEVEL 5 ER VISIT-CODE S $3,890 $3,890 $138.74 – $13,500
Emergency room visit (high): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $2,602.41
  • Aetna — Aetna Medicare Advantage: $611.05
  • Affilia Home Health — Affilia Home Health Lancaster: $1,556
  • Albright Life — Albright Life: $605
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $620.13
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $240
  • Capital Blue Cross — CBC Commercial: $4,998.75
  • Capital Blue Cross — CBC Medicare Advantage: $614.07
  • Cigna — Cigna: $3,193.69
  • Cigna — Cigna New Business: $3,084.77

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: HC BASIC METABOLIC PANEL $64 $64 $7.07 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $36.99
  • Aetna — Aetna Medicare Advantage: $8.54
  • Affilia Home Health — Affilia Home Health Lancaster: $25.60
  • Albright Life — Albright Life: $8.46
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $8.67
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $9.36
  • Capital Blue Cross — CBC Commercial: $24.07
  • Capital Blue Cross — CBC Medicare Advantage: $8.59
  • Cigna — Cigna: $52.54
  • Cigna — Cigna New Business: $36.93
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $64 $64 $18.24 – $64
Basic metabolic panel (blood test): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $64
  • Cigna — Cigna: $48.31
  • Cigna PPO — Cigna PPO: $52.93
  • Commercial Generic — Commercial Generic: $64
  • Devon — Devon: $54.40
  • EHP — EHP: $52.48
  • Eliance Health Solutions — Eliance Commercial: $40.96
  • Geisinger Commercial — Geisinger Commercial: $54.40
  • Highmark — Highmark ACA: $64
  • Highmark — Highmark CHIP: $64
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC BASIC METABOLIC PANEL $64 $64 $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANL $79 $79 $8.82 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $46.17
  • Aetna — Aetna Medicare Advantage: $10.67
  • Affilia Home Health — Affilia Home Health Lancaster: $31.60
  • Albright Life — Albright Life: $10.56
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $10.82
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $11.69
  • Capital Blue Cross — CBC Commercial: $30.07
  • Capital Blue Cross — CBC Medicare Advantage: $10.72
  • Cigna — Cigna: $64.86
  • Cigna — Cigna New Business: $47.68
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANL $79 $79 $22.52 – $79
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $79
  • Cigna — Cigna: $59.63
  • Cigna PPO — Cigna PPO: $65.33
  • Commercial Generic — Commercial Generic: $79
  • Devon — Devon: $67.15
  • EHP — EHP: $64.78
  • Eliance Health Solutions — Eliance Commercial: $50.56
  • Geisinger Commercial — Geisinger Commercial: $67.15
  • Highmark — Highmark ACA: $79
  • Highmark — Highmark CHIP: $79
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC COMPREHENSIVE METABOLIC PANL $79 $79 $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL LAB $227 $227 $12 – $13,500
Obstetric blood test panel: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $209.14
  • Aetna — Aetna Medicare Advantage: $48.29
  • Affilia Home Health — Affilia Home Health Lancaster: $90.80
  • Albright Life — Albright Life: $47.81
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $49.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $12
  • Capital Blue Cross — CBC Commercial: $226.88
  • Capital Blue Cross — CBC Medicare Advantage: $48.53
  • Cigna — Cigna: $186.37
  • Cigna — Cigna New Business: $212.32
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL LAB $227 $227 $64.70 – $227
Obstetric blood test panel: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $227
  • Cigna — Cigna: $171.34
  • Cigna PPO — Cigna PPO: $187.73
  • Commercial Generic — Commercial Generic: $227
  • Devon — Devon: $192.95
  • EHP — EHP: $186.14
  • Eliance Health Solutions — Eliance Commercial: $145.28
  • Geisinger Commercial — Geisinger Commercial: $192.95
  • Highmark — Highmark ACA: $227
  • Highmark — Highmark CHIP: $227
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC OBSTETRIC PANEL LAB $227 $227 $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHOL FRAC LIPID PANEL $100 $100 $11.19 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $58.59
  • Aetna — Aetna Medicare Advantage: $13.52
  • Affilia Home Health — Affilia Home Health Lancaster: $40
  • Albright Life — Albright Life: $13.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $13.72
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $14
  • Capital Blue Cross — CBC Commercial: $38.11
  • Capital Blue Cross — CBC Medicare Advantage: $13.59
  • Cigna — Cigna: $82.10
  • Cigna — Cigna New Business: $59.99
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RT- LIPID PANEL $100 $100 $11.19 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $58.59
  • Aetna — Aetna Medicare Advantage: $13.52
  • Affilia Home Health — Affilia Home Health Lancaster: $40
  • Albright Life — Albright Life: $13.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $13.72
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $14
  • Capital Blue Cross — CBC Commercial: $38.11
  • Capital Blue Cross — CBC Medicare Advantage: $13.59
  • Cigna — Cigna: $82.10
  • Cigna — Cigna New Business: $59.99
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHOL FRAC LIPID PANEL $100 $100 $28.50 – $100
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $100
  • Cigna — Cigna: $75.48
  • Cigna PPO — Cigna PPO: $82.70
  • Commercial Generic — Commercial Generic: $100
  • Devon — Devon: $85
  • EHP — EHP: $82
  • Eliance Health Solutions — Eliance Commercial: $64
  • Geisinger Commercial — Geisinger Commercial: $85
  • Highmark — Highmark ACA: $100
  • Highmark — Highmark CHIP: $100
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $65 $65 $7.25 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $37.96
  • Aetna — Aetna Medicare Advantage: $8.77
  • Affilia Home Health — Affilia Home Health Lancaster: $26
  • Albright Life — Albright Life: $8.68
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $8.90
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $9.60
  • Capital Blue Cross — CBC Commercial: $24.69
  • Capital Blue Cross — CBC Medicare Advantage: $8.81
  • Cigna — Cigna: $53.36
  • Cigna — Cigna New Business: $38.45
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $65 $65 $18.53 – $65
Kidney function panel: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $65
  • Cigna — Cigna: $49.06
  • Cigna PPO — Cigna PPO: $53.76
  • Commercial Generic — Commercial Generic: $65
  • Devon — Devon: $55.25
  • EHP — EHP: $53.30
  • Eliance Health Solutions — Eliance Commercial: $41.60
  • Geisinger Commercial — Geisinger Commercial: $55.25
  • Highmark — Highmark ACA: $65
  • Highmark — Highmark CHIP: $65
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC RENAL FUNCTION PANEL $65 $65 $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $61 $61 $6.82 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $35.75
  • Aetna — Aetna Medicare Advantage: $8.25
  • Affilia Home Health — Affilia Home Health Lancaster: $24.40
  • Albright Life — Albright Life: $8.17
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $8.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $9.03
  • Capital Blue Cross — CBC Commercial: $23.23
  • Capital Blue Cross — CBC Medicare Advantage: $8.29
  • Cigna — Cigna: $50.08
  • Cigna — Cigna New Business: $36.93
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $61 $61 $17.39 – $61
Liver function panel: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $61
  • Cigna — Cigna: $46.04
  • Cigna PPO — Cigna PPO: $50.45
  • Commercial Generic — Commercial Generic: $61
  • Devon — Devon: $51.85
  • EHP — EHP: $50.02
  • Eliance Health Solutions — Eliance Commercial: $39.04
  • Geisinger Commercial — Geisinger Commercial: $51.85
  • Highmark — Highmark ACA: $61
  • Highmark — Highmark CHIP: $61
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC HEPATIC FUNCTION PANEL $61 $61 $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA WITH MICRO $23 $23 $2.65 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $13.88
  • Aetna — Aetna Medicare Advantage: $3.20
  • Affilia Home Health — Affilia Home Health Lancaster: $9.20
  • Albright Life — Albright Life: $3.17
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $3.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $3
  • Capital Blue Cross — CBC Commercial: $9.02
  • Capital Blue Cross — CBC Medicare Advantage: $3.22
  • Cigna — Cigna: $18.88
  • Cigna — Cigna New Business: $13.83
