Where is PAM Health Rehabilitation Hospital of Georgetown L…?

22303 Dupont Blvd, Georgetown, DE 19947, in Sussex County, Delaware.

What is the phone number of PAM Health Rehabilitation Hospital of Georgetown L…?

(302) 440-4866, as listed by Medicare (CMS).

PAM Health Rehabilitation Hospital of Georgetown L…

Quick answers

Where is PAM Health Rehabilitation Hospital of Georgetown L…?: 22303 Dupont Blvd, Georgetown, DE 19947, in Sussex County, Delaware.
What is the phone number of PAM Health Rehabilitation Hospital of Georgetown L…?: (302) 440-4866, as listed by Medicare (CMS).

Specialties and care areas^[4]

Inpatient rehabilitation

Conditions treated^[4]

Treatments^[4]

Physical therapy
Occupational therapy
Speech therapy
Pulmonary therapy
Inpatient hemodialysis
Hand therapy
LSVT Big & Loud
Onsite dialysis
Bedside dialysis

Programs and centers^[4]

Amputation program
Stroke program
Balance and vestibular program
Sensory rehabilitation
Spasticity management
Urinary incontinence program
Stroke support group
Amputation support group
Support groups

Visiting and practical information

Visiting	Visiting hours 8 a.m. to 8 p.m^[4]
Parking	Free parking^[4]
Interpreters and languages	Interpretation services listed as an amenity^[4]

Nearest emergency rooms

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

Tidalhealth Nanticoke, Inc.12 mi · Seaford, DE · Acute Care Hospital
Beebe Medical Center15 mi · Lewes, DE · Acute Care Hospital
Bayhealth Hospital, Sussex Campus18 mi · Milford, DE · Acute Care Hospital
Tidalhealth Peninsula Regional, Inc24 mi · Salisbury, MD · Acute Care Hospital
Atlantic General Hospital26 mi · Berlin, MD · Acute Care Hospital

Other hospitals nearby

Sun Behavioral Delaware LLC1.6 mi · Georgetown, DE · Psychiatric Hospital
Encompass Health Rehab Hospital of Salisbury23 mi · Salisbury, MD · Inpatient Rehabilitation Hospital
Deer's Head Center23 mi · Salisbury, MD · Long-Term 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

Delaware Bay Rehabilitation and Healthcare Center1.0 mi · Georgetown, DE · 2 of 5 stars
Ocean Grove Post Acute8.2 mi · Millsboro, DE · 1 of 5 stars
Cadia Rehabilitation Renaissance11 mi · Millsboro, DE · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Compassionate Care Hospice of the Delmar Peninsula18 mi · Milford, DE · 3 of 5 stars
Delaware Hospice, Inc Southern Division18 mi · Milford, DE · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Amedisys Home Health0.9 mi · Georgetown, DE
Beebe Hospital Home Health9.2 mi · Millsboro, DE
Tidalhealth Home Care12 mi · Laurel, DE · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FKC Mid Sussex County0.9 mi · Georgetown, DE · 2 of 5 stars
FKC Millsboro9.2 mi · Millsboro, DE · 2 of 5 stars
FKC Bridgeville12 mi · Bridgeville, DE · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

CTS Surgical Associates LLC9.2 mi · Millsboro, DE
Lewes Surgery Center13 mi · Lewes, DE
Seaside Endoscopy Pavilion13 mi · Lewes, DE

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

La Red Health Center Main Campus1.6 mi · Georgetown, DE · Community health center
LRHC Mobile Health Unit1.6 mi · Georgetown, DE · Community health center
Western Sussex Community Health Center12 mi · Seaford, DE · Community health center

Clinics and urgent care

CNS Occupational Medicine of Delaware0.9 mi · Georgetown, DE · Urgent care center
Aspira Health13 mi · Lewes, DE · Urgent care center
Atracare Walk-In LLC13 mi · Lewes, DE · Urgent care center

Pharmacies

Wal-Mart Stores East LP0.9 mi · Georgetown, DE · Community/retail pharmacy
Walgreen Co0.9 mi · Georgetown, DE · Pharmacy
Diya Patel Pharmacy LLC9.2 mi · Millsboro, DE · Community/retail pharmacy

Assisted living nearby

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

Peach Tree Health Group, LLC7.4 mi · Harbeson, DE
The Lodge at Historic Lewes Senior Living13 mi · Lewes, DE
The Moorings at Lewes Assisted Living13 mi · Lewes, DE
OakBridge Terrace at Manor House, Acts Senior Living13 mi · Seaford, DE

