Where is PAM Rehabilitation Hospital of Dover?

1240 McKee Road, Dover, DE 19904, in Kent County, Delaware.

What is the phone number of PAM Rehabilitation Hospital of Dover?

(302) 672-5800, as listed by Medicare (CMS).

PAM Rehabilitation Hospital of Dover

Quick answers

Where is PAM Rehabilitation Hospital of Dover?: 1240 McKee Road, Dover, DE 19904, in Kent County, Delaware.
What is the phone number of PAM Rehabilitation Hospital of Dover?: (302) 672-5800, as listed by Medicare (CMS).

Specialties and care areas^[4]

Inpatient rehabilitation
Physical rehabilitation

Conditions treated^[4]

Treatments^[4]

Physical therapy
Occupational therapy
Speech therapy
Cardiopulmonary rehab
Antibiotic therapy
Renal dialysis
Central line and PICC line care
Amputation care
Joint replacement rehabilitation (hip, knee, shoulder, other)
Onsite dialysis
Bedside dialysis

Programs and centers^[4]

Balance and vestibular program
Spasticity management
Brain injury support group
Support groups
Outpatient services

Emergency care (hospital website)^[4]

Stroke designation	DSC in Stroke Rehabilitation

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).

Bayhealth Medical Center, Kent Campus2.5 mi · Dover, DE · Acute Care Hospital
Bayhealth Hospital, Sussex Campus19 mi · Milford, DE · Acute Care Hospital
University of MD Shore Medical Ctr at Chestertown27 mi · Chestertown, MD · Acute Care Hospital
Inspira Medical Center Vineland33 mi · Vineland, NJ · Acute Care Hospital
Union Hospital of Cecil County33 mi · Elkton, MD · Acute Care Hospital

Other hospitals nearby

Dover Behavioral Health System4.0 mi · Dover, DE · Psychiatric Hospital
Encompass Health Rehab Hospital of Middletown23 mi · Middletown, DE · Inpatient Rehabilitation Hospital
Meadowwood Behavioral Health System32 mi · New Castle, DE · Psychiatric 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

Westminster Village Health0.1 mi · Dover, DE · 4 of 5 stars
Cadia Rehabilitation Capitol0.6 mi · Dover, DE · 3 of 5 stars
Complete Care at Silver Lake LLC0.8 mi · Dover, DE · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Delaware Hospice Central Div4.4 mi · Dover, DE · 4 of 5 stars
Compassionate Care Hospice of the Delmar Peninsula19 mi · Milford, DE · 3 of 5 stars
Delaware Hospice, Inc Southern Division19 mi · Milford, DE · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Amedisys Delaware, LLC1.8 mi · Dover, DE
Vicdania Health Services LLC1.8 mi · Dover, DE · 1 of 5 stars
Addus Healthcare, Inc4.4 mi · Dover, DE

All home health agencies in the state →

Dialysis facilities

FKC Dover Home Dialysis Center1.8 mi · Dover, DE · 3 of 5 stars
FKC Greentree1.8 mi · Dover, DE · 3 of 5 stars
Innovative Renal Care Dover1.8 mi · Dover, DE · 1 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.

Advance Endoscopy Center, LLC1.8 mi · Dover, DE
Central Delaware Endoscopy Uni1.8 mi · Dover, DE
Delaware Surgery Center, LLC1.8 mi · Dover, 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

Westside Family Healthcare - Dover1.4 mi · Dover, DE · Community health center
Westside Family Healthcare - Mobile Health Unit- No.13.3 mi · Dover, DE · Community health center
GOLDSBORO MEDICAL and DENTAL CENTER16 mi · Goldsboro, MD · Community health center

Clinics and urgent care

Christiana Care Quality Partners1.8 mi · Dover, DE · Urgent care center
Eden Hill Express Care, LLC1.8 mi · Dover, DE · Urgent care center
Christiana Care Quality Partners4.4 mi · Dover, DE · Urgent care center

Pharmacies

Forest Pharmacy LLC1.8 mi · Dover, DE · Community/retail pharmacy
Happy Harrys Inc1.8 mi · Dover, DE · Pharmacy
Happy Harrys Inc1.8 mi · Dover, DE · Pharmacy