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UA WITH MICRO $23 $23 $6.56 – $23
Urine test (automated, with microscope): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $23
  • Cigna — Cigna: $17.36
  • Cigna PPO — Cigna PPO: $19.02
  • Commercial Generic — Commercial Generic: $23
  • Devon — Devon: $19.55
  • EHP — EHP: $18.86
  • Eliance Health Solutions — Eliance Commercial: $14.72
  • Geisinger Commercial — Geisinger Commercial: $19.55
  • Highmark — Highmark ACA: $23
  • Highmark — Highmark CHIP: $23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC UA WITH MICRO $23 $23 $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIPSTICK URINALYSIS $16 $16 $2.91 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $15.23
  • Aetna — Aetna Medicare Advantage: $3.51
  • Affilia Home Health — Affilia Home Health Lancaster: $6.40
  • Albright Life — Albright Life: $3.48
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $3.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $3.57
  • Capital Blue Cross — CBC Commercial: $7.28
  • Capital Blue Cross — CBC Medicare Advantage: $3.53
  • Cigna — Cigna: $13.14
  • Cigna — Cigna New Business: $15.39
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE PH LAB $19 $19 $2.91 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $15.23
  • Aetna — Aetna Medicare Advantage: $3.51
  • Affilia Home Health — Affilia Home Health Lancaster: $7.60
  • Albright Life — Albright Life: $3.48
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $3.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $3.57
  • Capital Blue Cross — CBC Commercial: $7.28
  • Capital Blue Cross — CBC Medicare Advantage: $3.53
  • Cigna — Cigna: $15.60
  • Cigna — Cigna New Business: $15.39
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE PH $19 $19 $2.91 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $15.23
  • Aetna — Aetna Medicare Advantage: $3.51
  • Affilia Home Health — Affilia Home Health Lancaster: $7.60
  • Albright Life — Albright Life: $3.48
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $3.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $3.57
  • Capital Blue Cross — CBC Commercial: $7.28
  • Capital Blue Cross — CBC Medicare Advantage: $3.53
  • Cigna — Cigna: $15.60
  • Cigna — Cigna New Business: $15.39
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA DIPSTICK AUTOMATED W/O MICRO $16 $16 $1.88 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $9.83
  • Aetna — Aetna Medicare Advantage: $2.27
  • Affilia Home Health — Affilia Home Health Lancaster: $6.40
  • Albright Life — Albright Life: $2.25
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $2.31
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $3.10
  • Capital Blue Cross — CBC Commercial: $6.39
  • Capital Blue Cross — CBC Medicare Advantage: $2.28
  • Cigna — Cigna: $13.14
  • Cigna — Cigna New Business: $10.75
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UA DIPSTICK AUTOMATED W/O MICRO $16 $16 $4.56 – $16
Urine test (automated, without microscope): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $16
  • Cigna — Cigna: $12.08
  • Cigna PPO — Cigna PPO: $13.23
  • Commercial Generic — Commercial Generic: $16
  • Devon — Devon: $13.60
  • EHP — EHP: $13.12
  • Eliance Health Solutions — Eliance Commercial: $10.24
  • Geisinger Commercial — Geisinger Commercial: $13.60
  • Highmark — Highmark ACA: $16
  • Highmark — Highmark CHIP: $16
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC UA DIPSTICK AUTOMATED W/O MICRO $16 $16 $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RT PROSTATIC SPECIFIC AG ULT $137 $137 $15.36 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $80.46
  • Aetna — Aetna Medicare Advantage: $18.57
  • Affilia Home Health — Affilia Home Health Lancaster: $54.80
  • Albright Life — Albright Life: $18.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $18.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $24.36
  • Capital Blue Cross — CBC Commercial: $52.29
  • Capital Blue Cross — CBC Medicare Advantage: $18.67
  • Cigna — Cigna: $112.48
  • Cigna — Cigna New Business: $81.54
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATIC SPEC ANTIGEN (TOTAL/DIAGNOSTIC) $137 $137 $15.36 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $80.46
  • Aetna — Aetna Medicare Advantage: $18.57
  • Affilia Home Health — Affilia Home Health Lancaster: $54.80
  • Albright Life — Albright Life: $18.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $18.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $24.36
  • Capital Blue Cross — CBC Commercial: $52.29
  • Capital Blue Cross — CBC Medicare Advantage: $18.67
  • Cigna — Cigna: $112.48
  • Cigna — Cigna New Business: $81.54
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RT PROSTATIC SPEC AG TOTAL $137 $137 $15.36 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $80.46
  • Aetna — Aetna Medicare Advantage: $18.57
  • Affilia Home Health — Affilia Home Health Lancaster: $54.80
  • Albright Life — Albright Life: $18.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $18.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $24.36
  • Capital Blue Cross — CBC Commercial: $52.29
  • Capital Blue Cross — CBC Medicare Advantage: $18.67
  • Cigna — Cigna: $112.48
  • Cigna — Cigna New Business: $81.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH THYROID STIM HORMONE $125 $125 $14.03 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $73.49
  • Aetna — Aetna Medicare Advantage: $16.97
  • Affilia Home Health — Affilia Home Health Lancaster: $50
  • Albright Life — Albright Life: $16.80
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $17.22
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $23.21
  • Capital Blue Cross — CBC Commercial: $47.77
  • Capital Blue Cross — CBC Medicare Advantage: $17.05
  • Cigna — Cigna: $102.63
  • Cigna — Cigna New Business: $75.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RT TSH PROGRESSIVE $125 $125 $14.03 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $73.49
  • Aetna — Aetna Medicare Advantage: $16.97
  • Affilia Home Health — Affilia Home Health Lancaster: $50
  • Albright Life — Albright Life: $16.80
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $17.22
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $23.21
  • Capital Blue Cross — CBC Commercial: $47.77
  • Capital Blue Cross — CBC Medicare Advantage: $17.05
  • Cigna — Cigna: $102.63
  • Cigna — Cigna New Business: $75.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RT THYROID STIMULATING HORMONE $125 $125 $14.03 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Thyroid stimulating hormone (TSH) test: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $73.49
  • Aetna — Aetna Medicare Advantage: $16.97
  • Affilia Home Health — Affilia Home Health Lancaster: $50
  • Albright Life — Albright Life: $16.80
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $17.22
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $23.21
  • Capital Blue Cross — CBC Commercial: $47.77
  • Capital Blue Cross — CBC Medicare Advantage: $17.05
  • Cigna — Cigna: $102.63
  • Cigna — Cigna New Business: $75.38
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC $59 $59 $6 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $33.97
  • Aetna — Aetna Medicare Advantage: $7.85
  • Affilia Home Health — Affilia Home Health Lancaster: $23.60
  • Albright Life — Albright Life: $7.77
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $7.96
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $6
  • Capital Blue Cross — CBC Commercial: $22.10
  • Capital Blue Cross — CBC Medicare Advantage: $7.89
  • Cigna — Cigna: $48.44
  • Cigna — Cigna New Business: $33.86
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC $59 $59 $16.82 – $59
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $59
  • Cigna — Cigna: $44.53
  • Cigna PPO — Cigna PPO: $48.79
  • Commercial Generic — Commercial Generic: $59
  • Devon — Devon: $50.15
  • EHP — EHP: $48.38
  • Eliance Health Solutions — Eliance Commercial: $37.76
  • Geisinger Commercial — Geisinger Commercial: $50.15
  • Highmark — Highmark ACA: $59
  • Highmark — Highmark CHIP: $59
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC CBC $59 $59 $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W/O DIFF $48 $48 $5.40 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $28.30
  • Aetna — Aetna Medicare Advantage: $6.53
  • Affilia Home Health — Affilia Home Health Lancaster: $19.20
  • Albright Life — Albright Life: $6.47
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $6.63
