Does Paoli Hospital have an emergency room?

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

Where is Paoli Hospital?

255 West Lancaster Avenue, Paoli, PA 19301, in Chester County, Pennsylvania.

What is the phone number of Paoli Hospital?

(610) 648-1000, as listed by Medicare (CMS).

What is the Medicare star rating of Paoli Hospital?

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

Paoli Hospital — Paoli, PA | US Patient Guide

Quick answers

Does Paoli Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Paoli Hospital. In a medical emergency, call 911.
Where is Paoli Hospital?: 255 West Lancaster Avenue, Paoli, PA 19301, in Chester County, Pennsylvania.
What is the phone number of Paoli Hospital?: (610) 648-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Paoli Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Orthopaedics
Maternity care
Cardiovascular care
Cancer care

Treatments^[6]

Thrombectomy
IV thrombolytic therapy

Procedures^[9]

CT scan
MRI
Ultrasound
X-ray
Mammogram
Bone densitometry (DEXA scan)
Nuclear medicine
Fluoroscopy
Interventional radiology

Programs and centers^[4][8]

Stroke and neurointervention program
Level II neonatal intensive care unit (NICU)
Level II trauma center

Emergency care (hospital website)^[4][6][7][8]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Thrombectomy-Capable Stroke Center (certified by The Joint Commission)

Visiting and practical information

Visiting	Visitors allowed 8 a.m. to 9 p.m. daily; two visitors at a time; photo ID needed for a badge at the main entrance^[4]
Parking	Garage and surface lot parking is free for patients and visitors^[4]
Interpreters and languages	Interpreter help available; dial 0 from a hospital phone^[4]
Patient portal	MyChart

Recognition^[6]

Thrombectomy-Capable Stroke Center, certified by The Joint Commission

Doctors and clinicians (1,645)

1,645 doctors and other clinicians list Paoli Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,621 more: the button below opens the full list.

Other emergency rooms nearby

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

Phoenixville Hospital5.7 mi · Phoenixville, PA · Acute Care Hospital
Chester County Hospital7.3 mi · West Chester, PA · Acute Care Hospital
Riddle Memorial Hospital9.6 mi · Media, PA · Acute Care Hospital
Bryn Mawr Hospital9.7 mi · Bryn Mawr, PA · Acute Care Hospital
Jefferson Einstein Montgomery Hospital11 mi · East Norriton, PA · Acute Care Hospital

Other hospitals nearby

Bryn Mawr Rehabilitation Hospital2.3 mi · Malvern, PA · Inpatient Rehabilitation Hospital
Haven Behavioral Hospital of West Chester7.4 mi · West Chester, PA · 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

Green Meadows Nursing & Rehabilitation Center2.7 mi · Malvern, PA · 4 of 5 stars
The Phoenix Center for Rehabilitation and Nursing5.5 mi · Phoenixville, PA · 2 of 5 stars
Aventura at Pembrooke5.6 mi · West Chester, PA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Holisticare Hospice, LLC5.5 mi · Wayne, PA · 3 of 5 stars
Main Line Health Homecare & Hospice - Hospice5.5 mi · Radnor, PA · 4 of 5 stars
Patient Care Hospice5.5 mi · Wayne, PA

All hospice providers in the state →

Home health agencies

Coastal Health Connections1.5 mi · Malvern, PA
Discover Health at Home5.5 mi · Wayne, PA
Main Line Health Home Care & Hospice - Home Health5.5 mi · Radnor, PA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

FKC Phoenixville6.0 mi · Phoenixville, PA · 5 of 5 stars
FKC West Chester6.6 mi · West Chester, PA · 3 of 5 stars
DaVita Radnor Dialysis7.1 mi · King of Prussia, PA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Paoli Surgery Center1.1 mi · Paoli, PA
Urology Center of Chester County1.1 mi · Paoli, PA
Urology Health Surgery Center, LLC1.1 mi · Paoli, PA

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

Norristown Regional Health Center10 mi · Norristown, PA · Community health center
GPHA - Spectrum Behavioral Healthcare Center12 mi · Springfield, PA · Community health center
ChesPenn Center for Family Health at Upper Darby13 mi · Upper Darby, PA · Community health center

Clinics and urgent care

Zen Walk-In Clinic LLC1.1 mi · Paoli, PA · Urgent care center
Medrite Medical Care PC1.5 mi · Malvern, PA · Urgent care center
Imhealth LLC5.5 mi · Wayne, PA · Urgent care center

Pharmacies

Acme Markets Inc1.1 mi · Paoli, PA · Community/retail pharmacy
Walgreen Co1.1 mi · Paoli, PA · Pharmacy
Wegmans Food Markets, Inc.1.5 mi · Malvern, PA · Pharmacy

Assisted living nearby

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

Daylesford Crossing1.1 mi · Paoli, PA
Highgate at Paoli Pointe1.1 mi · Paoli, PA
Remed1.1 mi · Paoli, PA
Remed1.1 mi · Paoli, PA