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 Delaware

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as PAM Health Rehabilitation Hospital of Georgetown L… 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) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30-44 MIN	Not listed in the file	Not listed in the file	$107.29
New patient office visit (about 30–44 minutes): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $107.29
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45-59 MIN	Not listed in the file	Not listed in the file	$160.89
New patient office visit (about 45–59 minutes): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $160.89
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60-74 MIN	Not listed in the file	Not listed in the file	$212.19
New patient office visit (about 60–74 minutes): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $212.19
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20-29 MIN	Not listed in the file	Not listed in the file	$87.47
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $87.47
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30-39 MIN	Not listed in the file	Not listed in the file	$123.41
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $123.41
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$124.08
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $124.08
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$143.05
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $143.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 3	$1,087.21	$1,087.21	$56.28 – $924.13
Emergency room visit (moderate): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $56.28 Aetna — Medicare Advantage: $326.16 Americas Choice Provider Network — Commercial: $761.05 Blue Cross Blue Shield Highmark — All Plans: $219.10 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $67.81 Direct Pay Three Rivers Network — Group Health: $428 MultiPlan/PHCS — Commercial: $869.77 PACE (Milford Wellness Village) — DSNP: $67.81 Prime Health Services — Commercial: $924.13 Provider Network of Amercia — PPO: $815.41
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 3	$1,087.21	$1,087.21	$761.05 – $924.13
Emergency room visit (moderate): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $761.05 MultiPlan/PHCS — Commercial: $869.77 Prime Health Services — Commercial: $924.13 Provider Network of Amercia — PPO: $815.41 Quik Trip — Employee Coverage: $815.41 Unity Preferred — Commercial: $815.41 USA Managed Care Organization — Health and Wellness Network HMO: $815.41 Velocity Provider PPO Network — Group Health and All Other: $815.41
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 4	$1,708.99	$1,708.99	$95 – $1,452.64
Emergency room visit (moderately high): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $95 Aetna — Medicare Advantage: $512.70 Americas Choice Provider Network — Commercial: $1,196.29 Blue Cross Blue Shield Highmark — All Plans: $355.53 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $115.38 Direct Pay Three Rivers Network — Group Health: $654.22 MultiPlan/PHCS — Commercial: $1,367.19 PACE (Milford Wellness Village) — DSNP: $115.38 Prime Health Services — Commercial: $1,452.64 Provider Network of Amercia — PPO: $1,281.74
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 4	$1,708.99	$1,708.99	$1,196.29 – $1,452.64
Emergency room visit (moderately high): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,196.29 MultiPlan/PHCS — Commercial: $1,367.19 Prime Health Services — Commercial: $1,452.64 Provider Network of Amercia — PPO: $1,281.74 Quik Trip — Employee Coverage: $1,281.74 Unity Preferred — Commercial: $1,281.74 USA Managed Care Organization — Health and Wellness Network HMO: $1,281.74 Velocity Provider PPO Network — Group Health and All Other: $1,281.74
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 5	$2,453.04	$2,453.04	$137.92 – $2,085.08
Emergency room visit (high): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $137.92 Aetna — Medicare Advantage: $735.91 Americas Choice Provider Network — Commercial: $1,717.13 Blue Cross Blue Shield Highmark — All Plans: $520.85 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $167.13 Direct Pay Three Rivers Network — Group Health: $933.73 MultiPlan/PHCS — Commercial: $1,962.43 PACE (Milford Wellness Village) — DSNP: $167.13 Prime Health Services — Commercial: $2,085.08 Provider Network of Amercia — PPO: $1,839.78
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 5	$2,453.04	$2,453.04	$1,717.13 – $2,085.08
Emergency room visit (high): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,717.13 MultiPlan/PHCS — Commercial: $1,962.43 Prime Health Services — Commercial: $2,085.08 Provider Network of Amercia — PPO: $1,839.78 Quik Trip — Employee Coverage: $1,839.78 Unity Preferred — Commercial: $1,839.78 USA Managed Care Organization — Health and Wellness Network HMO: $1,839.78 Velocity Provider PPO Network — Group Health and All Other: $1,839.78