Assisted living nearby

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

Brookdale Dover1.8 mi · Dover, DE
Dover Place1.8 mi · Dover, DE
Westminster Village Assisted Living1.8 mi · Dover, DE
Harmony at Kent4.4 mi · Dover, 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 82 common services exactly as PAM Rehabilitation Hospital of Dover 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 – $139.91
New patient office visit (about 30–44 minutes): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $107.29 Velocity Provider PPO Network — Medicare Advantage: $139.91
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 – $211.19
New patient office visit (about 45–59 minutes): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $160.89 Velocity Provider PPO Network — Medicare Advantage: $211.19
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 – $281.87
New patient office visit (about 60–74 minutes): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $212.19 Velocity Provider PPO Network — Medicare Advantage: $281.87
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 – $113.43
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $87.47 Velocity Provider PPO Network — Medicare Advantage: $113.43
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 – $161.59
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $123.41 Velocity Provider PPO Network — Medicare Advantage: $161.59
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$134.29
Office consultation with a specialist (moderate): rates for 1 insurance plan Velocity Provider PPO Network — Medicare Advantage: $134.29
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$192.10
Office consultation with a specialist (moderate to high): rates for 1 insurance plan Velocity Provider PPO Network — Medicare Advantage: $192.10
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 – $160.47
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $124.08 Velocity Provider PPO Network — Medicare Advantage: $160.47
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 – $185.59
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $143.05 Velocity Provider PPO Network — Medicare Advantage: $185.59
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 3	$1,429.38	$1,429.38	$56.28 – $1,214.97
Emergency room visit (moderate): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $56.28 Aetna — Medicare Advantage: $56.28 Americas Choice Provider Network — Commercial: $1,000.57 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $219.10 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $67.81 Direct Pay Three Rivers Network — Group Health: $447.30 MultiPlan/PHCS — Commercial: $1,143.50 PACE (Milford Wellness Village) — DSNP: $67.81 Prime Health Services — Commercial: $1,214.97 Provider Network of America — All Plans: $1,072.04
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 3	$1,429.38	$1,429.38	$1,000.57 – $1,214.97
Emergency room visit (moderate): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,000.57 MultiPlan/PHCS — Commercial: $1,143.50 Prime Health Services — Commercial: $1,214.97 Provider Network of America — All Plans: $1,072.04 Quik Trip — Employee Coverage: $1,072.04 Unity Preferred — Commercial: $1,072.04 USA Managed Care Organization — Health and Wellness Network HMO: $1,072.04 Velocity Provider PPO Network — Group Health and All Other: $1,072.04
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 4	$2,251.46	$2,251.46	$95 – $1,913.74
Emergency room visit (moderately high): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $95 Aetna — Medicare Advantage: $95 Americas Choice Provider Network — Commercial: $1,576.02 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $355.53 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $115.38 Direct Pay Three Rivers Network — Group Health: $683.73 MultiPlan/PHCS — Commercial: $1,801.17 PACE (Milford Wellness Village) — DSNP: $115.38 Prime Health Services — Commercial: $1,913.74 Provider Network of America — All Plans: $1,688.60
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 4	$2,251.46	$2,251.46	$1,576.02 – $1,913.74
Emergency room visit (moderately high): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,576.02 MultiPlan/PHCS — Commercial: $1,801.17 Prime Health Services — Commercial: $1,913.74 Provider Network of America — All Plans: $1,688.60 Quik Trip — Employee Coverage: $1,688.60 Unity Preferred — Commercial: $1,688.60 USA Managed Care Organization — Health and Wellness Network HMO: $1,688.60 Velocity Provider PPO Network — Group Health and All Other: $1,688.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 5	$2,401.75	$2,401.75	$137.92 – $2,041.49
Emergency room visit (high): 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $137.92 Aetna — Medicare Advantage: $137.92 Americas Choice Provider Network — Commercial: $1,681.23 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $520.85 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $167.13 Direct Pay Three Rivers Network — Group Health: $975.84 MultiPlan/PHCS — Commercial: $1,921.40 PACE (Milford Wellness Village) — DSNP: $167.13 Prime Health Services — Commercial: $2,041.49 Provider Network of America — All Plans: $1,801.31
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 5	$2,401.75	$2,401.75	$1,681.23 – $2,041.49
Emergency room visit (high): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,681.23 MultiPlan/PHCS — Commercial: $1,921.40 Prime Health Services — Commercial: $2,041.49 Provider Network of America — All Plans: $1,801.31 Quik Trip — Employee Coverage: $1,801.31 Unity Preferred — Commercial: $1,801.31 USA Managed Care Organization — Health and Wellness Network HMO: $1,801.31 Velocity Provider PPO Network — Group Health and All Other: $1,801.31