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $7.52
  • Capital Blue Cross — CBC Commercial: $18.40
  • Capital Blue Cross — CBC Medicare Advantage: $6.57
  • Cigna — Cigna: $39.41
  • Cigna — Cigna New Business: $29.21
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W/ABS NEUT COUNT $48 $48 $5.40 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $28.30
  • Aetna — Aetna Medicare Advantage: $6.53
  • Affilia Home Health — Affilia Home Health Lancaster: $19.20
  • Albright Life — Albright Life: $6.47
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $6.63
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $7.52
  • Capital Blue Cross — CBC Commercial: $18.40
  • Capital Blue Cross — CBC Medicare Advantage: $6.57
  • Cigna — Cigna: $39.41
  • Cigna — Cigna New Business: $29.21
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W/O DIFF $48 $48 $13.68 – $48
Complete blood count (CBC), automated: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $48
  • Cigna — Cigna: $36.23
  • Cigna PPO — Cigna PPO: $39.70
  • Commercial Generic — Commercial Generic: $48
  • Devon — Devon: $40.80
  • EHP — EHP: $39.36
  • Eliance Health Solutions — Eliance Commercial: $30.72
  • Geisinger Commercial — Geisinger Commercial: $40.80
  • Highmark — Highmark ACA: $48
  • Highmark — Highmark CHIP: $48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTIME $30 $30 $3.58 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $18.74
  • Aetna — Aetna Medicare Advantage: $4.33
  • Affilia Home Health — Affilia Home Health Lancaster: $12
  • Albright Life — Albright Life: $4.29
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $4.40
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $4
  • Capital Blue Cross — CBC Commercial: $11.18
  • Capital Blue Cross — CBC Medicare Advantage: $4.35
  • Cigna — Cigna: $24.63
  • Cigna — Cigna New Business: $18.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTIME BEDSIDE POC $30 $30 $3.58 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $18.74
  • Aetna — Aetna Medicare Advantage: $4.33
  • Affilia Home Health — Affilia Home Health Lancaster: $12
  • Albright Life — Albright Life: $4.29
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $4.40
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $4
  • Capital Blue Cross — CBC Commercial: $11.18
  • Capital Blue Cross — CBC Medicare Advantage: $4.35
  • Cigna — Cigna: $24.63
  • Cigna — Cigna New Business: $18.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTIME POC WLAKES $28 $28 $3.58 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $18.74
  • Aetna — Aetna Medicare Advantage: $4.33
  • Affilia Home Health — Affilia Home Health Lancaster: $11.20
  • Albright Life — Albright Life: $4.29
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $4.40
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $4
  • Capital Blue Cross — CBC Commercial: $11.18
  • Capital Blue Cross — CBC Medicare Advantage: $4.35
  • Cigna — Cigna: $22.99
  • Cigna — Cigna New Business: $18.47
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT (PARTIAL THROMBO TIME) $44 $44 $5.02 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $26.30
  • Aetna — Aetna Medicare Advantage: $6.07
  • Affilia Home Health — Affilia Home Health Lancaster: $17.60
  • Albright Life — Albright Life: $6.01
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $6.16
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $7.50
  • Capital Blue Cross — CBC Commercial: $17.06
  • Capital Blue Cross — CBC Medicare Advantage: $6.10
  • Cigna — Cigna: $36.12
  • Cigna — Cigna New Business: $26.14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RT PTT (PARTIAL THROMBO TIME) $44 $44 $5.02 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $26.30
  • Aetna — Aetna Medicare Advantage: $6.07
  • Affilia Home Health — Affilia Home Health Lancaster: $17.60
  • Albright Life — Albright Life: $6.01
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $6.16
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $7.50
  • Capital Blue Cross — CBC Commercial: $17.06
  • Capital Blue Cross — CBC Medicare Advantage: $6.10
  • Cigna — Cigna: $36.12
  • Cigna — Cigna New Business: $26.14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RT LUPUS ANTICOAGULANT EVALUATION THROMBOPLASTI $45 $45 $5.02 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $26.30
  • Aetna — Aetna Medicare Advantage: $6.07
  • Affilia Home Health — Affilia Home Health Lancaster: $18
  • Albright Life — Albright Life: $6.01
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $6.16
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $7.50
  • Capital Blue Cross — CBC Commercial: $17.06
  • Capital Blue Cross — CBC Medicare Advantage: $6.10
  • Cigna — Cigna: $36.95
  • Cigna — Cigna New Business: $26.14

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: HC CT HEAD W/O CONTRAST $2,013 $2,013 $77.50 – $13,500
CT scan of the head or brain, without contrast: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,189
  • Aetna — Aetna Medicare Advantage: $107.27
  • Affilia Home Health — Affilia Home Health Lancaster: $805.20
  • Albright Life — Albright Life: $106.21
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $108.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $102.30
  • Capital Blue Cross — CBC Commercial: $1,363.77
  • Capital Blue Cross — CBC Medicare Advantage: $107.80
  • Cigna — Cigna: $172.03
  • Cigna — Cigna New Business: $167.03
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD W/O CONTRAST $2,013 $2,013 $573.71 – $2,013
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $2,013
  • Cigna — Cigna: $1,519.41
  • Cigna PPO — Cigna PPO: $1,664.75
  • Commercial Generic — Commercial Generic: $2,013
  • Devon — Devon: $1,711.05
  • EHP — EHP: $1,650.66
  • Eliance Health Solutions — Eliance Commercial: $1,288.32
  • Geisinger Commercial — Geisinger Commercial: $1,711.05
  • Highmark — Highmark ACA: $2,013
  • Highmark — Highmark CHIP: $2,013
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC CT HEAD W/O CONTRAST $2,013 $2,013 $100.14
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W W/O CONTRAST $4,033 $4,033 $269 – $13,500
MRI of the brain, before and after contrast: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $2,698.08
  • Aetna — Aetna Medicare Advantage: $357.96
  • Affilia Home Health — Affilia Home Health Lancaster: $1,613.20
  • Albright Life — Albright Life: $354.42
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $363.28
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $355.08
  • Capital Blue Cross — CBC Commercial: $4,033
  • Capital Blue Cross — CBC Medicare Advantage: $359.74
  • Cigna — Cigna: $561.57
  • Cigna — Cigna New Business: $545.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W W/O CONTRAST $4,033 $4,033 $1,149.41 – $4,033
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $4,033
  • Cigna — Cigna: $3,044.11
  • Cigna PPO — Cigna PPO: $3,335.29
  • Commercial Generic — Commercial Generic: $4,033
  • Devon — Devon: $3,428.05
  • EHP — EHP: $3,307.06
  • Eliance Health Solutions — Eliance Commercial: $2,581.12
  • Geisinger Commercial — Geisinger Commercial: $3,428.05
  • Highmark — Highmark ACA: $4,033
  • Highmark — Highmark CHIP: $4,033
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC MRI BRAIN W W/O CONTRAST $4,033 $4,033 $297.23
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST PA AND LATERAL $444 $444 $14.85 – $13,500
Chest X-ray, 2 views: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $297.04
  • Aetna — Aetna Medicare Advantage: $89.29
  • Affilia Home Health — Affilia Home Health Lancaster: $177.60
  • Albright Life — Albright Life: $88.41
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $90.62
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $19.60
  • Capital Blue Cross — CBC Commercial: $155.17
  • Capital Blue Cross — CBC Medicare Advantage: $89.74
  • Cigna — Cigna: $57.03
  • Cigna — Cigna New Business: $55.37
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST PA LATERAL W FLUOROSCOPY $732 $732 $14.85 – $13,500
Chest X-ray, 2 views: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $489.71
  • Aetna — Aetna Medicare Advantage: $89.29
  • Affilia Home Health — Affilia Home Health Lancaster: $292.80
  • Albright Life — Albright Life: $88.41
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $90.62
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $19.60
  • Capital Blue Cross — CBC Commercial: $155.17
  • Capital Blue Cross — CBC Medicare Advantage: $89.74
  • Cigna — Cigna: $57.03
  • Cigna — Cigna New Business: $55.37