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BMP with Total Calcium	$84.60	$84.60	$7.02 – $71.91
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $7.02 Aetna — Medicare Advantage: $25.38 Americas Choice Provider Network — Commercial: $59.22 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $8.29 Direct Pay Three Rivers Network — Group Health: $12.69 MultiPlan/PHCS — Commercial: $67.68 PACE (Milford Wellness Village) — DSNP: $8.29 Prime Health Services — Commercial: $71.91 Provider Network of Amercia — PPO: $63.45 Quik Trip — Employee Coverage: $63.45
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BMP with Total Calcium	$84.60	$84.60	$59.22 – $71.91
Basic metabolic panel (blood test): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $59.22 MultiPlan/PHCS — Commercial: $67.68 Prime Health Services — Commercial: $71.91 Provider Network of Amercia — PPO: $63.45 Quik Trip — Employee Coverage: $63.45 Unity Preferred — Commercial: $63.45 USA Managed Care Organization — Health and Wellness Network HMO: $63.45 Velocity Provider PPO Network — Group Health and All Other: $63.45
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen Metabolic Panel CMP	$105.60	$105.60	$8.76 – $89.76
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $8.76 Aetna — Medicare Advantage: $31.68 Americas Choice Provider Network — Commercial: $73.92 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $10.35 Direct Pay Three Rivers Network — Group Health: $15.84 MultiPlan/PHCS — Commercial: $84.48 PACE (Milford Wellness Village) — DSNP: $10.35 Prime Health Services — Commercial: $89.76 Provider Network of Amercia — PPO: $79.20 Quik Trip — Employee Coverage: $79.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehen Metabolic Panel CMP	$105.60	$105.60	$73.92 – $89.76
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $73.92 MultiPlan/PHCS — Commercial: $84.48 Prime Health Services — Commercial: $89.76 Provider Network of Amercia — PPO: $79.20 Quik Trip — Employee Coverage: $79.20 Unity Preferred — Commercial: $79.20 USA Managed Care Organization — Health and Wellness Network HMO: $79.20 Velocity Provider PPO Network — Group Health and All Other: $79.20
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$46.85
Obstetric blood test panel: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $46.85
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel	$133.90	$133.90	$11.11 – $113.82
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $11.11 Aetna — Medicare Advantage: $40.17 Americas Choice Provider Network — Commercial: $93.73 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $13.12 Direct Pay Three Rivers Network — Group Health: $20.09 MultiPlan/PHCS — Commercial: $107.12 PACE (Milford Wellness Village) — DSNP: $13.12 Prime Health Services — Commercial: $113.82 Provider Network of Amercia — PPO: $100.43 Quik Trip — Employee Coverage: $100.43
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel	$133.90	$133.90	$93.73 – $113.82
Cholesterol panel (lipid panel): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $93.73 MultiPlan/PHCS — Commercial: $107.12 Prime Health Services — Commercial: $113.82 Provider Network of Amercia — PPO: $100.43 Quik Trip — Employee Coverage: $100.43 Unity Preferred — Commercial: $100.43 USA Managed Care Organization — Health and Wellness Network HMO: $100.43 Velocity Provider PPO Network — Group Health and All Other: $100.43
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$86.80	$86.80	$7.20 – $73.78
Kidney function panel: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $7.20 Aetna — Medicare Advantage: $26.04 Americas Choice Provider Network — Commercial: $60.76 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $8.51 Direct Pay Three Rivers Network — Group Health: $13.02 MultiPlan/PHCS — Commercial: $69.44 PACE (Milford Wellness Village) — DSNP: $8.51 Prime Health Services — Commercial: $73.78 Provider Network of Amercia — PPO: $65.10 Quik Trip — Employee Coverage: $65.10
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel	$86.80	$86.80	$60.76 – $73.78
Kidney function panel: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $60.76 MultiPlan/PHCS — Commercial: $69.44 Prime Health Services — Commercial: $73.78 Provider Network of Amercia — PPO: $65.10 Quik Trip — Employee Coverage: $65.10 Unity Preferred — Commercial: $65.10 USA Managed Care Organization — Health and Wellness Network HMO: $65.10 Velocity Provider PPO Network — Group Health and All Other: $65.10
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$81.70	$81.70	$6.78 – $69.45
Liver function panel: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $6.78 Aetna — Medicare Advantage: $24.51 Americas Choice Provider Network — Commercial: $57.19 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $8.01 Direct Pay Three Rivers Network — Group Health: $12.26 MultiPlan/PHCS — Commercial: $65.36 PACE (Milford Wellness Village) — DSNP: $8.01 Prime Health Services — Commercial: $69.45 Provider Network of Amercia — PPO: $61.28 Quik Trip — Employee Coverage: $61.28
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$81.70	$81.70	$57.19 – $69.45
Liver function panel: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $57.19 MultiPlan/PHCS — Commercial: $65.36 Prime Health Services — Commercial: $69.45 Provider Network of Amercia — PPO: $61.28 Quik Trip — Employee Coverage: $61.28 Unity Preferred — Commercial: $61.28 USA Managed Care Organization — Health and Wellness Network HMO: $61.28 Velocity Provider PPO Network — Group Health and All Other: $61.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Auto W/Scope UA	$31.70	$31.70	$2.63 – $26.95
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $2.63 Aetna — Medicare Advantage: $9.51 Americas Choice Provider Network — Commercial: $22.19 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $3.11 Direct Pay Three Rivers Network — Group Health: $4.76 MultiPlan/PHCS — Commercial: $25.36 PACE (Milford Wellness Village) — DSNP: $3.11 Prime Health Services — Commercial: $26.95 Provider Network of Amercia — PPO: $23.78 Quik Trip — Employee Coverage: $23.78
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Auto W/Scope UA	$31.70	$31.70	$22.19 – $26.95
Urine test (automated, with microscope): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $22.19 MultiPlan/PHCS — Commercial: $25.36 Prime Health Services — Commercial: $26.95 Provider Network of Amercia — PPO: $23.78 Quik Trip — Employee Coverage: $23.78 Unity Preferred — Commercial: $23.78 USA Managed Care Organization — Health and Wellness Network HMO: $23.78 Velocity Provider PPO Network — Group Health and All Other: $23.78
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Non-Auto W/O Scope	$34.80	$34.80	$2.89 – $29.58
Urine test (manual, without microscope): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $2.89 Aetna — Medicare Advantage: $10.44 Americas Choice Provider Network — Commercial: $24.36 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $3.41 Direct Pay Three Rivers Network — Group Health: $5.22 MultiPlan/PHCS — Commercial: $27.84 PACE (Milford Wellness Village) — DSNP: $3.41 Prime Health Services — Commercial: $29.58 Provider Network of Amercia — PPO: $26.10 Quik Trip — Employee Coverage: $26.10
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Non-Auto W/O Scope	$34.80	$34.80	$24.36 – $29.58
Urine test (manual, without microscope): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $24.36 MultiPlan/PHCS — Commercial: $27.84 Prime Health Services — Commercial: $29.58 Provider Network of Amercia — PPO: $26.10 Quik Trip — Employee Coverage: $26.10 Unity Preferred — Commercial: $26.10 USA Managed Care Organization — Health and Wellness Network HMO: $26.10 Velocity Provider PPO Network — Group Health and All Other: $26.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Auto W/O Scope UA	$22.50	$22.50	$1.87 – $19.13
