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Acute Care Hospital

Magee Womens Hospital of UPMC Health System

Pittsburgh, Pennsylvania · Allegheny County · Emergency services listed

Summary

Magee Womens Hospital of UPMC Health System is an acute care hospital in Pittsburgh, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 76 services, specialties and programs. Medicare lists 2,144 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(412) 641‑4010 Directions Website Medicare profile
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Exterior of Magee Womens Hospital of UPMC Health System
Photo: Cbaile19, CC0, via Wikimedia Commons · source · licence

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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
2,144Doctors and clinicians
76Services listed

Quick answers

Does Magee Womens Hospital of UPMC Health System have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Magee Womens Hospital of UPMC Health System. In a medical emergency, call 911.
Where is Magee Womens Hospital of UPMC Health System?
300 Halket Street, Pittsburgh, PA 15213, in Allegheny County, Pennsylvania.
What is the phone number of Magee Womens Hospital of UPMC Health System?
(412) 641-4010, as listed by Medicare (CMS).
What is the Medicare star rating of Magee Womens Hospital of UPMC Health System?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][14]

Conditions treated[4][7][11]

Treatments[4]

  • Infusion
  • Telemedicine
  • Postpartum care
  • Lactation
  • Hysterectomy
  • Minimally invasive gynecologic surgery
  • Robotic-assisted surgery
  • Fibroid treatment
  • Fetal diagnosis and treatment
  • Fertility and reproductive endocrinology
  • Cosmetic plastic surgery
  • Bloodless medicine

Procedures[4]

  • Hysterectomy
  • Minimally invasive gynecologic surgery
  • Robotic-assisted surgery
  • Fetal diagnosis and treatment

Programs and centers[4][6][7][8][11][12][15]

  • Birth Center
  • Labor and Delivery
  • Bloodless Medicine
  • Cord Blood Program
  • Perinatal/Neonatal Substance Abuse Services
  • Neonatal Intensive Care Unit
  • Stroke Telemedicine Program
  • Safe Haven Program
  • UPMC Supportive and Palliative Care Program
  • Women's Cancer Program
  • Osteoporosis and Bone Health Program
  • Cancer support services
  • Postpartum care

Emergency care (hospital website)[4][6][10]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingFamily may wait at ED bedside; no child age 12 or younger may visit an ED patient without charge nurse permission[9]
ParkingGarage lower two levels; garage under construction. Visitors $4 for 0-1 hour up to $20 for 7-24 hours; ED patients use surface lot[5]

Recognition[4][14]

  • Ranked #14 in the nation for obstetrics and gynecology, U.S. News & World Report Best Hospitals 2026-27
  • U.S. News & World Report Best Hospitals, #14 in the nation for obstetrics and gynecology 2026

Doctors and clinicians (2,144)

2,144 doctors and other clinicians list Magee Womens Hospital of UPMC Health System 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 (2,144)

And 2,120 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean74%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys368Response rate: 13%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.593No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.246No different from the national benchmark
Surgical site infections after colon surgery1.39No different from the national benchmark
Surgical site infections after abdominal hysterectomy1.145No different from the national benchmark
MRSA bloodstream infections0.525No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.464Better 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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients15.6%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.21No different from the national rate
Complications after hip or knee replacement4.3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD18.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement4.9%

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)200 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)79%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 PittsburghBest hospitals in Pittsburgh

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as Magee Womens Hospital of UPMC Health System 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 →

$ 18 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW 99203 $541 $324.60 $36.08 – $497.72
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $70.53
  • Aetna — EBR ASO: $216.40
  • Aetna — EBR FI: $258.06
  • Aetna — Home Depot Employer Group: $286.73
  • Aetna — Medicare: $119.87
  • Aetna — NBR ASO/FI: $216.40
  • Aetna — Neighborhood Network: $286.73
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $85.85
  • Cigna — Commercial: $63.91
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW 99203 $541 $324.60 $194.76 – $497.72
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $216.40
  • Aetna — EBR FI: $210.99
  • Aetna — Home Depot Employer Group: $212.07
  • Aetna — NBR ASO/FI: $216.40
  • Aetna — Neighborhood Network: $194.76
  • Cigna — Commercial: $216.40
  • Cigna — New Business ASO: $216.40
  • Coventry/First Health — Commercial: $378.70
  • Humana — Commercial: $459.85
  • InterGroup — PPO: $270.50
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC CLINIC VISIT NEW 99203 W/PROC $541 $324.60 $36.08 – $497.72
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $70.53
  • Aetna — EBR ASO: $216.40
  • Aetna — EBR FI: $258.06
  • Aetna — Home Depot Employer Group: $286.73
  • Aetna — Medicare: $89.90
  • Aetna — NBR ASO/FI: $216.40
  • Aetna — Neighborhood Network: $286.73
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $85.85
  • Cigna — Commercial: $63.91
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW 99204 $631 $378.60 $36.08 – $580.52
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $117.48
  • Aetna — EBR ASO: $252.40
  • Aetna — EBR FI: $300.99
  • Aetna — Home Depot Employer Group: $334.43
  • Aetna — Medicare: $183.87
  • Aetna — NBR ASO/FI: $252.40
  • Aetna — Neighborhood Network: $334.43
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $143
  • Cigna — Commercial: $63.91
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW 99204 $631 $378.60 $227.16 – $580.52
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $252.40
  • Aetna — EBR FI: $246.09
  • Aetna — Home Depot Employer Group: $247.35
  • Aetna — NBR ASO/FI: $252.40
  • Aetna — Neighborhood Network: $227.16
  • Cigna — Commercial: $252.40
  • Cigna — New Business ASO: $252.40
  • Coventry/First Health — Commercial: $441.70
  • Humana — Commercial: $536.35
  • InterGroup — PPO: $315.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC CLINIC VISIT NEW 99204 W/PROC $631 $378.60 $36.08 – $580.52
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $117.48
  • Aetna — EBR ASO: $252.40
  • Aetna — EBR FI: $300.99
  • Aetna — Home Depot Employer Group: $334.43
  • Aetna — Medicare: $137.90
  • Aetna — NBR ASO/FI: $252.40
  • Aetna — Neighborhood Network: $334.43
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $143
  • Cigna — Commercial: $63.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW 99205 $761 $456.60 $36.08 – $700.12
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $152.80
  • Aetna — EBR ASO: $304.40
  • Aetna — EBR FI: $363
  • Aetna — Home Depot Employer Group: $403.33
  • Aetna — Medicare: $232.56
  • Aetna — NBR ASO/FI: $304.40
  • Aetna — Neighborhood Network: $403.33
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $186
  • Cigna — Commercial: $63.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POST PARTUM VISIT HIGH RISK $761 $456.60 $36.08 – $700.12
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $152.80
  • Aetna — EBR ASO: $304.40
  • Aetna — EBR FI: $363
  • Aetna — Home Depot Employer Group: $403.33
  • Aetna — Medicare: $232.56
  • Aetna — NBR ASO/FI: $304.40
  • Aetna — Neighborhood Network: $403.33
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $186
  • Cigna — Commercial: $63.91
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW 99205 $761 $456.60 $273.96 – $700.12
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $304.40
  • Aetna — EBR FI: $296.79
  • Aetna — Home Depot Employer Group: $298.31
  • Aetna — NBR ASO/FI: $304.40
  • Aetna — Neighborhood Network: $273.96
  • Cigna — Commercial: $304.40
  • Cigna — New Business ASO: $304.40
  • Coventry/First Health — Commercial: $532.70
  • Humana — Commercial: $646.85
  • InterGroup — PPO: $380.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT EST 99213 $306 $183.60 $36.08 – $281.52
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $45.50
  • Aetna — EBR ASO: $122.40
  • Aetna — EBR FI: $145.96
  • Aetna — Home Depot Employer Group: $162.18
  • Aetna — Medicare: $83.41
  • Aetna — NBR ASO/FI: $122.40
  • Aetna — Neighborhood Network: $162.18
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $55.38
  • Cigna — Commercial: $63.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT EST 99213 $306 $183.60 $110.16 – $281.52
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $122.40
  • Aetna — EBR FI: $119.34
  • Aetna — Home Depot Employer Group: $119.95
  • Aetna — NBR ASO/FI: $122.40
  • Aetna — Neighborhood Network: $110.16
  • Cigna — Commercial: $122.40
  • Cigna — New Business ASO: $122.40
  • Coventry/First Health — Commercial: $214.20
  • Humana — Commercial: $260.10
  • InterGroup — PPO: $153
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC CLINIC VISIT EST 99213 W/PROC $306 $183.60 $36.08 – $281.52
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $45.50
  • Aetna — EBR ASO: $122.40
  • Aetna — EBR FI: $145.96
  • Aetna — Home Depot Employer Group: $162.18
  • Aetna — Medicare: $62.56
  • Aetna — NBR ASO/FI: $122.40
  • Aetna — Neighborhood Network: $162.18
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $55.38
  • Cigna — Commercial: $63.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT EST 99214 $324 $194.40 $36.08 – $298.08
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $70.75
  • Aetna — EBR ASO: $129.60
  • Aetna — EBR FI: $154.55
  • Aetna — Home Depot Employer Group: $171.72
  • Aetna — Medicare: $121.21
  • Aetna — NBR ASO/FI: $129.60
  • Aetna — Neighborhood Network: $171.72
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $86.11
  • Cigna — Commercial: $63.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT EST 99214 $324 $194.40 $116.64 – $298.08
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $129.60
  • Aetna — EBR FI: $126.36
  • Aetna — Home Depot Employer Group: $127.01
  • Aetna — NBR ASO/FI: $129.60
  • Aetna — Neighborhood Network: $116.64
  • Cigna — Commercial: $129.60
  • Cigna — New Business ASO: $129.60
  • Coventry/First Health — Commercial: $226.80
  • Humana — Commercial: $275.40
  • InterGroup — PPO: $162
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC CLINIC VISIT EST 99214 W/PROC $324 $194.40 $36.08 – $298.08
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $70.75
  • Aetna — EBR ASO: $129.60
  • Aetna — EBR FI: $154.55
  • Aetna — Home Depot Employer Group: $171.72
  • Aetna — Medicare: $90.90
  • Aetna — NBR ASO/FI: $129.60
  • Aetna — Neighborhood Network: $171.72
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $86.11
  • Cigna — Commercial: $63.91
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier UB,HD In the file: HC NEW 1ST TRI BASIC PKG 18-39 $984 $590.40 $36.08 – $905.28
Preventive checkup, new patient, age 18–39: 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $367.90
  • Aetna — EBR ASO: $393.60
  • Aetna — EBR FI: $469.37
  • Aetna — Home Depot Employer Group: $521.52
  • Aetna — Medicare: $127.25
  • Aetna — NBR ASO/FI: $393.60
  • Aetna — Neighborhood Network: $521.52
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $447.82
  • Cigna — Commercial: $393.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TG,HD In the file: HC NEW 1ST TRI HIGH RSK PKG 18-39 $984 $590.40 $36.08 – $905.28
Preventive checkup, new patient, age 18–39: 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $516.10
  • Aetna — EBR ASO: $393.60
  • Aetna — EBR FI: $469.37
  • Aetna — Home Depot Employer Group: $521.52
  • Aetna — Medicare: $127.25
  • Aetna — NBR ASO/FI: $393.60
  • Aetna — Neighborhood Network: $521.52
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $628.21
  • Cigna — Commercial: $393.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier UB,HD In the file: HC NEW 2ND TRI BASIC PKG 18-39 $984 $590.40 $36.08 – $905.28
Preventive checkup, new patient, age 18–39: 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $367.90
  • Aetna — EBR ASO: $393.60
  • Aetna — EBR FI: $469.37
  • Aetna — Home Depot Employer Group: $521.52
  • Aetna — Medicare: $127.25
  • Aetna — NBR ASO/FI: $393.60
  • Aetna — Neighborhood Network: $521.52
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $447.82
  • Cigna — Commercial: $393.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier UB,HD In the file: HC NEW 1ST TRI BASIC PKG 40-64 $984 $590.40 $36.08 – $905.28
Preventive checkup, new patient, age 40–64: 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $367.90
  • Aetna — EBR ASO: $393.60
  • Aetna — EBR FI: $469.37
  • Aetna — Home Depot Employer Group: $521.52
  • Aetna — Medicare: $147.36
  • Aetna — NBR ASO/FI: $393.60
  • Aetna — Neighborhood Network: $521.52
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $447.82
  • Cigna — Commercial: $393.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TG,HD In the file: HC NEW 1ST TRI HIGH RSK PKG 40-64 $984 $590.40 $36.08 – $905.28
Preventive checkup, new patient, age 40–64: 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $516.10
  • Aetna — EBR ASO: $393.60
  • Aetna — EBR FI: $469.37
  • Aetna — Home Depot Employer Group: $521.52
  • Aetna — Medicare: $147.36
  • Aetna — NBR ASO/FI: $393.60
  • Aetna — Neighborhood Network: $521.52
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $628.21
  • Cigna — Commercial: $393.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier UB,HD In the file: HC NEW 2ND TRI BASIC PKG 40-64 $984 $590.40 $36.08 – $905.28
Preventive checkup, new patient, age 40–64: 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $367.90
  • Aetna — EBR ASO: $393.60
  • Aetna — EBR FI: $469.37
  • Aetna — Home Depot Employer Group: $521.52
  • Aetna — Medicare: $147.36
  • Aetna — NBR ASO/FI: $393.60
  • Aetna — Neighborhood Network: $521.52
  • Aetna of PA — Medicare: $36.08
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $447.82
  • Cigna — Commercial: $393.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 3 $850 $510 $62.31 – $782
Emergency room visit (moderate): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $73.64
  • Aetna — EBR ASO: $340
  • Aetna — EBR FI: $405.45
  • Aetna — Home Depot Employer Group: $450.50
  • Aetna — Medicare: $290.38
  • Aetna — NBR ASO/FI: $340
  • Aetna — Neighborhood Network: $450.50
  • Aetna of PA — Medicare: $277.18
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $89.64
  • AmeriHealth Caritas — Medicare: $285.10
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 3 $850 $510 $306 – $782
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $340
  • Aetna — EBR FI: $331.50
  • Aetna — Home Depot Employer Group: $333.20
  • Aetna — NBR ASO/FI: $340
  • Aetna — Neighborhood Network: $306
  • Cigna — Commercial: $340
  • Cigna — New Business ASO: $340
  • Coventry/First Health — Commercial: $595
  • Humana — Commercial: $722.50
  • InterGroup — PPO: $425
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 4 $2,039 $1,223.40 $104.86 – $1,875.88
Emergency room visit (moderately high): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $123.93
  • Aetna — EBR ASO: $815.60
  • Aetna — EBR FI: $972.60
  • Aetna — Home Depot Employer Group: $1,080.67
  • Aetna — Medicare: $446.57
  • Aetna — NBR ASO/FI: $815.60
  • Aetna — Neighborhood Network: $1,080.67
  • Aetna of PA — Medicare: $426.27
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $150.85
  • AmeriHealth Caritas — Medicare: $438.45
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 4 $2,039 $1,223.40 $734.04 – $1,875.88
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $815.60
  • Aetna — EBR FI: $795.21
  • Aetna — Home Depot Employer Group: $799.29
  • Aetna — NBR ASO/FI: $815.60
  • Aetna — Neighborhood Network: $734.04
  • Cigna — Commercial: $815.60
  • Cigna — New Business ASO: $815.60
  • Coventry/First Health — Commercial: $1,427.30
  • Humana — Commercial: $1,733.15
  • InterGroup — PPO: $1,019.50
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 5 $2,692 $1,615.20 $152.61 – $2,476.64
Emergency room visit (high): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $180.36
  • Aetna — EBR ASO: $1,076.80
  • Aetna — EBR FI: $1,284.08
  • Aetna — Home Depot Employer Group: $1,426.76
  • Aetna — Medicare: $642.97
  • Aetna — NBR ASO/FI: $1,076.80
  • Aetna — Neighborhood Network: $1,426.76
  • Aetna of PA — Medicare: $613.75
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $219.54
  • AmeriHealth Caritas — Medicare: $631.28
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 5 $2,692 $1,615.20 $969.12 – $2,476.64
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $1,076.80
  • Aetna — EBR FI: $1,049.88
  • Aetna — Home Depot Employer Group: $1,055.26
  • Aetna — NBR ASO/FI: $1,076.80
  • Aetna — Neighborhood Network: $969.12
  • Cigna — Commercial: $1,076.80
  • Cigna — New Business ASO: $1,076.80
  • Coventry/First Health — Commercial: $1,884.40
  • Humana — Commercial: $2,288.20
  • InterGroup — PPO: $1,346

