Does Lower Bucks Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Lower Bucks Hospital. In a medical emergency, call 911.

Where is Lower Bucks Hospital?

501 Bath Road, Bristol, PA 19007, in Bucks County, Pennsylvania.

What is the phone number of Lower Bucks Hospital?

(215) 785-9200, as listed by Medicare (CMS).

What is the Medicare star rating of Lower Bucks Hospital?

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

Lower Bucks Hospital — Bristol, PA

Quick answers

Does Lower Bucks Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Lower Bucks Hospital. In a medical emergency, call 911.
Where is Lower Bucks Hospital?: 501 Bath Road, Bristol, PA 19007, in Bucks County, Pennsylvania.
What is the phone number of Lower Bucks Hospital?: (215) 785-9200, as listed by Medicare (CMS).
What is the Medicare star rating of Lower Bucks Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][8][11]}

Conditions treated^[9][12]

Atrial fibrillation
Acute coronary syndrome
Heart failure
Arthritis
Carpal tunnel syndrome
Knee ligament and meniscus injuries
Rotator cuff impingement
Labral tears
Shoulder dislocation

Treatments^[5][9][10]

Cardiac Rehabilitation
Pulmonary Rehabilitation
Outpatient Physical Therapy
Cardiac catheterization
Cardioversion
Permanent pacemaker
Angiogram
Carotid Doppler
CT scan
Chest X-ray
Echocardiogram
Stress test
MRI
Mammography
Bone densitometry
Fluoroscopy
Interventional radiology

Procedures^{[5][9][10][11][12][13]}

Cardiac catheterization
Stress testing
Percutaneous coronary intervention (PCI) with stenting
Balloon angioplasty
Diagnostic laparoscopy
Appendectomy
Splenectomy
Hernia repair
Gallbladder and bile duct surgery
Colectomy
Colonoscopy and upper endoscopy
Thyroid and parathyroid surgery
Lymph node removal
Biopsy
Knee and hip replacement
Fracture surgery

Programs and centers^{[5][7][8][11][14]}

Heart Services & Cardiac Cath Program
Graduate medical education (residency)
FastTrackCare ER arrival reservation
Same-day surgery (Outpatient Surgery Center)
Cardiac and pulmonary rehabilitation
Residency programs

Emergency care (hospital website)^[4][7][8]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting times and number of visitors vary by unit and may be limited; call 215-785-9200 for current hours^[6]
Patient portal	MyChart

Recognition^[7][10][13]

Healthgrades Five-Star recognition for critical care and orthopedics 2026
Corazon re-accreditation for PCI program 2026
American College of Radiology accredited imaging program

Doctors and clinicians (157)

157 doctors and other clinicians list Lower Bucks 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

And 133 more: the button below opens the full list.

Other emergency rooms nearby

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

Virtua Willingboro Hospital4.0 mi · Willingboro, NJ · Acute Care Hospital
St Mary Medical Center5.8 mi · Langhorne, PA · Acute Care Hospital
Jefferson Health- Northeast7.6 mi · Philadelphia, PA · Acute Care Hospital
Virtua Mount Holly Hospital9.0 mi · Mount Holly, NJ · Acute Care Hospital
Nazareth Hospital9.9 mi · Philadelphia, PA · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital-Willingboro4.0 mi · Willingboro, NJ · Long-Term Acute Care Hospital
Rothman Orthopaedic Specialty Hospital5.2 mi · Bensalem, PA · Acute Care Hospital
St Mary Rehabilitation Hospital7.4 mi · Langhorne, PA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Bristol Health & Rehab Center0.3 mi · Bristol, PA · 1 of 5 stars
Masonic Village at Burlington3.5 mi · Burlington, NJ · 2 of 5 stars
Juniper Village at Bucks County Rehab and SKD Care3.7 mi · Bensalem, PA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Amedisys Hospice3.0 mi · Burlington, NJ · 3 of 5 stars
Vitality Hospice and Palliative Care3.0 mi · Burlington, NJ · 3 of 5 stars
Amedisys Hospice of Greater Philadelphia3.9 mi · Bensalem, PA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Accentcare Health of Pennsylvania0.9 mi · Bristol, PA · 4 of 5 stars
We Care Home Health Agency, LLC0.9 mi · Bristol, PA
Care Options for Kids3.9 mi · Bensalem, PA

All home health agencies in the state →

Dialysis facilities

Innovative Renal Care Bucks County0.9 mi · Bristol, PA · 2 of 5 stars
DaVita Burlington North Dialysis3.0 mi · Burlington, NJ · 3 of 5 stars
Innovative Renal Care Bensalem3.9 mi · Bensalem, PA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Bucks County Gi Endoscopic Surgical Center2.5 mi · Levittown, PA
Gi-Asc, LLC3.9 mi · Bensalem, PA
Surgical Center of Burlington County Inc5.4 mi · Willingboro, NJ

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

Burlington City Health Center2.4 mi · Burlington, NJ · Community health center
Spectrum Health Services Inc9.3 mi · Philadelphia, PA · Community health center
Henry J Austin Health Center, Inc9.5 mi · Trenton, NJ · Community health center

Clinics and urgent care

Wecare Mobile Medical, LLC0.9 mi · Bristol, PA · Urgent care center
American Current Care of New Jersey, P.A.3.0 mi · Burlington, NJ · Urgent care center
Ez Urgent Care PC3.9 mi · Bensalem, PA · Urgent care center

Pharmacies

Bridgepoint Pharmacy Inc0.9 mi · Bristol, PA · Community/retail pharmacy
Bristol Discount Pharmacy Inc0.9 mi · Bristol, PA · Community/retail pharmacy
Jay Shiv Shankar LLC0.9 mi · Bristol, PA · Pharmacy

Assisted living nearby

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

Legacy Gardens of Bristol0.9 mi · Bristol, PA
The Addison of Woodbourne Place3.3 mi · Levittown, PA
Allegria at the Oaks3.9 mi · Bensalem, PA
Juniper Village at Bucks County Senior Living3.9 mi · Bensalem, PA