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST LATERAL DECUBITUS BILATERAL $444 $444 $14.85 – $13,500
Chest X-ray, 2 views: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $297.04
  • Aetna — Aetna Medicare Advantage: $89.29
  • Affilia Home Health — Affilia Home Health Lancaster: $177.60
  • Albright Life — Albright Life: $88.41
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $90.62
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $19.60
  • Capital Blue Cross — CBC Commercial: $155.17
  • Capital Blue Cross — CBC Medicare Advantage: $89.74
  • Cigna — Cigna: $57.03
  • Cigna — Cigna New Business: $55.37
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBAR MINIMUM 4 VIEWS $675 $675 $22.50 – $13,500
X-ray of the lower spine, at least 4 views: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $451.58
  • Aetna — Aetna Medicare Advantage: $107.27
  • Affilia Home Health — Affilia Home Health Lancaster: $270
  • Albright Life — Albright Life: $106.21
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $108.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $29.70
  • Capital Blue Cross — CBC Commercial: $295.55
  • Capital Blue Cross — CBC Medicare Advantage: $107.80
  • Cigna — Cigna: $95.93
  • Cigna — Cigna New Business: $93.14
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE LUMBAR MINIMUM 4 VIEWS $675 $675 $192.38 – $675
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $675
  • Cigna — Cigna: $509.49
  • Cigna PPO — Cigna PPO: $558.23
  • Commercial Generic — Commercial Generic: $675
  • Devon — Devon: $573.75
  • EHP — EHP: $553.50
  • Eliance Health Solutions — Eliance Commercial: $432
  • Geisinger Commercial — Geisinger Commercial: $573.75
  • Highmark — Highmark ACA: $675
  • Highmark — Highmark CHIP: $675
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC SPINE LUMBAR MINIMUM 4 VIEWS $675 $675 $49.77
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/0 CONTRAST $2,730 $2,730 $187.20 – $13,500
MRI of the lower back (lumbar spine), without contrast: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,826.37
  • Aetna — Aetna Medicare Advantage: $244.82
  • Affilia Home Health — Affilia Home Health Lancaster: $1,092
  • Albright Life — Albright Life: $242.40
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $248.46
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $247.10
  • Capital Blue Cross — CBC Commercial: $2,713.16
  • Capital Blue Cross — CBC Medicare Advantage: $246.04
  • Cigna — Cigna: $322.58
  • Cigna — Cigna New Business: $313.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/0 CONTRAST $2,730 $2,730 $778.05 – $2,730
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $2,730
  • Cigna — Cigna: $2,060.60
  • Cigna PPO — Cigna PPO: $2,257.71
  • Commercial Generic — Commercial Generic: $2,730
  • Devon — Devon: $2,320.50
  • EHP — EHP: $2,238.60
  • Eliance Health Solutions — Eliance Commercial: $1,747.20
  • Geisinger Commercial — Geisinger Commercial: $2,320.50
  • Highmark — Highmark ACA: $2,730
  • Highmark — Highmark CHIP: $2,730
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC MRI LUMBAR SPINE W/0 CONTRAST $2,730 $2,730 $180.03
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,739 $2,739 $86.50 – $13,500
CT scan of the pelvis, with contrast: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,189
  • Aetna — Aetna Medicare Advantage: $179.97
  • Affilia Home Health — Affilia Home Health Lancaster: $1,095.60
  • Albright Life — Albright Life: $178.19
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $182.64
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $114.18
  • Capital Blue Cross — CBC Commercial: $2,068.67
  • Capital Blue Cross — CBC Medicare Advantage: $180.86
  • Cigna — Cigna: $466.58
  • Cigna — Cigna New Business: $453.02
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,739 $2,739 $780.62 – $2,739
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $2,739
  • Cigna — Cigna: $2,067.40
  • Cigna PPO — Cigna PPO: $2,265.15
  • Commercial Generic — Commercial Generic: $2,739
  • Devon — Devon: $2,328.15
  • EHP — EHP: $2,245.98
  • Eliance Health Solutions — Eliance Commercial: $1,752.96
  • Geisinger Commercial — Geisinger Commercial: $2,328.15
  • Highmark — Highmark ACA: $2,739
  • Highmark — Highmark CHIP: $2,739
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC CT PELVIS W CONTRAST $2,739 $2,739 $210.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JOINT LOWER EXTREMITY W/O CONTRAST $2,730 $2,730 $218.16 – $13,500
MRI of a leg joint (such as the knee), without contrast: 10 of 67 insurance plan rates
  • Aetna — Aetna Commercial: $1,826.37
  • Aetna — Aetna Medicare Advantage: $244.82
  • Affilia Home Health — Affilia Home Health Lancaster: $1,092
  • Albright Life — Albright Life: $242.40
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $248.46
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $355.08
  • Capital Blue Cross — CBC Commercial: $2,703.72
  • Capital Blue Cross — CBC Medicare Advantage: $246.04
  • Cigna — Cigna: $363.93
  • Cigna — Cigna New Business: $353.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI JOINT LOWER EXTREMITY W/O CONTRAST $2,730 $2,730 $778.05 – $2,730
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $2,730
  • Cigna — Cigna: $2,060.60
  • Cigna PPO — Cigna PPO: $2,257.71
  • Commercial Generic — Commercial Generic: $2,730
  • Devon — Devon: $2,320.50
  • EHP — EHP: $2,238.60
  • Eliance Health Solutions — Eliance Commercial: $1,747.20
  • Geisinger Commercial — Geisinger Commercial: $2,320.50
  • Highmark — Highmark ACA: $2,730
  • Highmark — Highmark CHIP: $2,730
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC MRI JOINT LOWER EXTREMITY W/O CONTRAST $2,730 $2,730 $191.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD/PELVIS W CONTRAST $2,739 $2,739 $192.73 – $13,500
CT scan of the abdomen and pelvis, with contrast: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,189
  • Aetna — Aetna Medicare Advantage: $357.96
  • Affilia Home Health — Affilia Home Health Lancaster: $1,095.60
  • Albright Life — Albright Life: $354.42
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $363.28
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $254.40
  • Capital Blue Cross — CBC Commercial: $2,013.02
  • Capital Blue Cross — CBC Medicare Advantage: $359.74
  • Cigna — Cigna: $584
  • Cigna — Cigna New Business: $567.03
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD/PELVIS W CONTRAST $2,739 $2,739 $780.62 – $2,739
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $2,739
  • Cigna — Cigna: $2,067.40
  • Cigna PPO — Cigna PPO: $2,265.15
  • Commercial Generic — Commercial Generic: $2,739
  • Devon — Devon: $2,328.15
  • EHP — EHP: $2,245.98
  • Eliance Health Solutions — Eliance Commercial: $1,752.96
  • Geisinger Commercial — Geisinger Commercial: $2,328.15
  • Highmark — Highmark ACA: $2,739
  • Highmark — Highmark CHIP: $2,739
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC CT ABD/PELVIS W CONTRAST $2,739 $2,739 $280.62
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN $852 $852 $57.50 – $13,500
Ultrasound of the abdomen, complete: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $569.99
  • Aetna — Aetna Medicare Advantage: $107.27
  • Affilia Home Health — Affilia Home Health Lancaster: $340.80
  • Albright Life — Albright Life: $106.21
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $108.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $75.90
  • Capital Blue Cross — CBC Commercial: $738.33
  • Capital Blue Cross — CBC Medicare Advantage: $107.80
  • Cigna — Cigna: $197.70
  • Cigna — Cigna New Business: $191.95
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN $852 $852 $242.82 – $852
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $852
  • Cigna — Cigna: $643.09
  • Cigna PPO — Cigna PPO: $704.60
  • Commercial Generic — Commercial Generic: $852
  • Devon — Devon: $724.20
  • EHP — EHP: $698.64
  • Eliance Health Solutions — Eliance Commercial: $545.28
  • Geisinger Commercial — Geisinger Commercial: $724.20
  • Highmark — Highmark ACA: $852
  • Highmark — Highmark CHIP: $852
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC US ABDOMEN $852 $852 $107.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSAB AFTER1STTRIMESTER $780 $780 $46.50 – $13,500
Pregnancy ultrasound (after the first trimester): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $521.82
  • Aetna — Aetna Medicare Advantage: $107.27
  • Affilia Home Health — Affilia Home Health Lancaster: $312
  • Albright Life — Albright Life: $106.21