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 $868 $520.80 $7.92 – $798.56
Basic metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $12.17
  • Aetna — EBR ASO: $347.20
  • Aetna — EBR FI: $414.04
  • Aetna — Home Depot Employer Group: $460.04
  • Aetna — Medicare: $9.31
  • Aetna — NBR ASO/FI: $347.20
  • Aetna — Neighborhood Network: $460.04
  • Aetna of PA — Medicare: $8.88
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.81
  • AmeriHealth Caritas — Medicare: $9.14
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC WHOLE BLOOD BASIC METABOLIC PN $819 $491.40 $7.92 – $753.48
Basic metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $12.17
  • Aetna — EBR ASO: $327.60
  • Aetna — EBR FI: $390.66
  • Aetna — Home Depot Employer Group: $434.07
  • Aetna — Medicare: $9.31
  • Aetna — NBR ASO/FI: $327.60
  • Aetna — Neighborhood Network: $434.07
  • Aetna of PA — Medicare: $8.88
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.81
  • AmeriHealth Caritas — Medicare: $9.14
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $868 $520.80 $312.48 – $798.56
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $347.20
  • Aetna — EBR FI: $338.52
  • Aetna — Home Depot Employer Group: $340.26
  • Aetna — NBR ASO/FI: $347.20
  • Aetna — Neighborhood Network: $312.48
  • Cigna — Commercial: $347.20
  • Cigna — New Business ASO: $347.20
  • Coventry/First Health — Commercial: $607.60
  • Humana — Commercial: $737.80
  • InterGroup — PPO: $434
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $1,733 $1,039.80 $9.88 – $1,594.36
Comprehensive metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $15.20
  • Aetna — EBR ASO: $693.20
  • Aetna — EBR FI: $826.64
  • Aetna — Home Depot Employer Group: $918.49
  • Aetna — Medicare: $11.62
  • Aetna — NBR ASO/FI: $693.20
  • Aetna — Neighborhood Network: $918.49
  • Aetna of PA — Medicare: $11.09
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $18.50
  • AmeriHealth Caritas — Medicare: $11.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOL PN P5147 $1,733 $1,039.80 $9.88 – $1,594.36
Comprehensive metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $15.20
  • Aetna — EBR ASO: $693.20
  • Aetna — EBR FI: $826.64
  • Aetna — Home Depot Employer Group: $918.49
  • Aetna — Medicare: $11.62
  • Aetna — NBR ASO/FI: $693.20
  • Aetna — Neighborhood Network: $918.49
  • Aetna of PA — Medicare: $11.09
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $18.50
  • AmeriHealth Caritas — Medicare: $11.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $1,733 $1,039.80 $623.88 – $1,594.36
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $693.20
  • Aetna — EBR FI: $675.87
  • Aetna — Home Depot Employer Group: $679.34
  • Aetna — NBR ASO/FI: $693.20
  • Aetna — Neighborhood Network: $623.88
  • Cigna — Commercial: $693.20
  • Cigna — New Business ASO: $693.20
  • Coventry/First Health — Commercial: $1,213.10
  • Humana — Commercial: $1,473.05
  • InterGroup — PPO: $866.50
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRICS PANEL $1,429 $857.40 $13.20 – $1,314.68
Obstetric blood test panel: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $15.60
  • Aetna — EBR ASO: $571.60
  • Aetna — EBR FI: $681.63
  • Aetna — Home Depot Employer Group: $757.37
  • Aetna — Medicare: $52.59
  • Aetna — NBR ASO/FI: $571.60
  • Aetna — Neighborhood Network: $757.37
  • Aetna of PA — Medicare: $50.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $18.99
  • AmeriHealth Caritas — Medicare: $51.63
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRICS PANEL $1,429 $857.40 $514.44 – $1,314.68
Obstetric blood test panel: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $571.60
  • Aetna — EBR FI: $557.31
  • Aetna — Home Depot Employer Group: $560.17
  • Aetna — NBR ASO/FI: $571.60
  • Aetna — Neighborhood Network: $514.44
  • Cigna — Commercial: $571.60
  • Cigna — New Business ASO: $571.60
  • Coventry/First Health — Commercial: $1,000.30
  • Humana — Commercial: $1,214.65
  • InterGroup — PPO: $714.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $682 $409.20 $12.53 – $627.44
Cholesterol panel (lipid panel): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $18.20
  • Aetna — EBR ASO: $272.80
  • Aetna — EBR FI: $325.31
  • Aetna — Home Depot Employer Group: $361.46
  • Aetna — Medicare: $14.73
  • Aetna — NBR ASO/FI: $272.80
  • Aetna — Neighborhood Network: $361.46
  • Aetna of PA — Medicare: $14.06
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $22.15
  • AmeriHealth Caritas — Medicare: $14.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL P5181 $339 $203.40 $12.53 – $311.88
Cholesterol panel (lipid panel): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $18.20
  • Aetna — EBR ASO: $135.60
  • Aetna — EBR FI: $161.70
  • Aetna — Home Depot Employer Group: $179.67
  • Aetna — Medicare: $14.73
  • Aetna — NBR ASO/FI: $135.60
  • Aetna — Neighborhood Network: $179.67
  • Aetna of PA — Medicare: $14.06
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $22.15
  • AmeriHealth Caritas — Medicare: $14.46
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL $682 $409.20 $245.52 – $627.44
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $272.80
  • Aetna — EBR FI: $265.98
  • Aetna — Home Depot Employer Group: $267.34
  • Aetna — NBR ASO/FI: $272.80
  • Aetna — Neighborhood Network: $245.52
  • Cigna — Commercial: $272.80
  • Cigna — New Business ASO: $272.80
  • Coventry/First Health — Commercial: $477.40
  • Humana — Commercial: $579.70
  • InterGroup — PPO: $341
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $1,097 $658.20 $8.12 – $1,009.24
Kidney function panel: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $12.48
  • Aetna — EBR ASO: $438.80
  • Aetna — EBR FI: $523.27
  • Aetna — Home Depot Employer Group: $581.41
  • Aetna — Medicare: $9.55
  • Aetna — NBR ASO/FI: $438.80
  • Aetna — Neighborhood Network: $581.41
  • Aetna of PA — Medicare: $9.11
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $15.19
  • AmeriHealth Caritas — Medicare: $9.37
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $1,097 $658.20 $394.92 – $1,009.24
Kidney function panel: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $438.80
  • Aetna — EBR FI: $427.83
  • Aetna — Home Depot Employer Group: $430.02
  • Aetna — NBR ASO/FI: $438.80
  • Aetna — Neighborhood Network: $394.92
  • Cigna — Commercial: $438.80
  • Cigna — New Business ASO: $438.80
  • Coventry/First Health — Commercial: $767.90
  • Humana — Commercial: $932.45
  • InterGroup — PPO: $548.50
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $1,197 $718.20 $7.65 – $1,101.24
Liver function panel: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $11.74
  • Aetna — EBR ASO: $478.80
  • Aetna — EBR FI: $570.97
  • Aetna — Home Depot Employer Group: $634.41
  • Aetna — Medicare: $8.99
  • Aetna — NBR ASO/FI: $478.80
  • Aetna — Neighborhood Network: $634.41
  • Aetna of PA — Medicare: $8.58
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.29
  • AmeriHealth Caritas — Medicare: $8.82
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL P5144 $1,197 $718.20 $7.65 – $1,101.24
Liver function panel: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $11.74
  • Aetna — EBR ASO: $478.80
  • Aetna — EBR FI: $570.97
  • Aetna — Home Depot Employer Group: $634.41
  • Aetna — Medicare: $8.99
  • Aetna — NBR ASO/FI: $478.80
  • Aetna — Neighborhood Network: $634.41
  • Aetna of PA — Medicare: $8.58
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.29
  • AmeriHealth Caritas — Medicare: $8.82
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $1,197 $718.20 $430.92 – $1,101.24
Liver function panel: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $478.80
  • Aetna — EBR FI: $466.83
  • Aetna — Home Depot Employer Group: $469.22
  • Aetna — NBR ASO/FI: $478.80
  • Aetna — Neighborhood Network: $430.92
  • Cigna — Commercial: $478.80
  • Cigna — New Business ASO: $478.80
  • Coventry/First Health — Commercial: $837.90
  • Humana — Commercial: $1,017.45
  • InterGroup — PPO: $598.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE ROUTINE MICRO $127 $76.20 $2.97 – $116.84
Urine test (automated, with microscope): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $3.90
  • Aetna — EBR ASO: $50.80
  • Aetna — EBR FI: $60.58
  • Aetna — Home Depot Employer Group: $67.31
  • Aetna — Medicare: $3.49
  • Aetna — NBR ASO/FI: $50.80
  • Aetna — Neighborhood Network: $67.31
  • Aetna of PA — Medicare: $3.33
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.75
  • AmeriHealth Caritas — Medicare: $3.42
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/MICRO $135 $81 $2.97 – $124.20
Urine test (automated, with microscope): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $3.90
  • Aetna — EBR ASO: $54
  • Aetna — EBR FI: $64.39
  • Aetna — Home Depot Employer Group: $71.55
  • Aetna — Medicare: $3.49
  • Aetna — NBR ASO/FI: $54
  • Aetna — Neighborhood Network: $71.55
  • Aetna of PA — Medicare: $3.33
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.75
  • AmeriHealth Caritas — Medicare: $3.42
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINE ROUTINE MICRO $127 $76.20 $45.72 – $116.84
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $50.80
  • Aetna — EBR FI: $49.53
  • Aetna — Home Depot Employer Group: $49.78
  • Aetna — NBR ASO/FI: $50.80
  • Aetna — Neighborhood Network: $45.72
  • Cigna — Commercial: $50.80
  • Cigna — New Business ASO: $50.80
  • Coventry/First Health — Commercial: $88.90
  • Humana — Commercial: $107.95
  • InterGroup — PPO: $63.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINANALYSIS DIPSTICK WO MICRO $49 $29.40 $3.26 – $45.08
Urine test (manual, without microscope): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $4.64
  • Aetna — EBR ASO: $19.60
  • Aetna — EBR FI: $23.37
  • Aetna — Home Depot Employer Group: $25.97
  • Aetna — Medicare: $3.83
  • Aetna — NBR ASO/FI: $19.60
  • Aetna — Neighborhood Network: $25.97
  • Aetna of PA — Medicare: $3.65
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $5.65
  • AmeriHealth Caritas — Medicare: $3.76
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O MICRO $46 $27.60 $3.26 – $42.32
Urine test (manual, without microscope): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $4.64
  • Aetna — EBR ASO: $18.40
  • Aetna — EBR FI: $21.94
  • Aetna — Home Depot Employer Group: $24.38
  • Aetna — Medicare: $3.83
  • Aetna — NBR ASO/FI: $18.40
  • Aetna — Neighborhood Network: $24.38
  • Aetna of PA — Medicare: $3.65
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $5.65
  • AmeriHealth Caritas — Medicare: $3.76
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINANALYSIS DIPSTICK WO MICRO $49 $29.40 $17.64 – $45.08
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $19.60