About the Medicare star rating

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

Medicare quality data

What Lower Bucks 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)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	1 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	1 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	59%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	70%National average: 80%
Doctors “always” communicated well	66%National average: 80%
Staff “always” explained medicines before giving them	46%National average: 62%
Were given information about recovery at home	77%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	49%National average: 60%
Completed surveys	452Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.185Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.6%
Deaths within 30 days: heart failure patients	10.9%
Deaths within 30 days: pneumonia patients	14.1%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	10.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.92No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.6%
Readmitted within 30 days: heart failure	21.8%
Readmitted within 30 days: pneumonia	19.5%
Readmitted within 30 days: COPD	22%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	150 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	64%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Pennsylvania Best hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Lower Bucks Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New Low Mdm 30-44 Minutes - 99203 - 76100003	$1,249.13	Not listed in the file	$54.25 – $999.30
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Health Partners Plan — Health Partners Plan Medicaid: $54.25 Keystone — Keystone First Medicaid: $57.50 UHC — UHC Medicaid: $61.30
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New Moderate Mdm 45-59 Minutes - 99204 - 76100004	$1,249.13	Not listed in the file	$90.37 – $999.30
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Health Partners Plan — Health Partners Plan Medicaid: $90.37 Keystone — Keystone First Medicaid: $95.80 UHC — UHC Medicaid: $102.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New High Mdm 60-74 Minutes - 99205 - 76100005	$1,249.13	Not listed in the file	$117.54 – $999.30
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Health Partners Plan — Health Partners Plan Medicaid: $117.54 Keystone — Keystone First Medicaid: $124.60 UHC — UHC Medicaid: $132.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient Established Low Mdm 20-29 Min - 99213 - 76100008	$1,249.13	Not listed in the file	$40 – $999.30
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Health Partners Plan — Health Partners Plan Medicaid: $40 Keystone — Keystone First Medicaid: $42.40 UHC — UHC Medicaid: $45.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient Established Mod Mdm 30-39 Min - 99214 - 76100009	$1,249.13	Not listed in the file	$54.42 – $999.30
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Health Partners Plan — Health Partners Plan Medicaid: $54.42 Keystone — Keystone First Medicaid: $57.70 UHC — UHC Medicaid: $61.49
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Hc Ed Level 3	$1,146.85	$268	$56.65 – $917.48
Emergency room visit (moderate): 10 of 30 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $281.98 Auto Insurance — Auto Insurance: $295.41 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $649.16 Employer Direct Healthcare — Employer Direct Healthcare: $375.97 Health Partners Plan — Health Partners Plan Exchange: $402.83 Health Partners Plan — Health Partners Plan Medicaid: $334 Health Partners Plan — Health Partners Plan Medicare: $268.55 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $598.06 Humana — Humana Tricare: $214.84 Independence Blue Cross — IBC HMO/PPO: $886
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hc Ed Level 4	$1,801.85	$410	$95.33 – $1,441.48
Emergency room visit (moderately high): 10 of 30 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $431.01 Auto Insurance — Auto Insurance: $451.54 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $992.27 Employer Direct Healthcare — Employer Direct Healthcare: $574.69 Health Partners Plan — Health Partners Plan Exchange: $615.74 Health Partners Plan — Health Partners Plan Medicaid: $334 Health Partners Plan — Health Partners Plan Medicare: $410.49 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $914.16 Humana — Humana Tricare: $328.39 Independence Blue Cross — IBC HMO/PPO: $886
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hc Ed Level 5	$2,581.85	$585	$138.74 – $2,065.48
Emergency room visit (high): 10 of 30 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $615.16 Auto Insurance — Auto Insurance: $644.46 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $1,416.21 Employer Direct Healthcare — Employer Direct Healthcare: $820.22 Health Partners Plan — Health Partners Plan Exchange: $878.81 Health Partners Plan — Health Partners Plan Medicaid: $334 Health Partners Plan — Health Partners Plan Medicare: $585.87 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,304.73 Humana — Humana Tricare: $468.70 Independence Blue Cross — IBC HMO/PPO: $886