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	$449.25	$449.25	$7.02 – $381.86
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $7.02 Aetna — Medicare Advantage: $7.02 Americas Choice Provider Network — Commercial: $314.48 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $8.29 Direct Pay Three Rivers Network — Group Health: $12.69 MultiPlan/PHCS — Commercial: $359.40 PACE (Milford Wellness Village) — DSNP: $8.29 Prime Health Services — Commercial: $381.86 Provider Network of America — All Plans: $336.94 Quik Trip — Employee Coverage: $336.94
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BMP with Total Calcium	$449.25	$449.25	$314.48 – $381.86
Basic metabolic panel (blood test): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $314.48 MultiPlan/PHCS — Commercial: $359.40 Prime Health Services — Commercial: $381.86 Provider Network of America — All Plans: $336.94 Quik Trip — Employee Coverage: $336.94 Unity Preferred — Commercial: $336.94 USA Managed Care Organization — Health and Wellness Network HMO: $336.94 Velocity Provider PPO Network — Group Health and All Other: $336.94
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen Metabolic Panel CMP	$585.95	$585.95	$8.76 – $498.06
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $8.76 Aetna — Medicare Advantage: $8.76 Americas Choice Provider Network — Commercial: $410.17 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $10.35 Direct Pay Three Rivers Network — Group Health: $15.84 MultiPlan/PHCS — Commercial: $468.76 PACE (Milford Wellness Village) — DSNP: $10.35 Prime Health Services — Commercial: $498.06 Provider Network of America — All Plans: $439.46 Quik Trip — Employee Coverage: $439.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehen Metabolic Panel CMP	$585.95	$585.95	$410.17 – $498.06
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $410.17 MultiPlan/PHCS — Commercial: $468.76 Prime Health Services — Commercial: $498.06 Provider Network of America — All Plans: $439.46 Quik Trip — Employee Coverage: $439.46 Unity Preferred — Commercial: $439.46 USA Managed Care Organization — Health and Wellness Network HMO: $439.46 Velocity Provider PPO Network — Group Health and All Other: $439.46
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 – $57.37
Obstetric blood test panel: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $46.85 Velocity Provider PPO Network — Medicare Advantage: $57.37
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel	$234.35	$234.35	$11.11 – $199.20
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $11.11 Aetna — Medicare Advantage: $11.11 Americas Choice Provider Network — Commercial: $164.05 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $13.12 Direct Pay Three Rivers Network — Group Health: $20.09 MultiPlan/PHCS — Commercial: $187.48 PACE (Milford Wellness Village) — DSNP: $13.12 Prime Health Services — Commercial: $199.20 Provider Network of America — All Plans: $175.76 Quik Trip — Employee Coverage: $175.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel	$234.35	$234.35	$164.05 – $199.20
Cholesterol panel (lipid panel): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $164.05 MultiPlan/PHCS — Commercial: $187.48 Prime Health Services — Commercial: $199.20 Provider Network of America — All Plans: $175.76 Quik Trip — Employee Coverage: $175.76 Unity Preferred — Commercial: $175.76 USA Managed Care Organization — Health and Wellness Network HMO: $175.76 Velocity Provider PPO Network — Group Health and All Other: $175.76
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$572.45	$572.45	$7.20 – $486.58
Kidney function panel: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $7.20 Aetna — Medicare Advantage: $7.20 Americas Choice Provider Network — Commercial: $400.72 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $8.51 Direct Pay Three Rivers Network — Group Health: $13.02 MultiPlan/PHCS — Commercial: $457.96 PACE (Milford Wellness Village) — DSNP: $8.51 Prime Health Services — Commercial: $486.58 Provider Network of America — All Plans: $429.34 Quik Trip — Employee Coverage: $429.34
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel	$572.45	$572.45	$400.72 – $486.58
Kidney function panel: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $400.72 MultiPlan/PHCS — Commercial: $457.96 Prime Health Services — Commercial: $486.58 Provider Network of America — All Plans: $429.34 Quik Trip — Employee Coverage: $429.34 Unity Preferred — Commercial: $429.34 USA Managed Care Organization — Health and Wellness Network HMO: $429.34 Velocity Provider PPO Network — Group Health and All Other: $429.34
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$375.25	$375.25	$6.78 – $318.96
Liver function panel: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $6.78 Aetna — Medicare Advantage: $6.78 Americas Choice Provider Network — Commercial: $262.68 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $8.01 Direct Pay Three Rivers Network — Group Health: $12.26 MultiPlan/PHCS — Commercial: $300.20 PACE (Milford Wellness Village) — DSNP: $8.01 Prime Health Services — Commercial: $318.96 Provider Network of America — All Plans: $281.44 Quik Trip — Employee Coverage: $281.44
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$375.25	$375.25	$262.68 – $318.96
Liver function panel: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $262.68 MultiPlan/PHCS — Commercial: $300.20 Prime Health Services — Commercial: $318.96 Provider Network of America — All Plans: $281.44 Quik Trip — Employee Coverage: $281.44 Unity Preferred — Commercial: $281.44 USA Managed Care Organization — Health and Wellness Network HMO: $281.44 Velocity Provider PPO Network — Group Health and All Other: $281.44
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Auto W/Scope UA	$104.10	$104.10	$2.63 – $88.49
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $2.63 Aetna — Medicare Advantage: $2.63 Americas Choice Provider Network — Commercial: $72.87 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $3.11 Direct Pay Three Rivers Network — Group Health: $4.76 MultiPlan/PHCS — Commercial: $83.28 PACE (Milford Wellness Village) — DSNP: $3.11 Prime Health Services — Commercial: $88.49 Provider Network of America — All Plans: $78.08 Quik Trip — Employee Coverage: $78.08
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Auto W/Scope UA	$104.10	$104.10	$72.87 – $88.49
Urine test (automated, with microscope): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $72.87 MultiPlan/PHCS — Commercial: $83.28 Prime Health Services — Commercial: $88.49 Provider Network of America — All Plans: $78.08 Quik Trip — Employee Coverage: $78.08 Unity Preferred — Commercial: $78.08 USA Managed Care Organization — Health and Wellness Network HMO: $78.08 Velocity Provider PPO Network — Group Health and All Other: $78.08
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.41 – $4.18
Urine test (manual, without microscope): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $3.41 Velocity Provider PPO Network — Medicare Advantage: $4.18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Reflex to Microscopic	$78.45	$78.45	$1.87 – $66.68
