Does Penn State Health Hampden Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Penn State Health Hampden Medical Center. In a medical emergency, call 911.

Where is Penn State Health Hampden Medical Center?

2200 Good Hope Road, Enola, PA 17025, in Cumberland County, Pennsylvania.

What is the phone number of Penn State Health Hampden Medical Center?

(717) 981-9000, as listed by Medicare (CMS).

What is the Medicare star rating of Penn State Health Hampden Medical Center?

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

Penn State Health Hampden Medical Center

Quick answers

Does Penn State Health Hampden Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Penn State Health Hampden Medical Center. In a medical emergency, call 911.
Where is Penn State Health Hampden Medical Center?: 2200 Good Hope Road, Enola, PA 17025, in Cumberland County, Pennsylvania.
What is the phone number of Penn State Health Hampden Medical Center?: (717) 981-9000, as listed by Medicare (CMS).
What is the Medicare star rating of Penn State Health Hampden Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Anatomic Pathology
Anesthesiology
Breast Surgery
Cardiovascular Disease
Critical Care Medicine
Diagnostic Radiology
Emergency Medicine
Endocrinology
Gastroenterology
Interventional Cardiology
Neonatology
Neurology
Obstetrics and Gynecology
Orthopaedics
Palliative Medicine
Plastic Surgery
Pulmonary Disease
Spine Surgery
Urology
Vascular Surgery

Treatments^[4]

Medical infusion
General endoscopy

Programs and centers^[4]

Level II Special Care Nursery
Intensive care (adult and cardiovascular)
Breast care
Cancer center

Emergency care (hospital website)^[4]

Emergency room	Yes

Doctors and clinicians (548)

548 doctors and other clinicians list Penn State Health Hampden Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (548)

Aaron B. Tolpin, MDEmergency Medicine
Aaron J. Reiprich, DOGastroenterology
Abigale L. Campos, PAPhysician Assistant
Adam N. Plowman, CNACertified Registered Nurse Anesthetist (CRNA)
Adebukola M. Ogundoyin, MDHospitalist
Adrian M. Garza Gangemi, MDUrology
Adrian Sosenko, MDUrology
Aisatou Diallo, MDInternal Medicine
Ajay K. Saini, MDInternal Medicine
Alain Zingraff Lekoubou Looti, MDNeurology
Alan J. Sweeney, MDInternal Medicine
Alexandar S. Jerev, MDInternal Medicine
Alexander J. Kish, MDOrthopedic Surgery
Alexandra C. Leidigh, PAPhysician Assistant
Ali Moosavi, DODiagnostic Radiology
Aliya Placeres, DOAnesthesiology
Alyssa R. Pechart, PAPhysician Assistant
Amanda Anton, MDInternal Medicine
Amanda L. Powell, DOObstetrics/Gynecology
Amandeep Singh, MDInternal Medicine
Amber Delikat, MDAnesthesiology
Amie L. Prokop, PAPhysician Assistant
Amit Kumar K. Misra, MDInternal Medicine
Ammar Shahid, MDFamily Practice

And 524 more: the button below opens the full list.

Other emergency rooms nearby

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

Penn State Health Holy Spirit Medical Center4.3 mi · Camp Hill, PA · Acute Care Hospital
Pennsylvania Psychiatric Institute4.7 mi · Harrisburg, PA · Psychiatric Hospital
UPMC Pinnacle Hospitals6.8 mi · Harrisburg, PA · Acute Care Hospital
UPMC Carlisle15 mi · Carlisle, PA · Acute Care Hospital
Milton S Hershey Medical Center19 mi · Hershey, PA · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of Mechan…5.6 mi · Mechanicsburg, PA · Inpatient Rehabilitation Hospital
Select Specialty Hospital - Central PA Harrisburg6.0 mi · Harrisburg, PA · Long-Term Acute Care Hospital
Helen M Simpson Rehabilitation Hospital9.0 mi · Harrisburg, PA · Inpatient Rehabilitation 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

The Gardens at West Shore4.2 mi · Camp Hill, PA · 1 of 5 stars
The Gardens at Camp Hill4.3 mi · Camp Hill, PA · 4 of 5 stars
Vibra Rehabilitation Center5.1 mi · Mechanicsburg, PA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Residential Hospice of Carlisle, LLC3.8 mi · Mechanicsburg, PA · 4 of 5 stars
Adoration Hospice5.0 mi · Camp Hill, PA · 3 of 5 stars
Gentiva5.0 mi · Camp Hill, PA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Residential Home Health of Carlisle, LLC3.8 mi · Mechanicsburg, PA · 3 of 5 stars
Shadai Home Health Services5.0 mi · Camp Hill, PA
Adoration Home Health5.5 mi · Lemoyne, PA

All home health agencies in the state →

Dialysis facilities

FKC Freedom Center of Central PA0.7 mi · Enola, PA · 1 of 5 stars
Dialysis Care Center Mechanicsburg3.8 mi · Mechanicsburg, PA · 1 of 5 stars
DCC Camp Hill Home5.0 mi · Camp Hill, PA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

West Shore Pain and Spine Institute, LLC3.8 mi · Mechanicsburg, PA
Cardiovascular Experts, LLC5.0 mi · Camp Hill, PA
Slate Hill Surgery Center, LLC5.0 mi · Camp Hill, 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

Mobile Van15.0 mi · Mechanicsburg, PA · Community health center
Sadler Health Center Corporation Mechanicsburg5.0 mi · Mechanicsburg, PA · Community health center
HHC- South Allison Hill6.7 mi · Harrisburg, PA · Community health center

Clinics and urgent care

Valor Medical Supply0.7 mi · Enola, PA · Urgent care center
American Current Care P.A.3.8 mi · Mechanicsburg, PA · Urgent care center
Pinnacle Health Abc LLC3.8 mi · Mechanicsburg, PA · Urgent care center

Pharmacies

The Giant Company, LLC0.7 mi · Enola, PA · Community/retail pharmacy
Costco Wholesale Corporation3.8 mi · Mechanicsburg, PA · Community/retail pharmacy
GDD Pharmacy Services Inc3.8 mi · Mechanicsburg, PA · Community/retail pharmacy

Assisted living nearby

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

Country Meadows of West Shore3.8 mi · Mechanicsburg, PA
Country Meadows of West Shore3.8 mi · Mechanicsburg, PA
Harmony at West Shore3.8 mi · Mechanicsburg, PA
Legend at Silver Creek3.8 mi · Mechanicsburg, 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 Penn State Health Hampden Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	78%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	67%National average: 60%
Completed surveys	1,279Response rate: 25%

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)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0Better 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	Too few cases to report
Deaths within 30 days: heart failure patients	9.1%
Deaths within 30 days: pneumonia patients	13.2%
Deaths within 30 days: COPD patients	6.9%
Deaths within 30 days: stroke patients	8.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	3.5%

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	Too few cases to report
Readmitted within 30 days: heart failure	22.9%
Readmitted within 30 days: pneumonia	17.6%
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	5.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	196 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	56%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 76 common services exactly as Penn State Health Hampden Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 8 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: 99385 PREV VISIT NEW AGE 18-39 Tech	$146	$45.95	$27.17 – $116.80
Preventive checkup, new patient, age 18–39: 10 of 18 insurance plan rates [Aetna Better Health] — [CHIP]: $37.52 [Aetna Signature Administrators] — [Comm]: $87.73 [Aetna] — [Comm]: $86.43 [CBC] — [CHIP]: $61.99 [CBC] — [Comm]: $72.93 [Cigna] — [Comm]: $89.57 [First Health] — [Comm]: $116.80 [Geisinger] — [Comm]: $97.44 [Highmark ACA] — [Comm]: $28.53 [Highmark Choice Blue] — [Comm]: $27.17
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: 99386 PREV VISIT NEW AGE 40-64 Tech	$195	$61.37	$36.29 – $156
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates [Aetna Better Health] — [CHIP]: $50.12 [Aetna Signature Administrators] — [Comm]: $117.18 [Aetna] — [Comm]: $115.44 [CBC] — [CHIP]: $82.79 [CBC] — [Comm]: $97.40 [Cigna] — [Comm]: $119.63 [First Health] — [Comm]: $156 [Geisinger] — [Comm]: $130.14 [Highmark ACA] — [Comm]: $38.10 [Highmark Choice Blue] — [Comm]: $36.29
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 EMERGENCY DEPT VISIT Tech	$1,800	$566.46	$226.77 – $1,440
Emergency room visit (moderate): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $462.60 [Aetna Signature Administrators] — [Comm]: $1,081.62 [Aetna] — [Comm]: $1,065.60 [Aetna] — [Medicare]: $269.46 [AmeriHealth Caritas] — [MA]: $226.77 [AmeriHealth Caritas] — [Medicare]: $266.79 [CBC] — [CHIP]: $764.24 [CBC] — [Comm]: $899.10 [CBC] — [Medicare]: $266.79 [Cigna] — [Comm]: $1,104.30
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 EMERGENCY DEPT VISIT Tech	$2,768	$871.09	$346.64 – $2,214.40
Emergency room visit (moderately high): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $711.38 [Aetna Signature Administrators] — [Comm]: $1,663.29 [Aetna] — [Comm]: $1,638.66 [Aetna] — [Medicare]: $411.89 [AmeriHealth Caritas] — [MA]: $346.64 [AmeriHealth Caritas] — [Medicare]: $407.81 [CBC] — [CHIP]: $1,175.22 [CBC] — [Comm]: $1,382.62 [CBC] — [Medicare]: $407.81 [Cigna] — [Comm]: $1,698.17
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 EMERGENCY DEPT VISIT Tech	$3,985	$1,254.08	$494.73 – $3,188
Emergency room visit (high): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,024.15 [Aetna Signature Administrators] — [Comm]: $2,394.59 [Aetna] — [Comm]: $2,359.12 [Aetna] — [Medicare]: $587.86 [AmeriHealth Caritas] — [MA]: $494.73 [AmeriHealth Caritas] — [Medicare]: $582.04 [CBC] — [CHIP]: $1,691.93 [CBC] — [Comm]: $1,990.51 [CBC] — [Medicare]: $582.04 [Cigna] — [Comm]: $2,444.80