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	80%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	2,148Response rate: 29%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.773No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.69No different from the national benchmark
Surgical site infections after colon surgery	1.508No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.375No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.416Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.8%
Deaths within 30 days: heart failure patients	10.1%
Deaths within 30 days: pneumonia patients	12.7%
Deaths within 30 days: COPD patients	5.9%
Deaths within 30 days: stroke patients	11.1%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	0.83No different from the national rate
Complications after hip or knee replacement	2.4%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15.7%
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	19.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	220 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	57%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Pennsylvania Best hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as Paoli Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Preventive New 18-39	$300	$120	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Preventive New 40-64	$300	$120	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$280.45 – $350.56
Emergency room visit (moderate): rates for 10 insurance plans Aetna — Advantra Medicare Managed Care Plan: $305.69 Blue Cross — Dvaco Other Commercial Plan: $350.56 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $280.45 Devoted Health — Medicare Managed Care Plan: $300.08 Geisinger Health — Medicare Managed Care Plan: $314.10 Health Partners/Jefferson Health — Medicare Managed Care Plan: $294.47 Highmark Wholecare — Medicare Managed Care Plan: $311.30 Humana — Medicare Managed Care Plan: $286.06 Pa Health & Wellness — Dual Eligible Medicare Managed Care Plan: $308.49 Unitedhealthcare — Advantage Group Medicare Managed Care Plan: $312.98
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed E&M Moderate Severity	$1,685	$674	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$428.68 – $535.85
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — Advantra Medicare Managed Care Plan: $467.26 Blue Cross — Dvaco Other Commercial Plan: $535.85 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $428.68 Devoted Health — Medicare Managed Care Plan: $458.69 Geisinger Health — Medicare Managed Care Plan: $480.12 Health Partners/Jefferson Health — Medicare Managed Care Plan: $450.11 Highmark Wholecare — Medicare Managed Care Plan: $475.83 Humana — Medicare Managed Care Plan: $437.25 Pa Health & Wellness — Dual Eligible Medicare Managed Care Plan: $471.55 Unitedhealthcare — Advantage Group Medicare Managed Care Plan: $478.41
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed E&M High Severity Urg Ev	$2,360	$944	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$611.83 – $764.78
Emergency room visit (high): rates for 10 insurance plans Aetna — Advantra Medicare Managed Care Plan: $666.89 Blue Cross — Dvaco Other Commercial Plan: $764.78 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $611.83 Devoted Health — Medicare Managed Care Plan: $654.65 Geisinger Health — Medicare Managed Care Plan: $685.24 Health Partners/Jefferson Health — Medicare Managed Care Plan: $642.42 Highmark Wholecare — Medicare Managed Care Plan: $679.13 Humana — Medicare Managed Care Plan: $624.06 Pa Health & Wellness — Dual Eligible Medicare Managed Care Plan: $673.01 Unitedhealthcare — Advantage Group Medicare Managed Care Plan: $682.80
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed E&M High Sever Immed Sig	$3,312	$1,324.80	Not listed in the file

