Does Meadville Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Meadville Medical Center. In a medical emergency, call 911.

Where is Meadville Medical Center?

751 Liberty Street, Meadville, PA 16335, in Crawford County, Pennsylvania.

What is the phone number of Meadville Medical Center?

(814) 333-5000, as listed by Medicare (CMS).

What is the Medicare star rating of Meadville Medical Center?

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

Meadville Medical Center — Meadville, PA

Quick answers

Does Meadville Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Meadville Medical Center. In a medical emergency, call 911.
Where is Meadville Medical Center?: 751 Liberty Street, Meadville, PA 16335, in Crawford County, Pennsylvania.
What is the phone number of Meadville Medical Center?: (814) 333-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Meadville Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][8][11][13]}

Conditions treated^[10][11]

Diabetic wounds
Pressure wounds
Burns
Arterial and venous wounds
COPD
Asthma
Lung cancer

Procedures^{[4][5][7][8][9][10][11]}

Aquablation therapy for BPH
VELYS robotic-assisted knee replacement
Mammography
Nuclear stress test
Echocardiography
Interventional cardiology
Cardiac CT
Laparoscopic gallbladder, hernia and appendectomy surgery
Open gallbladder, hernia and appendectomy surgery
Mastectomy
Breast biopsy
Hemorrhoidectomy
Bronchoscopy
Endobronchial ultrasound guided biopsy
Thoracentesis
Chest tube placement
Cesarean section
Debridement
Skin grafts
Compression therapy

Programs and centers^{[5][6][9][10][11][12]}

Sleep Lab & Diagnostics
Transitional Care
Emergency Department (24/7)
Cardiac Care Center
Congestive Heart Failure Clinic
Breathing Easy Pulmonary Rehabilitation Program
Wound Clinic
Yolanda G. Barco Oncology Institute

Emergency care (hospital website)^[5][6]

Emergency room	Yes
Open 24/7	Yes

Recognition^{[4][9][10][12]}

CareChex Awards for Medical Excellence and Patient Safety 2026
Corazon Cath/PCI re-accreditation 2026
Pulmonary rehabilitation certified by AACVPR
HAP Donate Life Pennsylvania Hospital Challenge GOLD winner 2026

Doctors and clinicians (480)

480 doctors and other clinicians list Meadville Medical Center 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 (480)

Abhinav R. Ettyreddy, MDOtolaryngology
Abner Ocasio-Acevedo, MDGeneral Surgery
Adam A. Levine, MDInternal Medicine
Adebamike A. Oshunbade, MDGeneral Practice
Ahmad Mourra, MDInternal Medicine
Ahmed Awad, MDNeurosurgery
Ahmed Barazi, MDInternal Medicine
Ahmet Toparli, MDInternal Medicine
Akash Gupta, MDInfectious Disease
Alejandro Victoria, MDInternal Medicine
Alicia A. Baker, DOFamily Practice
Alida H. Spencer, PAPhysician Assistant
Allison A. Kliber, MDFamily Practice
Alyssa M. Meighan, NPNurse Practitioner
Amanda Esmond, NPNurse Practitioner
Amanda F. BowesPhysician Assistant
Amber M. Crawford, NPNurse Practitioner
Ameet Kumar, MDHospitalist
Amgad H. Abdu, MDPulmonary Disease
Amie Coffman, DONeurology
Amy J. Paczkoskie, MDAnesthesiology
Amy K. DudasPhysician Assistant
Amy L. Brennan, CNACertified Registered Nurse Anesthetist (CRNA)
Ana C. Couto, MDAnesthesiology

And 456 more: the button below opens the full list.

Other emergency rooms nearby

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

UPMC Horizon20 mi · Greenville, PA · Acute Care Hospital
Titusville Area Hospital24 mi · Titusville, PA · Critical Access Hospital
Lecom Medical Center and Behavioral Health Pav30 mi · Erie, PA · Acute Care Hospital
UPMC Northwest30 mi · Seneca, PA · Acute Care Hospital
University Hospitals Conneaut Medical Center31 mi · Conneaut, OH · Critical Access Hospital

Other hospitals nearby

Edgewood Surgical Hospital26 mi · Transfer, PA · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Wesbury United Methodist Commu0.3 mi · Meadville, PA · 4 of 5 stars
Meadville Medical Ctr TCU0.6 mi · Meadville, PA · 4 of 5 stars
Embassy of Park Avenue2.1 mi · Meadville, PA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Gentiva II0.9 mi · Meadville, PA · 5 of 5 stars
Hospice of Crawford County Inc0.9 mi · Meadville, PA · 5 of 5 stars
Visiting Nurses Association of Venango County, Hos23 mi · Franklin, PA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Bayada Home Health Care, Inc0.9 mi · Meadville, PA
Care Options for Kids0.9 mi · Meadville, PA
Ekidz Care0.9 mi · Meadville, PA

All home health agencies in the state →

Dialysis facilities

DaVita Meadville Dialysis0.9 mi · Meadville, PA · 3 of 5 stars

All dialysis facilities 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

Sheakleyville Health Center14 mi · Sheakleyville, PA · Community health center
Greenville Community Health Center20 mi · Greenville, PA · Community health center
Sandy Lake Community Health Center20 mi · Sandy Lake, PA · Community health center

Clinics and urgent care

Medexpress Urgent Care, PC - Pennsylvania0.9 mi · Meadville, PA · Urgent care center
Rural Health Clinic of Meadville0.9 mi · Meadville, PA · Rural health clinic
Titusville Area Hospital0.9 mi · Meadville, PA · Rural health clinic

Pharmacies

Mill Run Apothecary, Inc0.9 mi · Meadville, PA · Community/retail pharmacy
MMC Pharmacy Inc0.9 mi · Meadville, PA · Community/retail pharmacy
Northern Adventures Inc.0.9 mi · Meadville, PA · Community/retail pharmacy

Assisted living nearby

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

Juniper Village at Meadville0.9 mi · Meadville, PA
Wesbury United Methodist Community0.9 mi · Meadville, PA

About the Medicare star rating

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

Medicare quality data

What Meadville Medical Center 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 hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	44%National average: 60%
Completed surveys	509Response rate: 29%

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)	0.678No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.508No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.601No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.32Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12%
Deaths within 30 days: heart failure patients	12.8%
Deaths within 30 days: pneumonia patients	13.9%
Deaths within 30 days: COPD patients	7.8%
Deaths within 30 days: stroke patients	11.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.05No different from the national rate
Complications after hip or knee replacement	2.9%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.8%
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	16%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	4.5%