  • Aetna — EBR FI: $19.11
  • Aetna — Home Depot Employer Group: $19.21
  • Aetna — NBR ASO/FI: $19.60
  • Aetna — Neighborhood Network: $17.64
  • Cigna — Commercial: $19.60
  • Cigna — New Business ASO: $19.60
  • Coventry/First Health — Commercial: $34.30
  • Humana — Commercial: $41.65
  • InterGroup — PPO: $24.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTOMATED $82 $49.20 $2.11 – $75.44
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $4.03
  • Aetna — EBR ASO: $32.80
  • Aetna — EBR FI: $39.11
  • Aetna — Home Depot Employer Group: $43.46
  • Aetna — Medicare: $2.48
  • Aetna — NBR ASO/FI: $32.80
  • Aetna — Neighborhood Network: $43.46
  • Aetna of PA — Medicare: $2.36
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.91
  • AmeriHealth Caritas — Medicare: $2.43
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O MICRO $82 $49.20 $2.11 – $75.44
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $4.03
  • Aetna — EBR ASO: $32.80
  • Aetna — EBR FI: $39.11
  • Aetna — Home Depot Employer Group: $43.46
  • Aetna — Medicare: $2.48
  • Aetna — NBR ASO/FI: $32.80
  • Aetna — Neighborhood Network: $43.46
  • Aetna of PA — Medicare: $2.36
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.91
  • AmeriHealth Caritas — Medicare: $2.43
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $77 $46.20 $2.11 – $70.84
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $4.03
  • Aetna — EBR ASO: $30.80
  • Aetna — EBR FI: $36.73
  • Aetna — Home Depot Employer Group: $40.81
  • Aetna — Medicare: $2.48
  • Aetna — NBR ASO/FI: $30.80
  • Aetna — Neighborhood Network: $40.81
  • Aetna of PA — Medicare: $2.36
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.91
  • AmeriHealth Caritas — Medicare: $2.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL $216 $129.60 $17.21 – $198.72
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $31.67
  • Aetna — EBR ASO: $86.40
  • Aetna — EBR FI: $103.03
  • Aetna — Home Depot Employer Group: $114.48
  • Aetna — Medicare: $20.23
  • Aetna — NBR ASO/FI: $86.40
  • Aetna — Neighborhood Network: $114.48
  • Aetna of PA — Medicare: $19.31
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $38.55
  • AmeriHealth Caritas — Medicare: $19.86
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC PSA $216 $129.60 $17.21 – $198.72
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $31.67
  • Aetna — EBR ASO: $86.40
  • Aetna — EBR FI: $103.03
  • Aetna — Home Depot Employer Group: $114.48
  • Aetna — Medicare: $20.23
  • Aetna — NBR ASO/FI: $86.40
  • Aetna — Neighborhood Network: $114.48
  • Aetna of PA — Medicare: $19.31
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $38.55
  • AmeriHealth Caritas — Medicare: $19.86
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC ANTIGEN TOTAL $216 $129.60 $77.76 – $198.72
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $86.40
  • Aetna — EBR FI: $84.24
  • Aetna — Home Depot Employer Group: $84.67
  • Aetna — NBR ASO/FI: $86.40
  • Aetna — Neighborhood Network: $77.76
  • Cigna — Commercial: $86.40
  • Cigna — New Business ASO: $86.40
  • Coventry/First Health — Commercial: $151.20
  • Humana — Commercial: $183.60
  • InterGroup — PPO: $108
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH) $197 $118.20 $15.72 – $181.24
Thyroid stimulating hormone (TSH) test: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $30.17
  • Aetna — EBR ASO: $78.80
  • Aetna — EBR FI: $93.97
  • Aetna — Home Depot Employer Group: $104.41
  • Aetna — Medicare: $18.48
  • Aetna — NBR ASO/FI: $78.80
  • Aetna — Neighborhood Network: $104.41
  • Aetna of PA — Medicare: $17.64
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $36.73
  • AmeriHealth Caritas — Medicare: $18.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $197 $118.20 $15.72 – $181.24
Thyroid stimulating hormone (TSH) test: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $30.17
  • Aetna — EBR ASO: $78.80
  • Aetna — EBR FI: $93.97
  • Aetna — Home Depot Employer Group: $104.41
  • Aetna — Medicare: $18.48
  • Aetna — NBR ASO/FI: $78.80
  • Aetna — Neighborhood Network: $104.41
  • Aetna of PA — Medicare: $17.64
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $36.73
  • AmeriHealth Caritas — Medicare: $18.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH) $197 $118.20 $70.92 – $181.24
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $78.80
  • Aetna — EBR FI: $76.83
  • Aetna — Home Depot Employer Group: $77.22
  • Aetna — NBR ASO/FI: $78.80
  • Aetna — Neighborhood Network: $70.92
  • Cigna — Commercial: $78.80
  • Cigna — New Business ASO: $78.80
  • Coventry/First Health — Commercial: $137.90
  • Humana — Commercial: $167.45
  • InterGroup — PPO: $98.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT CBC AUTO W/AUTO DIFF $87 $52.20 $6.60 – $80.04
Complete blood count (CBC) with differential: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $7.80
  • Aetna — EBR ASO: $34.80
  • Aetna — EBR FI: $41.50
  • Aetna — Home Depot Employer Group: $46.11
  • Aetna — Medicare: $8.55
  • Aetna — NBR ASO/FI: $34.80
  • Aetna — Neighborhood Network: $46.11
  • Aetna of PA — Medicare: $8.16
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.49
  • AmeriHealth Caritas — Medicare: $8.39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC & PLT & AUTO COMP DIFF $87 $52.20 $6.60 – $80.04
Complete blood count (CBC) with differential: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $7.80
  • Aetna — EBR ASO: $34.80
  • Aetna — EBR FI: $41.50
  • Aetna — Home Depot Employer Group: $46.11
  • Aetna — Medicare: $8.55
  • Aetna — NBR ASO/FI: $34.80
  • Aetna — Neighborhood Network: $46.11
  • Aetna of PA — Medicare: $8.16
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.49
  • AmeriHealth Caritas — Medicare: $8.39
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BLOOD COUNT CBC AUTO W/AUTO DIFF $87 $52.20 $31.32 – $80.04
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $34.80
  • Aetna — EBR FI: $33.93
  • Aetna — Home Depot Employer Group: $34.10
  • Aetna — NBR ASO/FI: $34.80
  • Aetna — Neighborhood Network: $31.32
  • Cigna — Commercial: $34.80
  • Cigna — New Business ASO: $34.80
  • Coventry/First Health — Commercial: $60.90
  • Humana — Commercial: $73.95
  • InterGroup — PPO: $43.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT CBC AUTO W/O DIFF $75 $45 $6.06 – $69
Complete blood count (CBC), automated: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $9.78
  • Aetna — EBR ASO: $30
  • Aetna — EBR FI: $35.77
  • Aetna — Home Depot Employer Group: $39.75
  • Aetna — Medicare: $7.12
  • Aetna — NBR ASO/FI: $30
  • Aetna — Neighborhood Network: $39.75
  • Aetna of PA — Medicare: $6.79
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.90
  • AmeriHealth Caritas — Medicare: $6.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC & PLT ONLY $75 $45 $6.06 – $69
Complete blood count (CBC), automated: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $9.78
  • Aetna — EBR ASO: $30
  • Aetna — EBR FI: $35.77
  • Aetna — Home Depot Employer Group: $39.75
  • Aetna — Medicare: $7.12
  • Aetna — NBR ASO/FI: $30
  • Aetna — Neighborhood Network: $39.75
  • Aetna of PA — Medicare: $6.79
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.90
  • AmeriHealth Caritas — Medicare: $6.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HB CBC & PLT ONLY $75 $45 $6.06 – $69
Complete blood count (CBC), automated: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $9.78
  • Aetna — EBR ASO: $30
  • Aetna — EBR FI: $35.77
  • Aetna — Home Depot Employer Group: $39.75
  • Aetna — Medicare: $7.12
  • Aetna — NBR ASO/FI: $30
  • Aetna — Neighborhood Network: $39.75
  • Aetna of PA — Medicare: $6.79
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.90
  • AmeriHealth Caritas — Medicare: $6.99
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $127 $76.20 $3.78 – $116.84
Blood clotting time test (prothrombin time, PT): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $5.20
  • Aetna — EBR ASO: $50.80
  • Aetna — EBR FI: $60.58
  • Aetna — Home Depot Employer Group: $67.31
  • Aetna — Medicare: $4.72
  • Aetna — NBR ASO/FI: $50.80
  • Aetna — Neighborhood Network: $67.31
  • Aetna of PA — Medicare: $4.50
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.33
  • AmeriHealth Caritas — Medicare: $4.63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME (PT) $127 $76.20 $3.78 – $116.84
Blood clotting time test (prothrombin time, PT): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $5.20
  • Aetna — EBR ASO: $50.80
  • Aetna — EBR FI: $60.58
  • Aetna — Home Depot Employer Group: $67.31
  • Aetna — Medicare: $4.72
  • Aetna — NBR ASO/FI: $50.80
  • Aetna — Neighborhood Network: $67.31
  • Aetna of PA — Medicare: $4.50
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.33
  • AmeriHealth Caritas — Medicare: $4.63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PROTHROMBIN TIME $127 $76.20 $3.78 – $116.84
Blood clotting time test (prothrombin time, PT): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $5.20
  • Aetna — EBR ASO: $50.80
  • Aetna — EBR FI: $60.58
  • Aetna — Home Depot Employer Group: $67.31
  • Aetna — Medicare: $4.72
  • Aetna — NBR ASO/FI: $50.80
  • Aetna — Neighborhood Network: $67.31
  • Aetna of PA — Medicare: $4.50
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.33
  • AmeriHealth Caritas — Medicare: $4.63
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME (PTT) $192 $115.20 $5.62 – $176.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $9.75
  • Aetna — EBR ASO: $76.80
  • Aetna — EBR FI: $91.58
  • Aetna — Home Depot Employer Group: $101.76
  • Aetna — Medicare: $6.61
  • Aetna — NBR ASO/FI: $76.80
  • Aetna — Neighborhood Network: $101.76
  • Aetna of PA — Medicare: $6.31
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.87
  • AmeriHealth Caritas — Medicare: $6.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT ACTIVATED $192 $115.20 $5.62 – $176.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $9.75
  • Aetna — EBR ASO: $76.80
  • Aetna — EBR FI: $91.58
  • Aetna — Home Depot Employer Group: $101.76
  • Aetna — Medicare: $6.61
  • Aetna — NBR ASO/FI: $76.80
  • Aetna — Neighborhood Network: $101.76
  • Aetna of PA — Medicare: $6.31
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.87
  • AmeriHealth Caritas — Medicare: $6.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACTIVATED PTT $192 $115.20 $5.62 – $176.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $9.75
  • Aetna — EBR ASO: $76.80
  • Aetna — EBR FI: $91.58
  • Aetna — Home Depot Employer Group: $101.76
  • Aetna — Medicare: $6.61
  • Aetna — NBR ASO/FI: $76.80
  • Aetna — Neighborhood Network: $101.76
  • Aetna of PA — Medicare: $6.31
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.87
  • AmeriHealth Caritas — Medicare: $6.49