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Hc Basic Metabolic Panel Calcium Total	$613	$8	$6.77 – $490.40
Basic metabolic panel (blood test): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $8.88 Auto Insurance — Auto Insurance: $9.31 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $8.46 Employer Direct Healthcare — Employer Direct Healthcare: $11.84 Health Partners Plan — Health Partners Plan Exchange: $12.69 Health Partners Plan — Health Partners Plan Medicaid: $9.36 Health Partners Plan — Health Partners Plan Medicare: $8.46 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $17.90 Humana — Humana Tricare: $6.77 Independence Blue Cross — IBC HMO/PPO: $36.58
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hc Metabolic Panel,Comprehensive	$1,364	$10	$8.45 – $1,091.20
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $11.09 Auto Insurance — Auto Insurance: $11.62 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $10.56 Employer Direct Healthcare — Employer Direct Healthcare: $14.78 Health Partners Plan — Health Partners Plan Exchange: $15.84 Health Partners Plan — Health Partners Plan Medicaid: $11.69 Health Partners Plan — Health Partners Plan Medicare: $10.56 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $22.34 Humana — Humana Tricare: $8.45 Independence Blue Cross — IBC HMO/PPO: $45.65
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hc Lipid Panel	$490	$13	$10.71 – $392
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $14.06 Auto Insurance — Auto Insurance: $14.73 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $13.39 Employer Direct Healthcare — Employer Direct Healthcare: $18.75 Health Partners Plan — Health Partners Plan Exchange: $20.09 Health Partners Plan — Health Partners Plan Medicaid: $14 Health Partners Plan — Health Partners Plan Medicare: $13.39 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $28.33 Humana — Humana Tricare: $10.71 Independence Blue Cross — IBC HMO/PPO: $59.41
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hc Renal Function Panel	$123	$8	$6.94 – $98.40
Kidney function panel: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $9.11 Auto Insurance — Auto Insurance: $9.55 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $8.68 Employer Direct Healthcare — Employer Direct Healthcare: $12.15 Health Partners Plan — Health Partners Plan Exchange: $13.02 Health Partners Plan — Health Partners Plan Medicaid: $9.60 Health Partners Plan — Health Partners Plan Medicare: $8.68 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $18.36 Humana — Humana Tricare: $6.94 Independence Blue Cross — IBC HMO/PPO: $37.52
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hc Hepatic Function Panel	$751	$8	$6.54 – $600.80
Liver function panel: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $8.58 Auto Insurance — Auto Insurance: $8.99 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $8.17 Employer Direct Healthcare — Employer Direct Healthcare: $11.44 Health Partners Plan — Health Partners Plan Exchange: $12.26 Health Partners Plan — Health Partners Plan Medicaid: $9.03 Health Partners Plan — Health Partners Plan Medicare: $8.17 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $17.29 Humana — Humana Tricare: $6.54 Independence Blue Cross — IBC HMO/PPO: $35.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/Scope	$207	$3	$2.54 – $165.60
Urine test (automated, with microscope): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $3.33 Auto Insurance — Auto Insurance: $3.49 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $3.17 Employer Direct Healthcare — Employer Direct Healthcare: $4.44 Health Partners Plan — Health Partners Plan Exchange: $4.76 Health Partners Plan — Health Partners Plan Medicaid: $3 Health Partners Plan — Health Partners Plan Medicare: $3.17 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $6.71 Humana — Humana Tricare: $2.54 Independence Blue Cross — IBC HMO/PPO: $13.76
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hc Urinalysis Nonauto W/O Scope	$31	$3	$2.78 – $24.80
Urine test (manual, without microscope): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $3.65 Auto Insurance — Auto Insurance: $3.83 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $3.48 Employer Direct Healthcare — Employer Direct Healthcare: $4.87 Health Partners Plan — Health Partners Plan Exchange: $5.22 Health Partners Plan — Health Partners Plan Medicaid: $3.57 Health Partners Plan — Health Partners Plan Medicare: $3.48 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $7.36 Humana — Humana Tricare: $2.78 Independence Blue Cross — IBC HMO/PPO: $15.63
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/O Scope	$45	$2	$1.80 – $36
Urine test (automated, without microscope): 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $2.36 Auto Insurance — Auto Insurance: $2.48 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $2.25 Employer Direct Healthcare — Employer Direct Healthcare: $3.15 Health Partners Plan — Health Partners Plan Exchange: $3.38 Health Partners Plan — Health Partners Plan Medicaid: $3.10 Health Partners Plan — Health Partners Plan Medicare: $2.25 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $4.76 Humana — Humana Tricare: $1.80 Independence Blue Cross — IBC HMO/PPO: $10.63
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312	$687.50	$18	$14.71 – $550
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $19.31 Auto Insurance — Auto Insurance: $20.23 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $18.39 Employer Direct Healthcare — Employer Direct Healthcare: $25.75 Health Partners Plan — Health Partners Plan Exchange: $27.59 Health Partners Plan — Health Partners Plan Medicaid: $24.36 Health Partners Plan — Health Partners Plan Medicare: $18.39 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $38.91 Humana — Humana Tricare: $14.71 Independence Blue Cross — IBC HMO/PPO: $81.61
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Prostate Specific Antigen,Total	$687.50	$18	$14.71 – $550
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $19.31 Auto Insurance — Auto Insurance: $20.23 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $18.39 Employer Direct Healthcare — Employer Direct Healthcare: $25.75 Health Partners Plan — Health Partners Plan Exchange: $27.59 Health Partners Plan — Health Partners Plan Medicaid: $24.36 Health Partners Plan — Health Partners Plan Medicare: $18.39 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $38.91 Humana — Humana Tricare: $14.71 Independence Blue Cross — IBC HMO/PPO: $81.61
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hc Assay Thyroid Stim Hormone	$422	$16	$13.44 – $337.60
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $17.64 Auto Insurance — Auto Insurance: $18.48 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $16.80 Employer Direct Healthcare — Employer Direct Healthcare: $23.52 Health Partners Plan — Health Partners Plan Exchange: $25.20 Health Partners Plan — Health Partners Plan Medicaid: $23.21 Health Partners Plan — Health Partners Plan Medicare: $16.80 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $35.54 Humana — Humana Tricare: $13.44 Independence Blue Cross — IBC HMO/PPO: $81.92
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hc Complete Cbc & Auto Diff Wbc	$249	$7	$6 – $199.20
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $8.16 Auto Insurance — Auto Insurance: $8.55 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $7.77 Employer Direct Healthcare — Employer Direct Healthcare: $10.88 Health Partners Plan — Health Partners Plan Exchange: $11.66 Health Partners Plan — Health Partners Plan Medicaid: $6 Health Partners Plan — Health Partners Plan Medicare: $7.77 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $16.44 Humana — Humana Tricare: $6.22 Independence Blue Cross — IBC HMO/PPO: $34.39
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hc Complete Cbc	$240	$6	$5.18 – $192
Complete blood count (CBC), automated: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $6.79 Auto Insurance — Auto Insurance: $7.12 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $6.47 Employer Direct Healthcare — Employer Direct Healthcare: $9.06 Health Partners Plan — Health Partners Plan Exchange: $9.71 Health Partners Plan — Health Partners Plan Medicaid: $7.52 Health Partners Plan — Health Partners Plan Medicare: $6.47 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $13.69 Humana — Humana Tricare: $5.18 Independence Blue Cross — IBC HMO/PPO: $31.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hc Prothrombin Time	$114	$4	$3.43 – $91.20
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $4.50 Auto Insurance — Auto Insurance: $4.72 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $4.29 Employer Direct Healthcare — Employer Direct Healthcare: $6.01 Health Partners Plan — Health Partners Plan Exchange: $6.44 Health Partners Plan — Health Partners Plan Medicaid: $4 Health Partners Plan — Health Partners Plan Medicare: $4.29 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $9.08 Humana — Humana Tricare: $3.43 Independence Blue Cross — IBC HMO/PPO: $17.51
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hc Thromboplas Time Partial	$121	$6	$4.81 – $96.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $6.31 Auto Insurance — Auto Insurance: $6.61 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $6.01 Employer Direct Healthcare — Employer Direct Healthcare: $8.41 Health Partners Plan — Health Partners Plan Exchange: $9.02 Health Partners Plan — Health Partners Plan Medicaid: $7.50 Health Partners Plan — Health Partners Plan Medicare: $6.01 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $12.72 Humana — Humana Tricare: $4.81 Independence Blue Cross — IBC HMO/PPO: $29.39