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $1.87 Aetna — Medicare Advantage: $1.87 Americas Choice Provider Network — Commercial: $54.92 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $2.21 Direct Pay Three Rivers Network — Group Health: $3.38 MultiPlan/PHCS — Commercial: $62.76 PACE (Milford Wellness Village) — DSNP: $2.21 Prime Health Services — Commercial: $66.68 Provider Network of America — All Plans: $58.84 Quik Trip — Employee Coverage: $58.84
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Auto W/O Scope UA	$78.45	$78.45	$1.87 – $66.68
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $1.87 Aetna — Medicare Advantage: $1.87 Americas Choice Provider Network — Commercial: $54.92 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $2.21 Direct Pay Three Rivers Network — Group Health: $3.38 MultiPlan/PHCS — Commercial: $62.76 PACE (Milford Wellness Village) — DSNP: $2.21 Prime Health Services — Commercial: $66.68 Provider Network of America — All Plans: $58.84 Quik Trip — Employee Coverage: $58.84
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Auto W/O Scope UA	$78.45	$78.45	$54.92 – $66.68
Urine test (automated, without microscope): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $54.92 MultiPlan/PHCS — Commercial: $62.76 Prime Health Services — Commercial: $66.68 Provider Network of America — All Plans: $58.84 Quik Trip — Employee Coverage: $58.84 Unity Preferred — Commercial: $58.84 USA Managed Care Organization — Health and Wellness Network HMO: $58.84 Velocity Provider PPO Network — Group Health and All Other: $58.84
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$18.02 – $22.07
PSA (prostate specific antigen) blood test: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $18.02 Velocity Provider PPO Network — Medicare Advantage: $22.07
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stim Hormone	$219.80	$219.80	$13.94 – $186.83
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $13.94 Aetna — Medicare Advantage: $13.94 Americas Choice Provider Network — Commercial: $153.86 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $16.46 Direct Pay Three Rivers Network — Group Health: $25.20 MultiPlan/PHCS — Commercial: $175.84 PACE (Milford Wellness Village) — DSNP: $16.46 Prime Health Services — Commercial: $186.83 Provider Network of America — All Plans: $164.85 Quik Trip — Employee Coverage: $164.85
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Stim Hormone	$219.80	$219.80	$153.86 – $186.83
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $153.86 MultiPlan/PHCS — Commercial: $175.84 Prime Health Services — Commercial: $186.83 Provider Network of America — All Plans: $164.85 Quik Trip — Employee Coverage: $164.85 Unity Preferred — Commercial: $164.85 USA Managed Care Organization — Health and Wellness Network HMO: $164.85 Velocity Provider PPO Network — Group Health and All Other: $164.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete CBC W/Auto Diff	$135.70	$135.70	$6.45 – $115.35
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $6.45 Aetna — Medicare Advantage: $6.45 Americas Choice Provider Network — Commercial: $94.99 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $7.61 Direct Pay Three Rivers Network — Group Health: $11.66 MultiPlan/PHCS — Commercial: $108.56 PACE (Milford Wellness Village) — DSNP: $7.61 Prime Health Services — Commercial: $115.35 Provider Network of America — All Plans: $101.78 Quik Trip — Employee Coverage: $101.78
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete CBC W/Auto Diff	$135.70	$135.70	$94.99 – $115.35
Complete blood count (CBC) with differential: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $94.99 MultiPlan/PHCS — Commercial: $108.56 Prime Health Services — Commercial: $115.35 Provider Network of America — All Plans: $101.78 Quik Trip — Employee Coverage: $101.78 Unity Preferred — Commercial: $101.78 USA Managed Care Organization — Health and Wellness Network HMO: $101.78 Velocity Provider PPO Network — Group Health and All Other: $101.78
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/o differential	$139.70	$139.70	$5.37 – $118.75
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $5.37 Aetna — Medicare Advantage: $5.37 Americas Choice Provider Network — Commercial: $97.79 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $6.34 Direct Pay Three Rivers Network — Group Health: $9.71 MultiPlan/PHCS — Commercial: $111.76 PACE (Milford Wellness Village) — DSNP: $6.34 Prime Health Services — Commercial: $118.75 Provider Network of America — All Plans: $104.78 Quik Trip — Employee Coverage: $104.78
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC w/o differential	$139.70	$139.70	$97.79 – $118.75
Complete blood count (CBC), automated: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $97.79 MultiPlan/PHCS — Commercial: $111.76 Prime Health Services — Commercial: $118.75 Provider Network of America — All Plans: $104.78 Quik Trip — Employee Coverage: $104.78 Unity Preferred — Commercial: $104.78 USA Managed Care Organization — Health and Wellness Network HMO: $104.78 Velocity Provider PPO Network — Group Health and All Other: $104.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time PT/INR	$129.70	$129.70	$3.56 – $110.25
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $3.56 Aetna — Medicare Advantage: $3.56 Americas Choice Provider Network — Commercial: $90.79 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $4.20 Direct Pay Three Rivers Network — Group Health: $6.44 MultiPlan/PHCS — Commercial: $103.76 PACE (Milford Wellness Village) — DSNP: $4.20 Prime Health Services — Commercial: $110.25 Provider Network of America — All Plans: $97.28 Quik Trip — Employee Coverage: $97.28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time PT/INR	$129.70	$129.70	$90.79 – $110.25
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $90.79 MultiPlan/PHCS — Commercial: $103.76 Prime Health Services — Commercial: $110.25 Provider Network of America — All Plans: $97.28 Quik Trip — Employee Coverage: $97.28 Unity Preferred — Commercial: $97.28 USA Managed Care Organization — Health and Wellness Network HMO: $97.28 Velocity Provider PPO Network — Group Health and All Other: $97.28
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT Thromboplastin Time Partia	$157	$157	$4.99 – $133.45
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $4.99 Aetna — Medicare Advantage: $4.99 Americas Choice Provider Network — Commercial: $109.90 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $5.89 Direct Pay Three Rivers Network — Group Health: $9.02 MultiPlan/PHCS — Commercial: $125.60 PACE (Milford Wellness Village) — DSNP: $5.89 Prime Health Services — Commercial: $133.45 Provider Network of America — All Plans: $117.75 Quik Trip — Employee Coverage: $117.75
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT Thromboplastin Time Partia	$157	$157	$109.90 – $133.45
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $109.90 MultiPlan/PHCS — Commercial: $125.60 Prime Health Services — Commercial: $133.45 Provider Network of America — All Plans: $117.75 Quik Trip — Employee Coverage: $117.75 Unity Preferred — Commercial: $117.75 USA Managed Care Organization — Health and Wellness Network HMO: $117.75 Velocity Provider PPO Network — Group Health and All Other: $117.75