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 WO CONTRAST $3,367 $2,020.20 $94.88 – $3,097.64
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $151.78
  • Aetna — EBR ASO: $1,346.80
  • Aetna — EBR FI: $1,606.06
  • Aetna — Home Depot Employer Group: $1,784.51
  • Aetna — Medicare: $111.52
  • Aetna — NBR ASO/FI: $1,346.80
  • Aetna — Neighborhood Network: $1,784.51
  • Aetna of PA — Medicare: $106.45
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $184.75
  • AmeriHealth Caritas — Medicare: $109.49
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD WO CONTRAST $3,367 $2,020.20 $1,212.12 – $3,097.64
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $1,346.80
  • Aetna — EBR FI: $1,313.13
  • Aetna — Home Depot Employer Group: $1,319.86
  • Aetna — NBR ASO/FI: $1,346.80
  • Aetna — Neighborhood Network: $1,212.12
  • Cigna — Commercial: $1,346.80
  • Cigna — New Business ASO: $1,346.80
  • Coventry/First Health — Commercial: $2,356.90
  • Humana — Commercial: $2,861.95
  • InterGroup — PPO: $1,683.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR BRAIN W WO CON $11,235 $6,741 $318.66 – $10,336.20
MRI of the brain, before and after contrast: 10 of 37 insurance plan rates
  • Aetna — CHIP/Medicaid: $440.70
  • Aetna — EBR ASO: $4,494
  • Aetna — EBR FI: $5,359.10
  • Aetna — Home Depot Employer Group: $5,954.55
  • Aetna — Medicare: $374.53
  • Aetna — NBR ASO/FI: $4,494
  • Aetna — Neighborhood Network: $5,954.55
  • Aetna of PA — Medicare: $357.50
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $536.43
  • AmeriHealth Caritas — Medicare: $367.72
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MR BRAIN W WO CON $11,235 $6,741 $4,044.60 – $10,336.20
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $4,494
  • Aetna — EBR FI: $4,381.65
  • Aetna — Home Depot Employer Group: $4,404.12
  • Aetna — NBR ASO/FI: $4,494
  • Aetna — Neighborhood Network: $4,044.60
  • Cigna — Commercial: $4,494
  • Cigna — New Business ASO: $4,494
  • Coventry/First Health — Commercial: $7,864.50
  • Humana — Commercial: $9,549.75
  • InterGroup — PPO: $5,617.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS $783 $469.80 $11.90 – $720.36
Chest X-ray, 2 views: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $30.73
  • Aetna — EBR ASO: $313.20
  • Aetna — EBR FI: $373.49
  • Aetna — Home Depot Employer Group: $414.99
  • Aetna — Medicare: $92.34
  • Aetna — NBR ASO/FI: $313.20
  • Aetna — Neighborhood Network: $414.99
  • Aetna of PA — Medicare: $88.15
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $37.41
  • AmeriHealth Caritas — Medicare: $90.67
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS $783 $469.80 $281.88 – $720.36
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $313.20
  • Aetna — EBR FI: $305.37
  • Aetna — Home Depot Employer Group: $306.94
  • Aetna — NBR ASO/FI: $313.20
  • Aetna — Neighborhood Network: $281.88
  • Cigna — Commercial: $313.20
  • Cigna — New Business ASO: $313.20
  • Coventry/First Health — Commercial: $548.10
  • Humana — Commercial: $665.55
  • InterGroup — PPO: $391.50
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBOSAC MIN 4 VWS $1,324 $794.40 $40.28 – $1,218.08
X-ray of the lower spine, at least 4 views: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $47.61
  • Aetna — EBR ASO: $529.60
  • Aetna — EBR FI: $631.55
  • Aetna — Home Depot Employer Group: $701.72
  • Aetna — Medicare: $111.52
  • Aetna — NBR ASO/FI: $529.60
  • Aetna — Neighborhood Network: $701.72
  • Aetna of PA — Medicare: $106.45
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $57.95
  • AmeriHealth Caritas — Medicare: $109.49
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE LUMBOSAC MIN 4 VWS $1,324 $794.40 $476.64 – $1,218.08
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $529.60
  • Aetna — EBR FI: $516.36
  • Aetna — Home Depot Employer Group: $519.01
  • Aetna — NBR ASO/FI: $529.60
  • Aetna — Neighborhood Network: $476.64
  • Cigna — Commercial: $529.60
  • Cigna — New Business ASO: $529.60
  • Coventry/First Health — Commercial: $926.80
  • Humana — Commercial: $1,125.40
  • InterGroup — PPO: $662
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR SP CANAL LUMBAR WO $7,120 $4,272 $215.68 – $6,550.40
MRI of the lower back (lumbar spine), without contrast: 10 of 37 insurance plan rates
  • Aetna — CHIP/Medicaid: $333
  • Aetna — EBR ASO: $2,848
  • Aetna — EBR FI: $3,396.24
  • Aetna — Home Depot Employer Group: $3,773.60
  • Aetna — Medicare: $253.50
  • Aetna — NBR ASO/FI: $2,848
  • Aetna — Neighborhood Network: $3,773.60
  • Aetna of PA — Medicare: $241.97
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $405.33
  • AmeriHealth Caritas — Medicare: $248.89
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MR SP CANAL LUMBAR WO $7,120 $4,272 $2,563.20 – $6,550.40
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,848
  • Aetna — EBR FI: $2,776.80
  • Aetna — Home Depot Employer Group: $2,791.04
  • Aetna — NBR ASO/FI: $2,848
  • Aetna — Neighborhood Network: $2,563.20
  • Cigna — Commercial: $2,848
  • Cigna — New Business ASO: $2,848
  • Coventry/First Health — Commercial: $4,984
  • Humana — Commercial: $6,052
  • InterGroup — PPO: $3,560
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CON $5,268 $3,160.80 $154.10 – $4,846.56
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $182.12
  • Aetna — EBR ASO: $2,107.20
  • Aetna — EBR FI: $2,512.84
  • Aetna — Home Depot Employer Group: $2,792.04
  • Aetna — Medicare: $186.69
  • Aetna — NBR ASO/FI: $2,107.20
  • Aetna — Neighborhood Network: $2,792.04
  • Aetna of PA — Medicare: $178.21
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $221.68
  • AmeriHealth Caritas — Medicare: $183.30
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CON $5,268 $3,160.80 $1,896.48 – $4,846.56
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,107.20
  • Aetna — EBR FI: $2,054.52
  • Aetna — Home Depot Employer Group: $2,065.06
  • Aetna — NBR ASO/FI: $2,107.20
  • Aetna — Neighborhood Network: $1,896.48
  • Cigna — Commercial: $2,107.20
  • Cigna — New Business ASO: $2,107.20
  • Coventry/First Health — Commercial: $3,687.60
  • Humana — Commercial: $4,477.80
  • InterGroup — PPO: $2,634
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR LOW EXTREM ANY JNT WO $7,120 $4,272 $215.68 – $6,550.40
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna — CHIP/Medicaid: $1,281.60
  • Aetna — EBR ASO: $2,848
  • Aetna — EBR FI: $3,396.24
  • Aetna — Home Depot Employer Group: $3,773.60
  • Aetna — Medicare: $253.50
  • Aetna — NBR ASO/FI: $2,848
  • Aetna — Neighborhood Network: $3,773.60
  • Aetna of PA — Medicare: $241.97
  • AmeriHealth Caritas — Medicare: $248.89
  • Cigna — Commercial: $2,848
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MR LOW EXTREM ANY JNT WO $7,120 $4,272 $2,563.20 – $6,550.40
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,848
  • Aetna — EBR FI: $2,776.80
  • Aetna — Home Depot Employer Group: $2,791.04
  • Aetna — NBR ASO/FI: $2,848
  • Aetna — Neighborhood Network: $2,563.20
  • Cigna — Commercial: $2,848
  • Cigna — New Business ASO: $2,848
  • Coventry/First Health — Commercial: $4,984
  • Humana — Commercial: $6,052
  • InterGroup — PPO: $3,560
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PLVS W CONTRAST $10,181 $6,108.60 $289.48 – $9,366.52
CT scan of the abdomen and pelvis, with contrast: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $342.11
  • Aetna — EBR ASO: $4,072.40
  • Aetna — EBR FI: $4,856.34
  • Aetna — Home Depot Employer Group: $5,395.93
  • Aetna — Medicare: $374.53
  • Aetna — NBR ASO/FI: $4,072.40
  • Aetna — Neighborhood Network: $5,395.93
  • Aetna of PA — Medicare: $357.50
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $416.42
  • AmeriHealth Caritas — Medicare: $367.72
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PLVS W CONTRAST $10,181 $6,108.60 $3,665.16 – $9,366.52
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $4,072.40
  • Aetna — EBR FI: $3,970.59
  • Aetna — Home Depot Employer Group: $3,990.95
  • Aetna — NBR ASO/FI: $4,072.40
  • Aetna — Neighborhood Network: $3,665.16
  • Cigna — Commercial: $4,072.40
  • Cigna — New Business ASO: $4,072.40
  • Coventry/First Health — Commercial: $7,126.70
  • Humana — Commercial: $8,653.85
  • InterGroup — PPO: $5,090.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMINAL COMPLETE $3,161 $1,896.60 $94.88 – $2,908.12
Ultrasound of the abdomen, complete: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $123.85
  • Aetna — EBR ASO: $1,264.40
  • Aetna — EBR FI: $1,507.80
  • Aetna — Home Depot Employer Group: $1,675.33
  • Aetna — Medicare: $111.52
  • Aetna — NBR ASO/FI: $1,264.40
  • Aetna — Neighborhood Network: $1,675.33
  • Aetna of PA — Medicare: $106.45
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $150.76
  • AmeriHealth Caritas — Medicare: $109.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMINAL COMPLETE $3,161 $1,896.60 $1,137.96 – $2,908.12
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $1,264.40
  • Aetna — EBR FI: $1,232.79
  • Aetna — Home Depot Employer Group: $1,239.11
  • Aetna — NBR ASO/FI: $1,264.40
  • Aetna — Neighborhood Network: $1,137.96
  • Cigna — Commercial: $1,264.40
  • Cigna — New Business ASO: $1,264.40
  • Coventry/First Health — Commercial: $2,212.70
  • Humana — Commercial: $2,686.85
  • InterGroup — PPO: $1,580.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREGNANT UTERUS>14WKS $940 $564 $85.25 – $889.89
Pregnancy ultrasound (after the first trimester): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $100.75
  • Aetna — EBR ASO: $376
  • Aetna — EBR FI: $448.38
  • Aetna — Home Depot Employer Group: $498.20
  • Aetna — Medicare: $111.52
  • Aetna — NBR ASO/FI: $376
  • Aetna — Neighborhood Network: $498.20
  • Aetna of PA — Medicare: $106.45
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $122.64
  • AmeriHealth Caritas — Medicare: $109.49
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREGNANT UTERUS>14WKS $940 $564 $338.40 – $864.80
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $376
  • Aetna — EBR FI: $366.60
  • Aetna — Home Depot Employer Group: $368.48
  • Aetna — NBR ASO/FI: $376
  • Aetna — Neighborhood Network: $338.40
  • Cigna — Commercial: $376
  • Cigna — New Business ASO: $376
  • Coventry/First Health — Commercial: $658
  • Humana — Commercial: $799
  • InterGroup — PPO: $470
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $759 $455.40 $84.15 – $698.28
Transvaginal ultrasound: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $99.45
  • Aetna — EBR ASO: $303.60
  • Aetna — EBR FI: $362.04
  • Aetna — Home Depot Employer Group: $402.27
  • Aetna — Medicare: $111.52
  • Aetna — NBR ASO/FI: $303.60
  • Aetna — Neighborhood Network: $402.27
  • Aetna of PA — Medicare: $106.45
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $121.05
  • AmeriHealth Caritas — Medicare: $109.49
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $759 $455.40 $273.24 – $698.28
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $303.60
  • Aetna — EBR FI: $296.01
  • Aetna — Home Depot Employer Group: $297.53
  • Aetna — NBR ASO/FI: $303.60
  • Aetna — Neighborhood Network: $273.24
  • Cigna — Commercial: $303.60
  • Cigna — New Business ASO: $303.60
  • Coventry/First Health — Commercial: $531.30
  • Humana — Commercial: $645.15
  • InterGroup — PPO: $379.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIGITAL DX UNI WWO CAD $871 $522.60 $58.27 – $801.32
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates
  • Aetna — CHIP/Medicaid: $133.13
  • Aetna — EBR ASO: $348.40
  • Aetna — EBR FI: $415.47
  • Aetna — Home Depot Employer Group: $461.63
  • Aetna — Medicare: $121.21
  • Aetna — NBR ASO/FI: $348.40
  • Aetna — Neighborhood Network: $461.63
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $162.05
  • Cigna — Commercial: $348.40
  • Cigna — New Business ASO: $461.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIGITAL DX UNI WWO CAD $871 $522.60 $313.56 – $801.32
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $348.40
  • Aetna — EBR FI: $339.69
  • Aetna — Home Depot Employer Group: $341.43
  • Aetna — NBR ASO/FI: $348.40
  • Aetna — Neighborhood Network: $313.56
  • Cigna — Commercial: $348.40
  • Cigna — New Business ASO: $348.40
  • Coventry/First Health — Commercial: $609.70
  • Humana — Commercial: $740.35
  • InterGroup — PPO: $435.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GG In the file: HC MAM DIG DX SM DAY UNI WWO CAD $871 $522.60 $58.27 – $801.32
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates
  • Aetna — CHIP/Medicaid: $133.13
  • Aetna — EBR ASO: $348.40
  • Aetna — EBR FI: $415.47
  • Aetna — Home Depot Employer Group: $461.63
  • Aetna — Medicare: $121.21
  • Aetna — NBR ASO/FI: $348.40
  • Aetna — Neighborhood Network: $461.63
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $162.05
  • Cigna — Commercial: $348.40
  • Cigna — New Business ASO: $461.63
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIGITAL DX BILAT WWO CAD $954 $572.40 $74.31 – $877.68
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates
  • Aetna — CHIP/Medicaid: $168.81
  • Aetna — EBR ASO: $381.60
  • Aetna — EBR FI: $455.06
  • Aetna — Home Depot Employer Group: $505.62
  • Aetna — Medicare: $153.08
  • Aetna — NBR ASO/FI: $381.60
  • Aetna — Neighborhood Network: $505.62
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $205.47
  • Cigna — Commercial: $381.60
  • Cigna — New Business ASO: $505.62
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIGITAL DX BILAT WWO CAD $954 $572.40 $343.44 – $877.68
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $381.60
  • Aetna — EBR FI: $372.06
  • Aetna — Home Depot Employer Group: $373.97
  • Aetna — NBR ASO/FI: $381.60
  • Aetna — Neighborhood Network: $343.44
  • Cigna — Commercial: $381.60
  • Cigna — New Business ASO: $381.60
  • Coventry/First Health — Commercial: $667.80
  • Humana — Commercial: $810.90
  • InterGroup — PPO: $477
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GG In the file: HC MAM DIG DX SM DAY BI WWO CAD $954 $572.40 $74.31 – $877.68
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates
  • Aetna — CHIP/Medicaid: $168.81
  • Aetna — EBR ASO: $381.60
  • Aetna — EBR FI: $455.06
  • Aetna — Home Depot Employer Group: $505.62
  • Aetna — Medicare: $153.08
  • Aetna — NBR ASO/FI: $381.60
  • Aetna — Neighborhood Network: $505.62
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $205.47
  • Cigna — Commercial: $381.60
  • Cigna — New Business ASO: $505.62
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIGI SCR BILAT WWO CAD $438 $262.80 $61.53 – $551.43
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • Aetna — CHIP/Medicaid: $136.11
  • Aetna — EBR ASO: $175.20
  • Aetna — EBR FI: $208.93
  • Aetna — Home Depot Employer Group: $232.14
  • Aetna — Medicare: $123.33
  • Aetna — NBR ASO/FI: $175.20
  • Aetna — Neighborhood Network: $232.14
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $165.68
  • Cigna — Commercial: $175.20
  • Cigna — New Business ASO: $232.14
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIGI SCR BILAT WWO CAD $438 $262.80 $157.68 – $402.96
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $175.20
  • Aetna — EBR FI: $170.82
  • Aetna — Home Depot Employer Group: $171.70
  • Aetna — NBR ASO/FI: $175.20
  • Aetna — Neighborhood Network: $157.68
  • Cigna — Commercial: $175.20
  • Cigna — New Business ASO: $175.20
  • Coventry/First Health — Commercial: $306.60
  • Humana — Commercial: $372.30
  • InterGroup — PPO: $219