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: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $35.70
Basic metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $9.22 Aetna — Custom - Pebtf/Rehp Hmo: $10.71 Aetna — Hmo: $14.24 Aetna — Ppo: $14.24 Blue Cross — Dvaco Other Commercial Plan: $10.58 Blue Cross — Ibc Administrators Ppo: $35.70 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $8.46 Blue Cross — Ibc Hmo: $35.70 Blue Cross — Ibc Ppo: $35.70 Cigna — All Commercial Plans: $28.25
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Bmp With Total Calcium	$254	$101.60	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $44.55
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $11.51 Aetna — Custom - Pebtf/Rehp Hmo: $13.38 Aetna — Hmo: $17.78 Aetna — Ppo: $17.78 Blue Cross — Dvaco Other Commercial Plan: $13.20 Blue Cross — Ibc Administrators Ppo: $44.55 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $10.56 Blue Cross — Ibc Hmo: $44.55 Blue Cross — Ibc Ppo: $44.55 Cigna — All Commercial Plans: $34.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comp Metab Panel	$430	$172	Not listed in the file
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	$47.81 – $158.64
Obstetric blood test panel: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $52.11 Aetna — Custom - Pebtf/Rehp Hmo: $60.55 Aetna — Hmo: $80.47 Aetna — Ppo: $80.47 Blue Cross — Dvaco Other Commercial Plan: $59.76 Blue Cross — Ibc Administrators Ppo: $81.48 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $47.81 Blue Cross — Ibc Hmo: $81.48 Blue Cross — Ibc Ppo: $81.48 Cigna — All Commercial Plans: $158.64
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Obsteric Panel	$129	$51.60	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $57.98
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $14.60 Aetna — Custom - Pebtf/Rehp Hmo: $16.96 Aetna — Hmo: $22.53 Aetna — Ppo: $22.53 Blue Cross — Dvaco Other Commercial Plan: $16.74 Blue Cross — Ibc Administrators Ppo: $57.98 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $13.39 Blue Cross — Ibc Hmo: $57.98 Blue Cross — Ibc Ppo: $57.98 Cigna — All Commercial Plans: $44.55
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel So	$258	$103.20	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel	$258	$103.20	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $36.62
Kidney function panel: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $9.46 Aetna — Custom - Pebtf/Rehp Hmo: $11 Aetna — Hmo: $14.61 Aetna — Ppo: $14.61 Blue Cross — Dvaco Other Commercial Plan: $10.85 Blue Cross — Ibc Administrators Ppo: $36.62 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $8.68 Blue Cross — Ibc Hmo: $36.62 Blue Cross — Ibc Ppo: $36.62 Cigna — All Commercial Plans: $29.34
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Renal Panel	$171	$68.40	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $34.48
Liver function panel: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $8.91 Aetna — Custom - Pebtf/Rehp Hmo: $10.34 Aetna — Hmo: $13.74 Aetna — Ppo: $13.74 Blue Cross — Dvaco Other Commercial Plan: $10.21 Blue Cross — Ibc Administrators Ppo: $34.48 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $8.17 Blue Cross — Ibc Hmo: $34.48 Blue Cross — Ibc Ppo: $34.48 Cigna — All Commercial Plans: $27.17
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hepatic Function Panel	$229	$91.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $13.43
Urine test (automated, with microscope): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $3.46 Aetna — Custom - Pebtf/Rehp Hmo: $4.01 Aetna — Hmo: $5.33 Aetna — Ppo: $5.33 Blue Cross — Dvaco Other Commercial Plan: $3.96 Blue Cross — Ibc Administrators Ppo: $13.43 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $3.17 Blue Cross — Ibc Hmo: $13.43 Blue Cross — Ibc Ppo: $13.43 Cigna — All Commercial Plans: $10.87
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Auto W/Micro	$70	$28	Not listed in the file
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	$3.48 – $15.26
Urine test (manual, without microscope): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $3.79 Aetna — Custom - Pebtf/Rehp Hmo: $4.41 Aetna — Hmo: $5.86 Aetna — Ppo: $5.86 Blue Cross — Dvaco Other Commercial Plan: $4.35 Blue Cross — Ibc Administrators Ppo: $15.26 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $3.48 Blue Cross — Ibc Hmo: $15.26 Blue Cross — Ibc Ppo: $15.26 Cigna — All Commercial Plans: $11.95
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $10.38
Urine test (automated, without microscope): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $2.45 Aetna — Custom - Pebtf/Rehp Hmo: $2.85 Aetna — Hmo: $3.78 Aetna — Ppo: $3.78 Blue Cross — Dvaco Other Commercial Plan: $2.81 Blue Cross — Ibc Administrators Ppo: $10.38 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $2.25 Blue Cross — Ibc Hmo: $10.38 Blue Cross — Ibc Ppo: $10.38 Cigna — All Commercial Plans: $7.61
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Auto W/O Micro	$86	$34.40	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Auto W/O Micro Poc	$86	$34.40	Not listed in the file
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	$18.39 – $79.65
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $20.05 Aetna — Custom - Pebtf/Rehp Hmo: $23.29 Aetna — Hmo: $30.95 Aetna — Ppo: $30.95 Blue Cross — Dvaco Other Commercial Plan: $22.99 Blue Cross — Ibc Administrators Ppo: $79.65 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $18.39 Blue Cross — Ibc Hmo: $79.65 Blue Cross — Ibc Ppo: $79.65 Cigna — All Commercial Plans: $60.85
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psa Total	$223	$89.20	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psa Post Prostatectomy	$223	$89.20	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $79.95
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $18.31 Aetna — Custom - Pebtf/Rehp Hmo: $21.28 Aetna — Hmo: $28.27 Aetna — Ppo: $28.27 Blue Cross — Dvaco Other Commercial Plan: $21 Blue Cross — Ibc Administrators Ppo: $79.95 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $16.80 Blue Cross — Ibc Hmo: $79.95 Blue Cross — Ibc Ppo: $79.95 Cigna — All Commercial Plans: $55.42
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Tsh	$217	$86.80	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $33.57
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $8.47 Aetna — Custom - Pebtf/Rehp Hmo: $9.83 Aetna — Hmo: $13.07 Aetna — Ppo: $13.07 Blue Cross — Dvaco Other Commercial Plan: $9.71 Blue Cross — Ibc Administrators Ppo: $33.57 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $7.77 Blue Cross — Ibc Hmo: $33.57 Blue Cross — Ibc Ppo: $33.57 Cigna — All Commercial Plans: $26.08
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cbc Auto W/Auto Diff	$101	$40.40	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $30.52
Complete blood count (CBC), automated: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $7.05 Aetna — Custom - Pebtf/Rehp Hmo: $8.20 Aetna — Hmo: $10.89 Aetna — Ppo: $10.89 Blue Cross — Dvaco Other Commercial Plan: $8.09 Blue Cross — Ibc Administrators Ppo: $30.52 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $6.47 Blue Cross — Ibc Hmo: $30.52 Blue Cross — Ibc Ppo: $30.52 Cigna — All Commercial Plans: $21.73
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cbc Auto W/O Diff	$88	$35.20	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $17.09
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $4.68 Aetna — Custom - Pebtf/Rehp Hmo: $5.44 Aetna — Hmo: $7.23 Aetna — Ppo: $7.23 Blue Cross — Dvaco Other Commercial Plan: $5.36 Blue Cross — Ibc Administrators Ppo: $17.09 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $4.29 Blue Cross — Ibc Hmo: $17.09 Blue Cross — Ibc Ppo: $17.09 Cigna — All Commercial Plans: $14.13
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prothrombin Time	$56	$22.40	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $28.69
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $6.55 Aetna — Custom - Pebtf/Rehp Hmo: $7.61 Aetna — Hmo: $10.12 Aetna — Ppo: $10.12 Blue Cross — Dvaco Other Commercial Plan: $7.51 Blue Cross — Ibc Administrators Ppo: $28.69 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $6.01 Blue Cross — Ibc Hmo: $28.69 Blue Cross — Ibc Ppo: $28.69 Cigna — All Commercial Plans: $19.56
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Von Wilie,Ptt Plasm/Whol	$114	$45.60	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ptt	$114	$45.60	Not listed in the file