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	$3,565.80	$3,565.80	$104.16 – $3,030.93
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $113.84 Aetna — Medicare Advantage: $113.84 Americas Choice Provider Network — Commercial: $2,496.06 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $104.16 Direct Pay Three Rivers Network — Group Health: $171.31 MultiPlan/PHCS — Commercial: $2,852.64 PACE (Milford Wellness Village) — DSNP: $104.16 Prime Health Services — Commercial: $3,030.93 Provider Network of America — All Plans: $2,674.35 Quik Trip — Employee Coverage: $2,674.35
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	$3,565.80	$3,565.80	$2,496.06 – $3,030.93
CT scan of the head or brain, without contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $2,496.06 MultiPlan/PHCS — Commercial: $2,852.64 Prime Health Services — Commercial: $3,030.93 Provider Network of America — All Plans: $2,674.35 Quik Trip — Employee Coverage: $2,674.35 Unity Preferred — Commercial: $2,674.35 USA Managed Care Organization — Health and Wellness Network HMO: $2,674.35 Velocity Provider PPO Network — Group Health and All Other: $2,674.35
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	$9,794.35	$9,794.35	$313.64 – $8,325.20
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $425 Aetna — Medicare Advantage: $425 Americas Choice Provider Network — Commercial: $6,856.05 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $313.64 Direct Pay Three Rivers Network — Group Health: $571.66 MultiPlan/PHCS — Commercial: $7,835.48 PACE (Milford Wellness Village) — DSNP: $313.64 Prime Health Services — Commercial: $8,325.20 Provider Network of America — All Plans: $7,345.76 Quik Trip — Employee Coverage: $7,345.76
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	$9,794.35	$9,794.35	$6,856.05 – $8,325.20
MRI of the brain, before and after contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $6,856.05 MultiPlan/PHCS — Commercial: $7,835.48 Prime Health Services — Commercial: $8,325.20 Provider Network of America — All Plans: $7,345.76 Quik Trip — Employee Coverage: $7,345.76 Unity Preferred — Commercial: $7,345.76 USA Managed Care Organization — Health and Wellness Network HMO: $7,345.76 Velocity Provider PPO Network — Group Health and All Other: $7,345.76
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD Chest 2 Views	$549.75	$549.75	$32.24 – $467.29
Chest X-ray, 2 views: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $32.71 Aetna — Medicare Advantage: $32.71 Americas Choice Provider Network — Commercial: $384.83 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $32.24 Direct Pay Three Rivers Network — Group Health: $142.60 MultiPlan/PHCS — Commercial: $439.80 PACE (Milford Wellness Village) — DSNP: $32.24 Prime Health Services — Commercial: $467.29 Provider Network of America — All Plans: $412.31 Quik Trip — Employee Coverage: $412.31
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD Chest 2 Views	$549.75	$549.75	$384.83 – $467.29
Chest X-ray, 2 views: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $384.83 MultiPlan/PHCS — Commercial: $439.80 Prime Health Services — Commercial: $467.29 Provider Network of America — All Plans: $412.31 Quik Trip — Employee Coverage: $412.31 Unity Preferred — Commercial: $412.31 USA Managed Care Organization — Health and Wellness Network HMO: $412.31 Velocity Provider PPO Network — Group Health and All Other: $412.31
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	$260.35	$260.35	$49.77 – $226.13
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: $50.12 Americas Choice Provider Network — Commercial: $182.25 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $49.77 Direct Pay Three Rivers Network — Group Health: $171.31 MultiPlan/PHCS — Commercial: $208.28 PACE (Milford Wellness Village) — DSNP: $49.77 Prime Health Services — Commercial: $221.30 Provider Network of America — All Plans: $195.26 Quik Trip — Employee Coverage: $195.26
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	$260.35	$260.35	$182.25 – $221.30
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $182.25 MultiPlan/PHCS — Commercial: $208.28 Prime Health Services — Commercial: $221.30 Provider Network of America — All Plans: $195.26 Quik Trip — Employee Coverage: $195.26 Unity Preferred — Commercial: $195.26 USA Managed Care Organization — Health and Wellness Network HMO: $195.26 Velocity Provider PPO Network — Group Health and All Other: $195.26
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	$6,305.10	$6,305.10	$188.48 – $5,359.34
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $425 Aetna — Medicare Advantage: $425 Americas Choice Provider Network — Commercial: $4,413.57 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $188.48 Direct Pay Three Rivers Network — Group Health: $390.97 MultiPlan/PHCS — Commercial: $5,044.08 PACE (Milford Wellness Village) — DSNP: $188.48 Prime Health Services — Commercial: $5,359.34 Provider Network of America — All Plans: $4,728.83 Quik Trip — Employee Coverage: $4,728.83
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	$6,305.10	$6,305.10	$4,413.57 – $5,359.34
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $4,413.57 MultiPlan/PHCS — Commercial: $5,044.08 Prime Health Services — Commercial: $5,359.34 Provider Network of America — All Plans: $4,728.83 Quik Trip — Employee Coverage: $4,728.83 Unity Preferred — Commercial: $4,728.83 USA Managed Care Organization — Health and Wellness Network HMO: $4,728.83 Velocity Provider PPO Network — Group Health and All Other: $4,728.83
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W/Dye	$5,509.35	$5,509.35	$222.71 – $4,682.95
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $240.72 Aetna — Medicare Advantage: $240.72 Americas Choice Provider Network — Commercial: $3,856.55 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $222.71 Direct Pay Three Rivers Network — Group Health: $287.41 MultiPlan/PHCS — Commercial: $4,407.48 PACE (Milford Wellness Village) — DSNP: $222.71 Prime Health Services — Commercial: $4,682.95 Provider Network of America — All Plans: $4,132.01 Quik Trip — Employee Coverage: $4,132.01
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W/Dye	$5,509.35	$5,509.35	$3,856.55 – $4,682.95
CT scan of the pelvis, with contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $3,856.55 MultiPlan/PHCS — Commercial: $4,407.48 Prime Health Services — Commercial: $4,682.95 Provider Network of America — All Plans: $4,132.01 Quik Trip — Employee Coverage: $4,132.01 Unity Preferred — Commercial: $4,132.01 USA Managed Care Organization — Health and Wellness Network HMO: $4,132.01 Velocity Provider PPO Network — Group Health and All Other: $4,132.01
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	$6,305.10	$6,305.10	$199.57 – $5,359.34
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: $425 Americas Choice Provider Network — Commercial: $4,413.57 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $199.57 Direct Pay Three Rivers Network — Group Health: $390.97 MultiPlan/PHCS — Commercial: $5,044.08 PACE (Milford Wellness Village) — DSNP: $199.57 Prime Health Services — Commercial: $5,359.34 Provider Network of America — All Plans: $4,728.83 Quik Trip — Employee Coverage: $4,728.83
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	$6,305.10	$6,305.10	$4,413.57 – $5,359.34
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $4,413.57 MultiPlan/PHCS — Commercial: $5,044.08 Prime Health Services — Commercial: $5,359.34 Provider Network of America — All Plans: $4,728.83 Quik Trip — Employee Coverage: $4,728.83 Unity Preferred — Commercial: $4,728.83 USA Managed Care Organization — Health and Wellness Network HMO: $4,728.83 Velocity Provider PPO Network — Group Health and All Other: $4,728.83
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	$8,264	$8,264	$298.16 – $7,024.40
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $335.77 Aetna — Medicare Advantage: $335.77 Americas Choice Provider Network — Commercial: $5,784.80 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $298.16 Direct Pay Three Rivers Network — Group Health: $571.66 MultiPlan/PHCS — Commercial: $6,611.20 PACE (Milford Wellness Village) — DSNP: $298.16 Prime Health Services — Commercial: $7,024.40 Provider Network of America — All Plans: $6,198 Quik Trip — Employee Coverage: $6,198
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	$8,264	$8,264	$5,784.80 – $7,024.40
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $5,784.80 MultiPlan/PHCS — Commercial: $6,611.20 Prime Health Services — Commercial: $7,024.40 Provider Network of America — All Plans: $6,198 Quik Trip — Employee Coverage: $6,198 Unity Preferred — Commercial: $6,198 USA Managed Care Organization — Health and Wellness Network HMO: $6,198 Velocity Provider PPO Network — Group Health and All Other: $6,198
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Exam Abdom Complete	$1,130.75	$1,130.75	$111.46 – $961.14
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $115.51 Aetna — Medicare Advantage: $115.51 Americas Choice Provider Network — Commercial: $791.53 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $111.46 Direct Pay Three Rivers Network — Group Health: $171.31 MultiPlan/PHCS — Commercial: $904.60 PACE (Milford Wellness Village) — DSNP: $111.46 Prime Health Services — Commercial: $961.14 Provider Network of America — All Plans: $848.06 Quik Trip — Employee Coverage: $848.06
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Exam Abdom Complete	$1,130.75	$1,130.75	$791.53 – $961.14
Ultrasound of the abdomen, complete: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $791.53 MultiPlan/PHCS — Commercial: $904.60 Prime Health Services — Commercial: $961.14 Provider Network of America — All Plans: $848.06 Quik Trip — Employee Coverage: $848.06 Unity Preferred — Commercial: $848.06 USA Managed Care Organization — Health and Wellness Network HMO: $848.06 Velocity Provider PPO Network — Group Health and All Other: $848.06
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 – $137.05
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $130.02 Velocity Provider PPO Network — Medicare Advantage: $137.05
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non-Ob	$662.20	$662.20	$114.27 – $562.87
Transvaginal ultrasound: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $118.21 Aetna — Medicare Advantage: $118.21 Americas Choice Provider Network — Commercial: $463.54 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $114.27 Direct Pay Three Rivers Network — Group Health: $171.31 MultiPlan/PHCS — Commercial: $529.76 PACE (Milford Wellness Village) — DSNP: $114.27 Prime Health Services — Commercial: $562.87 Provider Network of America — All Plans: $496.65 Quik Trip — Employee Coverage: $496.65
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Transvaginal Non-Ob	$662.20	$662.20	$463.54 – $562.87
Transvaginal ultrasound: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $463.54 MultiPlan/PHCS — Commercial: $529.76 Prime Health Services — Commercial: $562.87 Provider Network of America — All Plans: $496.65 Quik Trip — Employee Coverage: $496.65 Unity Preferred — Commercial: $496.65 USA Managed Care Organization — Health and Wellness Network HMO: $496.65 Velocity Provider PPO Network — Group Health and All Other: $496.65
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 – $147.24
Diagnostic mammogram, one breast: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $120.06 Velocity Provider PPO Network — Medicare Advantage: $147.24
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 – $186.50
Diagnostic mammogram, both breasts: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $151.97 Velocity Provider PPO Network — Medicare Advantage: $186.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Mammo Bilat	$1,628.79	$1,628.79	$122.58 – $1,384.47
Screening mammogram, both breasts: 10 of 17 insurance plan rates Aetna — Commercial/Medical Rental: $125.41 Aetna — Medicare Advantage: $125.41 Americas Choice Provider Network — Commercial: $1,140.15 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $122.58 Direct Pay Three Rivers Network — Group Health: $187.52 MultiPlan/PHCS — Commercial: $1,303.03 PACE (Milford Wellness Village) — DSNP: $122.58 Prime Health Services — Commercial: $1,384.47 Provider Network of America — All Plans: $1,221.59 Quik Trip — Employee Coverage: $1,221.59
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Screening Mammo Bilat	$1,628.79	$1,628.79	$1,140.15 – $1,384.47
Screening mammogram, both breasts: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,140.15 MultiPlan/PHCS — Commercial: $1,303.03 Prime Health Services — Commercial: $1,384.47 Provider Network of America — All Plans: $1,221.59 Quik Trip — Employee Coverage: $1,221.59 Unity Preferred — Commercial: $1,221.59 USA Managed Care Organization — Health and Wellness Network HMO: $1,221.59 Velocity Provider PPO Network — Group Health and All Other: $1,221.59