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: 80048 METABOLIC PANEL TOTAL CA Tech	$55	$17.31	$7.19 – $44
Basic metabolic panel (blood test): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $14.14 [Aetna Signature Administrators] — [Comm]: $23.35 [Aetna] — [Comm]: $23 [Aetna] — [Medicare]: $8.54 [AmeriHealth Caritas] — [MA]: $7.19 [AmeriHealth Caritas] — [Medicare]: $8.46 [CBC] — [CHIP]: $23.35 [CBC] — [Comm]: $27.47 [CBC] — [Medicare]: $8.46 [Cigna] — [Comm]: $24.49
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: .BO Ebola BMP Tech	$55	$17.31	$7.19 – $44
Basic metabolic panel (blood test): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $14.14 [Aetna Signature Administrators] — [Comm]: $23.35 [Aetna] — [Comm]: $23 [Aetna] — [Medicare]: $8.54 [AmeriHealth Caritas] — [MA]: $7.19 [AmeriHealth Caritas] — [Medicare]: $8.46 [CBC] — [CHIP]: $23.35 [CBC] — [Comm]: $27.47 [CBC] — [Medicare]: $8.46 [Cigna] — [Comm]: $24.49
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: 80053 COMPREHEN METABOLIC PANEL Tech	$69	$21.71	$8.98 – $55.20
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $17.73 [Aetna Signature Administrators] — [Comm]: $29.15 [Aetna] — [Comm]: $28.71 [Aetna] — [Medicare]: $10.67 [AmeriHealth Caritas] — [MA]: $8.98 [AmeriHealth Caritas] — [Medicare]: $10.56 [CBC] — [CHIP]: $29.30 [CBC] — [Comm]: $34.47 [CBC] — [Medicare]: $10.56 [Cigna] — [Comm]: $30.57
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: 80055 OBSTETRIC PANEL Tech	$311	$97.87	$40.64 – $248.80
Obstetric blood test panel: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $79.93 [Aetna Signature Administrators] — [Comm]: $131.96 [Aetna] — [Comm]: $130 [Aetna] — [Medicare]: $48.29 [AmeriHealth Caritas] — [MA]: $40.64 [AmeriHealth Caritas] — [Medicare]: $47.81 [CBC] — [CHIP]: $132.04 [CBC] — [Comm]: $155.34 [CBC] — [Medicare]: $47.81 [Cigna] — [Comm]: $138.41
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: 80061 Lipid Panel. Tech	$87	$27.38	$11.38 – $69.60
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $22.36 [Aetna Signature Administrators] — [Comm]: $36.96 [Aetna] — [Comm]: $36.41 [Aetna] — [Medicare]: $13.52 [AmeriHealth Caritas] — [MA]: $11.38 [AmeriHealth Caritas] — [Medicare]: $13.39 [CBC] — [CHIP]: $36.94 [CBC] — [Comm]: $43.46 [CBC] — [Medicare]: $13.39 [Cigna] — [Comm]: $38.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: 80061 LIPID PANEL Tech	$87	$27.38	$11.38 – $69.60
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $22.36 [Aetna Signature Administrators] — [Comm]: $36.96 [Aetna] — [Comm]: $36.41 [Aetna] — [Medicare]: $13.52 [AmeriHealth Caritas] — [MA]: $11.38 [AmeriHealth Caritas] — [Medicare]: $13.39 [CBC] — [CHIP]: $36.94 [CBC] — [Comm]: $43.46 [CBC] — [Medicare]: $13.39 [Cigna] — [Comm]: $38.76
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: 80069 RENAL FUNCTION PANEL Tech	$56	$17.62	$7.38 – $44.80
Kidney function panel: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $14.39 [Aetna Signature Administrators] — [Comm]: $23.96 [Aetna] — [Comm]: $23.60 [Aetna] — [Medicare]: $8.77 [AmeriHealth Caritas] — [MA]: $7.38 [AmeriHealth Caritas] — [Medicare]: $8.68 [CBC] — [CHIP]: $23.78 [CBC] — [Comm]: $27.97 [CBC] — [Medicare]: $8.68 [Cigna] — [Comm]: $25.13
Liver function panel CPT 80076 · Inpatient or outpatient In the file: 80076 HEPATIC FUNCTION PANEL Tech	$53	$16.68	$6.94 – $42.40
Liver function panel: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $13.62 [Aetna Signature Administrators] — [Comm]: $22.55 [Aetna] — [Comm]: $22.22 [Aetna] — [Medicare]: $8.25 [AmeriHealth Caritas] — [MA]: $6.94 [AmeriHealth Caritas] — [Medicare]: $8.17 [CBC] — [CHIP]: $22.50 [CBC] — [Comm]: $26.47 [CBC] — [Medicare]: $8.17 [Cigna] — [Comm]: $23.65
Liver function panel CPT 80076 · Inpatient or outpatient In the file: .BO Ebola Hepatic Panel Tech	$53	$16.68	$6.94 – $42.40
Liver function panel: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $13.62 [Aetna Signature Administrators] — [Comm]: $22.55 [Aetna] — [Comm]: $22.22 [Aetna] — [Medicare]: $8.25 [AmeriHealth Caritas] — [MA]: $6.94 [AmeriHealth Caritas] — [Medicare]: $8.17 [CBC] — [CHIP]: $22.50 [CBC] — [Comm]: $26.47 [CBC] — [Medicare]: $8.17 [Cigna] — [Comm]: $23.65
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: 81001 URINALYSIS AUTO W/SCOPE Tech	$21	$6.61	$2.69 – $16.80
Urine test (automated, with microscope): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $5.40 [Aetna Signature Administrators] — [Comm]: $8.75 [Aetna] — [Comm]: $8.62 [Aetna] — [Medicare]: $3.20 [AmeriHealth Caritas] — [MA]: $2.69 [AmeriHealth Caritas] — [Medicare]: $3.17 [CBC] — [CHIP]: $8.92 [CBC] — [Comm]: $10.49 [CBC] — [Medicare]: $3.17 [Cigna] — [Comm]: $9.18
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: 81002 URINALYSIS NONAUTO W/O SCOPE Tech	$23	$7.24	$2.96 – $18.40
Urine test (manual, without microscope): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $5.91 [Aetna Signature Administrators] — [Comm]: $9.60 [Aetna] — [Comm]: $9.46 [Aetna] — [Medicare]: $3.51 [AmeriHealth Caritas] — [MA]: $2.96 [AmeriHealth Caritas] — [Medicare]: $3.48 [CBC] — [CHIP]: $9.77 [CBC] — [Comm]: $11.49 [CBC] — [Medicare]: $3.48 [Cigna] — [Comm]: $10.07
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 Specific Gravity Urine. Tech	$15	$4.72	$1.91 – $12
Urine test (automated, without microscope): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $3.86 [Aetna Signature Administrators] — [Comm]: $6.21 [Aetna] — [Comm]: $6.12 [Aetna] — [Medicare]: $2.27 [AmeriHealth Caritas] — [MA]: $1.91 [AmeriHealth Caritas] — [Medicare]: $2.25 [CBC] — [CHIP]: $6.37 [CBC] — [Comm]: $7.49 [CBC] — [Medicare]: $2.25 [Cigna] — [Comm]: $6.51
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 URINALYSIS AUTO W/O SCOPE Tech	$15	$4.72	$1.91 – $12
Urine test (automated, without microscope): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $3.86 [Aetna Signature Administrators] — [Comm]: $6.21 [Aetna] — [Comm]: $6.12 [Aetna] — [Medicare]: $2.27 [AmeriHealth Caritas] — [MA]: $1.91 [AmeriHealth Caritas] — [Medicare]: $2.25 [CBC] — [CHIP]: $6.37 [CBC] — [Comm]: $7.49 [CBC] — [Medicare]: $2.25 [Cigna] — [Comm]: $6.51
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 Urinalysis auto without scope tech	$15	$4.72	$1.91 – $12
Urine test (automated, without microscope): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $3.86 [Aetna Signature Administrators] — [Comm]: $6.21 [Aetna] — [Comm]: $6.12 [Aetna] — [Medicare]: $2.27 [AmeriHealth Caritas] — [MA]: $1.91 [AmeriHealth Caritas] — [Medicare]: $2.25 [CBC] — [CHIP]: $6.37 [CBC] — [Comm]: $7.49 [CBC] — [Medicare]: $2.25 [Cigna] — [Comm]: $6.51
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: 84153 Screening PSA Tech	$126	$39.65	$15.63 – $100.80
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $32.38 [Aetna Signature Administrators] — [Comm]: $50.76 [Aetna] — [Comm]: $50.01 [Aetna] — [Medicare]: $18.57 [AmeriHealth Caritas] — [MA]: $15.63 [AmeriHealth Caritas] — [Medicare]: $18.39 [CBC] — [CHIP]: $53.50 [CBC] — [Comm]: $62.94 [CBC] — [Medicare]: $18.39 [Cigna] — [Comm]: $53.24
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: 84153 .PSA, Post-Prostatectomy w HAMA-Quest Tech	$120	$37.76	$15.63 – $96
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $30.84 [Aetna Signature Administrators] — [Comm]: $50.76 [Aetna] — [Comm]: $50.01 [Aetna] — [Medicare]: $18.57 [AmeriHealth Caritas] — [MA]: $15.63 [AmeriHealth Caritas] — [Medicare]: $18.39 [CBC] — [CHIP]: $50.95 [CBC] — [Comm]: $59.94 [CBC] — [Medicare]: $18.39 [Cigna] — [Comm]: $53.24
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Total, Reflex PSA Free-Quest Tech	$120	$37.76	$15.63 – $96
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $30.84 [Aetna Signature Administrators] — [Comm]: $50.76 [Aetna] — [Comm]: $50.01 [Aetna] — [Medicare]: $18.57 [AmeriHealth Caritas] — [MA]: $15.63 [AmeriHealth Caritas] — [Medicare]: $18.39 [CBC] — [CHIP]: $50.95 [CBC] — [Comm]: $59.94 [CBC] — [Medicare]: $18.39 [Cigna] — [Comm]: $53.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 TSH Ultra Sensitive Tech	$109	$34.30	$14.28 – $87.20
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $28.01 [Aetna Signature Administrators] — [Comm]: $46.37 [Aetna] — [Comm]: $45.68 [Aetna] — [Medicare]: $16.97 [AmeriHealth Caritas] — [MA]: $14.28 [AmeriHealth Caritas] — [Medicare]: $16.80 [CBC] — [CHIP]: $46.28 [CBC] — [Comm]: $54.45 [CBC] — [Medicare]: $16.80 [Cigna] — [Comm]: $48.63
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 TSH (NEWBORN Scrn) Tech	$109	$34.30	$14.28 – $87.20
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $28.01 [Aetna Signature Administrators] — [Comm]: $46.37 [Aetna] — [Comm]: $45.68 [Aetna] — [Medicare]: $16.97 [AmeriHealth Caritas] — [MA]: $14.28 [AmeriHealth Caritas] — [Medicare]: $16.80 [CBC] — [CHIP]: $46.28 [CBC] — [Comm]: $54.45 [CBC] — [Medicare]: $16.80 [Cigna] — [Comm]: $48.63
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 TSH without HAMA Tech	$109	$34.30	$14.28 – $87.20
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $28.01 [Aetna Signature Administrators] — [Comm]: $46.37 [Aetna] — [Comm]: $45.68 [Aetna] — [Medicare]: $16.97 [AmeriHealth Caritas] — [MA]: $14.28 [AmeriHealth Caritas] — [Medicare]: $16.80 [CBC] — [CHIP]: $46.28 [CBC] — [Comm]: $54.45 [CBC] — [Medicare]: $16.80 [Cigna] — [Comm]: $48.63
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .BO Ebola CBC Diff Tech	$51	$16.05	$6.60 – $40.80
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $13.11 [Aetna Signature Administrators] — [Comm]: $21.45 [Aetna] — [Comm]: $21.13 [Aetna] — [Medicare]: $7.85 [AmeriHealth Caritas] — [MA]: $6.60 [AmeriHealth Caritas] — [Medicare]: $7.77 [CBC] — [CHIP]: $21.65 [CBC] — [Comm]: $25.47 [CBC] — [Medicare]: $7.77 [Cigna] — [Comm]: $22.49
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: 85025 COMPLETE CBC W/AUTO DIFF WBC Tech	$51	$16.05	$6.60 – $40.80
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $13.11 [Aetna Signature Administrators] — [Comm]: $21.45 [Aetna] — [Comm]: $21.13 [Aetna] — [Medicare]: $7.85 [AmeriHealth Caritas] — [MA]: $6.60 [AmeriHealth Caritas] — [Medicare]: $7.77 [CBC] — [CHIP]: $21.65 [CBC] — [Comm]: $25.47 [CBC] — [Medicare]: $7.77 [Cigna] — [Comm]: $22.49
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: 85027 CBC w/ Manual Differential. Tech	$42	$13.22	$5.50 – $33.60
Complete blood count (CBC), automated: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $10.79 [Aetna Signature Administrators] — [Comm]: $17.86 [Aetna] — [Comm]: $17.59 [Aetna] — [Medicare]: $6.53 [AmeriHealth Caritas] — [MA]: $5.50 [AmeriHealth Caritas] — [Medicare]: $6.47 [CBC] — [CHIP]: $17.83 [CBC] — [Comm]: $20.98 [CBC] — [Medicare]: $6.47 [Cigna] — [Comm]: $18.73
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: 85027 COMPLETE CBC AUTOMATED Tech	$42	$13.22	$5.50 – $33.60
Complete blood count (CBC), automated: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $10.79 [Aetna Signature Administrators] — [Comm]: $17.86 [Aetna] — [Comm]: $17.59 [Aetna] — [Medicare]: $6.53 [AmeriHealth Caritas] — [MA]: $5.50 [AmeriHealth Caritas] — [Medicare]: $6.47 [CBC] — [CHIP]: $17.83 [CBC] — [Comm]: $20.98 [CBC] — [Medicare]: $6.47 [Cigna] — [Comm]: $18.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 Prothrombin Time and INR. Tech	$28	$8.81	$3.65 – $22.40
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $7.20 [Aetna Signature Administrators] — [Comm]: $11.84 [Aetna] — [Comm]: $11.67 [Aetna] — [Medicare]: $4.33 [AmeriHealth Caritas] — [MA]: $3.65 [AmeriHealth Caritas] — [Medicare]: $4.29 [CBC] — [CHIP]: $11.89 [CBC] — [Comm]: $13.99 [CBC] — [Medicare]: $4.29 [Cigna] — [Comm]: $12.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: POC Prothrombin Time/INR by Istat Tech	$28	$8.81	$3.65 – $22.40
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $7.20 [Aetna Signature Administrators] — [Comm]: $11.84 [Aetna] — [Comm]: $11.67 [Aetna] — [Medicare]: $4.33 [AmeriHealth Caritas] — [MA]: $3.65 [AmeriHealth Caritas] — [Medicare]: $4.29 [CBC] — [CHIP]: $11.89 [CBC] — [Comm]: $13.99 [CBC] — [Medicare]: $4.29 [Cigna] — [Comm]: $12.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 PROTHROMBIN TIME Tech	$28	$8.81	$3.65 – $22.40
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $7.20 [Aetna Signature Administrators] — [Comm]: $11.84 [Aetna] — [Comm]: $11.67 [Aetna] — [Medicare]: $4.33 [AmeriHealth Caritas] — [MA]: $3.65 [AmeriHealth Caritas] — [Medicare]: $4.29 [CBC] — [CHIP]: $11.89 [CBC] — [Comm]: $13.99 [CBC] — [Medicare]: $4.29 [Cigna] — [Comm]: $12.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 THROMBOPLASTIN TIME PARTIAL Tech	$39	$12.27	$5.11 – $31.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $10.02 [Aetna Signature Administrators] — [Comm]: $16.59 [Aetna] — [Comm]: $16.34 [Aetna] — [Medicare]: $6.07 [AmeriHealth Caritas] — [MA]: $5.11 [AmeriHealth Caritas] — [Medicare]: $6.01 [CBC] — [CHIP]: $16.56 [CBC] — [Comm]: $19.48 [CBC] — [Medicare]: $6.01 [Cigna] — [Comm]: $17.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 Partial Thromboplastin Time. Tech	$39	$12.27	$5.11 – $31.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $10.02 [Aetna Signature Administrators] — [Comm]: $16.59 [Aetna] — [Comm]: $16.34 [Aetna] — [Medicare]: $6.07 [AmeriHealth Caritas] — [MA]: $5.11 [AmeriHealth Caritas] — [Medicare]: $6.01 [CBC] — [CHIP]: $16.56 [CBC] — [Comm]: $19.48 [CBC] — [Medicare]: $6.01 [Cigna] — [Comm]: $17.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 APTT (QST) Tech	$39	$12.27	$5.11 – $31.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $10.02 [Aetna Signature Administrators] — [Comm]: $16.59 [Aetna] — [Comm]: $16.34 [Aetna] — [Medicare]: $6.07 [AmeriHealth Caritas] — [MA]: $5.11 [AmeriHealth Caritas] — [Medicare]: $6.01 [CBC] — [CHIP]: $16.56 [CBC] — [Comm]: $19.48 [CBC] — [Medicare]: $6.01 [Cigna] — [Comm]: $17.40