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	Not listed in the file	Not listed in the file	$107.41 – $674.40
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $117.07 Aetna — Custom - Pebtf/Rehp Hmo: $192.01 Aetna — Hmo: $256.28 Aetna — Ppo: $256.28 Blue Cross — Dvaco Other Commercial Plan: $134.26 Blue Cross — Ibc Administrators Ppo: $674.40 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $107.41 Blue Cross — Ibc Hmo: $534.09 Blue Cross — Ibc Ppo: $674.40 Cigna — All Commercial Plans: $576.88
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Head/Brain W/O Contrast	$1,515	$606	Not listed in the file
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	Not listed in the file	Not listed in the file	$358.42 – $3,038.83
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $390.68 Aetna — Custom - Pebtf/Rehp Hmo: $714.61 Aetna — Hmo: $953.81 Aetna — Ppo: $953.81 Blue Cross — Dvaco Other Commercial Plan: $448.02 Blue Cross — Ibc Administrators Ppo: $2,349.73 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $358.42 Blue Cross — Ibc Hmo: $1,860.86 Blue Cross — Ibc Ppo: $2,349.73 Cigna — All Commercial Plans: $3,038.83
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain W/Wo Contrast	$5,458	$2,183.20	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$56.33 – $182.03
Chest X-ray, 2 views: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $97.45 Aetna — Custom - Pebtf/Rehp Hmo: $56.33 Aetna — Hmo: $75.19 Aetna — Ppo: $75.19 Blue Cross — Dvaco Other Commercial Plan: $111.76 Blue Cross — Ibc Administrators Ppo: $103.75 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $89.41 Blue Cross — Ibc Hmo: $82.17 Blue Cross — Ibc Ppo: $103.75 Cigna — All Commercial Plans: $62.53
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hc Xr Chest, 2 Views	$601	$240.40	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$94.64 – $245.18
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $117.07 Aetna — Custom - Pebtf/Rehp Hmo: $94.64 Aetna — Hmo: $126.32 Aetna — Ppo: $126.32 Blue Cross — Dvaco Other Commercial Plan: $134.26 Blue Cross — Ibc Administrators Ppo: $152.58 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $107.41 Blue Cross — Ibc Hmo: $120.84 Blue Cross — Ibc Ppo: $152.58 Cigna — All Commercial Plans: $112.31
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Xr Spine Lumbosacral Min 4 Views	$863	$345.20	Not listed in the file
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	Not listed in the file	Not listed in the file	$245.13 – $1,516.22
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $267.19 Aetna — Custom - Pebtf/Rehp Hmo: $714.61 Aetna — Hmo: $953.81 Aetna — Ppo: $953.81 Blue Cross — Dvaco Other Commercial Plan: $306.41 Blue Cross — Ibc Administrators Ppo: $1,449.51 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $245.13 Blue Cross — Ibc Hmo: $1,147.93 Blue Cross — Ibc Ppo: $1,449.51 Cigna — All Commercial Plans: $1,516.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lumbar Spine W/O Contrst	$4,475	$1,790	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$180.20 – $949.05
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $196.42 Aetna — Custom - Pebtf/Rehp Hmo: $486.32 Aetna — Hmo: $649.10 Aetna — Ppo: $649.10 Blue Cross — Dvaco Other Commercial Plan: $225.25 Blue Cross — Ibc Administrators Ppo: $949.05 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $180.20 Blue Cross — Ibc Hmo: $751.59 Blue Cross — Ibc Ppo: $949.05 Cigna — All Commercial Plans: $835.96
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Pelvis W Contrast	$4,238	$1,695.20	Not listed in the file
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	Not listed in the file	Not listed in the file	$245.13 – $1,449.51
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $267.19 Aetna — Custom - Pebtf/Rehp Hmo: $714.61 Aetna — Hmo: $953.81 Aetna — Ppo: $953.81 Blue Cross — Dvaco Other Commercial Plan: $306.41 Blue Cross — Ibc Administrators Ppo: $1,449.51 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $245.13 Blue Cross — Ibc Hmo: $1,147.93 Blue Cross — Ibc Ppo: $1,449.51 Cigna — All Commercial Plans: $1,338.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lower Ext Jt W/O Contrast	$4,106	$1,642.40	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$358.42 – $967.36
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $390.68 Aetna — Custom - Pebtf/Rehp Hmo: $651.56 Aetna — Hmo: $869.66 Aetna — Ppo: $869.66 Blue Cross — Dvaco Other Commercial Plan: $448.02 Blue Cross — Ibc Administrators Ppo: $967.36 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $358.42 Blue Cross — Ibc Hmo: $766.09 Blue Cross — Ibc Ppo: $967.36 Cigna — All Commercial Plans: $843.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abdomen/Pelvis W/Contrast	$5,590	$2,236	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$107.41 – $347.88
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $117.07 Aetna — Custom - Pebtf/Rehp Hmo: $194.90 Aetna — Hmo: $260.14 Aetna — Ppo: $260.14 Blue Cross — Dvaco Other Commercial Plan: $134.26 Blue Cross — Ibc Administrators Ppo: $347.88 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $107.41 Blue Cross — Ibc Hmo: $275.50 Blue Cross — Ibc Ppo: $347.88 Cigna — All Commercial Plans: $241.22
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abdomen Complete	$1,350	$540	Not listed in the file
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	$107.41 – $1,266
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $117.07 Aetna — Custom - Pebtf/Rehp Hmo: $949 Aetna — Hmo: $1,266 Aetna — Ppo: $1,266 Blue Cross — Dvaco Other Commercial Plan: $134.26 Blue Cross — Ibc Administrators Ppo: $305.16 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $107.41 Blue Cross — Ibc Hmo: $241.67 Blue Cross — Ibc Ppo: $305.16 Cigna — All Commercial Plans: $256.53
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Preg Uterus >= 14 Wk Transab Sgl/1St	$1,613	$645.20	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$107.41 – $286.24
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $117.07 Aetna — Custom - Pebtf/Rehp Hmo: $214.45 Aetna — Hmo: $286.24 Aetna — Ppo: $286.24 Blue Cross — Dvaco Other Commercial Plan: $134.26 Blue Cross — Ibc Administrators Ppo: $283.80 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $107.41 Blue Cross — Ibc Hmo: $224.75 Blue Cross — Ibc Ppo: $283.80 Cigna — All Commercial Plans: $187.61
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Transvaginal Pelvis; Non Ob	$979	$391.60	Not listed in the file
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	$149.84 – $348.42
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — Custom - Pebtf/Rehp Hmo: $213.64 Aetna — Hmo: $285.15 Aetna — Ppo: $285.15 Blue Cross — Ibc Administrators Ppo: $189.20 Blue Cross — Ibc Hmo: $149.84 Blue Cross — Ibc Ppo: $189.20 Cigna — All Commercial Plans: $348.42 Unitedhealthcare — All Commercial Plans: $205.70
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Dx Mammo Incl Cad Uni	$631	$252.40	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$79.12 – $98.90
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Advantra Medicare Managed Care Plan: $86.24 Blue Cross — Dvaco Other Commercial Plan: $98.90 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $79.12 Devoted Health — Medicare Managed Care Plan: $84.66 Geisinger Health — Medicare Managed Care Plan: $88.61 Health Partners/Jefferson Health — Medicare Managed Care Plan: $83.08 Highmark Wholecare — Medicare Managed Care Plan: $87.82 Humana — Medicare Managed Care Plan: $80.70 Pa Health & Wellness — Dual Eligible Medicare Managed Care Plan: $87.03 Unitedhealthcare — Advantage Group Medicare Managed Care Plan: $88.30
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	$190.92 – $430.11
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — Custom - Pebtf/Rehp Hmo: $272.34 Aetna — Hmo: $363.50 Aetna — Ppo: $363.50 Blue Cross — Ibc Administrators Ppo: $241.08 Blue Cross — Ibc Hmo: $190.92 Blue Cross — Ibc Ppo: $241.08 Cigna — All Commercial Plans: $430.11 Unitedhealthcare — All Commercial Plans: $263
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Dx Mammo Incl Cad Bi	$644	$257.60	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$115.19 – $143.99
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — Advantra Medicare Managed Care Plan: $125.56 Blue Cross — Dvaco Other Commercial Plan: $143.99 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $115.19 Devoted Health — Medicare Managed Care Plan: $123.25 Geisinger Health — Medicare Managed Care Plan: $129.01 Health Partners/Jefferson Health — Medicare Managed Care Plan: $120.95 Highmark Wholecare — Medicare Managed Care Plan: $127.86 Humana — Medicare Managed Care Plan: $117.49 Pa Health & Wellness — Dual Eligible Medicare Managed Care Plan: $126.71 Unitedhealthcare — Advantage Group Medicare Managed Care Plan: $128.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$145 – $408.41
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Custom - Pebtf/Rehp Hmo: $225.07 Aetna — Hmo: $300.40 Aetna — Ppo: $300.40 Blue Cross — Ibc Administrators Ppo: $183.10 Blue Cross — Ibc Hmo: $145 Blue Cross — Ibc Ppo: $183.10 Cigna — All Commercial Plans: $408.41 Unitedhealthcare — All Commercial Plans: $217.46
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Sc Scr Mammo Bi Incl Cad	$681	$272.40	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$94.97 – $118.71
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Advantra Medicare Managed Care Plan: $103.52 Blue Cross — Dvaco Other Commercial Plan: $118.71 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $94.97 Devoted Health — Medicare Managed Care Plan: $101.62 Geisinger Health — Medicare Managed Care Plan: $106.37 Health Partners/Jefferson Health — Medicare Managed Care Plan: $99.72 Highmark Wholecare — Medicare Managed Care Plan: $105.42 Humana — Medicare Managed Care Plan: $96.87 Pa Health & Wellness — Dual Eligible Medicare Managed Care Plan: $104.47 Unitedhealthcare — Advantage Group Medicare Managed Care Plan: $105.99