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)	202 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	47%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Pennsylvania Best hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as Meadville Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN	$252	$151.20	$151.20 – $189
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates Aetna — All Products: $65.89 Aetna — Medicare Advantage: $76.61 Allwell PA Health & Wellness — Medicare Advantage: $76.61 Blue Cross — Medicare Advantage: $76.61 Blue Shield — All Products: $79.18 Cigna — All Products: $109.27 Cigna — Medicare Advantage: $76.61 COMMUNITY CARE BEHAVIORAL HEALTH — All Products: $75 Geisinger — Medicare Advantage: $78.14 Humana — Medicare Advantage: $76.61
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN	$359	$215.40	$215.40 – $269.25
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — All Products: $106.74 Aetna — Medicare Advantage: $124.76 Allwell PA Health & Wellness — Medicare Advantage: $124.76 Blue Cross — Medicare Advantage: $124.76 Blue Shield — All Products: $128.83 Carelon - Facility Counseling — All Products: $91.94 Carelon - Psychiatrist — All Products: $137.33 Cigna — All Products: $175.85 Cigna — Medicare Advantage: $124.76 COMMUNITY CARE BEHAVIORAL HEALTH — All Products: $92
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN	$456	$273.60	$273.60 – $342
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — All Products: $144.80 Aetna — Medicare Advantage: $169.70 Allwell PA Health & Wellness — Medicare Advantage: $169.70 Blue Cross — Medicare Advantage: $169.70 Blue Shield — All Products: $175.23 Cigna — All Products: $238.70 Cigna — Medicare Advantage: $169.70 Geisinger — Medicare Advantage: $173.10 Humana — Medicare Advantage: $169.70 United Healthcare — All Products: $169.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN	$50	$30	$30 – $114.44
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates Aetna — All Products: $52.75 Aetna — Medicare Advantage: $61.63 Allwell PA Health & Wellness — Medicare Advantage: $61.63 Blue Cross — Medicare Advantage: $61.63 Blue Shield — All Products: $63.60 Cigna — All Products: $87.09 Cigna — Medicare Advantage: $61.63 COMMUNITY CARE BEHAVIORAL HEALTH — All Products: $75 Geisinger — Medicare Advantage: $62.86 Humana — Medicare Advantage: $61.63
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN	$150	$90	$90 – $128.64
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — All Products: $77.42 Aetna — Medicare Advantage: $90.74 Allwell PA Health & Wellness — Medicare Advantage: $90.74 Blue Cross — Medicare Advantage: $90.74 Blue Shield — All Products: $93.78 Cigna — All Products: $128.64 Cigna — Medicare Advantage: $90.74 COMMUNITY CARE BEHAVIORAL HEALTH — All Products: $92 Geisinger — Medicare Advantage: $92.55 Humana — Medicare Advantage: $90.74
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$336	$201.60	$201.60 – $252
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates Aetna — All Products: $9.34 Aetna — Medicare Advantage: $82.40 Allwell PA Health & Wellness — Medicare Advantage: $82.40 Amerihealth — Managed Medicaid: $76.93 Blue Cross — Medicare Advantage: $82.40 Blue Shield — All Products: $94.53 Cigna — All Products: $117.21 Cigna — Medicare Advantage: $82.40 Geisinger — Managed Medicaid: $80.78 Geisinger — Medicare Advantage: $84.05
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$495	$297	$297 – $371.25
Office consultation with a specialist (moderate to high): 10 of 15 insurance plan rates Aetna — All Products: $14.92 Aetna — Medicare Advantage: $124.94 Allwell PA Health & Wellness — Medicare Advantage: $124.94 Amerihealth — Managed Medicaid: $120.56 Blue Cross — Medicare Advantage: $124.94 Blue Shield — All Products: $143.96 Cigna — All Products: $178.77 Cigna — Medicare Advantage: $124.94 Geisinger — Managed Medicaid: $126.59 Geisinger — Medicare Advantage: $127.44
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39	$192	$115.20	$115.20 – $436.70
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates Aetna — All Products: $86.14 Aetna — Medicare Advantage: $87.74 Allwell PA Health & Wellness — Medicare Advantage: $87.74 Blue Cross — Medicare Advantage: $87.74 Blue Shield — All Products: $90.21 Cigna — All Products: $124.39 Cigna — Medicare Advantage: $87.74 Geisinger — Medicare Advantage: $89.49 Humana — Medicare Advantage: $87.74 United Healthcare — All Products: $87.74
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64	$219	$131.40	$131.40 – $436.70
Preventive checkup, new patient, age 40–64: 10 of 12 insurance plan rates Aetna — All Products: $104.42 Aetna — Medicare Advantage: $106.24 Allwell PA Health & Wellness — Medicare Advantage: $106.24 Blue Cross — Medicare Advantage: $106.24 Blue Shield — All Products: $109.36 Cigna — All Products: $150.81 Cigna — Medicare Advantage: $106.24 Geisinger — Medicare Advantage: $108.36 Humana — Medicare Advantage: $106.24 United Healthcare — All Products: $106.24
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM	$130	$78	$78 – $97.50
Emergency room visit (moderate): 10 of 37 insurance plan rates Aetna — All Products: $57.30 Aetna — Medicare Advantage: $66.42 Allwell PA Health & Wellness — Medicare Advantage: $66.42 Amerihealth — Managed Medicaid: $56.65 Blue Cross — Blue Cross Community Blue PPO MMC: $661.35 Blue Cross — Blue Cross Community Blue PPO Vernon: $524.01 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $835.14 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $551.60 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $879.11 Blue Cross — Blue Cross Mission MMC: $338.41
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM	$212	$127.20	$127.20 – $160.87
Emergency room visit (moderately high): 10 of 37 insurance plan rates Aetna — All Products: $96.78 Aetna — Medicare Advantage: $113.33 Allwell PA Health & Wellness — Medicare Advantage: $113.33 Amerihealth — Managed Medicaid: $50 Blue Cross — Blue Cross Community Blue PPO MMC: $1,017.07 Blue Cross — Blue Cross Community Blue PPO Vernon: $805.86 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $1,284.34 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $848.29 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $1,351.95 Blue Cross — Blue Cross Mission MMC: $520.42
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM	$305	$183	$183 – $234.12
Emergency room visit (high): 10 of 35 insurance plan rates Aetna — All Products: $140.56 Aetna — Medicare Advantage: $164.39 Allwell PA Health & Wellness — Medicare Advantage: $164.39 Amerihealth — Managed Medicaid: $138.74 Blue Cross — Blue Cross Community Blue PPO MMC: $1,464.38 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,160.29 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $1,849.21 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,221.37 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $1,946.55 Blue Cross — Blue Cross Mission MMC: $749.31