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 · Inpatient or outpatient In the file: 70450 CT HEAD/BRAIN W/O DYE Tech	$532	$167.42	$86.85 – $436.72
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $136.72 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $86.85 [AmeriHealth Caritas] — [Medicare]: $102.18 [CBC] — [CHIP]: $225.87 [CBC] — [Comm]: $265.73 [CBC] — [Medicare]: $102.18 [Cigna] — [Comm]: $350.45
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: 70450 CT BRAIN/HEAD W/O CONTRAST Tech	$532	$167.42	$86.85 – $436.72
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $136.72 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $86.85 [AmeriHealth Caritas] — [Medicare]: $102.18 [CBC] — [CHIP]: $225.87 [CBC] — [Comm]: $265.73 [CBC] — [Medicare]: $102.18 [Cigna] — [Comm]: $350.45
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: 70553 MRI BRAIN STEM W/O & W/DYE Tech	$1,786	$562.05	$289.82 – $1,457.31
MRI of the brain, before and after contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $459 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $289.82 [AmeriHealth Caritas] — [Medicare]: $340.97 [CBC] — [CHIP]: $758.29 [CBC] — [Comm]: $892.11 [CBC] — [Medicare]: $340.97 [Cigna] — [Comm]: $1,185.36
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 XR Chest 2 Views Tech	$440	$138.47	$72.29 – $363.50
Chest X-ray, 2 views: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $113.08 [Aetna Signature Administrators] — [Comm]: $223.28 [Aetna] — [Comm]: $219.98 [Aetna] — [Medicare]: $85.90 [AmeriHealth Caritas] — [MA]: $72.29 [AmeriHealth Caritas] — [Medicare]: $85.05 [CBC] — [CHIP]: $186.81 [CBC] — [Comm]: $219.78 [CBC] — [Medicare]: $85.05 [Cigna] — [Comm]: $260.37
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 XR Chest 2 Views w/ Fluoroscopy Tech	$440	$138.47	$72.29 – $363.50
Chest X-ray, 2 views: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $113.08 [Aetna Signature Administrators] — [Comm]: $223.28 [Aetna] — [Comm]: $219.98 [Aetna] — [Medicare]: $85.90 [AmeriHealth Caritas] — [MA]: $72.29 [AmeriHealth Caritas] — [Medicare]: $85.05 [CBC] — [CHIP]: $186.81 [CBC] — [Comm]: $219.78 [CBC] — [Medicare]: $85.05 [Cigna] — [Comm]: $260.37
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 X-RAY EXAM CHEST 2 VIEWS Tech	$440	$138.47	$72.29 – $363.50
Chest X-ray, 2 views: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $113.08 [Aetna Signature Administrators] — [Comm]: $223.28 [Aetna] — [Comm]: $219.98 [Aetna] — [Medicare]: $85.90 [AmeriHealth Caritas] — [MA]: $72.29 [AmeriHealth Caritas] — [Medicare]: $85.05 [CBC] — [CHIP]: $186.81 [CBC] — [Comm]: $219.78 [CBC] — [Medicare]: $85.05 [Cigna] — [Comm]: $260.37
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: 72110 X-RAY EXAM L-2 SPINE 4/>VWS Tech	$532	$167.42	$86.85 – $436.72
X-ray of the lower spine, at least 4 views: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $136.72 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $86.85 [AmeriHealth Caritas] — [Medicare]: $102.18 [CBC] — [CHIP]: $225.87 [CBC] — [Comm]: $265.73 [CBC] — [Medicare]: $102.18 [Cigna] — [Comm]: $350.45
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: 72148 MRI L SPINE W/WO CONTRAST Tech	$1,209	$380.47	$198.22 – $996.70
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $310.71 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $198.22 [AmeriHealth Caritas] — [Medicare]: $233.20 [CBC] — [CHIP]: $513.31 [CBC] — [Comm]: $603.90 [CBC] — [Medicare]: $233.20 [Cigna] — [Comm]: $740.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: 72148 MRI LUMBAR SPINE W/O DYE Tech	$1,209	$380.47	$198.22 – $996.70
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $310.71 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $198.22 [AmeriHealth Caritas] — [Medicare]: $233.20 [CBC] — [CHIP]: $513.31 [CBC] — [Comm]: $603.90 [CBC] — [Medicare]: $233.20 [Cigna] — [Comm]: $740.67
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: 72193 CT PELVIS W/ CONTRAST Tech	$890	$280.08	$145.72 – $732.69
CT scan of the pelvis, with contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $228.73 [Aetna Signature Administrators] — [Comm]: $492.80 [Aetna] — [Comm]: $485.51 [Aetna] — [Medicare]: $173.14 [AmeriHealth Caritas] — [MA]: $145.72 [AmeriHealth Caritas] — [Medicare]: $171.43 [CBC] — [CHIP]: $377.87 [CBC] — [Comm]: $444.56 [CBC] — [Medicare]: $171.43 [Cigna] — [Comm]: $574.98
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: 72193 CT PELVIS W/DYE Tech	$890	$280.08	$145.72 – $732.69
CT scan of the pelvis, with contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $228.73 [Aetna Signature Administrators] — [Comm]: $492.80 [Aetna] — [Comm]: $485.51 [Aetna] — [Medicare]: $173.14 [AmeriHealth Caritas] — [MA]: $145.72 [AmeriHealth Caritas] — [Medicare]: $171.43 [CBC] — [CHIP]: $377.87 [CBC] — [Comm]: $444.56 [CBC] — [Medicare]: $171.43 [Cigna] — [Comm]: $574.98
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 MRI Ankle w/o Contrast Right Tech	$1,209	$380.47	$198.22 – $996.70
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $310.71 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $198.22 [AmeriHealth Caritas] — [Medicare]: $233.20 [CBC] — [CHIP]: $513.31 [CBC] — [Comm]: $603.90 [CBC] — [Medicare]: $233.20 [Cigna] — [Comm]: $740.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 MRI Hip w/o Contrast Left Tech	$1,209	$380.47	$198.22 – $996.70
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $310.71 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $198.22 [AmeriHealth Caritas] — [Medicare]: $233.20 [CBC] — [CHIP]: $513.31 [CBC] — [Comm]: $603.90 [CBC] — [Medicare]: $233.20 [Cigna] — [Comm]: $740.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: 73721 MRI Knee w/o Contrast Left Tech	$1,209	$380.47	$198.22 – $996.70
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $310.71 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $198.22 [AmeriHealth Caritas] — [Medicare]: $233.20 [CBC] — [CHIP]: $513.31 [CBC] — [Comm]: $603.90 [CBC] — [Medicare]: $233.20 [Cigna] — [Comm]: $740.67
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 CT ABD & PELV W/CONTRAST Tech	$1,786	$562.05	$289.82 – $1,457.31
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $459 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $289.82 [AmeriHealth Caritas] — [Medicare]: $340.97 [CBC] — [CHIP]: $758.29 [CBC] — [Comm]: $892.11 [CBC] — [Medicare]: $340.97 [Cigna] — [Comm]: $1,185.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 CT Enterography w/ Contrast Tech	$1,786	$562.05	$289.82 – $1,457.31
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $459 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $289.82 [AmeriHealth Caritas] — [Medicare]: $340.97 [CBC] — [CHIP]: $758.29 [CBC] — [Comm]: $892.11 [CBC] — [Medicare]: $340.97 [Cigna] — [Comm]: $1,185.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: 74177 CT ABDOMEN AND PELVIS W/ CONT Tech	$1,786	$562.05	$289.82 – $1,457.31
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $459 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $289.82 [AmeriHealth Caritas] — [Medicare]: $340.97 [CBC] — [CHIP]: $758.29 [CBC] — [Comm]: $892.11 [CBC] — [Medicare]: $340.97 [Cigna] — [Comm]: $1,185.36
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700 US EXAM ABDOM COMPLETE Tech	$532	$167.42	$86.85 – $436.72
Ultrasound of the abdomen, complete: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $136.72 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $86.85 [AmeriHealth Caritas] — [Medicare]: $102.18 [CBC] — [CHIP]: $225.87 [CBC] — [Comm]: $265.73 [CBC] — [Medicare]: $102.18 [Cigna] — [Comm]: $350.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: 76805 OB US >= 14 WKS SNGL FETUS Tech	$532	$167.42	$86.85 – $436.72
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $136.72 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $86.85 [AmeriHealth Caritas] — [Medicare]: $102.18 [CBC] — [CHIP]: $225.87 [CBC] — [Comm]: $265.73 [CBC] — [Medicare]: $102.18 [Cigna] — [Comm]: $350.45
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: 76830 TRANSVAGINAL US NON-OB Tech	$532	$167.42	$86.85 – $436.72
Transvaginal ultrasound: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $136.72 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $86.85 [AmeriHealth Caritas] — [Medicare]: $102.18 [CBC] — [CHIP]: $225.87 [CBC] — [Comm]: $265.73 [CBC] — [Medicare]: $102.18 [Cigna] — [Comm]: $350.45
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 MG. Mammo Post Clip Placement Right - Report Tech	$513	$161.44	$67.25 – $410.40
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $131.84 [Aetna Signature Administrators] — [Comm]: $308.26 [Aetna] — [Comm]: $303.70 [Aetna] — [Medicare]: $79.91 [AmeriHealth Caritas] — [MA]: $67.25 [AmeriHealth Caritas] — [Medicare]: $79.12 [CBC] — [CHIP]: $217.81 [CBC] — [Comm]: $256.24 [CBC] — [Medicare]: $79.12 [Cigna] — [Comm]: $314.73
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 MG. Mammo Digital Diagnostic Left Tech	$513	$161.44	$67.25 – $410.40
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $131.84 [Aetna Signature Administrators] — [Comm]: $308.26 [Aetna] — [Comm]: $303.70 [Aetna] — [Medicare]: $79.91 [AmeriHealth Caritas] — [MA]: $67.25 [AmeriHealth Caritas] — [Medicare]: $79.12 [CBC] — [CHIP]: $217.81 [CBC] — [Comm]: $256.24 [CBC] — [Medicare]: $79.12 [Cigna] — [Comm]: $314.73
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 DX MAMMO INCL CAD UNI RT Tech	$513	$161.44	$67.25 – $410.40
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $131.84 [Aetna Signature Administrators] — [Comm]: $308.26 [Aetna] — [Comm]: $303.70 [Aetna] — [Medicare]: $79.91 [AmeriHealth Caritas] — [MA]: $67.25 [AmeriHealth Caritas] — [Medicare]: $79.12 [CBC] — [CHIP]: $217.81 [CBC] — [Comm]: $256.24 [CBC] — [Medicare]: $79.12 [Cigna] — [Comm]: $314.73
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 DX MAMMO INCL CAD BI Tech	$653	$205.50	$86.28 – $522.40
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $167.82 [Aetna Signature Administrators] — [Comm]: $392.39 [Aetna] — [Comm]: $386.58 [Aetna] — [Medicare]: $102.53 [AmeriHealth Caritas] — [MA]: $86.28 [AmeriHealth Caritas] — [Medicare]: $101.51 [CBC] — [CHIP]: $277.25 [CBC] — [Comm]: $326.17 [CBC] — [Medicare]: $101.51 [Cigna] — [Comm]: $400.62
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 MG. Bilat Diag Mam Call Back Same day - Report Tech	$653	$205.50	$86.28 – $522.40
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $167.82 [Aetna Signature Administrators] — [Comm]: $392.39 [Aetna] — [Comm]: $386.58 [Aetna] — [Medicare]: $102.53 [AmeriHealth Caritas] — [MA]: $86.28 [AmeriHealth Caritas] — [Medicare]: $101.51 [CBC] — [CHIP]: $277.25 [CBC] — [Comm]: $326.17 [CBC] — [Medicare]: $101.51 [Cigna] — [Comm]: $400.62
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 MG. Mammo Digital Diagnostic Bilat - Report Tech	$653	$205.50	$86.28 – $522.40
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $167.82 [Aetna Signature Administrators] — [Comm]: $392.39 [Aetna] — [Comm]: $386.58 [Aetna] — [Medicare]: $102.53 [AmeriHealth Caritas] — [MA]: $86.28 [AmeriHealth Caritas] — [Medicare]: $101.51 [CBC] — [CHIP]: $277.25 [CBC] — [Comm]: $326.17 [CBC] — [Medicare]: $101.51 [Cigna] — [Comm]: $400.62
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 MG. Mammo Digital Screening Bilateral - Report Tech	$540	$169.94	$71.16 – $432
Screening mammogram, both breasts: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $138.78 [Aetna Signature Administrators] — [Comm]: $324.49 [Aetna] — [Comm]: $319.68 [Aetna] — [Medicare]: $84.56 [AmeriHealth Caritas] — [MA]: $71.16 [AmeriHealth Caritas] — [Medicare]: $83.72 [CBC] — [CHIP]: $229.27 [CBC] — [Comm]: $269.73 [CBC] — [Medicare]: $83.72 [Cigna] — [Comm]: $331.29
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 MG. Mammo Digital Screening Left Tech	$540	$169.94	$71.16 – $432
Screening mammogram, both breasts: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $138.78 [Aetna Signature Administrators] — [Comm]: $324.49 [Aetna] — [Comm]: $319.68 [Aetna] — [Medicare]: $84.56 [AmeriHealth Caritas] — [MA]: $71.16 [AmeriHealth Caritas] — [Medicare]: $83.72 [CBC] — [CHIP]: $229.27 [CBC] — [Comm]: $269.73 [CBC] — [Medicare]: $83.72 [Cigna] — [Comm]: $331.29
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 MG. Mammo Digital Screening Right - Report Tech	$540	$169.94	$71.16 – $432
Screening mammogram, both breasts: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $138.78 [Aetna Signature Administrators] — [Comm]: $324.49 [Aetna] — [Comm]: $319.68 [Aetna] — [Medicare]: $84.56 [AmeriHealth Caritas] — [MA]: $71.16 [AmeriHealth Caritas] — [Medicare]: $83.72 [CBC] — [CHIP]: $229.27 [CBC] — [Comm]: $269.73 [CBC] — [Medicare]: $83.72 [Cigna] — [Comm]: $331.29