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $108.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $61.38
  • Capital Blue Cross — CBC Commercial: $747.18
  • Capital Blue Cross — CBC Medicare Advantage: $107.80
  • Cigna — Cigna: $219.19
  • Cigna — Cigna New Business: $212.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB COMPLETE $840 $840 $46.50 – $13,500
Pregnancy ultrasound (after the first trimester): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $561.96
  • Aetna — Aetna Medicare Advantage: $107.27
  • Affilia Home Health — Affilia Home Health Lancaster: $336
  • Albright Life — Albright Life: $106.21
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $108.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $61.38
  • Capital Blue Cross — CBC Commercial: $747.18
  • Capital Blue Cross — CBC Medicare Advantage: $107.80
  • Cigna — Cigna: $219.19
  • Cigna — Cigna New Business: $212.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSAB AFTER1STTRIMESTER $780 $780 $222.30 – $780
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $780
  • Cigna — Cigna: $588.74
  • Cigna PPO — Cigna PPO: $645.06
  • Commercial Generic — Commercial Generic: $780
  • Devon — Devon: $663
  • EHP — EHP: $639.60
  • Eliance Health Solutions — Eliance Commercial: $499.20
  • Geisinger Commercial — Geisinger Commercial: $663
  • Highmark — Highmark ACA: $780
  • Highmark — Highmark CHIP: $780
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $830 $830 $46.50 – $13,500
Transvaginal ultrasound: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $555.27
  • Aetna — Aetna Medicare Advantage: $107.27
  • Affilia Home Health — Affilia Home Health Lancaster: $332
  • Albright Life — Albright Life: $106.21
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $108.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $61.38
  • Capital Blue Cross — CBC Commercial: $659.78
  • Capital Blue Cross — CBC Medicare Advantage: $107.80
  • Cigna — Cigna: $217.53
  • Cigna — Cigna New Business: $211.21
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $830 $830 $236.55 – $830
Transvaginal ultrasound: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $830
  • Cigna — Cigna: $626.48
  • Cigna PPO — Cigna PPO: $686.41
  • Commercial Generic — Commercial Generic: $830
  • Devon — Devon: $705.50
  • EHP — EHP: $680.60
  • Eliance Health Solutions — Eliance Commercial: $531.20
  • Geisinger Commercial — Geisinger Commercial: $705.50
  • Highmark — Highmark ACA: $830
  • Highmark — Highmark CHIP: $830
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC US TRANSVAGINAL $830 $830 $109.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY UNILATERAL $916 $916 $71.01 – $13,500
Diagnostic mammogram, one breast: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $612.80
  • Aetna — Aetna Medicare Advantage: $79.91
  • Affilia Home Health — Affilia Home Health Lancaster: $366.40
  • Albright Life — Albright Life: $79.12
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $81.10
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $93.73
  • Capital Blue Cross — CBC Commercial: $741.67
  • Capital Blue Cross — CBC Medicare Advantage: $80.31
  • Cigna — Cigna: $216.72
  • Cigna — Cigna New Business: $210.42
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY UNILATERAL $916 $916 $261.06 – $916
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $916
  • Cigna — Cigna: $691.40
  • Cigna PPO — Cigna PPO: $757.53
  • Commercial Generic — Commercial Generic: $916
  • Devon — Devon: $778.60
  • EHP — EHP: $751.12
  • Eliance Health Solutions — Eliance Commercial: $586.24
  • Geisinger Commercial — Geisinger Commercial: $778.60
  • Highmark — Highmark ACA: $916
  • Highmark — Highmark CHIP: $916
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY UNILATERAL $916 $916 $115.97
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY BILATERAL $980 $980 $90.83 – $13,500
Diagnostic mammogram, both breasts: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $655.62
  • Aetna — Aetna Medicare Advantage: $102.53
  • Affilia Home Health — Affilia Home Health Lancaster: $392
  • Albright Life — Albright Life: $101.51
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $104.05
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $119.90
  • Capital Blue Cross — CBC Commercial: $948.73
  • Capital Blue Cross — CBC Medicare Advantage: $103.03
  • Cigna — Cigna: $276.29
  • Cigna — Cigna New Business: $268.26
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY BILATERAL $980 $980 $279.30 – $980
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $980
  • Cigna — Cigna: $739.70
  • Cigna PPO — Cigna PPO: $810.46
  • Commercial Generic — Commercial Generic: $980
  • Devon — Devon: $833
  • EHP — EHP: $803.60
  • Eliance Health Solutions — Eliance Commercial: $627.20
  • Geisinger Commercial — Geisinger Commercial: $833
  • Highmark — Highmark ACA: $980
  • Highmark — Highmark CHIP: $980
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY BILATERAL $980 $980 $146.87
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY BILATERAL $849 $849 $75.02 – $13,500
Screening mammogram, both breasts: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $567.98
  • Aetna — Aetna Medicare Advantage: $84.56
  • Affilia Home Health — Affilia Home Health Lancaster: $339.60
  • Albright Life — Albright Life: $83.72
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $85.81
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $99.03
  • Capital Blue Cross — CBC Commercial: $783.62
  • Capital Blue Cross — CBC Medicare Advantage: $84.98
  • Cigna — Cigna: $228.30
  • Cigna — Cigna New Business: $221.66
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY UNILATERAL LEFT $849 $849 $75.02 – $13,500
Screening mammogram, both breasts: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $567.98
  • Aetna — Aetna Medicare Advantage: $84.56
  • Affilia Home Health — Affilia Home Health Lancaster: $339.60
  • Albright Life — Albright Life: $83.72
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $85.81
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $99.03
  • Capital Blue Cross — CBC Commercial: $783.62
  • Capital Blue Cross — CBC Medicare Advantage: $84.98
  • Cigna — Cigna: $228.30
  • Cigna — Cigna New Business: $221.66
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY UNILATERAL RIGHT $849 $849 $75.02 – $13,500
Screening mammogram, both breasts: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $567.98
  • Aetna — Aetna Medicare Advantage: $84.56
  • Affilia Home Health — Affilia Home Health Lancaster: $339.60
  • Albright Life — Albright Life: $83.72
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $85.81
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $99.03
  • Capital Blue Cross — CBC Commercial: $783.62
  • Capital Blue Cross — CBC Medicare Advantage: $84.98
  • Cigna — Cigna: $228.30
  • Cigna — Cigna New Business: $221.66

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: HC PAV EKG TRACING INTERPRETATI $82 $82 $13.12 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 53 insurance plan rates
  • Aetna — Aetna Commercial: $54.86
  • Aetna — Aetna Medicare Advantage: $19.35
  • Affilia Home Health — Affilia Home Health Lancaster: $32.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $25.37
  • Capital Blue Cross — CBC Commercial: $68.41
  • Cigna — Cigna: $67.32
  • Cigna — Cigna New Business: $65.03
  • Cigna PPO — Cigna PPO: $75.11
  • Claim Watcher — Claim Watcher: $28.70
  • Claim Watcher Plus — Claim Watcher Plus: $28.70
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EKG - ESCREEN $92 $92 $13.12 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 53 insurance plan rates
  • Aetna — Aetna Commercial: $61.55
  • Aetna — Aetna Medicare Advantage: $21.71
  • Affilia Home Health — Affilia Home Health Lancaster: $36.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $25.37
  • Capital Blue Cross — CBC Commercial: $76.76
  • Cigna — Cigna: $75.53
  • Cigna — Cigna New Business: $72.96
  • Cigna PPO — Cigna PPO: $84.27
  • Claim Watcher — Claim Watcher: $32.20
  • Claim Watcher Plus — Claim Watcher Plus: $32.20
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PAV EKG TRACING & INTERPRETATI $82 $82 $13.12 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 53 insurance plan rates
  • Aetna — Aetna Commercial: $54.86
  • Aetna — Aetna Medicare Advantage: $19.35
  • Affilia Home Health — Affilia Home Health Lancaster: $32.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $25.37
  • Capital Blue Cross — CBC Commercial: $68.41
  • Cigna — Cigna: $67.32