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA	$78	$46.80	$46.80 – $93.60
Basic metabolic panel (blood test): rates for 6 insurance plans Amerihealth — Managed Medicaid: $9.36 Cigna — All Products: $18.13 Geisinger — Managed Medicaid: $9.36 Health Partners — Managed Medicaid: $9.36 United Healthcare — All Products: $93.60 UPMC for You — Managed Medicaid: $10.30
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	$102	$61.20	$61.20 – $122.40
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Amerihealth — Managed Medicaid: $11.69 Geisinger — Managed Medicaid: $11.69 Health Partners — Managed Medicaid: $11.69 United Healthcare — All Products: $122.40 UPMC for You — Managed Medicaid: $12.86
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$100	$60	$60 – $120
Cholesterol panel (lipid panel): rates for 5 insurance plans Amerihealth — Managed Medicaid: $14 Geisinger — Managed Medicaid: $14 Health Partners — Managed Medicaid: $14 United Healthcare — All Products: $120 UPMC for You — Managed Medicaid: $15.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$104	$62.40	$62.40 – $124.80
Kidney function panel: rates for 5 insurance plans Amerihealth — Managed Medicaid: $9.60 Geisinger — Managed Medicaid: $9.60 Health Partners — Managed Medicaid: $9.60 United Healthcare — All Products: $124.80 UPMC for You — Managed Medicaid: $10.56
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$78	$46.80	$46.80 – $93.60
Liver function panel: rates for 1 insurance plan UPMC for You — Managed Medicaid: $9.93
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	$84	$50.40	$50.40 – $100.80
Urine test (automated, with microscope): rates for 5 insurance plans Amerihealth — Managed Medicaid: $3 Geisinger — Managed Medicaid: $3 Health Partners — Managed Medicaid: $3 United Healthcare — All Products: $100.80 UPMC for You — Managed Medicaid: $3.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · modifier 59 In the file: URINALYSIS AUTO W/SCOPE	$84	$50.40	$50.40 – $100.80
Urine test (automated, with microscope): rates for 5 insurance plans Amerihealth — Managed Medicaid: $3 Geisinger — Managed Medicaid: $3 Health Partners — Managed Medicaid: $3 United Healthcare — All Products: $100.80 UPMC for You — Managed Medicaid: $3.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	$7	$4.20	$4.20 – $5.25
Urine test (manual, without microscope): rates for 5 insurance plans Aetna — All Products: $2.82 Blue Shield — All Products: $2.50 Cigna — All Products: $1.58 UPMC — All Products: $5.25 UPMC for You — Managed Medicaid: $4.79
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier QW In the file: URINALYSIS AUTO W/O SCOPE	$68	$40.80	$40.80 – $81.60
Urine test (automated, without microscope): rates for 6 insurance plans Amerihealth — Managed Medicaid: $3.10 Cigna — All Products: $4.81 Geisinger — Managed Medicaid: $3.10 Health Partners — Managed Medicaid: $3.10 United Healthcare — All Products: $81.60 UPMC for You — Managed Medicaid: $3.41
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier 59 In the file: URINALYSIS AUTO W/O SCOPE	$68	$40.80	$40.80 – $81.60
Urine test (automated, without microscope): rates for 6 insurance plans Amerihealth — Managed Medicaid: $3.10 Cigna — All Products: $4.81 Geisinger — Managed Medicaid: $3.10 Health Partners — Managed Medicaid: $3.10 United Healthcare — All Products: $81.60 UPMC for You — Managed Medicaid: $3.41
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	$134	$80.40	$80.40 – $160.80
PSA (prostate specific antigen) blood test: rates for 6 insurance plans Amerihealth — Managed Medicaid: $24.36 Cigna — All Products: $39.38 Geisinger — Managed Medicaid: $24.36 Health Partners — Managed Medicaid: $24.36 United Healthcare — All Products: $160.80 UPMC for You — Managed Medicaid: $26.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	$143	$85.80	$85.80 – $171.60
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans Amerihealth — Managed Medicaid: $23.21 Cigna — All Products: $35.99 Geisinger — Managed Medicaid: $23.21 Health Partners — Managed Medicaid: $23.21 United Healthcare — All Products: $171.60 UPMC for You — Managed Medicaid: $25.53
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	$70	$42	$42 – $84
Complete blood count (CBC) with differential: rates for 6 insurance plans Amerihealth — Managed Medicaid: $6 Cigna — All Products: $16.64 Geisinger — Managed Medicaid: $6 Health Partners — Managed Medicaid: $6 United Healthcare — All Products: $84 UPMC for You — Managed Medicaid: $6.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	$64	$38.40	$38.40 – $76.80
Complete blood count (CBC), automated: rates for 5 insurance plans Amerihealth — Managed Medicaid: $7.52 Geisinger — Managed Medicaid: $7.52 Health Partners — Managed Medicaid: $7.52 United Healthcare — All Products: $76.80 UPMC for You — Managed Medicaid: $8.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$42	$25.20	$25.20 – $50.40
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Amerihealth — Managed Medicaid: $4 Geisinger — Managed Medicaid: $4 Health Partners — Managed Medicaid: $4 United Healthcare — All Products: $50.40 UPMC for You — Managed Medicaid: $4.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	$64	$38.40	$38.40 – $76.80
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Amerihealth — Managed Medicaid: $7.50 Geisinger — Managed Medicaid: $7.50 Health Partners — Managed Medicaid: $7.50 United Healthcare — All Products: $76.80 UPMC for You — Managed Medicaid: $8.25