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	$157 – $235.98
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans Aetna — Custom - Pebtf/Rehp Hmo: $157 Aetna — Hmo: $210 Aetna — Ppo: $210 Blue Cross — Ibc Administrators Ppo: $235.98 Blue Cross — Ibc Hmo: $211.14 Blue Cross — Ibc Ppo: $235.98
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	$3,330.63 – $12,472
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $3,630.39 Aetna — Custom - Pebtf/Rehp Hmo: $9,355 Aetna — Hmo: $12,472 Aetna — Ppo: $12,472 Blue Cross — Dvaco Other Commercial Plan: $4,163.29 Blue Cross — Ibc Administrators Ppo: $7,034 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $3,330.63 Blue Cross — Ibc Hmo: $7,034 Blue Cross — Ibc Ppo: $7,034 Devoted Health — Medicare Managed Care Plan: $3,563.78
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lhc Only	$13,070	$5,228	Not listed in the file
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	$7,038 – $12,472
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $8,734.24 Aetna — Custom - Pebtf/Rehp Hmo: $9,355 Aetna — Hmo: $12,472 Aetna — Ppo: $12,472 Blue Cross — Dvaco Other Commercial Plan: $10,016.33 Blue Cross — Ibc Administrators Ppo: $7,866 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $8,013.06 Blue Cross — Ibc Hmo: $7,038 Blue Cross — Ibc Ppo: $7,866 Devoted Health — Medicare Managed Care Plan: $8,573.98
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comp Ep W/O Induc	$15,616	$6,246.40	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$7,034 – $33,566.25
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $29,269.77 Aetna — Custom - Pebtf/Rehp Hmo: $9,355 Aetna — Hmo: $12,472 Aetna — Ppo: $12,472 Blue Cross — Dvaco Other Commercial Plan: $33,566.25 Blue Cross — Ibc Administrators Ppo: $7,034 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $26,853 Blue Cross — Ibc Hmo: $7,034 Blue Cross — Ibc Ppo: $7,034 Devoted Health — Medicare Managed Care Plan: $28,732.71
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Amaze Afib Ablation	$37,548	$15,019.20	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Tx Atrial Fib Pulm Vein Iso	$37,548	$15,019.20	Not listed in the file
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	$882.24 – $3,323.40
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $961.64 Blue Cross — Dvaco Other Commercial Plan: $1,102.79 Blue Cross — Ibc Administrators Ppo: $3,323.40 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $882.24 Blue Cross — Ibc Hmo: $3,323.40 Blue Cross — Ibc Ppo: $3,323.40 Devoted Health — Medicare Managed Care Plan: $943.99 Geisinger Health — Medicare Managed Care Plan: $988.10 Health Partners/Jefferson Health — Medicare Managed Care Plan: $926.35 Highmark Wholecare — Medicare Managed Care Plan: $979.28
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psg Type Ii	$7,473	$2,989.20	Not listed in the file