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: 93452 LEFT HRT CATH W/VENTRCLGRPHY Tech	$20,907	$6,579.43	$2,693.20 – $16,725.60
Left heart catheterization (diagnostic): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $5,373.10 [Aetna Signature Administrators] — [Comm]: $12,563.02 [Aetna] — [Comm]: $12,376.94 [Aetna] — [Medicare]: $3,200.15 [AmeriHealth Caritas] — [MA]: $2,693.20 [AmeriHealth Caritas] — [Medicare]: $3,168.47 [CBC] — [CHIP]: $8,876.59 [CBC] — [Comm]: $10,443.05 [CBC] — [Medicare]: $3,168.47 [Cigna] — [Comm]: $12,826.44
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: 93619 ELECTROPHYSIOLOGY EVALUATION Tech	$49,323	$15,521.95	$6,479.48 – $39,458.40
Heart rhythm study (electrophysiology evaluation): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $12,676.01 [Aetna Signature Administrators] — [Comm]: $29,638.19 [Aetna] — [Comm]: $29,199.22 [Aetna] — [Medicare]: $7,699.15 [AmeriHealth Caritas] — [MA]: $6,479.48 [AmeriHealth Caritas] — [Medicare]: $7,622.92 [CBC] — [CHIP]: $20,941.31 [CBC] — [Comm]: $24,636.84 [CBC] — [Medicare]: $7,622.92 [Cigna] — [Comm]: $30,259.66
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: 93656 TX ATRIAL FIB PULM VEIN ISOL Tech	$159,460	$50,182.06	$21,713.73 – $127,568
Heart rhythm study with ablation for atrial fibrillation: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $40,981.22 [Aetna Signature Administrators] — [Comm]: $95,819.51 [Aetna] — [Comm]: $94,400.32 [Aetna] — [Medicare]: $25,801.03 [AmeriHealth Caritas] — [MA]: $21,713.73 [AmeriHealth Caritas] — [Medicare]: $25,545.57 [CBC] — [CHIP]: $67,702.73 [CBC] — [Comm]: $79,650.27 [CBC] — [Medicare]: $25,545.57 [Cigna] — [Comm]: $97,828.71
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: 95810 POLYSOM 6/> YRS 4/> PARAM Tech	$6,613	$2,081.11	$713.39 – $5,290.40
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,699.54 [Aetna Signature Administrators] — [Comm]: $3,973.75 [Aetna] — [Comm]: $3,914.90 [Aetna] — [Medicare]: $847.67 [AmeriHealth Caritas] — [MA]: $713.39 [AmeriHealth Caritas] — [Medicare]: $839.28 [CBC] — [CHIP]: $2,807.71 [CBC] — [Comm]: $3,303.19 [CBC] — [Medicare]: $839.28 [Cigna] — [Comm]: $4,057.08