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: CT HEAD/BRAIN W/O DYE	$1,245	$747	$747 – $817
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates Aetna — All Products: $328.69 Aetna — Medicare Advantage: $109.56 Allwell PA Health & Wellness — Medicare Advantage: $109.56 Amerihealth — Managed Medicaid: $77.50 Blue Cross — Blue Cross Community Blue PPO MMC: $253.99 Blue Cross — Blue Cross Community Blue PPO Vernon: $201.25 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $320.74 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $211.84 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $337.62 Blue Cross — Blue Cross Mission MMC: $129.97
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT HEAD/BRAIN W/O DYE	$70	$42	$42 – $142.97
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates Aetna — All Products: $38.37 Aetna — Medicare Advantage: $37.66 Allwell PA Health & Wellness — Medicare Advantage: $37.66 Amerihealth — Managed Medicaid: $39.25 Blue Cross — Medicare Advantage: $37.66 Blue Shield — All Products: $122.28 Cigna — All Products: $142.97 Cigna — Medicare Advantage: $37.66 Geisinger — Managed Medicaid: $41.21 Geisinger — Medicare Advantage: $38.41
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI BRAIN STEM W/O & W/DYE	$5,369	$3,221.40	$3,221.40 – $3,489.85
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates Aetna — All Products: $1,103.87 Aetna — Medicare Advantage: $367.96 Allwell PA Health & Wellness — Medicare Advantage: $367.96 Amerihealth — Managed Medicaid: $269 Blue Cross — Blue Cross Community Blue PPO MMC: $853 Blue Cross — Blue Cross Community Blue PPO Vernon: $675.87 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $1,077.16 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $711.45 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $1,133.86 Blue Cross — Blue Cross Mission MMC: $436.47
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI BRAIN STEM W/O & W/DYE	$190	$114	$114 – $431.94
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — All Products: $109.27 Aetna — Medicare Advantage: $101.66 Allwell PA Health & Wellness — Medicare Advantage: $101.66 Amerihealth — Managed Medicaid: $70 Blue Cross — Medicare Advantage: $101.66 Blue Shield — All Products: $368.35 Cigna — All Products: $431.94 Cigna — Medicare Advantage: $101.66 Geisinger — Managed Medicaid: $73.50 Geisinger — Medicare Advantage: $103.70
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS	$266	$159.60	$159.60 – $279.55
Chest X-ray, 2 views: 10 of 31 insurance plan rates Aetna — All Products: $272.16 Aetna — Medicare Advantage: $90.72 Allwell PA Health & Wellness — Medicare Advantage: $90.72 Amerihealth — Managed Medicaid: $14.85 Blue Cross — Blue Cross Community Blue PPO MMC: $210.31 Blue Cross — Blue Cross Community Blue PPO Vernon: $166.63 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $265.57 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $175.41 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $279.55 Blue Cross — Blue Cross Mission MMC: $107.61
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: X-RAY EXAM CHEST 2 VIEWS	$18	$10.80	$10.80 – $43.76
Chest X-ray, 2 views: 10 of 17 insurance plan rates Aetna — All Products: $9.36 Aetna — Medicare Advantage: $9.73 Allwell PA Health & Wellness — Medicare Advantage: $9.73 Amerihealth — Managed Medicaid: $8.79 Blue Cross — Medicare Advantage: $9.73 Blue Shield — All Products: $37.09 Cigna — All Products: $43.76 Cigna — Medicare Advantage: $9.73 Geisinger — Managed Medicaid: $9.23 Geisinger — Medicare Advantage: $9.92
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$425	$255	$255 – $337.62
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates Aetna — All Products: $328.69 Aetna — Medicare Advantage: $109.56 Allwell PA Health & Wellness — Medicare Advantage: $109.56 Amerihealth — Managed Medicaid: $22.50 Blue Cross — Blue Cross Community Blue PPO MMC: $253.99 Blue Cross — Blue Cross Community Blue PPO Vernon: $201.25 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $320.74 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $211.84 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $337.62 Blue Cross — Blue Cross Mission MMC: $129.97
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$21	$12.60	$12.60 – $66.50
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates Aetna — All Products: $11.17 Aetna — Medicare Advantage: $11.91 Allwell PA Health & Wellness — Medicare Advantage: $11.91 Amerihealth — Managed Medicaid: $14.12 Blue Cross — Medicare Advantage: $11.91 Blue Shield — All Products: $57.28 Cigna — All Products: $66.50 Cigna — Medicare Advantage: $11.91 Geisinger — Managed Medicaid: $14.83 Geisinger — Medicare Advantage: $12.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: MRI LUMBAR SPINE W/O DYE	$2,745	$1,647	$1,647 – $1,784.25
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates Aetna — All Products: $747.15 Aetna — Medicare Advantage: $249.05 Allwell PA Health & Wellness — Medicare Advantage: $249.05 Amerihealth — Managed Medicaid: $187.20 Blue Cross — Blue Cross Community Blue PPO MMC: $577.35 Blue Cross — Blue Cross Community Blue PPO Vernon: $457.45 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $729.07 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $481.54 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $767.44 Blue Cross — Blue Cross Mission MMC: $295.42
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI LUMBAR SPINE W/O DYE	$124	$74.40	$74.40 – $281.77
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Aetna — All Products: $71.22 Aetna — Medicare Advantage: $65.58 Allwell PA Health & Wellness — Medicare Advantage: $65.58 Amerihealth — Managed Medicaid: $68.95 Blue Cross — Medicare Advantage: $65.58 Blue Shield — All Products: $221.31 Cigna — All Products: $258.80 Cigna — Medicare Advantage: $65.58 Geisinger — Managed Medicaid: $72.40 Geisinger — Medicare Advantage: $66.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT PELVIS W/DYE	$1,903	$1,141.80	$1,141.80 – $1,236.95
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates Aetna — All Products: $550.25 Aetna — Medicare Advantage: $183.42 Allwell PA Health & Wellness — Medicare Advantage: $183.42 Amerihealth — Managed Medicaid: $86.50 Blue Cross — Blue Cross Community Blue PPO MMC: $425.20 Blue Cross — Blue Cross Community Blue PPO Vernon: $336.90 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $536.94 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $354.64 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $565.20 Blue Cross — Blue Cross Mission MMC: $217.57
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT PELVIS W/DYE	$96	$57.60	$57.60 – $310.34
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates Aetna — All Products: $52.56 Aetna — Medicare Advantage: $51.16 Allwell PA Health & Wellness — Medicare Advantage: $51.16 Amerihealth — Managed Medicaid: $53.59 Blue Cross — Medicare Advantage: $51.16 Blue Shield — All Products: $264.45 Cigna — All Products: $310.34 Cigna — Medicare Advantage: $51.16 Geisinger — Managed Medicaid: $56.27 Geisinger — Medicare Advantage: $52.18
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT,TC In the file: MRI JNT OF LWR EXTRE W/O DYE	$2,367	$1,420.20	$1,420.20 – $1,538.55
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates Aetna — All Products: $747.15 Aetna — Medicare Advantage: $249.05 Allwell PA Health & Wellness — Medicare Advantage: $249.05 Amerihealth — Managed Medicaid: $331.39 Blue Cross — Blue Cross Community Blue PPO MMC: $577.35 Blue Cross — Blue Cross Community Blue PPO Vernon: $457.45 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $729.07 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $481.54 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $767.44 Blue Cross — Blue Cross Mission MMC: $295.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT,TC In the file: MRI JNT OF LWR EXTRE W/O DYE	$2,367	$1,420.20	$1,420.20 – $1,538.55