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $1.87 Aetna — Medicare Advantage: $6.75 Americas Choice Provider Network — Commercial: $15.75 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $2.21 Direct Pay Three Rivers Network — Group Health: $3.38 MultiPlan/PHCS — Commercial: $18 PACE (Milford Wellness Village) — DSNP: $2.21 Prime Health Services — Commercial: $19.13 Provider Network of Amercia — PPO: $16.88 Quik Trip — Employee Coverage: $16.88
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Reflex to Microscopic	$22.50	$22.50	$1.87 – $19.13
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $1.87 Aetna — Medicare Advantage: $6.75 Americas Choice Provider Network — Commercial: $15.75 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $2.21 Direct Pay Three Rivers Network — Group Health: $3.38 MultiPlan/PHCS — Commercial: $18 PACE (Milford Wellness Village) — DSNP: $2.21 Prime Health Services — Commercial: $19.13 Provider Network of Amercia — PPO: $16.88 Quik Trip — Employee Coverage: $16.88
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Auto W/O Scope UA	$22.50	$22.50	$15.75 – $19.13
Urine test (automated, without microscope): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $15.75 MultiPlan/PHCS — Commercial: $18 Prime Health Services — Commercial: $19.13 Provider Network of Amercia — PPO: $16.88 Quik Trip — Employee Coverage: $16.88 Unity Preferred — Commercial: $16.88 USA Managed Care Organization — Health and Wellness Network HMO: $16.88 Velocity Provider PPO Network — Group Health and All Other: $16.88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Total	$183.90	$183.90	$15.26 – $156.32
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $15.26 Aetna — Medicare Advantage: $55.17 Americas Choice Provider Network — Commercial: $128.73 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $18.02 Direct Pay Three Rivers Network — Group Health: $27.59 MultiPlan/PHCS — Commercial: $147.12 PACE (Milford Wellness Village) — DSNP: $18.02 Prime Health Services — Commercial: $156.32 Provider Network of Amercia — PPO: $137.93 Quik Trip — Employee Coverage: $137.93
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA Total	$183.90	$183.90	$128.73 – $156.32
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $128.73 MultiPlan/PHCS — Commercial: $147.12 Prime Health Services — Commercial: $156.32 Provider Network of Amercia — PPO: $137.93 Quik Trip — Employee Coverage: $137.93 Unity Preferred — Commercial: $137.93 USA Managed Care Organization — Health and Wellness Network HMO: $137.93 Velocity Provider PPO Network — Group Health and All Other: $137.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stim Hormone	$168	$168	$13.94 – $142.80
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $13.94 Aetna — Medicare Advantage: $50.40 Americas Choice Provider Network — Commercial: $117.60 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $16.46 Direct Pay Three Rivers Network — Group Health: $25.20 MultiPlan/PHCS — Commercial: $134.40 PACE (Milford Wellness Village) — DSNP: $16.46 Prime Health Services — Commercial: $142.80 Provider Network of Amercia — PPO: $126 Quik Trip — Employee Coverage: $126
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Stim Hormone	$168	$168	$117.60 – $142.80
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $117.60 MultiPlan/PHCS — Commercial: $134.40 Prime Health Services — Commercial: $142.80 Provider Network of Amercia — PPO: $126 Quik Trip — Employee Coverage: $126 Unity Preferred — Commercial: $126 USA Managed Care Organization — Health and Wellness Network HMO: $126 Velocity Provider PPO Network — Group Health and All Other: $126
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete CBC W/Auto Diff	$77.70	$77.70	$6.45 – $66.05
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $6.45 Aetna — Medicare Advantage: $23.31 Americas Choice Provider Network — Commercial: $54.39 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $7.61 Direct Pay Three Rivers Network — Group Health: $11.66 MultiPlan/PHCS — Commercial: $62.16 PACE (Milford Wellness Village) — DSNP: $7.61 Prime Health Services — Commercial: $66.05 Provider Network of Amercia — PPO: $58.28 Quik Trip — Employee Coverage: $58.28
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete CBC W/Auto Diff	$77.70	$77.70	$54.39 – $66.05
Complete blood count (CBC) with differential: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $54.39 MultiPlan/PHCS — Commercial: $62.16 Prime Health Services — Commercial: $66.05 Provider Network of Amercia — PPO: $58.28 Quik Trip — Employee Coverage: $58.28 Unity Preferred — Commercial: $58.28 USA Managed Care Organization — Health and Wellness Network HMO: $58.28 Velocity Provider PPO Network — Group Health and All Other: $58.28
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/o differential	$64.70	$64.70	$5.37 – $55
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $5.37 Aetna — Medicare Advantage: $19.41 Americas Choice Provider Network — Commercial: $45.29 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $6.34 Direct Pay Three Rivers Network — Group Health: $9.71 MultiPlan/PHCS — Commercial: $51.76 PACE (Milford Wellness Village) — DSNP: $6.34 Prime Health Services — Commercial: $55 Provider Network of Amercia — PPO: $48.53 Quik Trip — Employee Coverage: $48.53
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC w/o differential	$64.70	$64.70	$45.29 – $55
Complete blood count (CBC), automated: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $45.29 MultiPlan/PHCS — Commercial: $51.76 Prime Health Services — Commercial: $55 Provider Network of Amercia — PPO: $48.53 Quik Trip — Employee Coverage: $48.53 Unity Preferred — Commercial: $48.53 USA Managed Care Organization — Health and Wellness Network HMO: $48.53 Velocity Provider PPO Network — Group Health and All Other: $48.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time PT/INR	$42.90	$42.90	$3.56 – $36.47
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $3.56 Aetna — Medicare Advantage: $12.87 Americas Choice Provider Network — Commercial: $30.03 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $4.20 Direct Pay Three Rivers Network — Group Health: $6.44 MultiPlan/PHCS — Commercial: $34.32 PACE (Milford Wellness Village) — DSNP: $4.20 Prime Health Services — Commercial: $36.47 Provider Network of Amercia — PPO: $32.18 Quik Trip — Employee Coverage: $32.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time PT/INR	$42.90	$42.90	$30.03 – $36.47
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $30.03 MultiPlan/PHCS — Commercial: $34.32 Prime Health Services — Commercial: $36.47 Provider Network of Amercia — PPO: $32.18 Quik Trip — Employee Coverage: $32.18 Unity Preferred — Commercial: $32.18 USA Managed Care Organization — Health and Wellness Network HMO: $32.18 Velocity Provider PPO Network — Group Health and All Other: $32.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT Thromboplastin Time Partia	$60.10	$60.10	$4.99 – $51.09
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $4.99 Aetna — Medicare Advantage: $18.03 Americas Choice Provider Network — Commercial: $42.07 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $5.89 Direct Pay Three Rivers Network — Group Health: $9.02 MultiPlan/PHCS — Commercial: $48.08 PACE (Milford Wellness Village) — DSNP: $5.89 Prime Health Services — Commercial: $51.09 Provider Network of Amercia — PPO: $45.08 Quik Trip — Employee Coverage: $45.08
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT Thromboplastin Time Partia	$60.10	$60.10	$42.07 – $51.09
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $42.07 MultiPlan/PHCS — Commercial: $48.08 Prime Health Services — Commercial: $51.09 Provider Network of Amercia — PPO: $45.08 Quik Trip — Employee Coverage: $45.08 Unity Preferred — Commercial: $45.08 USA Managed Care Organization — Health and Wellness Network HMO: $45.08 Velocity Provider PPO Network — Group Health and All Other: $45.08