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Hc Ct Scan,Head/Brain,W/O Contrast Matl	$2,129	$102	$77.50 – $1,703.20
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $107.98 Auto Insurance — Auto Insurance: $113.12 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $248.59 Employer Direct Healthcare — Employer Direct Healthcare: $143.98 Health Partners Plan — Health Partners Plan Exchange: $154.26 Health Partners Plan — Health Partners Plan Medicaid: $77.50 Health Partners Plan — Health Partners Plan Medicare: $102.84 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $229.02 Humana — Humana Tricare: $82.27 Independence Blue Cross — IBC HMO/PPO: $537.87
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hc Mri Brain Combo	$4,633.16	$343	$269 – $3,706.53
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $360.37 Auto Insurance — Auto Insurance: $377.53 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $829.64 Employer Direct Healthcare — Employer Direct Healthcare: $480.49 Health Partners Plan — Health Partners Plan Exchange: $514.82 Health Partners Plan — Health Partners Plan Medicaid: $269 Health Partners Plan — Health Partners Plan Medicare: $343.21 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $764.33 Humana — Humana Tricare: $274.57 Independence Blue Cross — IBC HMO/PPO: $1,874.03
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hc Chest X-Ray 2 Vw	$403.61	$85	$14.85 – $322.89
Chest X-ray, 2 views: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $89.89 Auto Insurance — Auto Insurance: $94.17 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $206.94 Employer Direct Healthcare — Employer Direct Healthcare: $119.85 Health Partners Plan — Health Partners Plan Exchange: $128.42 Health Partners Plan — Health Partners Plan Medicaid: $14.85 Health Partners Plan — Health Partners Plan Medicare: $85.61 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $190.65 Humana — Humana Tricare: $68.49 Independence Blue Cross — IBC HMO/PPO: $82.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Hc X-Ray Lumbar Spine 4 Vw	$701	$102	$22.50 – $560.80
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $107.98 Auto Insurance — Auto Insurance: $113.12 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $248.59 Employer Direct Healthcare — Employer Direct Healthcare: $143.98 Health Partners Plan — Health Partners Plan Exchange: $154.26 Health Partners Plan — Health Partners Plan Medicaid: $22.50 Health Partners Plan — Health Partners Plan Medicare: $102.84 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $229.02 Humana — Humana Tricare: $82.27 Independence Blue Cross — IBC HMO/PPO: $121.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hc Mri, Lumbar Spine	$3,314.97	$234	$187.20 – $2,651.98
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $246.46 Auto Insurance — Auto Insurance: $258.19 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $567.38 Employer Direct Healthcare — Employer Direct Healthcare: $328.61 Health Partners Plan — Health Partners Plan Exchange: $352.08 Health Partners Plan — Health Partners Plan Medicaid: $187.20 Health Partners Plan — Health Partners Plan Medicare: $234.72 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $522.72 Humana — Humana Tricare: $187.78 Independence Blue Cross — IBC HMO/PPO: $1,156.06
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Hc Ct Scan Of Pelvis Contrast	$2,700	$172	$86.50 – $2,160
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $181.18 Auto Insurance — Auto Insurance: $189.81 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $417.10 Employer Direct Healthcare — Employer Direct Healthcare: $241.57 Health Partners Plan — Health Partners Plan Exchange: $258.83 Health Partners Plan — Health Partners Plan Medicaid: $86.50 Health Partners Plan — Health Partners Plan Medicare: $172.55 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $384.27 Humana — Humana Tricare: $138.04 Independence Blue Cross — IBC HMO/PPO: $756.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hc Mri Lower Extrem Jt, W/O Contrast	$3,140.93	$234	$187.78 – $2,512.74
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $246.46 Auto Insurance — Auto Insurance: $258.19 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $567.38 Employer Direct Healthcare — Employer Direct Healthcare: $328.61 Health Partners Plan — Health Partners Plan Exchange: $352.08 Health Partners Plan — Health Partners Plan Medicaid: $269 Health Partners Plan — Health Partners Plan Medicare: $234.72 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $522.72 Humana — Humana Tricare: $187.78 Independence Blue Cross — IBC HMO/PPO: $1,156.06
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hc Ct Scan Abdomen/Pelvis W Contrast	$4,200	$343	$192.73 – $3,360
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $360.37 Auto Insurance — Auto Insurance: $377.53 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $829.64 Employer Direct Healthcare — Employer Direct Healthcare: $480.49 Health Partners Plan — Health Partners Plan Exchange: $514.82 Health Partners Plan — Health Partners Plan Medicaid: $192.73 Health Partners Plan — Health Partners Plan Medicare: $343.21 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $764.33 Humana — Humana Tricare: $274.57 Independence Blue Cross — IBC HMO/PPO: $771.51
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Hc Us, Abdom,B-Scan &/Or Real Time,Complete	$1,134.51	$102	$57.50 – $907.61
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $107.98 Auto Insurance — Auto Insurance: $113.12 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $248.59 Employer Direct Healthcare — Employer Direct Healthcare: $143.98 Health Partners Plan — Health Partners Plan Exchange: $154.26 Health Partners Plan — Health Partners Plan Medicaid: $57.50 Health Partners Plan — Health Partners Plan Medicare: $102.84 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $229.02 Humana — Humana Tricare: $82.27 Independence Blue Cross — IBC HMO/PPO: $277.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Hc Us, Ob >/= 14 Wks, Sngl Fetus	$924.94	$102	$46.50 – $739.95
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $107.98 Auto Insurance — Auto Insurance: $113.12 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $248.59 Employer Direct Healthcare — Employer Direct Healthcare: $143.98 Health Partners Plan — Health Partners Plan Exchange: $154.26 Health Partners Plan — Health Partners Plan Medicaid: $46.50 Health Partners Plan — Health Partners Plan Medicare: $102.84 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $229.02 Humana — Humana Tricare: $82.27 Independence Blue Cross — IBC HMO/PPO: $243.38
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Hc Ultrasound,Transvaginal	$792	$102	$46.50 – $633.60
Transvaginal ultrasound: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $107.98 Auto Insurance — Auto Insurance: $113.12 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $248.59 Employer Direct Healthcare — Employer Direct Healthcare: $143.98 Health Partners Plan — Health Partners Plan Exchange: $154.26 Health Partners Plan — Health Partners Plan Medicaid: $46.50 Health Partners Plan — Health Partners Plan Medicare: $102.84 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $229.02 Humana — Humana Tricare: $82.27 Independence Blue Cross — IBC HMO/PPO: $226.34
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Hc Mammography; Unilateral	$970	$89	$71.01 – $776
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $94.25 Auto Insurance — Auto Insurance: $98.74 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $89.76 Employer Direct Healthcare — Employer Direct Healthcare: $125.66 Health Partners Plan — Health Partners Plan Exchange: $134.64 Health Partners Plan — Health Partners Plan Medicaid: $71.01 Health Partners Plan — Health Partners Plan Medicare: $89.76 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $189.91 Humana — Humana Tricare: $71.81 Independence Blue Cross — IBC HMO/PPO: $150.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Hc Mammography; Bilateral	$1,200	$115	$90.83 – $960
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $120.95 Auto Insurance — Auto Insurance: $126.71 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $115.19 Employer Direct Healthcare — Employer Direct Healthcare: $161.27 Health Partners Plan — Health Partners Plan Exchange: $172.79 Health Partners Plan — Health Partners Plan Medicaid: $90.83 Health Partners Plan — Health Partners Plan Medicare: $115.19 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $243.71 Humana — Humana Tricare: $92.15 Independence Blue Cross — IBC HMO/PPO: $192.27
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Hc Mammogram, Screening	$1,100	$94	$75.02 – $880
Screening mammogram, both breasts: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $99.72 Auto Insurance — Auto Insurance: $104.47 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $94.97 Employer Direct Healthcare — Employer Direct Healthcare: $132.96 Health Partners Plan — Health Partners Plan Exchange: $142.46 Health Partners Plan — Health Partners Plan Medicaid: $75.02 Health Partners Plan — Health Partners Plan Medicare: $94.97 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $200.93 Humana — Humana Tricare: $75.98 Independence Blue Cross — IBC HMO/PPO: $146.03