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates Aetna — All Products: $747.15 Aetna — Medicare Advantage: $249.05 Allwell PA Health & Wellness — Medicare Advantage: $249.05 Amerihealth — Managed Medicaid: $331.39 Blue Cross — Blue Cross Community Blue PPO MMC: $577.35 Blue Cross — Blue Cross Community Blue PPO Vernon: $457.45 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $729.07 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $481.54 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $767.44 Blue Cross — Blue Cross Mission MMC: $295.42
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT ABD & PELVIS W/CONTRAST	$4,686	$2,811.60	$2,811.60 – $3,045.90
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates Aetna — All Products: $1,103.87 Aetna — Medicare Advantage: $367.96 Allwell PA Health & Wellness — Medicare Advantage: $367.96 Amerihealth — Managed Medicaid: $192.73 Blue Cross — Blue Cross Community Blue PPO MMC: $853 Blue Cross — Blue Cross Community Blue PPO Vernon: $675.87 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $1,077.16 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $711.45 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $1,133.86 Blue Cross — Blue Cross Mission MMC: $436.47
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT ABD & PELVIS W/CONTRAST	$152	$91.20	$91.20 – $411.77
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates Aetna — All Products: $82.84 Aetna — Medicare Advantage: $80.95 Allwell PA Health & Wellness — Medicare Advantage: $80.95 Amerihealth — Managed Medicaid: $70.43 Blue Cross — Medicare Advantage: $80.95 Blue Shield — All Products: $350.34 Cigna — All Products: $411.77 Cigna — Medicare Advantage: $80.95 Geisinger — Managed Medicaid: $73.95 Geisinger — Medicare Advantage: $82.57
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	$621	$372.60	$372.60 – $403.65
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates Aetna — All Products: $328.69 Aetna — Medicare Advantage: $109.56 Allwell PA Health & Wellness — Medicare Advantage: $109.56 Amerihealth — Managed Medicaid: $57.50 Blue Cross — Blue Cross Community Blue PPO MMC: $253.99 Blue Cross — Blue Cross Community Blue PPO Vernon: $201.25 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $320.74 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $211.84 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $337.62 Blue Cross — Blue Cross Mission MMC: $129.97
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: US EXAM ABDOM COMPLETE	$67	$40.20	$40.20 – $152.24
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates Aetna — All Products: $34.43 Aetna — Medicare Advantage: $35.78 Allwell PA Health & Wellness — Medicare Advantage: $35.78 Amerihealth — Managed Medicaid: $37.77 Blue Cross — Medicare Advantage: $35.78 Blue Shield — All Products: $130.91 Cigna — All Products: $152.24 Cigna — Medicare Advantage: $35.78 Geisinger — Managed Medicaid: $39.66 Geisinger — Medicare Advantage: $36.49
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: OB US >= 14 WKS SNGL FETUS	$686	$411.60	$411.60 – $445.90
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates Aetna — All Products: $328.69 Aetna — Medicare Advantage: $109.56 Allwell PA Health & Wellness — Medicare Advantage: $109.56 Amerihealth — Managed Medicaid: $46.50 Blue Cross — Blue Cross Community Blue PPO MMC: $253.99 Blue Cross — Blue Cross Community Blue PPO Vernon: $201.25 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $320.74 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $211.84 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $337.62 Blue Cross — Blue Cross Mission MMC: $129.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: OB US >= 14 WKS SNGL FETUS	$81	$48.60	$48.60 – $177.11
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates Aetna — All Products: $42.29 Aetna — Medicare Advantage: $44.23 Allwell PA Health & Wellness — Medicare Advantage: $44.23 Amerihealth — Managed Medicaid: $31 Blue Cross — Medicare Advantage: $44.23 Blue Shield — All Products: $149.45 Cigna — All Products: $177.11 Cigna — Medicare Advantage: $44.23 Geisinger — Managed Medicaid: $32.55 Geisinger — Medicare Advantage: $45.11
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: TRANSVAGINAL US NON-OB	$494	$296.40	$296.40 – $337.62
Transvaginal ultrasound: 10 of 30 insurance plan rates Aetna — All Products: $328.69 Aetna — Medicare Advantage: $109.56 Allwell PA Health & Wellness — Medicare Advantage: $109.56 Amerihealth — Managed Medicaid: $46.50 Blue Cross — Blue Cross Community Blue PPO MMC: $253.99 Blue Cross — Blue Cross Community Blue PPO Vernon: $201.25 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $320.74 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $211.84 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $337.62 Blue Cross — Blue Cross Mission MMC: $129.97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: TRANSVAGINAL US NON-OB	$58	$34.80	$34.80 – $156.14
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — All Products: $29.58 Aetna — Medicare Advantage: $30.75 Allwell PA Health & Wellness — Medicare Advantage: $30.75 Amerihealth — Managed Medicaid: $30 Blue Cross — Medicare Advantage: $30.75 Blue Shield — All Products: $134.29 Cigna — All Products: $156.14 Cigna — Medicare Advantage: $30.75 Geisinger — Managed Medicaid: $31.50 Geisinger — Medicare Advantage: $31.36
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: DX MAMMO INCL CAD UNI	$203	$121.80	$121.80 – $162.91
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — All Products: $34.43 Aetna — Medicare Advantage: $35.78 Allwell PA Health & Wellness — Medicare Advantage: $35.78 Amerihealth — Managed Medicaid: $31.40 Blue Cross — Medicare Advantage: $35.78 Blue Shield — All Products: $135.85 Cigna — All Products: $162.91 Cigna — Medicare Advantage: $35.78 Geisinger — Managed Medicaid: $32.97 Geisinger — Medicare Advantage: $36.49
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: DX MAMMO INCL CAD UNI	$407	$244.20	$244.20 – $264.55
Diagnostic mammogram, one breast: rates for 3 insurance plans Amerihealth — Managed Medicaid: $71.01 Geisinger — Managed Medicaid: $71.01 Health Partners — Managed Medicaid: $71.01
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: DX MAMMO INCL CAD BI	$257	$154.20	$154.20 – $205.32
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — All Products: $42.58 Aetna — Medicare Advantage: $43.95 Allwell PA Health & Wellness — Medicare Advantage: $43.95 Amerihealth — Managed Medicaid: $39.02 Blue Cross — Medicare Advantage: $43.95 Blue Shield — All Products: $171.98 Cigna — All Products: $205.32 Cigna — Medicare Advantage: $43.95 Geisinger — Managed Medicaid: $40.97 Geisinger — Medicare Advantage: $44.83
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: DX MAMMO INCL CAD BI	$699	$419.40	$419.40 – $454.35
Diagnostic mammogram, both breasts: rates for 4 insurance plans Amerihealth — Managed Medicaid: $90.83 Geisinger — Managed Medicaid: $90.83 Health Partners — Managed Medicaid: $90.83 UPMC for You — Managed Medicaid: $142.84
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: SCR MAMMO BI INCL CAD	$207	$124.20	$124.20 – $166.60
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — All Products: $32.31 Aetna — Medicare Advantage: $33.88 Allwell PA Health & Wellness — Medicare Advantage: $33.88 Amerihealth — Managed Medicaid: $29.68 Blue Cross — Medicare Advantage: $33.88 Blue Shield — All Products: $138.74 Cigna — All Products: $166.60 Cigna — Medicare Advantage: $33.88 Geisinger — Managed Medicaid: $31.16 Geisinger — Medicare Advantage: $34.56
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: SCR MAMMO BI INCL CAD	$600	$360	$360 – $390
Screening mammogram, both breasts: rates for 3 insurance plans Amerihealth — Managed Medicaid: $75.02 Geisinger — Managed Medicaid: $75.02 Health Partners — Managed Medicaid: $75.02