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) · Hospital (facility) fee In the file: CT Head/Brain W/O Dye	$501.26	$501.26	$104.16 – $426.07
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $113.84 Aetna — Medicare Advantage: $150.38 Americas Choice Provider Network — Commercial: $350.88 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $104.16 Direct Pay Three Rivers Network — Group Health: $163.92 MultiPlan/PHCS — Commercial: $401.01 PACE (Milford Wellness Village) — DSNP: $104.16 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head/Brain W/O Dye	$501.26	$501.26	$350.88 – $426.07
CT scan of the head or brain, without contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $350.88 MultiPlan/PHCS — Commercial: $401.01 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95 Unity Preferred — Commercial: $375.95 USA Managed Care Organization — Health and Wellness Network HMO: $375.95 Velocity Provider PPO Network — Group Health and All Other: $375.95
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain Stem W/O & W/Dye	$1,693.35	$1,693.35	$313.64 – $1,439.35
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $425 Aetna — Medicare Advantage: $508.01 Americas Choice Provider Network — Commercial: $1,185.35 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $313.64 Direct Pay Three Rivers Network — Group Health: $547 MultiPlan/PHCS — Commercial: $1,354.68 PACE (Milford Wellness Village) — DSNP: $313.64 Prime Health Services — Commercial: $1,439.35 Provider Network of Amercia — PPO: $1,270.01 Quik Trip — Employee Coverage: $1,270.01
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain Stem W/O & W/Dye	$1,693.35	$1,693.35	$1,185.35 – $1,439.35
MRI of the brain, before and after contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,185.35 MultiPlan/PHCS — Commercial: $1,354.68 Prime Health Services — Commercial: $1,439.35 Provider Network of Amercia — PPO: $1,270.01 Quik Trip — Employee Coverage: $1,270.01 Unity Preferred — Commercial: $1,270.01 USA Managed Care Organization — Health and Wellness Network HMO: $1,270.01 Velocity Provider PPO Network — Group Health and All Other: $1,270.01
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD Chest 2 Views	$372.14	$372.14	$32.24 – $316.32
Chest X-ray, 2 views: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $32.71 Aetna — Medicare Advantage: $111.64 Americas Choice Provider Network — Commercial: $260.50 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $32.24 Direct Pay Three Rivers Network — Group Health: $136.45 MultiPlan/PHCS — Commercial: $297.71 PACE (Milford Wellness Village) — DSNP: $32.24 Prime Health Services — Commercial: $316.32 Provider Network of Amercia — PPO: $279.11 Quik Trip — Employee Coverage: $279.11
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD Chest 2 Views	$372.14	$372.14	$260.50 – $316.32
Chest X-ray, 2 views: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $260.50 MultiPlan/PHCS — Commercial: $297.71 Prime Health Services — Commercial: $316.32 Provider Network of Amercia — PPO: $279.11 Quik Trip — Employee Coverage: $279.11 Unity Preferred — Commercial: $279.11 USA Managed Care Organization — Health and Wellness Network HMO: $279.11 Velocity Provider PPO Network — Group Health and All Other: $279.11
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD Exam L-2 Spine 4/>vws	$501.26	$501.26	$49.77 – $426.07
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $50.12 Aetna — Medicare Advantage: $150.38 Americas Choice Provider Network — Commercial: $350.88 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $49.77 Direct Pay Three Rivers Network — Group Health: $163.92 MultiPlan/PHCS — Commercial: $401.01 PACE (Milford Wellness Village) — DSNP: $49.77 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD Exam L-2 Spine 4/>vws	$501.26	$501.26	$350.88 – $426.07
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $350.88 MultiPlan/PHCS — Commercial: $401.01 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95 Unity Preferred — Commercial: $375.95 USA Managed Care Organization — Health and Wellness Network HMO: $375.95 Velocity Provider PPO Network — Group Health and All Other: $375.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine W/O Dye	$1,058.60	$1,058.60	$188.48 – $899.81
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $425 Aetna — Medicare Advantage: $317.58 Americas Choice Provider Network — Commercial: $741.02 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $188.48 Direct Pay Three Rivers Network — Group Health: $374.10 MultiPlan/PHCS — Commercial: $846.88 PACE (Milford Wellness Village) — DSNP: $188.48 Prime Health Services — Commercial: $899.81 Provider Network of Amercia — PPO: $793.95 Quik Trip — Employee Coverage: $793.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lumbar Spine W/O Dye	$1,058.60	$1,058.60	$741.02 – $899.81
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $741.02 MultiPlan/PHCS — Commercial: $846.88 Prime Health Services — Commercial: $899.81 Provider Network of Amercia — PPO: $793.95 Quik Trip — Employee Coverage: $793.95 Unity Preferred — Commercial: $793.95 USA Managed Care Organization — Health and Wellness Network HMO: $793.95 Velocity Provider PPO Network — Group Health and All Other: $793.95
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W/Dye	$821.33	$821.33	$222.71 – $698.13
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $240.72 Aetna — Medicare Advantage: $246.40 Americas Choice Provider Network — Commercial: $574.93 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $222.71 Direct Pay Three Rivers Network — Group Health: $275.01 MultiPlan/PHCS — Commercial: $657.06 PACE (Milford Wellness Village) — DSNP: $222.71 Prime Health Services — Commercial: $698.13 Provider Network of Amercia — PPO: $616 Quik Trip — Employee Coverage: $616
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W/Dye	$821.33	$821.33	$574.93 – $698.13