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 exercises	Not listed in the file	Not listed in the file	$28.85 – $182.57
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $32.66 Aetna — Custom - Pebtf/Rehp Hmo: $28.85 Aetna — Hmo: $38.33 Aetna — Ppo: $38.33 Blue Cross — Dvaco Other Commercial Plan: $37.45 Blue Cross — Ibc Administrators Ppo: $182.57 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $29.96 Blue Cross — Ibc Hmo: $182.57 Blue Cross — Ibc Ppo: $182.57 Devoted Health — Medicare Managed Care Plan: $32.06
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Therapeutic Ex-15	$201	$80.40	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Hc Ot Therapeutic Exer Per 15Min	$201	$80.40	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$94.07 – $243.42
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $102.54 Aetna — Custom - Pebtf/Rehp Hmo: $98.13 Aetna — Hmo: $130.40 Aetna — Ppo: $130.40 Blue Cross — Dvaco Other Commercial Plan: $117.59 Blue Cross — Ibc Administrators Ppo: $243.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $94.07 Blue Cross — Ibc Hmo: $243.42 Blue Cross — Ibc Ppo: $243.42 Devoted Health — Medicare Managed Care Plan: $100.65
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Low Comp 20Min	$302	$120.80	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$94.07 – $304.28
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $102.54 Aetna — Custom - Pebtf/Rehp Hmo: $98.13 Aetna — Hmo: $130.40 Aetna — Ppo: $130.40 Blue Cross — Dvaco Other Commercial Plan: $117.59 Blue Cross — Ibc Administrators Ppo: $304.28 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $94.07 Blue Cross — Ibc Hmo: $304.28 Blue Cross — Ibc Ppo: $304.28 Devoted Health — Medicare Managed Care Plan: $100.65
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Mod Comp 30Min	$403	$161.20	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$94.07 – $365.14
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $102.54 Aetna — Custom - Pebtf/Rehp Hmo: $98.13 Aetna — Hmo: $130.40 Aetna — Ppo: $130.40 Blue Cross — Dvaco Other Commercial Plan: $117.59 Blue Cross — Ibc Administrators Ppo: $365.14 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $94.07 Blue Cross — Ibc Hmo: $365.14 Blue Cross — Ibc Ppo: $365.14 Devoted Health — Medicare Managed Care Plan: $100.65
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval High Comp 45Min	$503	$201.20	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval High Comp 45Min	$503	$201.20	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych 30 Min Pat And/Or Family	$186	$74.40	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych 45 Min Pat And/Or Family	$249	$99.60	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych 60 Min Pat And/Or Family	$372	$148.80	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Fam Psych W/O Pt Present	$220	$88	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Fam Psych W/Pt Present	$220	$88	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Day Tx Group Therapy Per 1 Hr	$609	$243.60	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Group Psychotherapy Non-Php Medicare	$139	$55.60	Not listed in the file