  • Cigna — Cigna New Business: $65.03
  • Cigna PPO — Cigna PPO: $75.11
  • Claim Watcher — Claim Watcher: $28.70
  • Claim Watcher Plus — Claim Watcher Plus: $28.70
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LHC RETROGRADE $15,321 $15,321 $853.60 – $27,262.38
Left heart catheterization (diagnostic): 10 of 65 insurance plan rates
  • Aetna — Aetna Commercial: $10,249.75
  • Aetna — Aetna Medicare Advantage: $3,326.40
  • Affilia Home Health — Affilia Home Health Lancaster: $6,128.40
  • Albright Life — Albright Life: $3,293.47
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $3,375.81
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $27,262.38
  • Capital Blue Cross — CBC Medicare Advantage: $3,342.87
  • Cigna — Cigna: $12,578.54
  • Cigna — Cigna New Business: $12,149.55
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LHC RETROGRADE $15,321 $15,321 $4,366.49 – $15,321
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $15,321
  • Cigna — Cigna: $11,564.29
  • Cigna PPO — Cigna PPO: $12,670.47
  • Commercial Generic — Commercial Generic: $15,321
  • Devon — Devon: $13,022.85
  • EHP — EHP: $12,563.22
  • Eliance Health Solutions — Eliance Commercial: $9,805.44
  • Geisinger Commercial — Geisinger Commercial: $13,022.85
  • Highmark — Highmark ACA: $15,321
  • Highmark — Highmark CHIP: $15,321
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC LHC RETROGRADE $15,321 $15,321 $817.10
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SYNCOPE STUDY W/O ARRYTH IND $23,133 $23,133 $853.60 – $131,766.30
Heart rhythm study (electrophysiology evaluation): 10 of 64 insurance plan rates
  • Aetna — Aetna Commercial: $15,475.98
  • Aetna — Aetna Medicare Advantage: $8,002.90
  • Affilia Home Health — Affilia Home Health Lancaster: $9,253.20
  • Albright Life — Albright Life: $7,923.66
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $8,121.75
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $131,766.30
  • Capital Blue Cross — CBC Medicare Advantage: $8,042.51
  • Cigna — Cigna: $18,992.19
  • Cigna — Cigna New Business: $18,344.47
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SYNCOPE STUDY W/O ARRYTH IND $23,133 $23,133 $6,592.91 – $23,133
Heart rhythm study (electrophysiology evaluation): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $23,133
  • Cigna — Cigna: $17,460.79
  • Cigna PPO — Cigna PPO: $19,130.99
  • Commercial Generic — Commercial Generic: $23,133
  • Devon — Devon: $19,663.05
  • EHP — EHP: $18,969.06
  • Eliance Health Solutions — Eliance Commercial: $14,805.12
  • Geisinger Commercial — Geisinger Commercial: $19,663.05
  • Highmark — Highmark ACA: $23,133
  • Highmark — Highmark CHIP: $23,133
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RF ABLATION OF AFIB/PVI $135,902 $135,902 $853.60 – $137,012.05
Heart rhythm study with ablation for atrial fibrillation: 10 of 64 insurance plan rates
  • Aetna — Aetna Commercial: $90,918.44
  • Aetna — Aetna Medicare Advantage: $26,818.91
  • Affilia Home Health — Affilia Home Health Lancaster: $54,360.80
  • Albright Life — Albright Life: $26,553.38
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $27,217.21
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $131,766.30
  • Capital Blue Cross — CBC Medicare Advantage: $26,951.68
  • Cigna — Cigna: $111,575.54
  • Cigna — Cigna New Business: $107,770.29
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RF ABLATION OF AFIB/PVI $135,902 $135,902 $38,732.07 – $135,902
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $135,902
  • Cigna — Cigna: $102,578.83
  • Cigna PPO — Cigna PPO: $112,390.95
  • Commercial Generic — Commercial Generic: $135,902
  • Devon — Devon: $115,516.70
  • EHP — EHP: $111,439.64
  • Eliance Health Solutions — Eliance Commercial: $86,977.28
  • Geisinger Commercial — Geisinger Commercial: $115,516.70
  • Highmark — Highmark ACA: $135,902
  • Highmark — Highmark CHIP: $135,902
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC RF ABLATION OF AFIB/PVI $135,902 $135,902 $789.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NOCTURNAL POLYSOMNOGRAPH $6,716 $6,716 $270.32 – $13,500
Sleep study (overnight, in a sleep lab): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $4,493
  • Aetna — Aetna Medicare Advantage: $881.11
  • Affilia Home Health — Affilia Home Health Lancaster: $2,686.40
  • Albright Life — Albright Life: $872.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $894.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $356.82
  • Capital Blue Cross — CBC Commercial: $4,458.92
  • Capital Blue Cross — CBC Medicare Advantage: $885.48
  • Cigna — Cigna: $5,513.84
  • Cigna — Cigna New Business: $5,325.79
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NOCTURNAL POLYSOMNOGRAM $5,019 $5,019 $270.32 – $13,500
Sleep study (overnight, in a sleep lab): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $3,357.71
  • Aetna — Aetna Medicare Advantage: $881.11
  • Affilia Home Health — Affilia Home Health Lancaster: $2,007.60
  • Albright Life — Albright Life: $872.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $894.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $356.82
  • Capital Blue Cross — CBC Commercial: $4,458.92
  • Capital Blue Cross — CBC Medicare Advantage: $885.48
  • Cigna — Cigna: $4,120.60
  • Cigna — Cigna New Business: $3,980.07
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CARDIAC SLEEP STUDY $5,536 $5,536 $270.32 – $13,500
Sleep study (overnight, in a sleep lab): 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $3,703.58
  • Aetna — Aetna Medicare Advantage: $881.11
  • Affilia Home Health — Affilia Home Health Lancaster: $2,214.40
  • Albright Life — Albright Life: $872.39
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $894.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $356.82
  • Capital Blue Cross — CBC Commercial: $4,458.92
  • Capital Blue Cross — CBC Medicare Advantage: $885.48
  • Cigna — Cigna: $4,545.06
  • Cigna — Cigna New Business: $4,390.05

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: HC THERAPEUTIC EXERCISE 15 MIN $131 $131 $9.22 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates
  • Aetna — Aetna Commercial: $87.64
  • Aetna — Aetna Medicare Advantage: $28.20
  • Affilia Home Health — Affilia Home Health Lancaster: $52.40
  • Albright Life — Albright Life: $27.92
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $28.62
  • Capital Blue Cross — CBC Commercial: $425.60
  • Capital Blue Cross — CBC Medicare Advantage: $28.34
  • Cigna — Cigna: $107.55
  • Cigna — Cigna New Business: $103.88
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $28.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE $131 $131 $9.22 – $13,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates
  • Aetna — Aetna Commercial: $87.64
  • Aetna — Aetna Medicare Advantage: $28.20
  • Affilia Home Health — Affilia Home Health Lancaster: $52.40
  • Albright Life — Albright Life: $27.92
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $28.62
  • Capital Blue Cross — CBC Commercial: $425.60
  • Capital Blue Cross — CBC Medicare Advantage: $28.34
  • Cigna — Cigna: $107.55
  • Cigna — Cigna New Business: $103.88
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $28.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE 15 MIN $131 $131 $37.34 – $131
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $131
  • Cigna — Cigna: $98.88
  • Cigna PPO — Cigna PPO: $108.34
  • Commercial Generic — Commercial Generic: $131
  • Devon — Devon: $111.35
  • EHP — EHP: $107.42
  • Eliance Health Solutions — Eliance Commercial: $83.84
  • Geisinger Commercial — Geisinger Commercial: $111.35
  • Highmark — Highmark ACA: $131
  • Highmark — Highmark CHIP: $131
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PHYSICAL THERAPY EVAL-LOW COMPLEXITY $258 $258 $49.02 – $13,500
Physical therapy evaluation (low complexity): 10 of 63 insurance plan rates
  • Aetna — Aetna Commercial: $172.60
  • Aetna — Aetna Medicare Advantage: $95.01
  • Affilia Home Health — Affilia Home Health Lancaster: $103.20
  • Albright Life — Albright Life: $94.07
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $96.42
  • Capital Blue Cross — CBC Commercial: $425.60
  • Capital Blue Cross — CBC Medicare Advantage: $95.48
  • Cigna — Cigna: $211.82
  • Cigna — Cigna New Business: $204.59
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $96.89
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PHYSICAL THERAPY EVAL-LOW COMPLEXITY $258 $258 $73.53 – $258
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $258