CT scan of the pelvis, with contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $574.93 MultiPlan/PHCS — Commercial: $657.06 Prime Health Services — Commercial: $698.13 Provider Network of Amercia — PPO: $616 Quik Trip — Employee Coverage: $616 Unity Preferred — Commercial: $616 USA Managed Care Organization — Health and Wellness Network HMO: $616 Velocity Provider PPO Network — Group Health and All Other: $616
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Jnt of Lwr Extre W/O Dye	$1,058.60	$1,058.60	$199.57 – $899.81
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $425 Aetna — Medicare Advantage: $317.58 Americas Choice Provider Network — Commercial: $741.02 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $199.57 Direct Pay Three Rivers Network — Group Health: $374.10 MultiPlan/PHCS — Commercial: $846.88 PACE (Milford Wellness Village) — DSNP: $199.57 Prime Health Services — Commercial: $899.81 Provider Network of Amercia — PPO: $793.95 Quik Trip — Employee Coverage: $793.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Jnt of Lwr Extre W/O Dye	$1,058.60	$1,058.60	$741.02 – $899.81
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $741.02 MultiPlan/PHCS — Commercial: $846.88 Prime Health Services — Commercial: $899.81 Provider Network of Amercia — PPO: $793.95 Quik Trip — Employee Coverage: $793.95 Unity Preferred — Commercial: $793.95 USA Managed Care Organization — Health and Wellness Network HMO: $793.95 Velocity Provider PPO Network — Group Health and All Other: $793.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen & Pelvis w/Contrast	$1,693.35	$1,693.35	$298.16 – $1,439.35
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $335.77 Aetna — Medicare Advantage: $508.01 Americas Choice Provider Network — Commercial: $1,185.35 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $298.16 Direct Pay Three Rivers Network — Group Health: $547 MultiPlan/PHCS — Commercial: $1,354.68 PACE (Milford Wellness Village) — DSNP: $298.16 Prime Health Services — Commercial: $1,439.35 Provider Network of Amercia — PPO: $1,270.01 Quik Trip — Employee Coverage: $1,270.01
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen & Pelvis w/Contrast	$1,693.35	$1,693.35	$1,185.35 – $1,439.35
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,185.35 MultiPlan/PHCS — Commercial: $1,354.68 Prime Health Services — Commercial: $1,439.35 Provider Network of Amercia — PPO: $1,270.01 Quik Trip — Employee Coverage: $1,270.01 Unity Preferred — Commercial: $1,270.01 USA Managed Care Organization — Health and Wellness Network HMO: $1,270.01 Velocity Provider PPO Network — Group Health and All Other: $1,270.01
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Exam Abdom Complete	$501.26	$501.26	$111.46 – $426.07
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $115.51 Aetna — Medicare Advantage: $150.38 Americas Choice Provider Network — Commercial: $350.88 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $111.46 Direct Pay Three Rivers Network — Group Health: $163.92 MultiPlan/PHCS — Commercial: $401.01 PACE (Milford Wellness Village) — DSNP: $111.46 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Exam Abdom Complete	$501.26	$501.26	$350.88 – $426.07
Ultrasound of the abdomen, complete: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $350.88 MultiPlan/PHCS — Commercial: $401.01 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95 Unity Preferred — Commercial: $375.95 USA Managed Care Organization — Health and Wellness Network HMO: $375.95 Velocity Provider PPO Network — Group Health and All Other: $375.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$130.02
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $130.02
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non-Ob	$501.26	$501.26	$114.27 – $426.07
Transvaginal ultrasound: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $118.21 Aetna — Medicare Advantage: $150.38 Americas Choice Provider Network — Commercial: $350.88 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $114.27 Direct Pay Three Rivers Network — Group Health: $163.92 MultiPlan/PHCS — Commercial: $401.01 PACE (Milford Wellness Village) — DSNP: $114.27 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Transvaginal Non-Ob	$501.26	$501.26	$350.88 – $426.07
Transvaginal ultrasound: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $350.88 MultiPlan/PHCS — Commercial: $401.01 Prime Health Services — Commercial: $426.07 Provider Network of Amercia — PPO: $375.95 Quik Trip — Employee Coverage: $375.95 Unity Preferred — Commercial: $375.95 USA Managed Care Organization — Health and Wellness Network HMO: $375.95 Velocity Provider PPO Network — Group Health and All Other: $375.95
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$120.06
Diagnostic mammogram, one breast: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $120.06
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$151.97
Diagnostic mammogram, both breasts: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $151.97
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Mammo Bilat	$444.59	$444.59	$122.58 – $377.90
Screening mammogram, both breasts: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $125.41 Aetna — Medicare Advantage: $133.38 Americas Choice Provider Network — Commercial: $311.21 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $122.58 Direct Pay Three Rivers Network — Group Health: $187.52 MultiPlan/PHCS — Commercial: $355.67 PACE (Milford Wellness Village) — DSNP: $122.58 Prime Health Services — Commercial: $377.90 Provider Network of Amercia — PPO: $333.44 Quik Trip — Employee Coverage: $333.44
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Screening Mammo Bilat	$444.59	$444.59	$311.21 – $377.90
Screening mammogram, both breasts: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $311.21 MultiPlan/PHCS — Commercial: $355.67 Prime Health Services — Commercial: $377.90 Provider Network of Amercia — PPO: $333.44 Quik Trip — Employee Coverage: $333.44 Unity Preferred — Commercial: $333.44 USA Managed Care Organization — Health and Wellness Network HMO: $333.44 Velocity Provider PPO Network — Group Health and All Other: $333.44