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 – $18.26
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $13.75 Velocity Provider PPO Network — Medicare Advantage: $18.26
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 – $4,249.78
Left heart catheterization (diagnostic): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $845.42 Velocity Provider PPO Network — Medicare Advantage: $4,249.78
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 – $10,224.42
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $358.54 Velocity Provider PPO Network — Medicare Advantage: $10,224.42
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 – $34,263.57
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $885.38 Velocity Provider PPO Network — Medicare Advantage: $34,263.57
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 – $1,125.70
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $596.94 Velocity Provider PPO Network — Medicare Advantage: $1,125.70

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: 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: $18.57 Americas Choice Provider Network — Commercial: $78.47 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic proc/exer 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: $18.57 Americas Choice Provider Network — Commercial: $78.47 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $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: Ther procedure exercise 15 min	$112.10	$112.10	$78.47 – $95.29
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $78.47 MultiPlan/PHCS — Commercial: $89.68 Prime Health Services — Commercial: $95.29 Provider Network of America — All Plans: $84.08 Quik Trip — Employee Coverage: $84.08 Unity Preferred — Commercial: $84.08 USA Managed Care Organization — Health and Wellness Network HMO: $84.08 Velocity Provider PPO Network — Group Health and All Other: $84.08
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Low Complexity	$120.35	$120.35	$58.97 – $193.12
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — Commercial/Medical Rental: $63.17 Aetna — Medicare Advantage: $63.17 Americas Choice Provider Network — Commercial: $84.25 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $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: $96.28 PACE (Milford Wellness Village) — DSNP: $96.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval - Low Complexity	$243.20	$243.20	$63.17 – $206.72
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — Commercial/Medical Rental: $63.17 Aetna — Medicare Advantage: $63.17 Americas Choice Provider Network — Commercial: $170.24 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $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: $194.56 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	$120.35	$120.35	$84.25 – $102.30
Physical therapy evaluation (low complexity): rates for 8 insurance plans Americas Choice Provider Network — Commercial: $84.25 MultiPlan/PHCS — Commercial: $96.28 Prime Health Services — Commercial: $102.30 Provider Network of America — All Plans: $90.26 Quik Trip — Employee Coverage: $90.26 Unity Preferred — Commercial: $90.26 USA Managed Care Organization — Health and Wellness Network HMO: $90.26 Velocity Provider PPO Network — Group Health and All Other: $90.26
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: $63.17 Americas Choice Provider Network — Commercial: $255.19 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $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 America — All Plans: $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: $63.17 Americas Choice Provider Network — Commercial: $340.24 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $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 America — All Plans: $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 – $232.68
Psychotherapy, 30 minutes: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $75.71 Velocity Provider PPO Network — Medicare Advantage: $232.68
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 – $232.68
Psychotherapy, 45 minutes: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $99.88 Velocity Provider PPO Network — Medicare Advantage: $232.68
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 – $232.68
Psychotherapy, 60 minutes: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $147.25 Velocity Provider PPO Network — Medicare Advantage: $232.68
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 – $232.68
Family psychotherapy, without the patient: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $94.54 Velocity Provider PPO Network — Medicare Advantage: $232.68
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 – $232.68
Family psychotherapy, with the patient: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $99.06 Velocity Provider PPO Network — Medicare Advantage: $232.68
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 – $133.17
Group psychotherapy: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $26.73 Velocity Provider PPO Network — Medicare Advantage: $133.17