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Hc Left Heart Cath Inj Vetriculography, Rs/I	$17,129	$3,189	$1,582 – $13,703.20
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $3,348.80 Auto Insurance — Auto Insurance: $3,508.26 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $7,709.51 Employer Direct Healthcare — Employer Direct Healthcare: $4,465.06 Health Partners Plan — Health Partners Plan Exchange: $4,784 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $3,189.33 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $7,102.64 Humana — Humana Tricare: $2,551.46 Independence Blue Cross — IBC HMO/PPO: $7,298.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Hc Electrophys Ev,R A-V Pace/Rec,W/ Induct	$11,047	$7,673	$776 – $11,047
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $8,056.77 Auto Insurance — Auto Insurance: $8,440.42 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $11,047 Employer Direct Healthcare — Employer Direct Healthcare: $10,742.35 Health Partners Plan — Health Partners Plan Exchange: $11,047 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $7,673.11 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $11,047 Humana — Humana Tricare: $6,138.49 Independence Blue Cross — IBC HMO/PPO: $6,500.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein	$34,652.30	$25,713	$1,582 – $34,652.30
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $26,999.45 Auto Insurance — Auto Insurance: $28,285.14 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $34,652.30 Employer Direct Healthcare — Employer Direct Healthcare: $34,652.30 Health Partners Plan — Health Partners Plan Exchange: $34,652.30 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $25,713.76 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $34,652.30 Humana — Humana Tricare: $20,571.01 Independence Blue Cross — IBC HMO/PPO: $7,298.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Hc Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$4,326	$844	$270.32 – $3,460.80
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $887.04 Auto Insurance — Auto Insurance: $929.28 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $2,042.12 Employer Direct Healthcare — Employer Direct Healthcare: $1,182.72 Health Partners Plan — Health Partners Plan Exchange: $1,267.20 Health Partners Plan — Health Partners Plan Medicaid: $270.32 Health Partners Plan — Health Partners Plan Medicare: $844.80 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,881.37 Humana — Humana Tricare: $675.84 Independence Blue Cross — IBC HMO/PPO: $1,573