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 PTA Therapeutic Exercises (15 Min) Tech	$179	$56.33	$23.85 – $143.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $46 [Aetna Signature Administrators] — [Comm]: $76.59 [Aetna] — [Comm]: $75.46 [Aetna] — [Medicare]: $28.34 [AmeriHealth Caritas] — [MA]: $23.85 [AmeriHealth Caritas] — [Medicare]: $28.06 [CBC] — [CHIP]: $76 [CBC] — [Comm]: $89.41 [CBC] — [Medicare]: $28.06 [Cigna] — [Comm]: $109.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 THERAPEUTIC EXERCISES Tech OT Tech	$179	$56.33	$23.85 – $143.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $46 [Aetna Signature Administrators] — [Comm]: $76.59 [Aetna] — [Comm]: $75.46 [Aetna] — [Medicare]: $28.34 [AmeriHealth Caritas] — [MA]: $23.85 [AmeriHealth Caritas] — [Medicare]: $28.06 [CBC] — [CHIP]: $76 [CBC] — [Comm]: $89.41 [CBC] — [Medicare]: $28.06 [Cigna] — [Comm]: $109.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 THERAPEUTIC EXERCISES Tech PT Tech	$179	$56.33	$23.85 – $143.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $46 [Aetna Signature Administrators] — [Comm]: $76.59 [Aetna] — [Comm]: $75.46 [Aetna] — [Medicare]: $28.34 [AmeriHealth Caritas] — [MA]: $23.85 [AmeriHealth Caritas] — [Medicare]: $28.06 [CBC] — [CHIP]: $76 [CBC] — [Comm]: $89.41 [CBC] — [Medicare]: $28.06 [Cigna] — [Comm]: $109.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 PT EVAL LOW COMPLEX 20 MIN Tech	$610	$191.97	$80.36 – $488
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $156.77 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.49 [AmeriHealth Caritas] — [MA]: $80.36 [AmeriHealth Caritas] — [Medicare]: $94.54 [CBC] — [CHIP]: $258.99 [CBC] — [Comm]: $304.70 [CBC] — [Medicare]: $94.54 [Cigna] — [Comm]: $374.24
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 TELEMED PT EVAL LOW COMPLEX 20 MIN Tech	$610	$191.97	$80.36 – $488
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $156.77 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.49 [AmeriHealth Caritas] — [MA]: $80.36 [AmeriHealth Caritas] — [Medicare]: $94.54 [CBC] — [CHIP]: $258.99 [CBC] — [Comm]: $304.70 [CBC] — [Medicare]: $94.54 [Cigna] — [Comm]: $374.24
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 PT EVAL MOD COMPLEX 30 MIN Tech	$610	$191.97	$80.36 – $488
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $156.77 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.49 [AmeriHealth Caritas] — [MA]: $80.36 [AmeriHealth Caritas] — [Medicare]: $94.54 [CBC] — [CHIP]: $258.99 [CBC] — [Comm]: $304.70 [CBC] — [Medicare]: $94.54 [Cigna] — [Comm]: $374.24
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 TELEMED PT EVAL MOD COMPLEX 30 MIN Tech	$610	$191.97	$80.36 – $488
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $156.77 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.49 [AmeriHealth Caritas] — [MA]: $80.36 [AmeriHealth Caritas] — [Medicare]: $94.54 [CBC] — [CHIP]: $258.99 [CBC] — [Comm]: $304.70 [CBC] — [Medicare]: $94.54 [Cigna] — [Comm]: $374.24
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 TELEMED PT EVAL HIGH COMPLEX 45 MIN Tech	$610	$191.97	$80.36 – $488
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $156.77 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.49 [AmeriHealth Caritas] — [MA]: $80.36 [AmeriHealth Caritas] — [Medicare]: $94.54 [CBC] — [CHIP]: $258.99 [CBC] — [Comm]: $304.70 [CBC] — [Medicare]: $94.54 [Cigna] — [Comm]: $374.24
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 PT EVAL HIGH COMPLEX 45 MIN Tech	$610	$191.97	$80.36 – $488
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $156.77 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.49 [AmeriHealth Caritas] — [MA]: $80.36 [AmeriHealth Caritas] — [Medicare]: $94.54 [CBC] — [CHIP]: $258.99 [CBC] — [Comm]: $304.70 [CBC] — [Medicare]: $94.54 [Cigna] — [Comm]: $374.24
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 PSYTX W PT 30 MINUTES Tech	$1,044	$328.55	$147.45 – $835.20
Psychotherapy, 30 minutes: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $268.31 [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [AmeriHealth Caritas] — [MA]: $147.45 [AmeriHealth Caritas] — [Medicare]: $173.47 [CBC] — [CHIP]: $443.26 [CBC] — [Comm]: $521.48 [CBC] — [Medicare]: $173.47 [Cigna] — [Comm]: $640.49
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 PSYTX W PT 45 MINUTES Tech	$1,044	$328.55	$147.45 – $835.20
Psychotherapy, 45 minutes: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $268.31 [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [AmeriHealth Caritas] — [MA]: $147.45 [AmeriHealth Caritas] — [Medicare]: $173.47 [CBC] — [CHIP]: $443.26 [CBC] — [Comm]: $521.48 [CBC] — [Medicare]: $173.47 [Cigna] — [Comm]: $640.49
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 FAMILY PSYTX W/PT 50 MIN Tech	$1,044	$328.55	$147.45 – $835.20
Family psychotherapy, with the patient: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $268.31 [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [AmeriHealth Caritas] — [MA]: $147.45 [AmeriHealth Caritas] — [Medicare]: $173.47 [CBC] — [CHIP]: $443.26 [CBC] — [Comm]: $521.48 [CBC] — [Medicare]: $173.47 [Cigna] — [Comm]: $640.49
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 GROUP PSYCHOTHERAPY Tech	$601	$189.13	$84.40 – $480.80
Group psychotherapy: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $154.46 [Aetna Signature Administrators] — [Comm]: $361.14 [Aetna] — [Comm]: $355.79 [Aetna] — [Medicare]: $100.28 [AmeriHealth Caritas] — [MA]: $84.40 [AmeriHealth Caritas] — [Medicare]: $99.29 [CBC] — [CHIP]: $255.17 [CBC] — [Comm]: $300.20 [CBC] — [Medicare]: $99.29 [Cigna] — [Comm]: $368.71