  • Cigna — Cigna: $194.74
  • Cigna PPO — Cigna PPO: $213.37
  • Commercial Generic — Commercial Generic: $258
  • Devon — Devon: $219.30
  • EHP — EHP: $211.56
  • Eliance Health Solutions — Eliance Commercial: $165.12
  • Geisinger Commercial — Geisinger Commercial: $219.30
  • Highmark — Highmark ACA: $258
  • Highmark — Highmark CHIP: $258
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC PHYSICAL THERAPY EVAL-LOW COMPLEXITY $258 $258 $94.07
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PHYSICAL THERAPY EVAL-MODERATE COMPLEXITY $322 $322 $27.86 – $13,500
Physical therapy evaluation (moderate complexity): 10 of 63 insurance plan rates
  • Aetna — Aetna Commercial: $215.42
  • Aetna — Aetna Medicare Advantage: $95.01
  • Affilia Home Health — Affilia Home Health Lancaster: $128.80
  • Albright Life — Albright Life: $94.07
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $96.42
  • Capital Blue Cross — CBC Commercial: $425.60
  • Capital Blue Cross — CBC Medicare Advantage: $95.48
  • Cigna — Cigna: $264.36
  • Cigna — Cigna New Business: $255.35
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $96.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PHYS THERAPY EVAL - CORPORATE $134 $134 $25.46 – $13,500
Physical therapy evaluation (moderate complexity): 10 of 63 insurance plan rates
  • Aetna — Aetna Commercial: $89.65
  • Aetna — Aetna Medicare Advantage: $95.01
  • Affilia Home Health — Affilia Home Health Lancaster: $53.60
  • Albright Life — Albright Life: $94.07
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $96.42
  • Capital Blue Cross — CBC Commercial: $425.60
  • Capital Blue Cross — CBC Medicare Advantage: $95.48
  • Cigna — Cigna: $110.01
  • Cigna — Cigna New Business: $106.26
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $96.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PHYSICAL THERAPY EVAL-MODERATE COMPLEXITY $322 $322 $91.77 – $322
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $322
  • Cigna — Cigna: $243.05
  • Cigna PPO — Cigna PPO: $266.29
  • Commercial Generic — Commercial Generic: $322
  • Devon — Devon: $273.70
  • EHP — EHP: $264.04
  • Eliance Health Solutions — Eliance Commercial: $206.08
  • Geisinger Commercial — Geisinger Commercial: $273.70
  • Highmark — Highmark ACA: $322
  • Highmark — Highmark CHIP: $322
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PHYSICAL THERAPY EVAL-HIGH COMPLEXITY $404 $404 $67.72 – $13,500
Physical therapy evaluation (high complexity): 10 of 63 insurance plan rates
  • Aetna — Aetna Commercial: $270.28
  • Aetna — Aetna Medicare Advantage: $95.01
  • Affilia Home Health — Affilia Home Health Lancaster: $161.60
  • Albright Life — Albright Life: $94.07
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $96.42
  • Capital Blue Cross — CBC Commercial: $425.60
  • Capital Blue Cross — CBC Medicare Advantage: $95.48
  • Cigna — Cigna: $331.68
  • Cigna — Cigna New Business: $320.37
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $96.89
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PHYSICAL THERAPY EVAL-HIGH COMPLEXITY $404 $404 $115.14 – $404
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $404
  • Cigna — Cigna: $304.94
  • Cigna PPO — Cigna PPO: $334.11
  • Commercial Generic — Commercial Generic: $404
  • Devon — Devon: $343.40
  • EHP — EHP: $331.28
  • Eliance Health Solutions — Eliance Commercial: $258.56
  • Geisinger Commercial — Geisinger Commercial: $343.40
  • Highmark — Highmark ACA: $404
  • Highmark — Highmark CHIP: $404
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC PHYSICAL THERAPY EVAL-HIGH COMPLEXITY $404 $404 $94.07
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/ PATIENT 30 MIN $182 $182 $28.60 – $13,500
Psychotherapy, 30 minutes: 10 of 62 insurance plan rates
  • Aetna — Aetna Commercial: $121.76
  • Aetna — Aetna Medicare Advantage: $182.12
  • Affilia Home Health — Affilia Home Health Lancaster: $72.80
  • Albright Life — Albright Life: $180.32
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $184.83
  • Capital Blue Cross — CBC Commercial: $151.84
  • Cigna — Cigna: $149.42
  • Cigna — Cigna New Business: $144.33
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $185.73
  • Cigna PPO — Cigna PPO: $166.71
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/ PATIENT 30 MIN $182 $182 $51.87 – $182
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $182
  • Cigna — Cigna: $137.37
  • Cigna PPO — Cigna PPO: $150.51
  • Commercial Generic — Commercial Generic: $182
  • Devon — Devon: $154.70
  • EHP — EHP: $149.24
  • Eliance Health Solutions — Eliance Commercial: $116.48
  • Geisinger Commercial — Geisinger Commercial: $154.70
  • Highmark — Highmark ACA: $182
  • Highmark — Highmark CHIP: $182
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC PSYCHOTHERAPY W/ PATIENT 30 MIN $182 $182 $84.12
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/ PATIENT 45 MIN $216 $216 $41.04 – $13,500
Psychotherapy, 45 minutes: 10 of 62 insurance plan rates
  • Aetna — Aetna Commercial: $144.50
  • Aetna — Aetna Medicare Advantage: $182.12
  • Affilia Home Health — Affilia Home Health Lancaster: $86.40
  • Albright Life — Albright Life: $180.32
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $184.83
  • Capital Blue Cross — CBC Commercial: $180.21
  • Cigna — Cigna: $177.34
  • Cigna — Cigna New Business: $171.29
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $185.73
  • Cigna PPO — Cigna PPO: $197.86
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/ PATIENT 45 MIN $216 $216 $61.56 – $216
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $216
  • Cigna — Cigna: $163.04
  • Cigna PPO — Cigna PPO: $178.63
  • Commercial Generic — Commercial Generic: $216
  • Devon — Devon: $183.60
  • EHP — EHP: $177.12
  • Eliance Health Solutions — Eliance Commercial: $138.24
  • Geisinger Commercial — Geisinger Commercial: $183.60
  • Highmark — Highmark ACA: $216
  • Highmark — Highmark CHIP: $216
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HC PSYCHOTHERAPY W/ PATIENT 45 MIN $216 $216 $111.59
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/ PATIENT 60 MIN $250 $250 $47.50 – $13,500
Psychotherapy, 60 minutes: 10 of 62 insurance plan rates
  • Aetna — Aetna Commercial: $167.25
  • Aetna — Aetna Medicare Advantage: $182.12
  • Affilia Home Health — Affilia Home Health Lancaster: $100
  • Albright Life — Albright Life: $180.32
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $184.83
  • Capital Blue Cross — CBC Commercial: $208.58
  • Cigna — Cigna: $205.25
  • Cigna — Cigna New Business: $198.25
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $185.73
  • Cigna PPO — Cigna PPO: $229
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT FAMILY 60 MINS $147 $147 $27.93 – $13,500
Psychotherapy, 60 minutes: 10 of 61 insurance plan rates
  • Aetna — Aetna Commercial: $98.34
  • Aetna — Aetna Medicare Advantage: $182.12
  • Affilia Home Health — Affilia Home Health Lancaster: $58.80
  • Albright Life — Albright Life: $180.32
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $184.83
  • Capital Blue Cross — CBC Medicare Advantage: $183.02
  • Cigna — Cigna: $120.69
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $185.73
  • Cigna PPO — Cigna PPO: $134.65
  • Claim Watcher — Claim Watcher: $595.06
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT & FAMILY, 60 MINS $147 $147 $27.93 – $13,500
Psychotherapy, 60 minutes: 10 of 61 insurance plan rates
  • Aetna — Aetna Commercial: $98.34
  • Aetna — Aetna Medicare Advantage: $182.12
  • Affilia Home Health — Affilia Home Health Lancaster: $58.80
  • Albright Life — Albright Life: $180.32
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $184.83
  • Capital Blue Cross — CBC Medicare Advantage: $183.02
  • Cigna — Cigna: $120.69
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $185.73
  • Cigna PPO — Cigna PPO: $134.65
  • Claim Watcher — Claim Watcher: $595.06

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PERC NDL BIOPSY PROSTATE $3,219 $3,219 $97.56 – $13,500
Prostate biopsy: 10 of 49 insurance plan rates
  • Aetna — Aetna Commercial: $2,153.51
  • Aetna — Aetna Medicare Advantage: $759.68
  • Affilia Home Health — Affilia Home Health Lancaster: $1,287.60
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $2,685.61
  • Cigna — Cigna: $2,642.80
  • Cigna — Cigna New Business: $2,552.67
  • Cigna PPO — Cigna PPO: $2,948.60
  • Claim Watcher — Claim Watcher: $1,126.65
  • Claim Watcher Plus — Claim Watcher Plus: $1,126.65
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PERC NDL BIOPSY PROSTATE $3,219 $3,219 $917.42 – $3,219