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM	$2,737	$1,642.20	$1,642.20 – $3,230.14
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates Aetna — All Products: $3,144.71 Aetna — Medicare Advantage: $1,048.24 Allwell PA Health & Wellness — Medicare Advantage: $1,048.24 Amerihealth — Managed Medicaid: $270.32 Blue Cross — Blue Cross Community Blue PPO MMC: $2,430.02 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,925.40 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $3,068.61 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $2,026.77 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $3,230.14 Blue Cross — Blue Cross Mission MMC: $1,243.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	$1,182	$709.20	$709.20 – $886.50
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates Aetna — All Products: $121.75 Aetna — Medicare Advantage: $108.98 Allwell PA Health & Wellness — Medicare Advantage: $108.98 Amerihealth — Managed Medicaid: $76.24 Blue Cross — Medicare Advantage: $108.98 Blue Shield — All Products: $696.38 Cigna — All Products: $782.06 Cigna — Medicare Advantage: $108.98 Geisinger — Managed Medicaid: $80.05 Geisinger — Medicare Advantage: $111.16

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	$124	$74.40	$74.40 – $80.60
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Cigna — All Products: $74.40 UPMC for You — Managed Medicaid: $9.22
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	$462	$277.20	$277.20 – $300.30
Physical therapy evaluation (low complexity): rates for 4 insurance plans Amerihealth — Managed Medicaid: $63.61 Cigna — All Products: $277.20 Geisinger — Managed Medicaid: $63.61 Health Partners — Managed Medicaid: $63.61
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	$476	$285.60	$285.60 – $309.40
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans Amerihealth — Managed Medicaid: $63.61 Cigna — All Products: $285.60 Geisinger — Managed Medicaid: $63.61 Health Partners — Managed Medicaid: $63.61
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	$497	$298.20	$298.20 – $323.05
Physical therapy evaluation (high complexity): rates for 3 insurance plans Amerihealth — Managed Medicaid: $63.61 Geisinger — Managed Medicaid: $63.61 Health Partners — Managed Medicaid: $63.61
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	$199	$119.40	$119.40 – $149.25
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Medicare Advantage: $67.54 Allwell PA Health & Wellness — Medicare Advantage: $67.54 Blue Cross — Medicare Advantage: $67.54 Blue Shield — All Products: $74.52 Carelon - MSW — All Products: $25 Carelon - Ph.D. — All Products: $30 Carelon - Psychiatrist — All Products: $53.59 Carelon - Psychologist — All Products: $53.59 Cigna — All Products: $88.82 Cigna — Medicare Advantage: $67.54
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	$300	$180	$180 – $225
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates Aetna — Medicare Advantage: $89.09 Allwell PA Health & Wellness — Medicare Advantage: $89.09 Blue Cross — Medicare Advantage: $89.09 Blue Shield — All Products: $98.51 Carelon - MSW — All Products: $50 Carelon - Ph.D. — All Products: $60 Cigna — All Products: $117.77 Cigna — Medicare Advantage: $89.09 Geisinger — Medicare Advantage: $90.87 Humana — Medicare Advantage: $89.09
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	$444	$266.40	$266.40 – $333
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates Aetna — Medicare Advantage: $131.90 Allwell PA Health & Wellness — Medicare Advantage: $131.90 Blue Cross — Medicare Advantage: $131.90 Blue Shield — All Products: $145.40 Carelon - MSW — All Products: $65 Carelon - Ph.D. — All Products: $75 Cigna — All Products: $173.09 Cigna — Medicare Advantage: $131.90 COMMUNITY CARE BEHAVIORAL HEALTH — All Products: $98 Geisinger — Medicare Advantage: $134.53
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN	$348	$208.80	$208.80 – $261
Family psychotherapy, with the patient: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $100.46 Allwell PA Health & Wellness — Medicare Advantage: $100.46 Blue Cross — Medicare Advantage: $100.46 Blue Shield — All Products: $110.87 Cigna — All Products: $132.64 Cigna — Medicare Advantage: $100.46 Geisinger — Medicare Advantage: $102.46 Humana — Medicare Advantage: $100.46 United Healthcare — All Products: $100.46 United Healthcare Medicare — Medicare Advantage: $100.46
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	$456	$273.60	$273.60 – $342
Group psychotherapy: 10 of 32 insurance plan rates Aetna — All Products: $285.91 Aetna — Medicare Advantage: $23.77 Allwell PA Health & Wellness — Medicare Advantage: $23.77 Blue Cross — Blue Cross Community Blue PPO MMC: $220.94 Blue Cross — Blue Cross Community Blue PPO Vernon: $175.06 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $278.99 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $184.27 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $293.68 Blue Cross — Blue Cross Mission MMC: $113.05 Blue Cross — Blue Cross Mission Vernon: $96.08
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier PO In the file: GROUP PSYCHOTHERAPY	$456	$273.60	$273.60 – $296.40
Group psychotherapy: 10 of 28 insurance plan rates Aetna — All Products: $285.91 Aetna — Medicare Advantage: $95.30 Allwell PA Health & Wellness — Medicare Advantage: $95.30 Blue Cross — Blue Cross Community Blue PPO MMC: $220.94 Blue Cross — Blue Cross Community Blue PPO Vernon: $175.06 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $278.99 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $184.27 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $293.68 Blue Cross — Blue Cross Mission MMC: $113.05 Blue Cross — Blue Cross Mission Vernon: $96.08