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$13.75
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $13.75
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$845.42
Left heart catheterization (diagnostic): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $845.42
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$358.54
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $358.54
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$885.38
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $885.38
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$596.94
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $596.94

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) · Hospital (facility) fee In the file: Therapeutic proc/exer 15 min	$140	$140	$18.57 – $120
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — Commercial/Medical Rental: $18.57 Aetna — Medicare Advantage: $42 Americas Choice Provider Network — Commercial: $98 Blue Cross Blue Shield Highmark — All Plans: $31.22 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $28.24 Cigna — Commercial: $120 Delaware First Health — All Plans: $110 Direct Pay Three Rivers Network — Group Health: $43.40 MultiPlan/PHCS — Commercial: $112 PACE (Milford Wellness Village) — DSNP: $28.24
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ther procedure exercise 15 min	$112.10	$112.10	$18.57 – $120
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — Commercial/Medical Rental: $18.57 Aetna — Medicare Advantage: $33.63 Americas Choice Provider Network — Commercial: $78.47 Blue Cross Blue Shield Highmark — All Plans: $31.22 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $28.24 Cigna — Commercial: $120 Delaware First Health — All Plans: $110 Direct Pay Three Rivers Network — Group Health: $43.40 MultiPlan/PHCS — Commercial: $89.68 PACE (Milford Wellness Village) — DSNP: $28.24
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Therapeutic proc/exer 15 min	$140	$140	$98 – $119
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $98 MultiPlan/PHCS — Commercial: $112 Prime Health Services — Commercial: $119 Provider Network of Amercia — PPO: $105 Quik Trip — Employee Coverage: $105 Unity Preferred — Commercial: $105 USA Managed Care Organization — Health and Wellness Network HMO: $105 Velocity Provider PPO Network — Group Health and All Other: $105
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Low Complexity	$471.20	$471.20	$63.17 – $400.52
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — Commercial/Medical Rental: $63.17 Aetna — Medicare Advantage: $141.36 Americas Choice Provider Network — Commercial: $329.84 Blue Cross Blue Shield Highmark — All Plans: $85.42 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $96.60 Cigna — Commercial: $120 Delaware First Health — All Plans: $110 Direct Pay Three Rivers Network — Group Health: $146.30 MultiPlan/PHCS — Commercial: $376.96 PACE (Milford Wellness Village) — DSNP: $96.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Evaluation Low Complexity	$471.20	$471.20	$329.84 – $400.52
Physical therapy evaluation (low complexity): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $329.84 MultiPlan/PHCS — Commercial: $376.96 Prime Health Services — Commercial: $400.52 Provider Network of Amercia — PPO: $353.40 Quik Trip — Employee Coverage: $353.40 Unity Preferred — Commercial: $353.40 USA Managed Care Organization — Health and Wellness Network HMO: $353.40 Velocity Provider PPO Network — Group Health and All Other: $353.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval -Moderate Complexity	$364.55	$364.55	$63.17 – $309.87
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Aetna — Commercial/Medical Rental: $63.17 Aetna — Medicare Advantage: $109.37 Americas Choice Provider Network — Commercial: $255.19 Blue Cross Blue Shield Highmark — All Plans: $85.42 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $96.60 Cigna — Commercial: $120 Delaware First Health — All Plans: $130 Direct Pay Three Rivers Network — Group Health: $146.30 MultiPlan/PHCS — Commercial: $291.64 PACE (Milford Wellness Village) — DSNP: $96.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval -Moderate Complexity	$364.55	$364.55	$255.19 – $309.87
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $255.19 MultiPlan/PHCS — Commercial: $291.64 Prime Health Services — Commercial: $309.87 Provider Network of Amercia — PPO: $273.41 Quik Trip — Employee Coverage: $273.41 Unity Preferred — Commercial: $273.41 USA Managed Care Organization — Health and Wellness Network HMO: $273.41 Velocity Provider PPO Network — Group Health and All Other: $273.41
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval- High Complexity	$486.05	$486.05	$63.17 – $413.14
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Aetna — Commercial/Medical Rental: $63.17 Aetna — Medicare Advantage: $145.82 Americas Choice Provider Network — Commercial: $340.24 Blue Cross Blue Shield Highmark — All Plans: $85.42 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $96.60 Cigna — Commercial: $120 Delaware First Health — All Plans: $130 Direct Pay Three Rivers Network — Group Health: $146.30 MultiPlan/PHCS — Commercial: $388.84 PACE (Milford Wellness Village) — DSNP: $96.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval- High Complexity	$486.05	$486.05	$340.24 – $413.14
Physical therapy evaluation (high complexity): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $340.24 MultiPlan/PHCS — Commercial: $388.84 Prime Health Services — Commercial: $413.14 Provider Network of Amercia — PPO: $364.54 Quik Trip — Employee Coverage: $364.54 Unity Preferred — Commercial: $364.54 USA Managed Care Organization — Health and Wellness Network HMO: $364.54 Velocity Provider PPO Network — Group Health and All Other: $364.54
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$75.71
Psychotherapy, 30 minutes: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $75.71
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$99.88
Psychotherapy, 45 minutes: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $99.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$147.25
Psychotherapy, 60 minutes: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $147.25
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$94.54
Family psychotherapy, without the patient: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $94.54
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$99.06
Family psychotherapy, with the patient: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $99.06
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$26.73
Group psychotherapy: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $26.73