Prostate biopsy: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $3,219
  • Cigna — Cigna: $2,429.70
  • Cigna PPO — Cigna PPO: $2,662.11
  • Commercial Generic — Commercial Generic: $3,219
  • Devon — Devon: $2,736.15
  • EHP — EHP: $2,639.58
  • Eliance Health Solutions — Eliance Commercial: $2,060.16
  • Geisinger Commercial — Geisinger Commercial: $2,736.15
  • Highmark — Highmark ACA: $3,219
  • Highmark — Highmark CHIP: $3,219
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IR EPIDURAL INJECTION LUMBAR OR SACRAL W/IMAGIN $2,590 $2,590 $81.32 – $13,500
Spinal injection, lower back (epidural), with imaging guidance: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,732.71
  • Aetna — Aetna Medicare Advantage: $724.27
  • Affilia Home Health — Affilia Home Health Lancaster: $1,036
  • Albright Life — Albright Life: $717.10
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $735.03
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $7,194.16
  • Capital Blue Cross — CBC Medicare Advantage: $727.86
  • Cigna — Cigna: $2,126.39
  • Cigna — Cigna New Business: $2,053.87
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IR EPIDURAL INJECTION, LUMBAR OR SACRAL, W/IMAGING $2,590 $2,590 $81.32 – $13,500
Spinal injection, lower back (epidural), with imaging guidance: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,732.71
  • Aetna — Aetna Medicare Advantage: $724.27
  • Affilia Home Health — Affilia Home Health Lancaster: $1,036
  • Albright Life — Albright Life: $717.10
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $735.03
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $7,194.16
  • Capital Blue Cross — CBC Medicare Advantage: $727.86
  • Cigna — Cigna: $2,126.39
  • Cigna — Cigna New Business: $2,053.87
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IR EPIDURAL INJECTION LUMBAR OR SACRAL W/IMAGIN $2,590 $2,590 $738.15 – $2,590
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $2,590
  • Cigna — Cigna: $1,954.93
  • Cigna PPO — Cigna PPO: $2,141.93
  • Commercial Generic — Commercial Generic: $2,590
  • Devon — Devon: $2,201.50
  • EHP — EHP: $2,123.80
  • Eliance Health Solutions — Eliance Commercial: $1,657.60
  • Geisinger Commercial — Geisinger Commercial: $2,201.50
  • Highmark — Highmark ACA: $2,590
  • Highmark — Highmark CHIP: $2,590
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IR TRANSFORAMINAL EPIDURAL L-S SINGLE LEVEL $2,961 $2,961 $95.04 – $13,500
Nerve root injection, lower back, with imaging guidance: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,980.91
  • Aetna — Aetna Medicare Advantage: $907.52
  • Affilia Home Health — Affilia Home Health Lancaster: $1,184.40
  • Albright Life — Albright Life: $898.53
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $920.99
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $7,194.16
  • Capital Blue Cross — CBC Medicare Advantage: $912.01
  • Cigna — Cigna: $2,430.98
  • Cigna — Cigna New Business: $2,348.07
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IR TRANSFORAMINAL EPIDURAL, L-S, SINGLE LEVEL $2,961 $2,961 $95.04 – $13,500
Nerve root injection, lower back, with imaging guidance: 10 of 68 insurance plan rates
  • Aetna — Aetna Commercial: $1,980.91
  • Aetna — Aetna Medicare Advantage: $907.52
  • Affilia Home Health — Affilia Home Health Lancaster: $1,184.40
  • Albright Life — Albright Life: $898.53
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $920.99
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid HMO: $1,400
  • Capital Blue Cross — CBC Commercial: $7,194.16
  • Capital Blue Cross — CBC Medicare Advantage: $912.01
  • Cigna — Cigna: $2,430.98
  • Cigna — Cigna New Business: $2,348.07
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IR TRANSFORAMINAL EPIDURAL L-S SINGLE LEVEL $2,961 $2,961 $843.89 – $2,961
Nerve root injection, lower back, with imaging guidance: 10 of 26 insurance plan rates
  • Affilia Home Health — Affilia Home Health Lancaster: $2,961
  • Cigna — Cigna: $2,234.96
  • Cigna PPO — Cigna PPO: $2,448.75
  • Commercial Generic — Commercial Generic: $2,961
  • Devon — Devon: $2,516.85
  • EHP — EHP: $2,428.02
  • Eliance Health Solutions — Eliance Commercial: $1,895.04
  • Geisinger Commercial — Geisinger Commercial: $2,516.85
  • Highmark — Highmark ACA: $2,961
  • Highmark — Highmark CHIP: $2,961

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $548.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $287,080.39
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 58 insurance plan rates
  • Aetna — Aetna Commercial: $218,452
  • Aetna — Aetna Medicare Advantage: $75,042.68
  • Albright Life — Albright Life: $74,299.68
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $76,157.17
  • Capital Blue Cross — CBC Commercial: $273,427.78
  • Capital Blue Cross — CBC Medicare Advantage: $75,414.18
  • Cigna — Cigna New Business: $205,195
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $76,528.67
  • Claim Watcher — Claim Watcher: $163,459.30
  • Claim Watcher Plus — Claim Watcher Plus: $145,627.37
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $548.28 – $95,168.11
Spinal fusion (not neck), without major complications: 10 of 57 insurance plan rates
  • Aetna — Aetna Commercial: $89,167
  • Aetna — Aetna Medicare Advantage: $28,095.33
  • Albright Life — Albright Life: $27,817.16
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $28,512.59
  • Capital Blue Cross — CBC Medicare Advantage: $28,234.42
  • Cigna — Cigna New Business: $79,728.89
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $28,651.68
  • Claim Watcher — Claim Watcher: $61,197.75
  • Claim Watcher Plus — Claim Watcher Plus: $54,521.63
  • Coatesville VA — Coatesville VA: $27,817.16
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $548.28 – $54,490
Hip or knee replacement (major joint of the leg), without major complications: 10 of 57 insurance plan rates
  • Aetna — Aetna Commercial: $54,490
  • Aetna — Aetna Medicare Advantage: $15,262.91
  • Albright Life — Albright Life: $15,111.79
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $15,489.59
  • Capital Blue Cross — CBC Commercial: $24,841.24
  • Capital Blue Cross — CBC Medicare Advantage: $15,338.47
  • Cigna — Cigna New Business: $40,616.70
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $15,565.14
  • Claim Watcher — Claim Watcher: $33,245.94
  • Claim Watcher Plus — Claim Watcher Plus: $29,619.11
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $548.28 – $80,537
Neck (cervical) spinal fusion, without complications: 10 of 58 insurance plan rates
  • Aetna — Aetna Commercial: $80,537
  • Aetna — Aetna Medicare Advantage: $18,999.66
  • Albright Life — Albright Life: $18,811.55
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $19,281.84
  • Capital Blue Cross — CBC Commercial: $30,832.76
  • Capital Blue Cross — CBC Medicare Advantage: $19,093.72
  • Cigna — Cigna New Business: $50,904.27
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $19,375.89
  • Claim Watcher — Claim Watcher: $41,385.41
  • Claim Watcher Plus — Claim Watcher Plus: $36,870.63
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $548.28 – $41,671.61
Uterus and ovary surgery (not for cancer), without complications: 10 of 58 insurance plan rates
  • Aetna — Aetna Commercial: $28,492.20
  • Aetna — Aetna Medicare Advantage: $10,293.90
  • Albright Life — Albright Life: $10,191.98
  • AmeriHealth Caritas — AmeriHealth Caritas Med Adv: $10,446.78
  • Capital Blue Cross — CBC Commercial: $31,922.89
  • Capital Blue Cross — CBC Medicare Advantage: $10,344.86
  • Cigna — Cigna New Business: $26,936.62
  • Cigna HealthSpring/Bravo — Cigna HealthSpring: $10,497.74
  • Claim Watcher — Claim Watcher: $22,422.36
  • Claim Watcher Plus — Claim Watcher Plus: $19,976.28

Source: Lancaster General Hospital’s standard charges file (tupa-q-001.sitecorecontenthub.cloud, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 22, 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
Address555 North Duke Street, Lancaster, PA 17602
CountyLancaster County
StatePennsylvania
Phone(717) 544‑5511
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390100
Name in Medicare recordsLANCASTER GENERAL HOSPITAL
Profile levelMedicare data + hospital website
Official websitepennmedicine.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Lancaster General Hospital | Penn Medicine — pennmedicine.org
  2. Lancaster General Hospital visitor policies and hours | Penn Medicine — pennmedicine.org
  3. Lancaster General Hospital directions and parking | Penn Medicine — pennmedicine.org