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 – $5,132.66
Removal of breast growth (open surgery): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $501.93 Velocity Provider PPO Network — Medicare Advantage: $5,132.66
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 – $16,829.96
Total hip replacement: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $1,234.83 Velocity Provider PPO Network — Medicare Advantage: $16,829.96
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 – $16,829.96
Total knee replacement: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $1,232.94 Velocity Provider PPO Network — Medicare Advantage: $16,829.96
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 – $174.96
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $163.18 Velocity Provider PPO Network — Medicare Advantage: $174.96
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 – $4,289.20
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $527.14 Velocity Provider PPO Network — Medicare Advantage: $4,289.20
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 – $7,760.18
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $283.18 Velocity Provider PPO Network — Medicare Advantage: $7,760.18
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$275.50 – $1,188.95
Upper GI endoscopy (diagnostic): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $275.50 Velocity Provider PPO Network — Medicare Advantage: $1,188.95
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Biopsy Single/Multi	$2,503.44	$2,503.44	$136.37 – $2,127.92
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna — Commercial/Medical Rental: $136.37 Aetna — Medicare Advantage: $136.37 Americas Choice Provider Network — Commercial: $1,752.41 Blue Cross Blue Shield Highmark — Commercial/Medicare Advantage: $743.49 Blue Cross Blue Shield Highmark Health Options — Managed Medicaid: $359.96 Direct Pay Three Rivers Network — Group Health: $1,486.18 MultiPlan/PHCS — Commercial: $2,002.75 PACE (Milford Wellness Village) — DSNP: $359.96 Prime Health Services — Commercial: $2,127.92 Provider Network of America — All Plans: $1,877.58
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Biopsy Single/Multi	$2,503.44	$2,503.44	$1,752.41 – $2,127.92
Upper GI endoscopy with biopsy: rates for 8 insurance plans Americas Choice Provider Network — Commercial: $1,752.41 MultiPlan/PHCS — Commercial: $2,002.75 Prime Health Services — Commercial: $2,127.92 Provider Network of America — All Plans: $1,877.58 Quik Trip — Employee Coverage: $1,877.58 Unity Preferred — Commercial: $1,877.58 USA Managed Care Organization — Health and Wellness Network HMO: $1,877.58 Velocity Provider PPO Network — Group Health and All Other: $1,877.58
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$325.58 – $1,219.06
Colonoscopy (diagnostic): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $325.58 Velocity Provider PPO Network — Medicare Advantage: $1,219.06
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$414.84 – $1,568.65
Colonoscopy with biopsy: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $414.84 Velocity Provider PPO Network — Medicare Advantage: $1,568.65
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$434.64 – $1,568.65
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $434.64 Velocity Provider PPO Network — Medicare Advantage: $1,568.65
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 – $1,568.65
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $243.39 Velocity Provider PPO Network — Medicare Advantage: $1,568.65
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 – $1,219.06
Screening colonoscopy (not high risk): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $325.88 Velocity Provider PPO Network — Medicare Advantage: $1,219.06
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 – $7,924.95
Gallbladder removal by laparoscope: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $636.18 Velocity Provider PPO Network — Medicare Advantage: $7,924.95
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 – $4,693.47
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $505.16 Velocity Provider PPO Network — Medicare Advantage: $4,693.47
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 – $13,934.43
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $1,139.49 Velocity Provider PPO Network — Medicare Advantage: $13,934.43
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 – $4,243.48
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $1,260.27 Velocity Provider PPO Network — Medicare Advantage: $4,243.48
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 – $925.32
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $247.75 Velocity Provider PPO Network — Medicare Advantage: $925.32
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 – $1,159.44
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $236.35 Velocity Provider PPO Network — Medicare Advantage: $1,159.44
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 – $2,559.79
Carpal tunnel release: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $434.56 Velocity Provider PPO Network — Medicare Advantage: $2,559.79
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 – $720.98
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $319.21 Velocity Provider PPO Network — Medicare Advantage: $720.98
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 – $3,025.28
Cataract removal with lens implant: rates for 2 insurance plans PACE (Milford Wellness Village) — DSNP: $517.03 Velocity Provider PPO Network — Medicare Advantage: $3,025.28