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSG 9+PARAM ATTENDED $13,956 $8,373.60 $381.22 – $12,839.52
Sleep study (overnight, in a sleep lab): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $450.53
  • Aetna — EBR ASO: $5,582.40
  • Aetna — EBR FI: $6,657.01
  • Aetna — Home Depot Employer Group: $7,396.68
  • Aetna — Medicare: $1,066.96
  • Aetna — NBR ASO/FI: $5,582.40
  • Aetna — Neighborhood Network: $7,396.68
  • Aetna of PA — Medicare: $1,018.46
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $548.40
  • AmeriHealth Caritas — Medicare: $1,047.56
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSG 9+PARAM ATTENDED $13,956 $8,373.60 $5,024.16 – $12,839.52
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $5,582.40
  • Aetna — EBR FI: $5,442.84
  • Aetna — Home Depot Employer Group: $5,470.75
  • Aetna — NBR ASO/FI: $5,582.40
  • Aetna — Neighborhood Network: $5,024.16
  • Cigna — Commercial: $5,582.40
  • Cigna — New Business ASO: $5,582.40
  • Coventry/First Health — Commercial: $9,769.20
  • Humana — Commercial: $11,862.60
  • InterGroup — PPO: $6,978

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 CQ THERAPEUTIC EXERCISE P/15M $161 $96.60 $9.22 – $148.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $10.89
  • Aetna — EBR ASO: $64.40
  • Aetna — EBR FI: $76.80
  • Aetna — Home Depot Employer Group: $85.33
  • Aetna — Medicare: $22.47
  • Aetna — NBR ASO/FI: $64.40
  • Aetna — Neighborhood Network: $85.33
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $13.26
  • Cigna — Commercial: $64.40
  • Cigna — New Business ASO: $85.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CO THERAPEUTIC EXERCISE P/15M $161 $96.60 $9.22 – $148.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $10.89
  • Aetna — EBR ASO: $64.40
  • Aetna — EBR FI: $76.80
  • Aetna — Home Depot Employer Group: $85.33
  • Aetna — Medicare: $22.47
  • Aetna — NBR ASO/FI: $64.40
  • Aetna — Neighborhood Network: $85.33
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $13.26
  • Cigna — Commercial: $64.40
  • Cigna — New Business ASO: $85.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CQ THERAPEUTIC EXERCISE P/15M $161 $96.60 $57.96 – $148.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $64.40
  • Aetna — EBR FI: $62.79
  • Aetna — Home Depot Employer Group: $63.11
  • Aetna — NBR ASO/FI: $64.40
  • Aetna — Neighborhood Network: $57.96
  • Cigna — Commercial: $64.40
  • Cigna — New Business ASO: $64.40
  • Coventry/First Health — Commercial: $112.70
  • Humana — Commercial: $136.85
  • InterGroup — PPO: $80.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CQ PT EVAL LOW COMPLEX $675 $405 $52.05 – $621
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • Aetna — CHIP/Medicaid: $121.50
  • Aetna — EBR ASO: $270
  • Aetna — EBR FI: $321.98
  • Aetna — Home Depot Employer Group: $357.75
  • Aetna — Medicare: $76.47
  • Aetna — NBR ASO/FI: $270
  • Aetna — Neighborhood Network: $357.75
  • Cigna — Commercial: $270
  • Cigna — New Business ASO: $357.75
  • Coventry/First Health — Commercial: $472.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CQ PT EVAL LOW COMPLEX $675 $405 $243 – $621
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $270
  • Aetna — EBR FI: $263.25
  • Aetna — Home Depot Employer Group: $264.60
  • Aetna — NBR ASO/FI: $270
  • Aetna — Neighborhood Network: $243
  • Cigna — Commercial: $270
  • Cigna — New Business ASO: $270
  • Coventry/First Health — Commercial: $472.50
  • Humana — Commercial: $573.75
  • InterGroup — PPO: $337.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL LOW COMPLEX $716 $429.60 $52.05 – $658.72
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • Aetna — CHIP/Medicaid: $128.88
  • Aetna — EBR ASO: $286.40
  • Aetna — EBR FI: $341.53
  • Aetna — Home Depot Employer Group: $379.48
  • Aetna — Medicare: $76.47
  • Aetna — NBR ASO/FI: $286.40
  • Aetna — Neighborhood Network: $379.48
  • Cigna — Commercial: $286.40
  • Cigna — New Business ASO: $379.48
  • Coventry/First Health — Commercial: $501.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CQ PT EVAL MOD COMPLEX $716 $429.60 $52.05 – $658.72
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates
  • Aetna — CHIP/Medicaid: $128.88
  • Aetna — EBR ASO: $286.40
  • Aetna — EBR FI: $341.53
  • Aetna — Home Depot Employer Group: $379.48
  • Aetna — Medicare: $76.47
  • Aetna — NBR ASO/FI: $286.40
  • Aetna — Neighborhood Network: $379.48
  • Cigna — Commercial: $286.40
  • Cigna — New Business ASO: $379.48
  • Coventry/First Health — Commercial: $501.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CQ PT EVAL MOD COMPLEX $716 $429.60 $257.76 – $658.72
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $286.40
  • Aetna — EBR FI: $279.24
  • Aetna — Home Depot Employer Group: $280.67
  • Aetna — NBR ASO/FI: $286.40
  • Aetna — Neighborhood Network: $257.76
  • Cigna — Commercial: $286.40
  • Cigna — New Business ASO: $286.40
  • Coventry/First Health — Commercial: $501.20
  • Humana — Commercial: $608.60
  • InterGroup — PPO: $358
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MOD COMPLEX $716 $429.60 $52.05 – $658.72
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates
  • Aetna — CHIP/Medicaid: $128.88
  • Aetna — EBR ASO: $286.40
  • Aetna — EBR FI: $341.53
  • Aetna — Home Depot Employer Group: $379.48
  • Aetna — Medicare: $76.47
  • Aetna — NBR ASO/FI: $286.40
  • Aetna — Neighborhood Network: $379.48
  • Cigna — Commercial: $286.40
  • Cigna — New Business ASO: $379.48
  • Coventry/First Health — Commercial: $501.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CQ PT EVAL HIGH COMPLEX $675 $405 $52.05 – $621
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates
  • Aetna — CHIP/Medicaid: $121.50
  • Aetna — EBR ASO: $270
  • Aetna — EBR FI: $321.98
  • Aetna — Home Depot Employer Group: $357.75
  • Aetna — Medicare: $76.47
  • Aetna — NBR ASO/FI: $270
  • Aetna — Neighborhood Network: $357.75
  • Cigna — Commercial: $270
  • Cigna — New Business ASO: $357.75
  • Coventry/First Health — Commercial: $472.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CQ PT EVAL HIGH COMPLEX $675 $405 $243 – $621
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $270
  • Aetna — EBR FI: $263.25
  • Aetna — Home Depot Employer Group: $264.60
  • Aetna — NBR ASO/FI: $270
  • Aetna — Neighborhood Network: $243
  • Cigna — Commercial: $270
  • Cigna — New Business ASO: $270
  • Coventry/First Health — Commercial: $472.50
  • Humana — Commercial: $573.75
  • InterGroup — PPO: $337.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL HIGH COMPLEX $716 $429.60 $52.05 – $658.72
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates
  • Aetna — CHIP/Medicaid: $128.88
  • Aetna — EBR ASO: $286.40
  • Aetna — EBR FI: $341.53
  • Aetna — Home Depot Employer Group: $379.48
  • Aetna — Medicare: $76.47
  • Aetna — NBR ASO/FI: $286.40
  • Aetna — Neighborhood Network: $379.48
  • Cigna — Commercial: $286.40
  • Cigna — New Business ASO: $379.48
  • Coventry/First Health — Commercial: $501.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 30 MINUTES $149 $89.40 $28.60 – $736.26
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates
  • Aetna — CHIP/Medicaid: $33.80
  • Aetna — EBR ASO: $59.60
  • Aetna — EBR FI: $71.07
  • Aetna — Home Depot Employer Group: $78.97
  • Aetna — Medicare: $168.50
  • Aetna — NBR ASO/FI: $59.60
  • Aetna — Neighborhood Network: $78.97
  • Aetna of PA — Medicare: $160.84
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $41.14
  • AmeriHealth Caritas — Medicare: $165.43
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 30 MINUTES $149 $89.40 $53.64 – $137.08
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $59.60
  • Aetna — EBR FI: $58.11
  • Aetna — Home Depot Employer Group: $58.41
  • Aetna — NBR ASO/FI: $59.60
  • Aetna — Neighborhood Network: $53.64
  • Cigna — Commercial: $59.60
  • Cigna — New Business ASO: $59.60
  • Coventry/First Health — Commercial: $104.30
  • Humana — Commercial: $126.65
  • InterGroup — PPO: $74.50