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Therapeutic Exercises Complex, Ea 15 Min	$211	$29	$8.38 – $180
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $31.46 Auto Insurance — Auto Insurance: $32.96 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $180 Employer Direct Healthcare — Employer Direct Healthcare: $41.94 Health Partners Plan — Health Partners Plan Exchange: $44.94 Health Partners Plan — Health Partners Plan Medicaid: $8.38 Health Partners Plan — Health Partners Plan Medicare: $29.96 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $63.39 Humana — Humana Tricare: $23.97 Independence Blue Cross — IBC HMO/PPO: $163.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Low Complexity, 20 Min	$427.14	$100	$63.61 – $341.71
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $105.78 Auto Insurance — Auto Insurance: $110.81 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $180 Employer Direct Healthcare — Employer Direct Healthcare: $141.04 Health Partners Plan — Health Partners Plan Exchange: $151.11 Health Partners Plan — Health Partners Plan Medicaid: $63.61 Health Partners Plan — Health Partners Plan Medicare: $100.74 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $213.14 Humana — Humana Tricare: $80.59 Independence Blue Cross — IBC HMO/PPO: $217.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Moderate Complexity, 30 Min	$475.18	$100	$63.61 – $380.14
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $105.79 Auto Insurance — Auto Insurance: $110.83 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $180 Employer Direct Healthcare — Employer Direct Healthcare: $141.05 Health Partners Plan — Health Partners Plan Exchange: $151.13 Health Partners Plan — Health Partners Plan Medicaid: $63.61 Health Partners Plan — Health Partners Plan Medicare: $100.75 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $213.16 Humana — Humana Tricare: $80.60 Independence Blue Cross — IBC HMO/PPO: $272.39
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, High Complexity, 45 Min	$650	$100	$63.61 – $520
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $105.80 Auto Insurance — Auto Insurance: $110.84 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $180 Employer Direct Healthcare — Employer Direct Healthcare: $141.06 Health Partners Plan — Health Partners Plan Exchange: $151.14 Health Partners Plan — Health Partners Plan Medicaid: $63.61 Health Partners Plan — Health Partners Plan Medicare: $100.76 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $213.18 Humana — Humana Tricare: $80.61 Independence Blue Cross — IBC HMO/PPO: $326.86
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Hc Psytx Pt&/Family 30 Minutes	$450	$174	$78.25 – $422.08
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $183.34 Auto Insurance — Auto Insurance: $192.07 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $422.08 Employer Direct Healthcare — Employer Direct Healthcare: $244.45 Health Partners Plan — Health Partners Plan Exchange: $261.92 Health Partners Plan — Health Partners Plan Medicare: $174.61 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $388.86 Humana — Humana Tricare: $139.69 Independence Blue Cross — IBC Medicare: $174.61 Keystone — Keystone First Medicare: $181.59
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Hc Psychotherapy Patient &/ Family 45 Minutes	$480	$174	$83.47 – $422.08
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $183.34 Auto Insurance — Auto Insurance: $192.07 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $422.08 Employer Direct Healthcare — Employer Direct Healthcare: $244.45 Health Partners Plan — Health Partners Plan Exchange: $261.92 Health Partners Plan — Health Partners Plan Medicare: $174.61 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $388.86 Humana — Humana Tricare: $139.69 Independence Blue Cross — IBC Medicare: $174.61 Keystone — Keystone First Medicare: $181.59
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Hc Psychotherapy W/Patient 60 Minutes	$630.05	$174	$109.57 – $504.04
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $183.34 Auto Insurance — Auto Insurance: $192.07 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $422.08 Employer Direct Healthcare — Employer Direct Healthcare: $244.45 Health Partners Plan — Health Partners Plan Exchange: $261.92 Health Partners Plan — Health Partners Plan Medicare: $174.61 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $388.86 Humana — Humana Tricare: $139.69 Independence Blue Cross — IBC Medicare: $174.61 Keystone — Keystone First Medicare: $181.59
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/O Patient	$750	$174	$110.62 – $600
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $183.34 Auto Insurance — Auto Insurance: $192.07 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $422.08 Employer Direct Healthcare — Employer Direct Healthcare: $244.45 Health Partners Plan — Health Partners Plan Exchange: $261.92 Health Partners Plan — Health Partners Plan Medicare: $174.61 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $388.86 Humana — Humana Tricare: $139.69 Independence Blue Cross — IBC Medicare: $174.61 Keystone — Keystone First Medicare: $181.59
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/Patient	$918	$174	$110.62 – $734.40
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $183.34 Auto Insurance — Auto Insurance: $192.07 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $422.08 Employer Direct Healthcare — Employer Direct Healthcare: $244.45 Health Partners Plan — Health Partners Plan Exchange: $261.92 Health Partners Plan — Health Partners Plan Medicare: $174.61 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $388.86 Humana — Humana Tricare: $139.69 Independence Blue Cross — IBC Medicare: $174.61 Keystone — Keystone First Medicare: $181.59
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy	$1,151.88	$99	$63.31 – $921.50
Group psychotherapy: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $104.94 Auto Insurance — Auto Insurance: $109.93 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $241.58 Employer Direct Healthcare — Employer Direct Healthcare: $139.92 Health Partners Plan — Health Partners Plan Exchange: $149.91 Health Partners Plan — Health Partners Plan Medicare: $99.94 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $222.57 Humana — Humana Tricare: $79.95 Independence Blue Cross — IBC Medicare: $99.94 Keystone — Keystone First Medicare: $103.94
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy Iop	$1,151.88	$99	$63.31 – $921.50
Group psychotherapy: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $104.94 Auto Insurance — Auto Insurance: $109.93 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $241.58 Employer Direct Healthcare — Employer Direct Healthcare: $139.92 Health Partners Plan — Health Partners Plan Exchange: $149.91 Health Partners Plan — Health Partners Plan Medicare: $99.94 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $222.57 Humana — Humana Tricare: $79.95 Independence Blue Cross — IBC Medicare: $99.94 Keystone — Keystone First Medicare: $103.94