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	$488	$292.80	$292.80 – $386.11
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates Aetna — All Products: $270.38 Aetna — Medicare Advantage: $274.86 Allwell PA Health & Wellness — Medicare Advantage: $274.86 Blue Cross — Medicare Advantage: $274.86 Blue Shield — All Products: $302.32 Cigna — All Products: $386.11 Cigna — Medicare Advantage: $274.86 Geisinger — Medicare Advantage: $280.35 Humana — Medicare Advantage: $274.86 United Healthcare — All Products: $274.86
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	$271	$162.60	$162.60 – $203.25
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates Aetna — All Products: $113.39 Aetna — Medicare Advantage: $113.55 Allwell PA Health & Wellness — Medicare Advantage: $113.55 Amerihealth — Managed Medicaid: $125.22 Blue Cross — Blue Cross Community Blue PPO MMC: $2,239.35 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,774.32 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,827.83 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,867.74 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,976.69 Blue Cross — Blue Cross Mission MMC: $1,145.85
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	$306	$183.60	$183.60 – $229.50
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates Aetna — All Products: $127.70 Aetna — Medicare Advantage: $127.64 Allwell PA Health & Wellness — Medicare Advantage: $127.64 Amerihealth — Managed Medicaid: $148.58 Blue Cross — Blue Cross Community Blue PPO MMC: $2,239.35 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,774.32 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,827.83 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,867.74 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,976.69 Blue Cross — Blue Cross Mission MMC: $1,145.85
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	$689	$413.40	$413.40 – $516.75
Colonoscopy (diagnostic): 10 of 34 insurance plan rates Aetna — All Products: $170.75 Aetna — Medicare Advantage: $170.72 Allwell PA Health & Wellness — Medicare Advantage: $170.72 Amerihealth — Managed Medicaid: $180.50 Blue Cross — Blue Cross Community Blue PPO MMC: $2,177.61 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,725.40 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,749.86 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,816.24 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,894.62 Blue Cross — Blue Cross Mission MMC: $1,114.26
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	$411	$246.60	$246.60 – $308.25
Colonoscopy with biopsy: 10 of 34 insurance plan rates Aetna — All Products: $185.38 Aetna — Medicare Advantage: $185.71 Allwell PA Health & Wellness — Medicare Advantage: $185.71 Amerihealth — Managed Medicaid: $225.42 Blue Cross — Blue Cross Community Blue PPO MMC: $2,816.22 Blue Cross — Blue Cross Community Blue PPO Vernon: $2,231.40 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $3,556.29 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $2,348.87 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $3,743.50 Blue Cross — Blue Cross Mission MMC: $1,441.03
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	$699	$419.40	$419.40 – $524.25
Colonoscopy with removal of polyps (snare): 10 of 34 insurance plan rates Aetna — All Products: $235.74 Aetna — Medicare Advantage: $234.17 Allwell PA Health & Wellness — Medicare Advantage: $234.17 Amerihealth — Managed Medicaid: $268.08 Blue Cross — Blue Cross Community Blue PPO MMC: $2,816.22 Blue Cross — Blue Cross Community Blue PPO Vernon: $2,231.40 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $3,556.29 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $2,348.87 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $3,743.50 Blue Cross — Blue Cross Mission MMC: $1,441.03
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND	$664	$398.40	$398.40 – $498
Screening colonoscopy (not high risk): 10 of 30 insurance plan rates Aetna — All Products: $165.58 Aetna — Medicare Advantage: $171.02 Allwell PA Health & Wellness — Medicare Advantage: $171.02 Blue Cross — Blue Cross Community Blue PPO MMC: $2,177.61 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,725.40 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,749.86 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,816.24 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,894.62 Blue Cross — Blue Cross Mission MMC: $1,114.26 Blue Cross — Blue Cross Mission Vernon: $946.96
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	$304	$182.40	$182.40 – $228
Prostate biopsy: 10 of 13 insurance plan rates Aetna — All Products: $118.67 Aetna — Medicare Advantage: $120.66 Allwell PA Health & Wellness — Medicare Advantage: $120.66 Blue Cross — Medicare Advantage: $120.66 Blue Shield — All Products: $159.34 Cigna — All Products: $169.91 Cigna — Medicare Advantage: $120.66 Geisinger — Medicare Advantage: $123.07 Humana — Medicare Advantage: $120.66 United Healthcare — All Products: $120.66
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	$1,385	$831	$831 – $1,038.75
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates Aetna — All Products: $185.16 Aetna — Medicare Advantage: $216.28 Allwell PA Health & Wellness — Medicare Advantage: $216.28 Blue Cross — Medicare Advantage: $216.28 Blue Shield — All Products: $249.74 Cigna — All Products: $306.01 Cigna — Medicare Advantage: $216.28 Geisinger — Medicare Advantage: $220.60 Humana — Medicare Advantage: $216.28 United Healthcare — All Products: $216.28
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	$280	$168	$168 – $210
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates Aetna — All Products: $85.28 Aetna — Medicare Advantage: $92.60 Allwell PA Health & Wellness — Medicare Advantage: $92.60 Amerihealth — Managed Medicaid: $81.32 Blue Cross — Blue Cross Community Blue PPO MMC: $1,654.08 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,310.59 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,088.75 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,379.59 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,198.70 Blue Cross — Blue Cross Mission MMC: $846.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier RT In the file: NJX AA&/STRD TFRM EPI L/S 1	$345	$207	$207 – $258.75
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna — All Products: $95.36 Aetna — Medicare Advantage: $103.59 Allwell PA Health & Wellness — Medicare Advantage: $103.59 Amerihealth — Managed Medicaid: $95.04 Blue Cross — Blue Cross Community Blue PPO MMC: $2,126.45 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,684.87 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,685.26 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,773.57 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,826.61 Blue Cross — Blue Cross Mission MMC: $1,088.08
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier LT In the file: NJX AA&/STRD TFRM EPI L/S 1	$345	$207	$207 – $258.75
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna — All Products: $95.36 Aetna — Medicare Advantage: $103.59 Allwell PA Health & Wellness — Medicare Advantage: $103.59 Amerihealth — Managed Medicaid: $95.04 Blue Cross — Blue Cross Community Blue PPO MMC: $2,126.45 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,684.87 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,685.26 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,773.57 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,826.61 Blue Cross — Blue Cross Mission MMC: $1,088.08
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: NJX AA&/STRD TFRM EPI L/S 1	$690	$414	$414 – $517.50
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna — All Products: $95.36 Aetna — Medicare Advantage: $103.59 Allwell PA Health & Wellness — Medicare Advantage: $103.59 Amerihealth — Managed Medicaid: $95.04 Blue Cross — Blue Cross Community Blue PPO MMC: $2,126.45 Blue Cross — Blue Cross Community Blue PPO Vernon: $1,684.87 Blue Cross — Blue Cross Community Blue PPO Yolanda Barco: $2,685.26 Blue Cross — Blue Cross Indemnity & Managed Care Vernon: $1,773.57 Blue Cross — Blue Cross Indemnity & Managed Care Yolanda Barco: $2,826.61 Blue Cross — Blue Cross Mission MMC: $1,088.08