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXC CYST BGN TUM OPEN $6,822 $4,093.20 $190.30 – $6,276.24
Removal of breast growth (open surgery): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $224.90
  • Aetna — EBR ASO: $2,728.80
  • Aetna — EBR FI: $3,254.09
  • Aetna — Home Depot Employer Group: $3,615.66
  • Aetna — Medicare: $4,015.84
  • Aetna — NBR ASO/FI: $2,728.80
  • Aetna — Neighborhood Network: $3,615.66
  • Aetna of PA — Medicare: $3,833.30
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $273.76
  • AmeriHealth Caritas — Medicare: $3,942.82
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXC CYST BGN TUM OPEN $6,822 $4,093.20 $2,455.92 – $6,276.24
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,728.80
  • Aetna — EBR FI: $2,660.58
  • Aetna — Home Depot Employer Group: $2,674.22
  • Aetna — NBR ASO/FI: $2,728.80
  • Aetna — Neighborhood Network: $2,455.92
  • Cigna — Commercial: $2,728.80
  • Cigna — New Business ASO: $2,728.80
  • Coventry/First Health — Commercial: $4,775.40
  • Humana — Commercial: $5,798.70
  • InterGroup — PPO: $3,411
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19 Not listed in the file Not listed in the file $190.30 – $4,910.42
Removal of breast growth (open surgery): 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $224.90
  • Aetna — Medicare: $4,015.84
  • Aetna of PA — Medicare: $3,833.30
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $273.76
  • AmeriHealth Caritas — Medicare: $3,942.82
  • Geisinger — Medicaid/CHIP: $269.31
  • Highmark BCBS of PA — Commercial - Indemnity: $3,795.60
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $2,834.18
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $844.93
  • Highmark BCBS of PA — Managed Care: $3,273.60
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT Not listed in the file Not listed in the file $2,492.82 – $19,553.34
Total hip replacement: 10 of 15 insurance plan rates
  • Aetna — Medicare: $13,493.67
  • Aetna of PA — Medicare: $12,880.32
  • AmeriHealth Caritas — Medicare: $13,248.33
  • Highmark BCBS of PA — Commercial - Indemnity: $11,198.22
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $8,361.73
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $2,492.82
  • Highmark BCBS of PA — Managed Care: $9,658.16
  • Highmark BCBS of PA — Managed Care - Social Mission: $7,211.97
  • Highmark BCBS of PA — UPMC Emergent: $14,487.30
  • Highmark Wholecare (prev Gateway) — Medicare: $13,247.10
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY) Not listed in the file Not listed in the file $2,690.84 – $19,553.34
Total knee replacement: 10 of 16 insurance plan rates
  • Aetna — Medicare: $13,493.67
  • Aetna of PA — Medicare: $12,880.32
  • AmeriHealth Caritas — Medicare: $13,248.33
  • Highmark BCBS of PA — Commercial - Indemnity: $12,087.79
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $9,025.98
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $2,690.84
  • Highmark BCBS of PA — Managed Care: $10,425.39
  • Highmark BCBS of PA — Managed Care - Social Mission: $7,784.88
  • Highmark BCBS of PA — UPMC Emergent: $15,638.16
  • Highmark Wholecare (prev Gateway) — Medicare: $13,247.10
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE Not listed in the file Not listed in the file $171.17 – $4,910.42
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
  • Aetna — Medicare: $171.17
  • Highmark BCBS of PA — Commercial - Indemnity: $3,795.60
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $2,834.18
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $844.93
  • Highmark BCBS of PA — Managed Care: $3,273.60
  • Highmark BCBS of PA — Managed Care - Social Mission: $2,444.47
  • Highmark BCBS of PA — UPMC Emergent: $4,910.42
  • UPMC Health Plan — CHIP: $2,655.58
  • UPMC Health Plan — Commercial: $1,644.18
  • UPMC Work Partners — Workers Comp: $2,462.16
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA Not listed in the file Not listed in the file $597.85 – $6,048.63
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $706.55
  • Aetna — Medicare: $3,402.68
  • Aetna of PA — Medicare: $3,248.02
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $860.03
  • AmeriHealth Caritas — Medicare: $3,340.82
  • Geisinger — Medicaid/CHIP: $846.07
  • Highmark BCBS of PA — Commercial - Indemnity: $4,675.39
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $3,491.13
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $1,040.78
  • Highmark BCBS of PA — Managed Care: $4,032.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD W/WO BRUSHINGS $5,480 $3,288 $137.74 – $5,041.60
Upper GI endoscopy (diagnostic): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $162.79
  • Aetna — EBR ASO: $2,192
  • Aetna — EBR FI: $2,613.96
  • Aetna — Home Depot Employer Group: $2,904.40
  • Aetna — Medicare: $983.24
  • Aetna — NBR ASO/FI: $2,192
  • Aetna — Neighborhood Network: $2,904.40
  • Aetna of PA — Medicare: $938.54
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $198.15
  • AmeriHealth Caritas — Medicare: $965.36
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD W/WO BRUSHINGS $5,480 $3,288 $1,972.80 – $5,041.60
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,192
  • Aetna — EBR FI: $2,137.20
  • Aetna — Home Depot Employer Group: $2,148.16
  • Aetna — NBR ASO/FI: $2,192
  • Aetna — Neighborhood Network: $1,972.80
  • Cigna — Commercial: $2,192
  • Cigna — New Business ASO: $2,192
  • Coventry/First Health — Commercial: $3,836
  • Humana — Commercial: $4,658
  • InterGroup — PPO: $2,740
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP Not listed in the file Not listed in the file $137.74 – $3,197.71
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $162.79
  • Aetna — Medicare: $983.24
  • Aetna of PA — Medicare: $938.54
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $198.15
  • AmeriHealth Caritas — Medicare: $965.36
  • Geisinger — Medicaid/CHIP: $194.93
  • Highmark BCBS of PA — Commercial - Indemnity: $2,471.73
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $1,845.64
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $550.23
  • Highmark BCBS of PA — Managed Care: $2,131.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD W/BIOPSY SINGLE/MULT $6,622 $3,973.20 $163.44 – $6,092.24
Upper GI endoscopy with biopsy: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $193.15
  • Aetna — EBR ASO: $2,648.80
  • Aetna — EBR FI: $3,158.69
  • Aetna — Home Depot Employer Group: $3,509.66
  • Aetna — Medicare: $983.24
  • Aetna — NBR ASO/FI: $2,648.80
  • Aetna — Neighborhood Network: $3,509.66
  • Aetna of PA — Medicare: $938.54
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $235.11
  • AmeriHealth Caritas — Medicare: $965.36
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD W/BIOPSY SINGLE/MULT $6,622 $3,973.20 $2,383.92 – $6,092.24
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,648.80
  • Aetna — EBR FI: $2,582.58
  • Aetna — Home Depot Employer Group: $2,595.82
  • Aetna — NBR ASO/FI: $2,648.80
  • Aetna — Neighborhood Network: $2,383.92
  • Cigna — Commercial: $2,648.80
  • Cigna — New Business ASO: $2,648.80
  • Coventry/First Health — Commercial: $4,635.40
  • Humana — Commercial: $5,628.70
  • InterGroup — PPO: $3,311
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $163.44 – $4,281.72
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $193.15
  • Aetna — Medicare: $983.24
  • Aetna of PA — Medicare: $938.54
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $235.11
  • AmeriHealth Caritas — Medicare: $965.36
  • Geisinger — Medicaid/CHIP: $231.29
  • Highmark BCBS of PA — Commercial - Indemnity: $3,309.63
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $2,471.31
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $736.75
  • Highmark BCBS of PA — Managed Care: $2,854.47
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY DIAG W/WO BRUSHING $2,500 $1,500 $198.55 – $4,281.72
Colonoscopy (diagnostic): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $234.65
  • Aetna — EBR ASO: $1,000
  • Aetna — EBR FI: $1,192.50
  • Aetna — Home Depot Employer Group: $1,325
  • Aetna — Medicare: $956.13
  • Aetna — NBR ASO/FI: $1,000
  • Aetna — Neighborhood Network: $1,325
  • Aetna of PA — Medicare: $912.67
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $285.62
  • AmeriHealth Caritas — Medicare: $938.75
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY DIAG W/WO BRUSHING $2,500 $1,500 $900 – $2,300
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $1,000
  • Aetna — EBR FI: $975
  • Aetna — Home Depot Employer Group: $980
  • Aetna — NBR ASO/FI: $1,000
  • Aetna — Neighborhood Network: $900
  • Cigna — Commercial: $1,000
  • Cigna — New Business ASO: $1,000
  • Coventry/First Health — Commercial: $1,750
  • Humana — Commercial: $2,125
  • InterGroup — PPO: $1,250
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE) Not listed in the file Not listed in the file $198.55 – $4,281.72
Colonoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $234.65
  • Aetna — Medicare: $956.13
  • Aetna of PA — Medicare: $912.67
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $285.62
  • AmeriHealth Caritas — Medicare: $938.75
  • Geisinger — Medicaid/CHIP: $280.98
  • Highmark BCBS of PA — Commercial - Indemnity: $3,309.63
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $2,471.31
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $736.75
  • Highmark BCBS of PA — Managed Care: $2,854.47
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BX SINGLE/MULT $8,025 $4,815 $247.96 – $7,383
Colonoscopy with biopsy: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $293.05
  • Aetna — EBR ASO: $3,210
  • Aetna — EBR FI: $3,827.93
  • Aetna — Home Depot Employer Group: $4,253.25
  • Aetna — Medicare: $1,236.52
  • Aetna — NBR ASO/FI: $3,210
  • Aetna — Neighborhood Network: $4,253.25
  • Aetna of PA — Medicare: $1,180.32
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $356.70
  • AmeriHealth Caritas — Medicare: $1,214.04
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BX SINGLE/MULT $8,025 $4,815 $2,889 – $7,383
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $3,210
  • Aetna — EBR FI: $3,129.75
  • Aetna — Home Depot Employer Group: $3,145.80
  • Aetna — NBR ASO/FI: $3,210
  • Aetna — Neighborhood Network: $2,889
  • Cigna — Commercial: $3,210
  • Cigna — New Business ASO: $3,210
  • Coventry/First Health — Commercial: $5,617.50
  • Humana — Commercial: $6,821.25
  • InterGroup — PPO: $4,012.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $247.96 – $4,281.72
Colonoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $293.05
  • Aetna — Medicare: $1,236.52
  • Aetna of PA — Medicare: $1,180.32
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $356.70
  • AmeriHealth Caritas — Medicare: $1,214.04
  • Geisinger — Medicaid/CHIP: $350.91
  • Highmark BCBS of PA — Commercial - Indemnity: $3,309.63
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $2,471.31
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $736.75
  • Highmark BCBS of PA — Managed Care: $2,854.47
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/SNARE TECHNIQUE $9,305 $5,583 $294.89 – $8,560.60
Colonoscopy with removal of polyps (snare): 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $348.50
  • Aetna — EBR ASO: $3,722
  • Aetna — EBR FI: $4,438.48
  • Aetna — Home Depot Employer Group: $4,931.65
  • Aetna — Medicare: $1,236.52
  • Aetna — NBR ASO/FI: $3,722
  • Aetna — Neighborhood Network: $4,931.65
  • Aetna of PA — Medicare: $1,180.32
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $424.21
  • AmeriHealth Caritas — Medicare: $1,214.04
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/SNARE TECHNIQUE $9,305 $5,583 $3,349.80 – $8,560.60
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $3,722
  • Aetna — EBR FI: $3,628.95
  • Aetna — Home Depot Employer Group: $3,647.56
  • Aetna — NBR ASO/FI: $3,722
  • Aetna — Neighborhood Network: $3,349.80
  • Cigna — Commercial: $3,722
  • Cigna — New Business ASO: $3,722
  • Coventry/First Health — Commercial: $6,513.50
  • Humana — Commercial: $7,909.25
  • InterGroup — PPO: $4,652.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE Not listed in the file Not listed in the file $294.89 – $4,281.72
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $348.50
  • Aetna — Medicare: $1,236.52
  • Aetna of PA — Medicare: $1,180.32
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $424.21
  • AmeriHealth Caritas — Medicare: $1,214.04
  • Geisinger — Medicaid/CHIP: $417.32
  • Highmark BCBS of PA — Commercial - Indemnity: $3,309.63
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $2,471.31
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $736.75
  • Highmark BCBS of PA — Managed Care: $2,854.47
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY SCREEN AVG RISK $2,400 $1,440 $432 – $3,640.69
Screening colonoscopy (not high risk): 10 of 31 insurance plan rates
  • Aetna — CHIP/Medicaid: $432
  • Aetna — EBR ASO: $960
  • Aetna — EBR FI: $1,144.80
  • Aetna — Home Depot Employer Group: $1,272
  • Aetna — Medicare: $956.13
  • Aetna — NBR ASO/FI: $960
  • Aetna — Neighborhood Network: $1,272
  • Aetna of PA — Medicare: $912.67
  • AmeriHealth Caritas — Medicare: $938.75
  • Cigna — Commercial: $960
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY SCREEN AVG RISK $2,400 $1,440 $864 – $2,208
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $960
  • Aetna — EBR FI: $936
  • Aetna — Home Depot Employer Group: $940.80
  • Aetna — NBR ASO/FI: $960
  • Aetna — Neighborhood Network: $864
  • Cigna — Commercial: $960
  • Cigna — New Business ASO: $960
  • Coventry/First Health — Commercial: $1,680
  • Humana — Commercial: $2,040
  • InterGroup — PPO: $1,200
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY Not listed in the file Not listed in the file $1,414.39 – $9,571.54
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
  • Aetna — Medicare: $6,118.60
  • Aetna of PA — Medicare: $5,840.48
  • AmeriHealth Caritas — Medicare: $6,007.35
  • Highmark BCBS of PA — Commercial - Indemnity: $7,398.49
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $5,524.47
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $1,646.97
  • Highmark BCBS of PA — Managed Care: $6,381
  • Highmark BCBS of PA — Managed Care - Social Mission: $4,764.84
  • Highmark BCBS of PA — UPMC Emergent: $9,571.54
  • Highmark Wholecare (prev Gateway) — Medicare: $6,006.79
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY W/BIOPSY W/WO D&C $8,634 $5,180.40 $577.87 – $7,943.28
Hysteroscopy with biopsy of the uterus lining: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $1,554.12
  • Aetna — EBR ASO: $3,453.60
  • Aetna — EBR FI: $4,118.42
  • Aetna — Home Depot Employer Group: $4,576.02
  • Aetna — Medicare: $3,334.43
  • Aetna — NBR ASO/FI: $3,453.60
  • Aetna — Neighborhood Network: $4,576.02
  • Aetna of PA — Medicare: $3,182.86
  • AmeriHealth Caritas — Medicare: $3,273.80
  • Cigna — Commercial: $3,453.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY W/BIOPSY W/WO D&C $8,634 $5,180.40 $3,108.24 – $7,943.28
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $3,453.60
  • Aetna — EBR FI: $3,367.26
  • Aetna — Home Depot Employer Group: $3,384.53
  • Aetna — NBR ASO/FI: $3,453.60
  • Aetna — Neighborhood Network: $3,108.24
  • Cigna — Commercial: $3,453.60
  • Cigna — New Business ASO: $3,453.60
  • Coventry/First Health — Commercial: $6,043.80
  • Humana — Commercial: $7,338.90
  • InterGroup — PPO: $4,317
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C Not listed in the file Not listed in the file $577.87 – $5,267.25
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
  • Aetna — Medicare: $3,334.43
  • Aetna of PA — Medicare: $3,182.86
  • AmeriHealth Caritas — Medicare: $3,273.80
  • Highmark BCBS of PA — Commercial - Indemnity: $4,071.41
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $3,040.13
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $906.33
  • Highmark BCBS of PA — Managed Care: $3,511.48
  • Highmark BCBS of PA — Managed Care - Social Mission: $2,622.10
  • Highmark BCBS of PA — UPMC Emergent: $5,267.25
  • Highmark Wholecare (prev Gateway) — Medicare: $3,273.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEURAXIAL L/S INJ-W/ IMG GUIDE $5,744 $3,446.40 $89.45 – $5,284.48
Spinal injection, lower back (epidural), with imaging guidance: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $105.72
  • Aetna — EBR ASO: $2,297.60
  • Aetna — EBR FI: $2,739.89
  • Aetna — Home Depot Employer Group: $3,044.32
  • Aetna — Medicare: $726.25
  • Aetna — NBR ASO/FI: $2,297.60
  • Aetna — Neighborhood Network: $3,044.32
  • Aetna of PA — Medicare: $693.24
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $128.68
  • AmeriHealth Caritas — Medicare: $713.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX INTRLMNR LUM/SAC W/IMG GDE $5,744 $3,446.40 $89.45 – $5,284.48
Spinal injection, lower back (epidural), with imaging guidance: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $105.72
  • Aetna — EBR ASO: $2,297.60
  • Aetna — EBR FI: $2,739.89
  • Aetna — Home Depot Employer Group: $3,044.32
  • Aetna — Medicare: $726.25
  • Aetna — NBR ASO/FI: $2,297.60
  • Aetna — Neighborhood Network: $3,044.32
  • Aetna of PA — Medicare: $693.24
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $128.68
  • AmeriHealth Caritas — Medicare: $713.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEURAXIAL L/S INJ-W/ IMG GUIDE $5,744 $3,446.40 $2,067.84 – $5,284.48
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,297.60
  • Aetna — EBR FI: $2,240.16
  • Aetna — Home Depot Employer Group: $2,251.65
  • Aetna — NBR ASO/FI: $2,297.60
  • Aetna — Neighborhood Network: $2,067.84
  • Cigna — Commercial: $2,297.60
  • Cigna — New Business ASO: $2,297.60
  • Coventry/First Health — Commercial: $4,020.80
  • Humana — Commercial: $4,882.40
  • InterGroup — PPO: $2,872
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPIDURAL LUMBAR/SACRAL SINGLE $5,321 $3,192.60 $104.54 – $4,895.32
Nerve root injection, lower back, with imaging guidance: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $123.55
  • Aetna — EBR ASO: $2,128.40
  • Aetna — EBR FI: $2,538.12
  • Aetna — Home Depot Employer Group: $2,820.13
  • Aetna — Medicare: $933.66
  • Aetna — NBR ASO/FI: $2,128.40
  • Aetna — Neighborhood Network: $2,820.13
  • Aetna of PA — Medicare: $891.22
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $150.39
  • AmeriHealth Caritas — Medicare: $916.68
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESI TRNSFML LUM/SAC 1ST LV UNI $5,321 $3,192.60 $104.54 – $4,895.32
Nerve root injection, lower back, with imaging guidance: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $123.55
  • Aetna — EBR ASO: $2,128.40
  • Aetna — EBR FI: $2,538.12
  • Aetna — Home Depot Employer Group: $2,820.13
  • Aetna — Medicare: $933.66
  • Aetna — NBR ASO/FI: $2,128.40
  • Aetna — Neighborhood Network: $2,820.13
  • Aetna of PA — Medicare: $891.22
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $150.39
  • AmeriHealth Caritas — Medicare: $916.68
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ ANES LUM/SA TRANSF SNG LEV $5,321 $3,192.60 $104.54 – $4,895.32
Nerve root injection, lower back, with imaging guidance: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $123.55
  • Aetna — EBR ASO: $2,128.40
  • Aetna — EBR FI: $2,538.12
  • Aetna — Home Depot Employer Group: $2,820.13
  • Aetna — Medicare: $933.66
  • Aetna — NBR ASO/FI: $2,128.40
  • Aetna — Neighborhood Network: $2,820.13
  • Aetna of PA — Medicare: $891.22
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $150.39
  • AmeriHealth Caritas — Medicare: $916.68
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CARPAL TUNNEL RELEASE $5,954 $3,572.40 $330 – $5,477.68
Carpal tunnel release: 10 of 36 insurance plan rates
  • Aetna — CHIP/Medicaid: $390
  • Aetna — EBR ASO: $2,381.60
  • Aetna — EBR FI: $2,840.06
  • Aetna — Home Depot Employer Group: $3,155.62
  • Aetna — Medicare: $2,047.90
  • Aetna — NBR ASO/FI: $2,381.60
  • Aetna — Neighborhood Network: $3,155.62
  • Aetna of PA — Medicare: $1,954.82
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $474.72
  • AmeriHealth Caritas — Medicare: $2,010.67
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CARPAL TUNNEL RELEASE $5,954 $3,572.40 $2,143.44 – $5,477.68
Carpal tunnel release: 10 of 13 insurance plan rates
  • Aetna — EBR ASO: $2,381.60
  • Aetna — EBR FI: $2,322.06
  • Aetna — Home Depot Employer Group: $2,333.97
  • Aetna — NBR ASO/FI: $2,381.60
  • Aetna — Neighborhood Network: $2,143.44
  • Cigna — Commercial: $2,381.60
  • Cigna — New Business ASO: $2,381.60
  • Coventry/First Health — Commercial: $4,167.80
  • Humana — Commercial: $5,060.90
  • InterGroup — PPO: $2,977
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGA Not listed in the file Not listed in the file $662.78 – $8,473.68
Cataract removal with lens implant: 10 of 23 insurance plan rates
  • Aetna — CHIP/Medicaid: $783.29
  • Aetna — Medicare: $2,391.84
  • Aetna of PA — Medicare: $2,283.12
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $953.44
  • AmeriHealth Caritas — Medicare: $2,348.35
  • Geisinger — Medicaid/CHIP: $937.96
  • Highmark BCBS of PA — Commercial - Indemnity: $6,549.88
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $4,890.81
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $1,458.06
  • Highmark BCBS of PA — Managed Care: $5,649.10