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee Arthroscopy/Surgery - 29881 - OR36029881	$8,313	$3,218	$932 – $7,781.02
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $3,379.86 Auto Insurance — Auto Insurance: $3,540.80 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $7,781.02 Employer Direct Healthcare — Employer Direct Healthcare: $4,506.47 Health Partners Plan — Health Partners Plan Exchange: $4,828.37 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $3,218.91 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $7,168.51 Humana — Humana Tricare: $2,575.13 Independence Blue Cross — IBC HMO/PPO: $4,816.88
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Diagnostic	$1,007	$892	$132.70 – $1,007
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $936.88 Auto Insurance — Auto Insurance: $981.50 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $1,007 Employer Direct Healthcare — Employer Direct Healthcare: $1,007 Health Partners Plan — Health Partners Plan Exchange: $1,007 Health Partners Plan — Health Partners Plan Medicaid: $1,007 Health Partners Plan — Health Partners Plan Medicare: $892.27 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,007 Humana — Humana Tricare: $713.82 Independence Blue Cross — IBC HMO/PPO: $1,007
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Biopsy Single/Multiple	$2,890	$892	$157.50 – $2,890
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $936.88 Auto Insurance — Auto Insurance: $981.50 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $2,156.87 Employer Direct Healthcare — Employer Direct Healthcare: $1,249.18 Health Partners Plan — Health Partners Plan Exchange: $1,338.41 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $892.27 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,987.09 Humana — Humana Tricare: $713.82 Independence Blue Cross — IBC HMO/PPO: $2,523.13
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Diagnostic	$1,021	$914	$177.55 – $1,021
Colonoscopy (diagnostic): 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $960.61 Auto Insurance — Auto Insurance: $1,006.36 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $1,021 Employer Direct Healthcare — Employer Direct Healthcare: $1,021 Health Partners Plan — Health Partners Plan Exchange: $1,021 Health Partners Plan — Health Partners Plan Medicaid: $1,021 Health Partners Plan — Health Partners Plan Medicare: $914.87 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,021 Humana — Humana Tricare: $731.90 Independence Blue Cross — IBC HMO/PPO: $1,021
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Biopsy	$3,002.69	$1,177	$238.90 – $3,002.69
Colonoscopy with biopsy: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $1,236.08 Auto Insurance — Auto Insurance: $1,294.94 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $2,845.67 Employer Direct Healthcare — Employer Direct Healthcare: $1,648.11 Health Partners Plan — Health Partners Plan Exchange: $1,765.83 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $1,177.22 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $2,621.67 Humana — Humana Tricare: $941.78 Independence Blue Cross — IBC HMO/PPO: $2,523.13
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Remv Lesn,Snare	$1,071	$1,177	$186.25 – $1,071
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $1,071 Auto Insurance — Auto Insurance: $1,071 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $1,071 Employer Direct Healthcare — Employer Direct Healthcare: $1,071 Health Partners Plan — Health Partners Plan Exchange: $1,071 Health Partners Plan — Health Partners Plan Medicaid: $1,071 Health Partners Plan — Health Partners Plan Medicare: $1,071 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,071 Humana — Humana Tricare: $941.78 Independence Blue Cross — IBC HMO/PPO: $1,071
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Hc Colonoscopy Flex Endoscope Us	$2,904.80	$1,177	$232.40 – $2,904.80
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $1,236.08 Auto Insurance — Auto Insurance: $1,294.94 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $2,845.67 Employer Direct Healthcare — Employer Direct Healthcare: $1,648.11 Health Partners Plan — Health Partners Plan Exchange: $1,765.83 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $1,177.22 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $2,621.67 Humana — Humana Tricare: $941.78 Independence Blue Cross — IBC HMO/PPO: $2,523.13
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic Cholecystectomy	$10,036.10	$5,947	$776 – $16,796.56
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $6,244.80 Auto Insurance — Auto Insurance: $6,542.17 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $10,036.10 Employer Direct Healthcare — Employer Direct Healthcare: $8,326.40 Health Partners Plan — Health Partners Plan Exchange: $8,921.15 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $5,947.43 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $10,036.10 Humana — Humana Tricare: $4,757.94 Independence Blue Cross — IBC HMO/PPO: $8,758.08
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Hc Lap,Cholecystectomy	$20,995.70	$5,947	$776 – $16,796.56
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $6,244.80 Auto Insurance — Auto Insurance: $6,542.17 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $14,376.62 Employer Direct Healthcare — Employer Direct Healthcare: $8,326.40 Health Partners Plan — Health Partners Plan Exchange: $8,921.15 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $5,947.43 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $13,244.93 Humana — Humana Tricare: $4,757.94 Independence Blue Cross — IBC HMO/PPO: $8,758.08
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Hc Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible	$6,790.65	$3,522	$806 – $6,790.65
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $3,698.43 Auto Insurance — Auto Insurance: $3,874.54 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $6,790.65 Employer Direct Healthcare — Employer Direct Healthcare: $4,931.23 Health Partners Plan — Health Partners Plan Exchange: $5,283.47 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $3,522.31 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $6,790.65 Humana — Humana Tricare: $2,817.85 Independence Blue Cross — IBC HMO/PPO: $4,358.13
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Hc Biopsy Of Prostate,Needle/Punch	$3,503.62	$1,972	$101.14 – $3,503.62
Prostate biopsy: 10 of 25 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $2,071.18 Auto Insurance — Auto Insurance: $2,169.81 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $3,503.62 Employer Direct Healthcare — Employer Direct Healthcare: $2,761.57 Health Partners Plan — Health Partners Plan Exchange: $2,958.83 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $1,972.55 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $3,503.62 Humana — Humana Tricare: $1,578.04 Independence Blue Cross — IBC Medicare: $1,972.55
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy	$7,533	$3,184	$776 – $7,533
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $3,343.83 Auto Insurance — Auto Insurance: $3,503.06 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $7,533 Employer Direct Healthcare — Employer Direct Healthcare: $4,458.44 Health Partners Plan — Health Partners Plan Exchange: $4,776.90 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $3,184.60 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $7,092.10 Humana — Humana Tricare: $2,547.68 Independence Blue Cross — IBC HMO/PPO: $2,981.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W Img - 62323 - 36100565	$2,535.95	$694	$441 – $2,535.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $729.14 Auto Insurance — Auto Insurance: $763.86 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $1,678.61 Employer Direct Healthcare — Employer Direct Healthcare: $972.19 Health Partners Plan — Health Partners Plan Exchange: $1,041.63 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $694.42 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,546.47 Humana — Humana Tricare: $555.54 Independence Blue Cross — IBC HMO/PPO: $1,376.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$3,194.65	$870	$95.04 – $2,555.72
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $913.63 Auto Insurance — Auto Insurance: $957.13 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $2,103.33 Employer Direct Healthcare — Employer Direct Healthcare: $1,218.17 Health Partners Plan — Health Partners Plan Exchange: $1,305.18 Health Partners Plan — Health Partners Plan Medicaid: $95.04 Health Partners Plan — Health Partners Plan Medicare: $870.12 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,937.76 Humana — Humana Tricare: $696.10 Independence Blue Cross — IBC HMO/PPO: $1,376.25
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal Tunnel Surgery	$7,119	$1,921	$664 – $5,695.20
Carpal tunnel release: 10 of 29 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $2,017.09 Auto Insurance — Auto Insurance: $2,113.14 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $4,643.70 Employer Direct Healthcare — Employer Direct Healthcare: $2,689.46 Health Partners Plan — Health Partners Plan Exchange: $2,881.56 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $1,921.04 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $4,278.16 Humana — Humana Tricare: $1,536.83 Independence Blue Cross — IBC HMO/PPO: $2,981.88
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Hc Cataract Secondary Discission (Yag Laser)	$2,349.35	$541	$408.55 – $2,349.35
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $568.12 Auto Insurance — Auto Insurance: $595.18 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $1,307.92 Employer Direct Healthcare — Employer Direct Healthcare: $757.50 Health Partners Plan — Health Partners Plan Exchange: $811.61 Health Partners Plan — Health Partners Plan Medicaid: $1,582 Health Partners Plan — Health Partners Plan Medicare: $541.07 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $1,204.96 Humana — Humana Tricare: $432.86 Independence Blue Cross — IBC HMO/PPO: $2,349.35