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: 19120 REMOVAL OF BREAST LESION Tech	$24,890	$7,832.88	$3,252.70 – $19,912
Removal of breast growth (open surgery): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $6,396.73 [Aetna Signature Administrators] — [Comm]: $14,956.40 [Aetna] — [Comm]: $14,734.88 [Aetna] — [Medicare]: $3,864.98 [AmeriHealth Caritas] — [MA]: $3,252.70 [AmeriHealth Caritas] — [Medicare]: $3,826.71 [CBC] — [CHIP]: $10,567.67 [CBC] — [Comm]: $12,432.56 [CBC] — [Medicare]: $3,826.71 [Cigna] — [Comm]: $15,270.02
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: 27130 TOTAL HIP ARTHROPLASTY Tech	$83,634	$26,319.62	$10,665.59 – $66,907.20
Total hip replacement: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $21,493.94 [Aetna Signature Administrators] — [Comm]: $50,255.67 [Aetna] — [Comm]: $49,511.33 [Aetna] — [Medicare]: $12,673.23 [AmeriHealth Caritas] — [MA]: $10,665.59 [AmeriHealth Caritas] — [Medicare]: $12,547.75 [CBC] — [CHIP]: $35,508.91 [CBC] — [Comm]: $41,775.18 [CBC] — [Medicare]: $12,547.75 [Cigna] — [Comm]: $51,309.46
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: 27447 TOTAL KNEE ARTHROPLASTY Tech	$83,634	$26,319.62	$10,665.59 – $66,907.20
Total knee replacement: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $21,493.94 [Aetna Signature Administrators] — [Comm]: $50,255.67 [Aetna] — [Comm]: $49,511.33 [Aetna] — [Medicare]: $12,673.23 [AmeriHealth Caritas] — [MA]: $10,665.59 [AmeriHealth Caritas] — [Medicare]: $12,547.75 [CBC] — [CHIP]: $35,508.91 [CBC] — [Comm]: $41,775.18 [CBC] — [Medicare]: $12,547.75 [Cigna] — [Comm]: $51,309.46
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: 29826 SHOULDER ARTHROSCOPY/SURGERY Tech	$3,863	$1,215.69	$992.79 – $3,090.40
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates [Aetna Better Health] — [CHIP]: $992.79 [Aetna Signature Administrators] — [Comm]: $2,321.28 [Aetna] — [Comm]: $2,286.90 [CBC] — [CHIP]: $1,640.13 [CBC] — [Comm]: $1,929.57 [Cigna] — [Comm]: $2,369.95 [First Health] — [Comm]: $3,090.40 [Geisinger] — [Comm]: $2,578.17 [Multiplan] — [Comm]: $3,090.40 [Preferred Healthcare Systems] — [Comm]: $2,897.25
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: 29881 KNEE ARTHROSCOPY/SURGERY Tech	$21,090	$6,637.02	$2,718.18 – $16,872
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $5,420.13 [Aetna Signature Administrators] — [Comm]: $12,672.98 [Aetna] — [Comm]: $12,485.28 [Aetna] — [Medicare]: $3,229.84 [AmeriHealth Caritas] — [MA]: $2,718.18 [AmeriHealth Caritas] — [Medicare]: $3,197.86 [CBC] — [CHIP]: $8,954.29 [CBC] — [Comm]: $10,534.46 [CBC] — [Medicare]: $3,197.86 [Cigna] — [Comm]: $12,938.72
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: 42820 REMOVE TONSILS AND ADENOIDS Tech	$38,452	$12,100.84	$4,917.84 – $30,761.60
Removal of tonsils and adenoids (under age 12): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $9,882.16 [Aetna Signature Administrators] — [Comm]: $23,105.81 [Aetna] — [Comm]: $22,763.58 [Aetna] — [Medicare]: $5,843.55 [AmeriHealth Caritas] — [MA]: $4,917.84 [AmeriHealth Caritas] — [Medicare]: $5,785.69 [CBC] — [CHIP]: $16,325.76 [CBC] — [Comm]: $19,206.77 [CBC] — [Medicare]: $5,785.69 [Cigna] — [Comm]: $23,590.30
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: 43235 EGD DIAGNOSTIC BRUSH WASH Tech	$6,094	$1,917.78	$753.47 – $4,875.20
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,566.16 [Aetna Signature Administrators] — [Comm]: $3,661.88 [Aetna] — [Comm]: $3,607.65 [Aetna] — [Medicare]: $895.29 [AmeriHealth Caritas] — [MA]: $753.47 [AmeriHealth Caritas] — [Medicare]: $886.43 [CBC] — [CHIP]: $2,587.36 [CBC] — [Comm]: $3,043.95 [CBC] — [Medicare]: $886.43 [Cigna] — [Comm]: $3,738.67
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: 43239 EGD BIOPSY SINGLE/MULTIPLE Tech	$6,094	$1,917.78	$753.47 – $4,875.20
Upper GI endoscopy with biopsy: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,566.16 [Aetna Signature Administrators] — [Comm]: $3,661.88 [Aetna] — [Comm]: $3,607.65 [Aetna] — [Medicare]: $895.29 [AmeriHealth Caritas] — [MA]: $753.47 [AmeriHealth Caritas] — [Medicare]: $886.43 [CBC] — [CHIP]: $2,587.36 [CBC] — [Comm]: $3,043.95 [CBC] — [Medicare]: $886.43 [Cigna] — [Comm]: $3,738.67
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: 45378 DIAGNOSTIC COLONOSCOPY Tech	$5,926	$1,864.91	$772.55 – $4,740.80
Colonoscopy (diagnostic): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,522.98 [Aetna Signature Administrators] — [Comm]: $3,560.93 [Aetna] — [Comm]: $3,508.19 [Aetna] — [Medicare]: $917.97 [AmeriHealth Caritas] — [MA]: $772.55 [AmeriHealth Caritas] — [Medicare]: $908.88 [CBC] — [CHIP]: $2,516.03 [CBC] — [Comm]: $2,960.04 [CBC] — [Medicare]: $908.88 [Cigna] — [Comm]: $3,635.60
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: 45380 COLONOSCOPY AND BIOPSY Tech	$7,664	$2,411.86	$994.10 – $6,131.20
Colonoscopy with biopsy: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,969.65 [Aetna Signature Administrators] — [Comm]: $4,605.30 [Aetna] — [Comm]: $4,537.09 [Aetna] — [Medicare]: $1,181.23 [AmeriHealth Caritas] — [MA]: $994.10 [AmeriHealth Caritas] — [Medicare]: $1,169.53 [CBC] — [CHIP]: $3,253.94 [CBC] — [Comm]: $3,828.17 [CBC] — [Medicare]: $1,169.53 [Cigna] — [Comm]: $4,701.86
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: 45385 COLONOSCOPY W/LESION REMOVAL Tech	$7,664	$2,411.86	$994.10 – $6,131.20
Colonoscopy with removal of polyps (snare): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,969.65 [Aetna Signature Administrators] — [Comm]: $4,605.30 [Aetna] — [Comm]: $4,537.09 [Aetna] — [Medicare]: $1,181.23 [AmeriHealth Caritas] — [MA]: $994.10 [AmeriHealth Caritas] — [Medicare]: $1,169.53 [CBC] — [CHIP]: $3,253.94 [CBC] — [Comm]: $3,828.17 [CBC] — [Medicare]: $1,169.53 [Cigna] — [Comm]: $4,701.86
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: 45391 COLONOSCOPY W/ENDOSCOPE US Tech	$7,664	$2,411.86	$994.10 – $6,131.20
Ultrasound of the lower bowel by endoscope: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,969.65 [Aetna Signature Administrators] — [Comm]: $4,605.30 [Aetna] — [Comm]: $4,537.09 [Aetna] — [Medicare]: $1,181.23 [AmeriHealth Caritas] — [MA]: $994.10 [AmeriHealth Caritas] — [Medicare]: $1,169.53 [CBC] — [CHIP]: $3,253.94 [CBC] — [Comm]: $3,828.17 [CBC] — [Medicare]: $1,169.53 [Cigna] — [Comm]: $4,701.86
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: G0121 SCREENING COLONOSCOPY Tech	$5,926	$1,864.91	$772.55 – $4,740.80
Screening colonoscopy (not high risk): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,522.98 [Aetna Signature Administrators] — [Comm]: $3,560.93 [Aetna] — [Comm]: $3,508.19 [Aetna] — [Medicare]: $917.97 [AmeriHealth Caritas] — [MA]: $772.55 [AmeriHealth Caritas] — [Medicare]: $908.88 [CBC] — [CHIP]: $2,516.03 [CBC] — [Comm]: $2,960.04 [CBC] — [Medicare]: $908.88 [Cigna] — [Comm]: $3,635.60
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: 47562 LAPAROSCOPIC CHOLECYSTECTOMY Tech	$37,923	$11,934.37	$5,022.25 – $30,338.40
Gallbladder removal by laparoscope: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $9,746.21 [Aetna Signature Administrators] — [Comm]: $22,787.93 [Aetna] — [Comm]: $22,450.42 [Aetna] — [Medicare]: $5,967.62 [AmeriHealth Caritas] — [MA]: $5,022.25 [AmeriHealth Caritas] — [Medicare]: $5,908.53 [CBC] — [CHIP]: $16,101.16 [CBC] — [Comm]: $18,942.54 [CBC] — [Medicare]: $5,908.53 [Cigna] — [Comm]: $23,265.76
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: 49505 PRP I/HERN INIT REDUC >5 YR Tech	$22,939	$7,218.90	$2,974.38 – $18,351.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $5,895.32 [Aetna Signature Administrators] — [Comm]: $13,784.05 [Aetna] — [Comm]: $13,579.89 [Aetna] — [Medicare]: $3,534.26 [AmeriHealth Caritas] — [MA]: $2,974.38 [AmeriHealth Caritas] — [Medicare]: $3,499.27 [CBC] — [CHIP]: $9,739.33 [CBC] — [Comm]: $11,458.03 [CBC] — [Medicare]: $3,499.27 [Cigna] — [Comm]: $14,073.08
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 CT Biopsy Prostate Tech	$13,315	$4,190.23	$3,421.96 – $10,652
Prostate biopsy: 10 of 15 insurance plan rates [Aetna Better Health] — [CHIP]: $3,421.96 [Aetna Signature Administrators] — [Comm]: $8,000.98 [Aetna] — [Comm]: $7,882.48 [CBC] — [CHIP]: $5,653.22 [CBC] — [Comm]: $6,650.84 [Cigna] — [Comm]: $8,168.75 [First Health] — [Comm]: $10,652 [Geisinger] — [Comm]: $8,886.43 [Multiplan] — [Comm]: $10,652 [Preferred Healthcare Systems] — [Comm]: $9,986.25
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 US* BIOPSY PROSTATE Tech	$13,315	$4,190.23	$3,421.96 – $10,652
Prostate biopsy: 10 of 15 insurance plan rates [Aetna Better Health] — [CHIP]: $3,421.96 [Aetna Signature Administrators] — [Comm]: $8,000.98 [Aetna] — [Comm]: $7,882.48 [CBC] — [CHIP]: $5,653.22 [CBC] — [Comm]: $6,650.84 [Cigna] — [Comm]: $8,168.75 [First Health] — [Comm]: $10,652 [Geisinger] — [Comm]: $8,886.43 [Multiplan] — [Comm]: $10,652 [Preferred Healthcare Systems] — [Comm]: $9,986.25
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 BIOPSY OF PROSTATE Tech	$13,315	$4,190.23	$3,421.96 – $10,652
Prostate biopsy: 10 of 15 insurance plan rates [Aetna Better Health] — [CHIP]: $3,421.96 [Aetna Signature Administrators] — [Comm]: $8,000.98 [Aetna] — [Comm]: $7,882.48 [CBC] — [CHIP]: $5,653.22 [CBC] — [Comm]: $6,650.84 [Cigna] — [Comm]: $8,168.75 [First Health] — [Comm]: $10,652 [Geisinger] — [Comm]: $8,886.43 [Multiplan] — [Comm]: $10,652 [Preferred Healthcare Systems] — [Comm]: $9,986.25
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: 55866 LAPARO RADICAL PROSTATECTOMY Tech	$67,673	$21,296.69	$8,830.62 – $54,138.40
Prostate removal by laparoscope (radical prostatectomy): 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $17,391.96 [Aetna Signature Administrators] — [Comm]: $40,664.71 [Aetna] — [Comm]: $40,062.42 [Aetna] — [Medicare]: $10,492.85 [AmeriHealth Caritas] — [MA]: $8,830.62 [AmeriHealth Caritas] — [Medicare]: $10,388.96 [CBC] — [CHIP]: $28,732.26 [CBC] — [Comm]: $33,802.66 [CBC] — [Medicare]: $10,388.96 [Cigna] — [Comm]: $41,517.39
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: 58558 HYSTEROSCOPY BIOPSY Tech	$20,667	$6,503.90	$2,689.20 – $16,533.60
Hysteroscopy with biopsy of the uterus lining: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $5,311.42 [Aetna Signature Administrators] — [Comm]: $12,418.80 [Aetna] — [Comm]: $12,234.86 [Aetna] — [Medicare]: $3,195.41 [AmeriHealth Caritas] — [MA]: $2,689.20 [AmeriHealth Caritas] — [Medicare]: $3,163.77 [CBC] — [CHIP]: $8,774.69 [CBC] — [Comm]: $10,323.17 [CBC] — [Medicare]: $3,163.77 [Cigna] — [Comm]: $12,679.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 NJX INTERLAMINAR LMBR/SAC Tech	$4,501	$1,416.46	$586.41 – $3,600.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,156.76 [Aetna Signature Administrators] — [Comm]: $2,704.65 [Aetna] — [Comm]: $2,664.59 [Aetna] — [Medicare]: $696.79 [AmeriHealth Caritas] — [MA]: $586.41 [AmeriHealth Caritas] — [Medicare]: $689.89 [CBC] — [CHIP]: $1,911.01 [CBC] — [Comm]: $2,248.25 [CBC] — [Medicare]: $689.89 [Cigna] — [Comm]: $2,761.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 XR Inj Lumbar/Sacral Epidural Tech	$4,501	$1,416.46	$586.41 – $3,600.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,156.76 [Aetna Signature Administrators] — [Comm]: $2,704.65 [Aetna] — [Comm]: $2,664.59 [Aetna] — [Medicare]: $696.79 [AmeriHealth Caritas] — [MA]: $586.41 [AmeriHealth Caritas] — [Medicare]: $689.89 [CBC] — [CHIP]: $1,911.01 [CBC] — [Comm]: $2,248.25 [CBC] — [Medicare]: $689.89 [Cigna] — [Comm]: $2,761.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: INJ INTRLM LMB/SAC W/IMAG Tech	$4,501	$1,416.46	$586.41 – $3,600.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,156.76 [Aetna Signature Administrators] — [Comm]: $2,704.65 [Aetna] — [Comm]: $2,664.59 [Aetna] — [Medicare]: $696.79 [AmeriHealth Caritas] — [MA]: $586.41 [AmeriHealth Caritas] — [Medicare]: $689.89 [CBC] — [CHIP]: $1,911.01 [CBC] — [Comm]: $2,248.25 [CBC] — [Medicare]: $689.89 [Cigna] — [Comm]: $2,761.36
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483 INJ FORAMEN EPIDURAL L/S Tech	$5,787	$1,821.17	$734.77 – $4,629.60
Nerve root injection, lower back, with imaging guidance: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,487.26 [Aetna Signature Administrators] — [Comm]: $3,477.41 [Aetna] — [Comm]: $3,425.90 [Aetna] — [Medicare]: $873.07 [AmeriHealth Caritas] — [MA]: $734.77 [AmeriHealth Caritas] — [Medicare]: $864.43 [CBC] — [CHIP]: $2,457.02 [CBC] — [Comm]: $2,890.61 [CBC] — [Medicare]: $864.43 [Cigna] — [Comm]: $3,550.32
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: 64483 INJ FORAMEN EPIDURAL L/S WKC TECH	$5,787	$1,821.17	$734.77 – $4,629.60
Nerve root injection, lower back, with imaging guidance: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $1,487.26 [Aetna Signature Administrators] — [Comm]: $3,477.41 [Aetna] — [Comm]: $3,425.90 [Aetna] — [Medicare]: $873.07 [AmeriHealth Caritas] — [MA]: $734.77 [AmeriHealth Caritas] — [Medicare]: $864.43 [CBC] — [CHIP]: $2,457.02 [CBC] — [Comm]: $2,890.61 [CBC] — [Medicare]: $864.43 [Cigna] — [Comm]: $3,550.32
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: 64721 CARPAL TUNNEL SURGERY Tech	$12,693	$3,994.49	$1,622.21 – $10,154.40
Carpal tunnel release: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $3,262.10 [Aetna Signature Administrators] — [Comm]: $7,627.22 [Aetna] — [Comm]: $7,514.26 [Aetna] — [Medicare]: $1,927.56 [AmeriHealth Caritas] — [MA]: $1,622.21 [AmeriHealth Caritas] — [Medicare]: $1,908.48 [CBC] — [CHIP]: $5,389.13 [CBC] — [Comm]: $6,340.15 [CBC] — [Medicare]: $1,908.48 [Cigna] — [Comm]: $7,787.16
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: 66821 AFTER CATARACT LASER SURGERY Tech	$3,566	$1,122.22	$456.90 – $2,852.80
Laser treatment of clouding after cataract surgery: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $916.46 [Aetna Signature Administrators] — [Comm]: $2,142.81 [Aetna] — [Comm]: $2,111.07 [Aetna] — [Medicare]: $542.91 [AmeriHealth Caritas] — [MA]: $456.90 [AmeriHealth Caritas] — [Medicare]: $537.53 [CBC] — [CHIP]: $1,514.03 [CBC] — [Comm]: $1,781.22 [CBC] — [Medicare]: $537.53 [Cigna] — [Comm]: $2,187.74
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: 66984 XCAPSL CTRC RMVL W/O ECP Tech	$14,825	$4,665.43	$1,917.20 – $11,860
Cataract removal with lens implant: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $3,810.03 [Aetna Signature Administrators] — [Comm]: $8,908.34 [Aetna] — [Comm]: $8,776.40 [Aetna] — [Medicare]: $2,278.09 [AmeriHealth Caritas] — [MA]: $1,917.20 [AmeriHealth Caritas] — [Medicare]: $2,255.53 [CBC] — [CHIP]: $6,294.32 [CBC] — [Comm]: $7,405.09 [CBC] — [Medicare]: $2,255.53 [Cigna] — [Comm]: $9,095.14