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$501.93
Removal of breast growth (open surgery): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $501.93
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,234.83
Total hip replacement: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $1,234.83
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,232.94
Total knee replacement: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $1,232.94
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$163.18
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $163.18
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$527.14
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $527.14
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$283.18
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $283.18
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Diagnostic Brush Wash	$3,801.39	$3,801.39	$121.17 – $3,231.18
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $121.17 Aetna — Medicare Advantage: $1,140.42 Americas Choice Provider Network — Commercial: $2,660.97 Blue Cross Blue Shield Highmark — All Plans: $743.49 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $275.50 Direct Pay Three Rivers Network — Group Health: $1,422.05 MultiPlan/PHCS — Commercial: $3,041.11 PACE (Milford Wellness Village) — DSNP: $275.50 Prime Health Services — Commercial: $3,231.18 Provider Network of Amercia — PPO: $2,851.04
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Diagnostic Brush Wash	$3,801.39	$3,801.39	$2,660.97 – $3,231.18
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $2,660.97 MultiPlan/PHCS — Commercial: $3,041.11 Prime Health Services — Commercial: $3,231.18 Provider Network of Amercia — PPO: $2,851.04 Quik Trip — Employee Coverage: $2,851.04 Unity Preferred — Commercial: $2,851.04 USA Managed Care Organization — Health and Wellness Network HMO: $2,851.04 Velocity Provider PPO Network — Group Health and All Other: $2,851.04
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Biopsy Single/Multi	$3,801.39	$3,801.39	$136.37 – $3,231.18
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $136.37 Aetna — Medicare Advantage: $1,140.42 Americas Choice Provider Network — Commercial: $2,660.97 Blue Cross Blue Shield Highmark — All Plans: $743.49 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $359.96 Direct Pay Three Rivers Network — Group Health: $1,422.05 MultiPlan/PHCS — Commercial: $3,041.11 PACE (Milford Wellness Village) — DSNP: $359.96 Prime Health Services — Commercial: $3,231.18 Provider Network of Amercia — PPO: $2,851.04
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Biopsy Single/Multi	$3,801.39	$3,801.39	$2,660.97 – $3,231.18
Upper GI endoscopy with biopsy: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $2,660.97 MultiPlan/PHCS — Commercial: $3,041.11 Prime Health Services — Commercial: $3,231.18 Provider Network of Amercia — PPO: $2,851.04 Quik Trip — Employee Coverage: $2,851.04 Unity Preferred — Commercial: $2,851.04 USA Managed Care Organization — Health and Wellness Network HMO: $2,851.04 Velocity Provider PPO Network — Group Health and All Other: $2,851.04
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic Colonoscopy	$3,728.21	$3,728.21	$182.12 – $3,168.98
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $182.12 Aetna — Medicare Advantage: $1,118.46 Americas Choice Provider Network — Commercial: $2,609.75 Blue Cross Blue Shield Highmark — All Plans: $709.98 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $325.58 Direct Pay Three Rivers Network — Group Health: $1,458.07 MultiPlan/PHCS — Commercial: $2,982.57 PACE (Milford Wellness Village) — DSNP: $325.58 Prime Health Services — Commercial: $3,168.98 Provider Network of Amercia — PPO: $2,796.16
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Terminated	$3,728.21	$3,728.21	$182.12 – $3,168.98
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $182.12 Aetna — Medicare Advantage: $1,118.46 Americas Choice Provider Network — Commercial: $2,609.75 Blue Cross Blue Shield Highmark — All Plans: $709.98 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $325.58 Direct Pay Three Rivers Network — Group Health: $1,458.07 MultiPlan/PHCS — Commercial: $2,982.57 PACE (Milford Wellness Village) — DSNP: $325.58 Prime Health Services — Commercial: $3,168.98 Provider Network of Amercia — PPO: $2,796.16
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Diagnostic Colonoscopy	$3,728.21	$3,728.21	$2,609.75 – $3,168.98
Colonoscopy (diagnostic): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $2,609.75 MultiPlan/PHCS — Commercial: $2,982.57 Prime Health Services — Commercial: $3,168.98 Provider Network of Amercia — PPO: $2,796.16 Quik Trip — Employee Coverage: $2,796.16 Unity Preferred — Commercial: $2,796.16 USA Managed Care Organization — Health and Wellness Network HMO: $2,796.16 Velocity Provider PPO Network — Group Health and All Other: $2,796.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and Biopsy	$4,871.68	$4,871.68	$197.70 – $4,140.93
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $197.70 Aetna — Medicare Advantage: $1,461.50 Americas Choice Provider Network — Commercial: $3,410.18 Blue Cross Blue Shield Highmark — All Plans: $936.39 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $414.84 Direct Pay Three Rivers Network — Group Health: $1,876.20 MultiPlan/PHCS — Commercial: $3,897.34 PACE (Milford Wellness Village) — DSNP: $414.84 Prime Health Services — Commercial: $4,140.93 Provider Network of Amercia — PPO: $3,653.76
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy and Biopsy	$4,871.68	$4,871.68	$3,410.18 – $4,140.93
Colonoscopy with biopsy: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $3,410.18 MultiPlan/PHCS — Commercial: $3,897.34 Prime Health Services — Commercial: $4,140.93 Provider Network of Amercia — PPO: $3,653.76 Quik Trip — Employee Coverage: $3,653.76 Unity Preferred — Commercial: $3,653.76 USA Managed Care Organization — Health and Wellness Network HMO: $3,653.76 Velocity Provider PPO Network — Group Health and All Other: $3,653.76
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Lesion Removal	$4,871.68	$4,871.68	$251.25 – $4,140.93
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $251.25 Aetna — Medicare Advantage: $1,461.50 Americas Choice Provider Network — Commercial: $3,410.18 Blue Cross Blue Shield Highmark — All Plans: $936.39 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $434.64 Direct Pay Three Rivers Network — Group Health: $1,876.20 MultiPlan/PHCS — Commercial: $3,897.34 PACE (Milford Wellness Village) — DSNP: $434.64 Prime Health Services — Commercial: $4,140.93 Provider Network of Amercia — PPO: $3,653.76
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy W/Lesion Removal	$4,871.68	$4,871.68	$3,410.18 – $4,140.93
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $3,410.18 MultiPlan/PHCS — Commercial: $3,897.34 Prime Health Services — Commercial: $4,140.93 Provider Network of Amercia — PPO: $3,653.76 Quik Trip — Employee Coverage: $3,653.76 Unity Preferred — Commercial: $3,653.76 USA Managed Care Organization — Health and Wellness Network HMO: $3,653.76 Velocity Provider PPO Network — Group Health and All Other: $3,653.76
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$243.39
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $243.39
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$325.88
Screening colonoscopy (not high risk): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $325.88
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$636.18
Gallbladder removal by laparoscope: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $636.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$505.16
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $505.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$231.08
Prostate biopsy: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $231.08
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$1,139.49
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $1,139.49
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,260.27
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $1,260.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$247.75
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $247.75
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$236.35
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $236.35
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$434.56
Carpal tunnel release: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $434.56
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$319.21
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $319.21
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$517.03
Cataract removal with lens implant: rates for 1 insurance plan PACE (Milford Wellness Village) — DSNP: $517.03

Source: PAM Health Rehabilitation Hospital of Georgetown L…’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 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 type	Inpatient Rehabilitation Hospital
Address	22303 Dupont Blvd, Georgetown, DE 19947
County	Sussex County
State	Delaware
Phone	(302) 440‑4866
Ownership	Proprietary
CMS Certification Number	083028
Name in Medicare records	PAM HEALTH REHABILITATION HOSPITAL OF GEORGETOWN L Medicare’s file shortens long names to 50 characters, so the end of this name is missing.
Profile level	Medicare data + hospital website
Name on the hospital’s website	PAM Health Rehabilitation Hospital of Georgetown
Official website	pamhealth.com
Corrections	Report an error or suggest an update →

Sources

Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of 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.

Rehabilitation Hospital of Georgetown, DE | PAM Health — pamhealth.com

PAM Health Rehabilitation Hospital of Georgetown L…

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4]

Conditions treated^[4]

Treatments^[4]

Programs and centers^[4]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

PAM Health Rehabilitation Hospital of Georgetown L…

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

Programs and centers[4]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4]

Conditions treated^[4]

Treatments^[4]

Programs and centers^[4]