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$83,408	$23,173.18 – $166,325.50
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 23 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $78,587.99 Auto Insurance — Auto Insurance: $91,748.88 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $128,135.11 Employer Direct Healthcare — Employer Direct Healthcare: $108,430.49 Health Partners Plan — Health Partners Plan Exchange: $120,915.41 Health Partners Plan — Health Partners Plan Medicare: $74,845.70 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $166,325.50 Humana — Humana Tricare: $77,937.18 Independence Blue Cross — IBC Medicare: $74,845.70 Independence Blue Cross — IBC PPACA: $116,870.83
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$11,036.05 – $49,065.77
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Humana — Humana Tricare: $28,013.18 Independence Blue Cross — IBC PPACA: $49,065.77 Worker Compensation — Worker Compensation: $11,036.05
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$17,226	$7,650 – $32,794.83
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $16,315.11 Auto Insurance — Auto Insurance: $18,949.13 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $25,264.73 Employer Direct Healthcare — Employer Direct Healthcare: $22,394.42 Health Partners Plan — Health Partners Plan Exchange: $23,841.20 Health Partners Plan — Health Partners Plan Medicare: $15,538.20 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $32,794.83 Humana — Humana Tricare: $16,089.64 Independence Blue Cross — IBC Medicare: $15,538.20 Independence Blue Cross — IBC PPACA: $25,058.37
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC	Not listed in the file	$21,544	$7,200 – $41,506.57
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $20,377.88 Auto Insurance — Auto Insurance: $23,698.69 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $31,976.15 Employer Direct Healthcare — Employer Direct Healthcare: $28,007.54 Health Partners Plan — Health Partners Plan Exchange: $30,174.47 Health Partners Plan — Health Partners Plan Medicare: $19,407.50 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $41,506.57 Humana — Humana Tricare: $17,976.96 Independence Blue Cross — IBC Medicare: $19,407.50 Independence Blue Cross — IBC PPACA: $29,549.87
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC	Not listed in the file	$11,427	$6,750 – $21,094.17
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates Ally-Align Medicare — Ally-Align Medicare: $10,858.47 Auto Insurance — Auto Insurance: $12,570.03 Cigna — Cigna Commercial (05-01-2023 to 12-31-2026): $16,250.69 Employer Direct Healthcare — Employer Direct Healthcare: $14,855.49 Health Partners Plan — Health Partners Plan Exchange: $15,335.05 Health Partners Plan — Health Partners Plan Medicare: $10,341.40 Highmark — Highmark Commercial (02-01-2024 to 12-31-2026): $21,094.17 Humana — Humana Tricare: $9,515.06 Independence Blue Cross — IBC Medicare: $10,341.40 Independence Blue Cross — IBC PPACA: $14,809.18

Source: Lower Bucks Hospital’s standard charges file (lowerbuckshosp.com, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	501 Bath Road, Bristol, PA 19007
County	Bucks County
State	Pennsylvania
Phone	(215) 785‑9200
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	390070
Name in Medicare records	LOWER BUCKS HOSPITAL
Profile level	Medicare data + hospital website
Official website	lowerbuckshosp.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

About Us - Lower Bucks Hospital — lowerbuckshosp.com
Our Services - Lower Bucks Hospital — lowerbuckshosp.com
Visiting Hours & Policies - Lower Bucks Hospital — lowerbuckshosp.com
Lower Bucks Hospital | Acute Care Hospital | Medical Services — lowerbuckshosp.com
24/7 Emergency Room Care | Lower Bucks Hospital ER Dept — lowerbuckshosp.com
Heart Services & Cardiac Cath Care | Lower Bucks Hospital — lowerbuckshosp.com
Radiology & Imaging Services | Lower Bucks Hospital Care — lowerbuckshosp.com
Surgical & Same‑Day Surgery Services | Lower Bucks Hospital — lowerbuckshosp.com
Expert Orthopedic Care & Mobility Recovery | Lower Bucks — lowerbuckshosp.com
Lower Bucks Hospital Achieves Re-Accreditation for PCI Program from Corazon - Welcome to Lower Bucks Hospital — lowerbuckshosp.com
Phone Directory Frequently Called Phone Numbers — lowerbuckshosp.com

Lower Bucks Hospital

Summary

Profile from official sources

At a glance