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: 59400 OBSTETRICAL CARE Tech	$20,667	$6,503.90	$3,845.72 – $16,533.60
Vaginal delivery, with care before and after: 10 of 18 insurance plan rates [Aetna Better Health] — [CHIP]: $5,311.42 [Aetna Signature Administrators] — [Comm]: $12,418.80 [Aetna] — [Comm]: $12,234.86 [CBC] — [CHIP]: $8,774.69 [CBC] — [Comm]: $10,323.17 [Cigna] — [Comm]: $12,679.20 [First Health] — [Comm]: $16,533.60 [Geisinger] — [Comm]: $13,793.16 [Highmark ACA] — [Comm]: $4,038.01 [Highmark Choice Blue] — [Comm]: $3,845.72
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: 59510 CESAREAN DELIVERY Tech	$20,667	$6,503.90	$3,845.72 – $16,533.60
Cesarean delivery (C-section), with care before and after: 10 of 18 insurance plan rates [Aetna Better Health] — [CHIP]: $5,311.42 [Aetna Signature Administrators] — [Comm]: $12,418.80 [Aetna] — [Comm]: $12,234.86 [CBC] — [CHIP]: $8,774.69 [CBC] — [Comm]: $10,323.17 [Cigna] — [Comm]: $12,679.20 [First Health] — [Comm]: $16,533.60 [Geisinger] — [Comm]: $13,793.16 [Highmark ACA] — [Comm]: $4,038.01 [Highmark Choice Blue] — [Comm]: $3,845.72
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: 59610 VBAC DELIVERY Tech	$27,426	$8,630.96	$5,103.44 – $21,940.80
Vaginal delivery after a previous C-section, with care before and after: 10 of 18 insurance plan rates [Aetna Better Health] — [CHIP]: $7,048.48 [Aetna Signature Administrators] — [Comm]: $16,480.28 [Aetna] — [Comm]: $16,236.19 [CBC] — [CHIP]: $11,644.39 [CBC] — [Comm]: $13,699.29 [Cigna] — [Comm]: $16,825.85 [First Health] — [Comm]: $21,940.80 [Geisinger] — [Comm]: $18,304.11 [Highmark ACA] — [Comm]: $5,358.61 [Highmark Choice Blue] — [Comm]: $5,103.44