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) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,613.10
Vaginal delivery, with care before and after: rates for 1 insurance plan Velocity Provider PPO Network — Medicare Advantage: $2,613.10
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,913.98
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Velocity Provider PPO Network — Medicare Advantage: $2,913.98
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,745.30
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Velocity Provider PPO Network — Medicare Advantage: $2,745.30

Source: PAM Rehabilitation Hospital of Dover’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	1240 McKee Road, Dover, DE 19904
County	Kent County
State	Delaware
Phone	(302) 672‑5800
Ownership	Proprietary
CMS Certification Number	083027
Name in Medicare records	PAM REHABILITATION HOSPITAL OF DOVER
Profile level	Medicare data + hospital website
Name on the hospital’s website	PAM Health Rehabilitation Hospital of Dover
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.

Inpatient & Outpatient Rehab Hospital of Dover | PAM Health — pamhealth.com

PAM Rehabilitation Hospital of Dover

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4]

Conditions treated^[4]

Treatments^[4]

Programs and centers^[4]

Emergency care (hospital website)^[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

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

PAM Rehabilitation Hospital of Dover

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

Programs and centers[4]

Emergency care (hospital website)[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

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4]

Conditions treated^[4]

Treatments^[4]

Programs and centers^[4]

Emergency care (hospital website)^[4]