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier U7,HD In the file: HC 2ND TRI PKG VAG DEL $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $17,126.65
Vaginal delivery, with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,632.50
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,164.25
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3,204.36
  • Cigna — Commercial: $3,165.60
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier HD In the file: HC 3RD TRI BASIC PKG VAG DEL $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $17,126.65
Vaginal delivery, with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,321.80
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,164.25
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $2,826.17
  • Cigna — Commercial: $3,165.60
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier U8,HD In the file: HC 3RD TRI HIGH RISK PKG VAG DEL $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $17,126.65
Vaginal delivery, with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,698.80
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,164.25
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3,285.06
  • Cigna — Commercial: $3,165.60
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier U7,HD In the file: HC 2ND TRI PKG C SECT DEL $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $19,412.77
Cesarean delivery (C-section), with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,632.50
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,388.28
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3,204.36
  • Cigna — Commercial: $3,165.60
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier HD In the file: HC 3RD TRI BASIC PKG C SECT $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $19,412.77
Cesarean delivery (C-section), with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,321.80
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,388.28
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $2,826.17
  • Cigna — Commercial: $3,165.60
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier U8,HD In the file: HC 3RD TRI HIGH RISK PKG C SECT $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $19,412.77
Cesarean delivery (C-section), with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,698.80
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,388.28
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3,285.06
  • Cigna — Commercial: $3,165.60
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier UB,HD In the file: HC 2ND TRI PKG VBAC DEL $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $18,094.95
Vaginal delivery after a previous C-section, with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,632.50
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,261.60
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3,204.36
  • Cigna — Commercial: $3,165.60
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier U9,HD In the file: HC 3RD TRI BASIC PKG VBAC $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $18,094.95
Vaginal delivery after a previous C-section, with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,321.80
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,261.60
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $2,826.17
  • Cigna — Commercial: $3,165.60
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TG,HD In the file: HC 3RD TRI HIGH RISK PKG VBAC $7,914 $4,748.40 $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $18,094.95
Vaginal delivery after a previous C-section, with care before and after: 10 of 32 insurance plan rates
  • Aetna — CHIP/Medicaid: $2,698.80
  • Aetna — EBR ASO: $3,165.60
  • Aetna — EBR FI: $3,774.98
  • Aetna — Home Depot Employer Group: $4,194.42
  • Aetna — Medicare: $2,261.60
  • Aetna — NBR ASO/FI: $3,165.60
  • Aetna — Neighborhood Network: $4,194.42
  • Aetna of PA — Medicare: $36.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3,285.06
  • Cigna — Commercial: $3,165.60