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$69,448.88 – $210,267.51
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [Aetna Signature Administrators] — [Comm]: $179,054.59 [Aetna] — [Comm]: $176,413.23 [Aetna] — [Medicare]: $70,150.38 [AmeriHealth Caritas] — [MA]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [AmeriHealth Caritas] — [Medicare]: $70,150.38 [CBC] — [CHIP]: $154,562.42 [CBC] — [Comm]: $181,838.14 [CBC] — [Medicare]: $70,150.38 [Cigna] — [Comm]: $191,058.08
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$14,382.46 – $40,398.88
Hip or knee replacement (major joint of the leg), without major complications: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [Aetna Signature Administrators] — [Comm]: $35,304.66 [Aetna] — [Comm]: $34,783.85 [Aetna] — [Medicare]: $14,527.74 [AmeriHealth Caritas] — [MA]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [AmeriHealth Caritas] — [Medicare]: $14,527.74 [CBC] — [CHIP]: $28,154.39 [CBC] — [Comm]: $33,122.81 [CBC] — [Medicare]: $14,527.74 [Cigna] — [Comm]: $37,671.42
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$17,975.07 – $51,130.59
Neck (cervical) spinal fusion, without complications: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [Aetna Signature Administrators] — [Comm]: $44,683.11 [Aetna] — [Comm]: $44,023.96 [Aetna] — [Medicare]: $18,156.64 [AmeriHealth Caritas] — [MA]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [AmeriHealth Caritas] — [Medicare]: $18,156.64 [CBC] — [CHIP]: $37,642.92 [CBC] — [Comm]: $44,285.79 [CBC] — [Medicare]: $18,156.64 [Cigna] — [Comm]: $47,678.59
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,557.25 – $26,766.34
Uterus and ovary surgery (not for cancer), without complications: 10 of 38 insurance plan rates [Aetna Better Health] — [CHIP]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [Aetna Signature Administrators] — [Comm]: $22,708.53 [Aetna] — [Comm]: $22,373.54 [Aetna] — [Medicare]: $9,653.79 [AmeriHealth Caritas] — [MA]: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) [AmeriHealth Caritas] — [Medicare]: $9,653.79 [CBC] — [CHIP]: $16,779.42 [CBC] — [Comm]: $19,740.50 [CBC] — [Medicare]: $9,653.79 [Cigna] — [Comm]: $24,230.87

Source: Penn State Health Hampden Medical Center’s standard charges file (pennstatehealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 27, 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	2200 Good Hope Road, Enola, PA 17025
County	Cumberland County
State	Pennsylvania
Phone	(717) 981‑9000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	390336
Name in Medicare records	PENN STATE HEALTH HAMPDEN MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	pennstatehealth.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.

Penn State Health Hampden Medical Center — pennstatehealth.org