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	$4,570	$2,742	$2,742 – $3,427.50
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates Aetna — All Products: $1,967.50 Aetna — Medicare Advantage: $2,255.88 Allwell PA Health & Wellness — Medicare Advantage: $2,255.88 Blue Cross — Medicare Advantage: $2,255.88 Blue Shield — All Products: $2,818.87 Cigna — All Products: $3,168.02 Cigna — Medicare Advantage: $2,255.88 Geisinger — Medicare Advantage: $2,301 Humana — Medicare Advantage: $2,255.88 United Healthcare — All Products: $2,255.88
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	$5,620	$3,372	$3,372 – $4,215
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates Aetna — All Products: $2,171.16 Aetna — Medicare Advantage: $2,505.70 Allwell PA Health & Wellness — Medicare Advantage: $2,505.70 Blue Cross — Medicare Advantage: $2,505.70 Blue Shield — All Products: $2,818.87 Cigna — All Products: $3,503.56 Cigna — Medicare Advantage: $2,505.70 Geisinger — Medicare Advantage: $2,555.82 Humana — Medicare Advantage: $2,505.70 United Healthcare — All Products: $2,505.70
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	$5,435	$3,261	$3,261 – $4,076.25
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates Aetna — All Products: $2,056 Aetna — Medicare Advantage: $2,362.89 Allwell PA Health & Wellness — Medicare Advantage: $2,362.89 Blue Cross — Medicare Advantage: $2,362.89 Blue Shield — All Products: $2,818.87 Cigna — All Products: $3,316.83 Cigna — Medicare Advantage: $2,362.89 Geisinger — Medicare Advantage: $2,410.15 Humana — Medicare Advantage: $2,362.89 United Healthcare — All Products: $2,362.89

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$70,259.96
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 16 insurance plan rates AARP MEDICARE COMPLETE — Medicare Advantage: $69,822.29 AETNA MEDICARE ADVANTAGE — Medicare Advantage: $71,218.74 ALLWELL PA HEALTH & WELLNESS — Medicare Advantage: $69,822.29 AMERIHEALTH VIP CARE CLAIMS — Medicare Advantage: $69,822.29 BC MC COMPLETE BLUE PPO — Medicare Advantage: $65,632.95 BLUE CROSS MEDICARE ADVANTAGE — Medicare Advantage: $69,822.29 CIGNA MEDICARE ADVANTAGE — Medicare Advantage: $69,822.29 DEVOTED HEALTH — Medicare Advantage: $69,822.29 Geisinger — Medicare Advantage: $70,259.96 HEALTHSPRING MC ADVANTAGE — Medicare Advantage: $69,822.29
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$13,726.43
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates AARP MEDICARE COMPLETE — Medicare Advantage: $13,767.04 AETNA MEDICARE ADVANTAGE — Medicare Advantage: $14,042.38 ALLWELL PA HEALTH & WELLNESS — Medicare Advantage: $13,767.04 AMERIHEALTH VIP CARE CLAIMS — Medicare Advantage: $13,767.04 BC MC COMPLETE BLUE PPO — Medicare Advantage: $12,941.02 BLUE CROSS MEDICARE ADVANTAGE — Medicare Advantage: $13,767.04 CIGNA MEDICARE ADVANTAGE — Medicare Advantage: $13,767.04 DEVOTED HEALTH — Medicare Advantage: $13,767.04 Geisinger — Medicare Advantage: $13,726.43 HEALTHSPRING MC ADVANTAGE — Medicare Advantage: $13,767.04
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$17,234.66
Neck (cervical) spinal fusion, without complications: 10 of 16 insurance plan rates AARP MEDICARE COMPLETE — Medicare Advantage: $17,424.17 AETNA MEDICARE ADVANTAGE — Medicare Advantage: $17,772.65 ALLWELL PA HEALTH & WELLNESS — Medicare Advantage: $17,424.17 AMERIHEALTH VIP CARE CLAIMS — Medicare Advantage: $17,424.17 BC MC COMPLETE BLUE PPO — Medicare Advantage: $16,378.72 BLUE CROSS MEDICARE ADVANTAGE — Medicare Advantage: $17,424.17 CIGNA MEDICARE ADVANTAGE — Medicare Advantage: $17,424.17 DEVOTED HEALTH — Medicare Advantage: $17,424.17 Geisinger — Medicare Advantage: $17,234.66 HEALTHSPRING MC ADVANTAGE — Medicare Advantage: $17,424.17
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$8,726.53
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates AARP MEDICARE COMPLETE — Medicare Advantage: $8,855.19 AETNA MEDICARE ADVANTAGE — Medicare Advantage: $9,032.29 ALLWELL PA HEALTH & WELLNESS — Medicare Advantage: $8,855.19 AMERIHEALTH VIP CARE CLAIMS — Medicare Advantage: $8,855.19 BC MC COMPLETE BLUE PPO — Medicare Advantage: $8,323.87 BLUE CROSS MEDICARE ADVANTAGE — Medicare Advantage: $8,855.19 CIGNA MEDICARE ADVANTAGE — Medicare Advantage: $8,855.19 DEVOTED HEALTH — Medicare Advantage: $8,855.19 Geisinger — Medicare Advantage: $8,726.53 HEALTHSPRING MC ADVANTAGE — Medicare Advantage: $8,855.19

Source: Meadville Medical Center’s standard charges file (mmchs.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 11, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	751 Liberty Street, Meadville, PA 16335
County	Crawford County
State	Pennsylvania
Phone	(814) 333‑5000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	390113
Name in Medicare records	MEADVILLE MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	mmchs.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Meadville Medical Center — mmchs.org
Services - Meadville Medical Center — mmchs.org
Emergency Department - Meadville Medical Center — mmchs.org
Surgery - Meadville Medical Center — mmchs.org
OB / GYN - Meadville Medical Center — mmchs.org
Cardiology - Meadville Medical Center — mmchs.org
Pulmonology - Meadville Medical Center — mmchs.org
Wound Clinic - Meadville Medical Center — mmchs.org
Cancer Treatment - Meadville Medical Center — mmchs.org
Laboratory and Pathology - Meadville Medical Center — mmchs.org

Meadville Medical Center

Summary

Profile from official sources

At a glance