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 $78,986.62 – $298,937.61
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 14 insurance plan rates
  • Aetna — Medicare: $86,885.28
  • Aetna of PA — Medicare: $82,935.95
  • AmeriHealth Caritas — Medicare: $85,305.55
  • Highmark BCBS of PA — Commercial - Indemnity: $226,555.61
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $170,121.54
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $78,986.62
  • Highmark BCBS of PA — Managed Care: $199,291.70
  • Highmark BCBS of PA — Managed Care - Social Mission: $149,648.83
  • Highmark BCBS of PA — UPMC Emergent: $298,937.61
  • Highmark Wholecare (prev Gateway) — Medicare: $85,297.65
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 $17,025.35 – $55,243.17
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates
  • Aetna — Medicare: $18,727.88
  • Aetna of PA — Medicare: $17,876.62
  • AmeriHealth Caritas — Medicare: $18,387.38
  • Highmark BCBS of PA — Commercial - Indemnity: $44,893.62
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $33,408.97
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $17,025.35
  • Highmark BCBS of PA — Managed Care: $36,828.78
  • Highmark BCBS of PA — Managed Care - Social Mission: $27,407.23
  • Highmark BCBS of PA — UPMC Emergent: $55,243.17
  • Highmark Wholecare (prev Gateway) — Medicare: $18,385.68
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 $21,067.78 – $71,092.37
Neck (cervical) spinal fusion, without complications: 10 of 14 insurance plan rates
  • Aetna — Medicare: $23,174.56
  • Aetna of PA — Medicare: $22,121.17
  • AmeriHealth Caritas — Medicare: $22,753.20
  • Highmark BCBS of PA — Commercial - Indemnity: $57,773.54
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $42,993.97
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $21,067.78
  • Highmark BCBS of PA — Managed Care: $47,394.91
  • Highmark BCBS of PA — Managed Care - Social Mission: $35,270.33
  • Highmark BCBS of PA — UPMC Emergent: $71,092.37
  • Highmark Wholecare (prev Gateway) — Medicare: $22,751.10
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 $11,595.97 – $39,989.46
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates
  • Aetna — Medicare: $12,755.57
  • Aetna of PA — Medicare: $12,175.77
  • AmeriHealth Caritas — Medicare: $12,523.65
  • Highmark BCBS of PA — Commercial - Indemnity: $32,497.62
  • Highmark BCBS of PA — Commercial - Social Mission Indemnity: $24,184.11
  • Highmark BCBS of PA — Complete Blue Medicare Advantage/Freedom Blue Medicare Advan: $11,595.97
  • Highmark BCBS of PA — Managed Care: $26,659.64
  • Highmark BCBS of PA — Managed Care - Social Mission: $19,839.56
  • Highmark BCBS of PA — UPMC Emergent: $39,989.46
  • Highmark Wholecare (prev Gateway) — Medicare: $12,522.49

Source: Magee Womens Hospital of UPMC Health System’s standard charges file (dam.upmc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 6, 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
Address300 Halket Street, Pittsburgh, PA 15213
CountyAllegheny County
StatePennsylvania
Phone(412) 641‑4010
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390114
Name in Medicare recordsMAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(412) 641‑1000[4]
Name on the hospital’s websiteUPMC Magee-Womens Hospital
Official websiteupmc.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. UPMC Magee-Womens Hospital — upmc.com
  2. Parking - UPMC Magee-Womens Hospital — upmc.com
  3. Emergency Department - UPMC Magee-Womens Hospital — upmc.com
  4. Emergency Department Services — upmc.com
  5. Palliative Care at Magee-Womens Hospital of UPMC — upmc.com
  6. Magee Emergency Department FAQs — upmc.com
  7. What to Expect in the Emergency Department at Magee-Womens Hospital — upmc.com
  8. Women's Cancer Program at Magee — upmc.com
  9. Cancer Support Services at Magee-Womens Hospital — upmc.com
  10. Awards and Recognition for UPMC Magee-Womens — upmc.com
  11. Osteoporosis and Bone Health Program at Magee-Womens Hospital — upmc.com