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	$3,532.95 – $6,459
Removal of breast growth (open surgery): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $4,384.59 Aetna — Custom - Pebtf/Rehp Hmo: $4,845 Aetna — Hmo: $6,459 Aetna — Ppo: $6,459 Blue Cross — Dvaco Other Commercial Plan: $5,028.20 Blue Cross — Ibc Administrators Ppo: $3,532.95 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $4,022.56 Blue Cross — Ibc Hmo: $3,532.95 Blue Cross — Ibc Ppo: $3,532.95 Devoted Health — Medicare Managed Care Plan: $4,304.14
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	$6,522.36 – $16,487.44
Total hip replacement: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $14,377.05 Aetna — Custom - Pebtf/Rehp Hmo: $8,017 Aetna — Hmo: $10,689 Aetna — Ppo: $10,689 Blue Cross — Dvaco Other Commercial Plan: $16,487.44 Blue Cross — Ibc Administrators Ppo: $6,522.36 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $13,189.95 Blue Cross — Ibc Hmo: $6,522.36 Blue Cross — Ibc Ppo: $6,522.36 Devoted Health — Medicare Managed Care Plan: $14,113.25
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	$5,707.07 – $16,487.44
Total knee replacement: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $14,377.05 Aetna — Custom - Pebtf/Rehp Hmo: $8,017 Aetna — Hmo: $10,689 Aetna — Ppo: $10,689 Blue Cross — Dvaco Other Commercial Plan: $16,487.44 Blue Cross — Ibc Administrators Ppo: $5,707.07 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $13,189.95 Blue Cross — Ibc Hmo: $5,707.07 Blue Cross — Ibc Ppo: $5,707.07 Devoted Health — Medicare Managed Care Plan: $14,113.25
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$4,845 – $6,459
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans Aetna — Custom - Pebtf/Rehp Hmo: $4,845 Aetna — Hmo: $6,459 Aetna — Ppo: $6,459 Blue Cross — Ibc Administrators Ppo: $5,707.07 Blue Cross — Ibc Hmo: $5,707.07 Blue Cross — Ibc Ppo: $5,707.07
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	$3,361.52 – $8,240
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $3,664.06 Aetna — Custom - Pebtf/Rehp Hmo: $6,180 Aetna — Hmo: $8,240 Aetna — Ppo: $8,240 Blue Cross — Dvaco Other Commercial Plan: $4,201.90 Blue Cross — Ibc Administrators Ppo: $5,707.07 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $3,361.52 Blue Cross — Ibc Hmo: $5,707.07 Blue Cross — Ibc Ppo: $5,707.07 Devoted Health — Medicare Managed Care Plan: $3,596.83
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	$4,845 – $7,602.25
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $6,629.16 Aetna — Custom - Pebtf/Rehp Hmo: $4,845 Aetna — Hmo: $6,459 Aetna — Ppo: $6,459 Blue Cross — Dvaco Other Commercial Plan: $7,602.25 Blue Cross — Ibc Administrators Ppo: $5,163.54 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $6,081.80 Blue Cross — Ibc Hmo: $5,163.54 Blue Cross — Ibc Ppo: $5,163.54 Devoted Health — Medicare Managed Care Plan: $6,507.52
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	$931.80 – $3,340
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $1,015.66 Aetna — Custom - Pebtf/Rehp Hmo: $2,505 Aetna — Hmo: $3,340 Aetna — Ppo: $3,340 Blue Cross — Dvaco Other Commercial Plan: $1,164.75 Blue Cross — Ibc Administrators Ppo: $1,630.59 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $931.80 Blue Cross — Ibc Hmo: $1,630.59 Blue Cross — Ibc Ppo: $1,630.59 Devoted Health — Medicare Managed Care Plan: $997.03
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Egd Diagnostic Brush Wash	$1,261	$504.40	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$931.80 – $4,810
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $1,015.66 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $1,164.75 Blue Cross — Ibc Administrators Ppo: $2,989.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $931.80 Blue Cross — Ibc Hmo: $2,989.42 Blue Cross — Ibc Ppo: $2,989.42 Devoted Health — Medicare Managed Care Plan: $997.03
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Egd;Bx,Single/Multiple	$2,814	$1,125.60	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Egd Biopsy	$4,519	$1,807.60	Not listed in the file
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	$955.40 – $4,810
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $1,041.39 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $1,194.25 Blue Cross — Ibc Administrators Ppo: $2,989.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $955.40 Blue Cross — Ibc Hmo: $2,989.42 Blue Cross — Ibc Ppo: $2,989.42 Devoted Health — Medicare Managed Care Plan: $1,022.28
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Colonos;Flx;Diag;W/Wo Spc	$3,099	$1,239.60	Not listed in the file
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	$1,229.38 – $4,810
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $1,340.03 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $1,536.73 Blue Cross — Ibc Administrators Ppo: $2,989.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $1,229.38 Blue Cross — Ibc Hmo: $2,989.42 Blue Cross — Ibc Ppo: $2,989.42 Devoted Health — Medicare Managed Care Plan: $1,315.44
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Colonoscopy W/ Bx	$3,926	$1,570.40	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Colonscopy Biopsy	$4,200	$1,680	Not listed in the file
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	$1,229.38 – $4,810
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $1,340.03 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $1,536.73 Blue Cross — Ibc Administrators Ppo: $2,989.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $1,229.38 Blue Cross — Ibc Hmo: $2,989.42 Blue Cross — Ibc Ppo: $2,989.42 Devoted Health — Medicare Managed Care Plan: $1,315.44
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	$1,229.38 – $4,810
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $1,340.03 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $1,536.73 Blue Cross — Ibc Administrators Ppo: $2,989.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $1,229.38 Blue Cross — Ibc Hmo: $2,989.42 Blue Cross — Ibc Ppo: $2,989.42 Devoted Health — Medicare Managed Care Plan: $1,315.44
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Colonoscopy W/Endoscope Us	$2,482	$992.80	Not listed in the file
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	$955.40 – $4,810
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $1,041.39 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $1,194.25 Blue Cross — Ibc Administrators Ppo: $2,989.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $955.40 Blue Cross — Ibc Hmo: $2,989.42 Blue Cross — Ibc Ppo: $2,989.42 Devoted Health — Medicare Managed Care Plan: $1,022.28
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	$6,210.93 – $10,247
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $6,769.92 Aetna — Custom - Pebtf/Rehp Hmo: $7,685 Aetna — Hmo: $10,247 Aetna — Ppo: $10,247 Blue Cross — Dvaco Other Commercial Plan: $7,763.67 Blue Cross — Ibc Administrators Ppo: $8,440.80 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $6,210.93 Blue Cross — Ibc Hmo: $8,440.80 Blue Cross — Ibc Ppo: $8,440.80 Devoted Health — Medicare Managed Care Plan: $6,645.70
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	$3,678.36 – $8,240
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $4,009.41 Aetna — Custom - Pebtf/Rehp Hmo: $6,180 Aetna — Hmo: $8,240 Aetna — Ppo: $8,240 Blue Cross — Dvaco Other Commercial Plan: $4,597.95 Blue Cross — Ibc Administrators Ppo: $5,163.54 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $3,678.36 Blue Cross — Ibc Hmo: $5,163.54 Blue Cross — Ibc Ppo: $5,163.54 Devoted Health — Medicare Managed Care Plan: $3,935.85
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Rpr Init Ing Hernia >5 Yr	$7,896	$3,158.40	Not listed in the file
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	$3,532.95 – $4,810
Prostate biopsy: rates for 6 insurance plans Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Ibc Administrators Ppo: $3,532.95 Blue Cross — Ibc Hmo: $3,532.95 Blue Cross — Ibc Ppo: $3,532.95
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	$4,348.24 – $13,650.84
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $11,903.53 Aetna — Custom - Pebtf/Rehp Hmo: $7,685 Aetna — Hmo: $10,247 Aetna — Ppo: $10,247 Blue Cross — Dvaco Other Commercial Plan: $13,650.84 Blue Cross — Ibc Administrators Ppo: $4,348.24 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $10,920.67 Blue Cross — Ibc Hmo: $4,348.24 Blue Cross — Ibc Ppo: $4,348.24 Devoted Health — Medicare Managed Care Plan: $11,685.12
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	$3,325.69 – $6,459
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $3,625.01 Aetna — Custom - Pebtf/Rehp Hmo: $4,845 Aetna — Hmo: $6,459 Aetna — Ppo: $6,459 Blue Cross — Dvaco Other Commercial Plan: $4,157.12 Blue Cross — Ibc Administrators Ppo: $3,532.95 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $3,325.69 Blue Cross — Ibc Hmo: $3,532.95 Blue Cross — Ibc Ppo: $3,532.95 Devoted Health — Medicare Managed Care Plan: $3,558.49
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hysteroscopy Biopsy	$2,585	$1,034	Not listed in the file
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	$725.19 – $3,340
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $790.46 Aetna — Custom - Pebtf/Rehp Hmo: $2,505 Aetna — Hmo: $3,340 Aetna — Ppo: $3,340 Blue Cross — Dvaco Other Commercial Plan: $906.49 Blue Cross — Ibc Administrators Ppo: $1,630.59 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $725.19 Blue Cross — Ibc Hmo: $1,630.59 Blue Cross — Ibc Ppo: $1,630.59 Devoted Health — Medicare Managed Care Plan: $775.96
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$908.67 – $3,340
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $990.45 Aetna — Custom - Pebtf/Rehp Hmo: $2,505 Aetna — Hmo: $3,340 Aetna — Ppo: $3,340 Blue Cross — Dvaco Other Commercial Plan: $1,135.84 Blue Cross — Ibc Administrators Ppo: $1,630.59 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $908.67 Blue Cross — Ibc Hmo: $1,630.59 Blue Cross — Ibc Ppo: $1,630.59 Devoted Health — Medicare Managed Care Plan: $972.28
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Transforaminal Epidural	$3,086	$1,234.40	Not listed in the file
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	$2,006.15 – $4,810
Carpal tunnel release: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $2,186.71 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $2,507.69 Blue Cross — Ibc Administrators Ppo: $3,532.95 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $2,006.15 Blue Cross — Ibc Hmo: $3,532.95 Blue Cross — Ibc Ppo: $3,532.95 Devoted Health — Medicare Managed Care Plan: $2,146.58
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	$565.05 – $4,810
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $615.90 Aetna — Custom - Pebtf/Rehp Hmo: $3,607 Aetna — Hmo: $4,810 Aetna — Ppo: $4,810 Blue Cross — Dvaco Other Commercial Plan: $706.31 Blue Cross — Ibc Administrators Ppo: $2,989.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $565.05 Blue Cross — Ibc Hmo: $2,989.42 Blue Cross — Ibc Ppo: $2,989.42 Devoted Health — Medicare Managed Care Plan: $604.60
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc After Cataract Laser Surg	$2,910	$1,164	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,370.97 – $10,247
Cataract removal with lens implant: 10 of 16 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $2,584.35 Aetna — Custom - Pebtf/Rehp Hmo: $7,685 Aetna — Hmo: $10,247 Aetna — Ppo: $10,247 Blue Cross — Dvaco Other Commercial Plan: $2,963.71 Blue Cross — Ibc Administrators Ppo: $7,609.42 Blue Cross — Ibc Advantage Medicare Managed Care - Hmo: $2,370.97 Blue Cross — Ibc Hmo: $7,609.42 Blue Cross — Ibc Ppo: $7,609.42 Devoted Health — Medicare Managed Care Plan: $2,536.93

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$71,648.06 – $197,217
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 37 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $78,096.39 Aetna — Custom - Pebtf/Rehp Hmo: $147,913 Aetna — Hmo: $197,217 Aetna — Medicare Managed Care - Hmo: $78,096.39 Aetna — Medicare Managed Care - Ppo: $78,096.39 Aetna — Ppo: $197,217 Bcbs — Highmark Aca Exchange: $160,491.65 Bcbs — Highmark All Commercial Plans: $181,986.07 Blue Cross — Dvaco Other Commercial Plan: $89,560.08 Blue Cross — Ibc Administrators Ppo: $158,822.25
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$57,063.24 – $80,027
Spinal fusion (not neck), without major complications: rates for 9 insurance plans Aetna — Hmo: $80,027 Aetna — Ppo: $80,027 Cigna — All Commercial Plans: $57,063.24 Aetna — Signature Administrators Other Commercial Plan: 80% (a percentage in the contract, not a dollar amount) First Health/Coventry — First Health All Commercial Plans: 80% (a percentage in the contract, not a dollar amount) Geisinger Health — All Commercial Plans: 45% (a percentage in the contract, not a dollar amount) Multiplan — All Commercial Plans: 80% (a percentage in the contract, not a dollar amount) Phcs — All Commercial Plans: 80% (a percentage in the contract, not a dollar amount) Upmc — All Commercial Plans: 50% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$14,127.03 – $43,771
Hip or knee replacement (major joint of the leg), without major complications: 10 of 37 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $15,398.46 Aetna — Custom - Pebtf/Rehp Hmo: $32,828 Aetna — Hmo: $43,771 Aetna — Medicare Managed Care - Hmo: $15,398.46 Aetna — Medicare Managed Care - Ppo: $15,398.46 Aetna — Ppo: $43,771 Bcbs — Highmark Aca Exchange: $31,644.55 Bcbs — Highmark All Commercial Plans: $35,882.66 Blue Cross — Dvaco Other Commercial Plan: $17,658.79 Blue Cross — Ibc Administrators Ppo: $31,315.39
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$17,879.79 – $46,914
Neck (cervical) spinal fusion, without complications: 10 of 37 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $19,488.97 Aetna — Custom - Pebtf/Rehp Hmo: $35,187 Aetna — Hmo: $46,914 Aetna — Medicare Managed Care - Hmo: $19,488.97 Aetna — Medicare Managed Care - Ppo: $19,488.97 Aetna — Ppo: $46,914 Bcbs — Highmark Aca Exchange: $40,050.73 Bcbs — Highmark All Commercial Plans: $45,414.67 Blue Cross — Dvaco Other Commercial Plan: $22,349.74 Blue Cross — Ibc Administrators Ppo: $39,634.13
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$9,086.74 – $23,080.32
Uterus and ovary surgery (not for cancer), without complications: 10 of 37 insurance plan rates Aetna — Advantra Medicare Managed Care Plan: $9,904.55 Aetna — Custom - Pebtf/Rehp Hmo: $15,461 Aetna — Hmo: $20,614 Aetna — Medicare Managed Care - Hmo: $9,904.55 Aetna — Medicare Managed Care - Ppo: $9,904.55 Aetna — Ppo: $20,614 Bcbs — Highmark Aca Exchange: $20,354.30 Bcbs — Highmark All Commercial Plans: $23,080.32 Blue Cross — Dvaco Other Commercial Plan: $11,358.42 Blue Cross — Ibc Administrators Ppo: $20,142.58

Source: Paoli Hospital’s standard charges file (mainlinehealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	255 West Lancaster Avenue, Paoli, PA 19301
County	Chester County
State	Pennsylvania
Phone	(610) 648‑1000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	390153
Name in Medicare records	PAOLI HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(484) 565‑1000^[4]
Official website	mainlinehealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Paoli Hospital — mainlinehealth.org
Stroke and Neurointervention | Main Line Health — mainlinehealth.org
Emergency Medicine and Trauma | Main Line Health — mainlinehealth.org
Trauma and Acute Care | Main Line Health | Main Line Health — mainlinehealth.org
Paoli Hospital Imaging Services & Hours | Main Line Health — mainlinehealth.org

Paoli Hospital

Summary

Profile from official sources

At a glance