Does Penn State Health Holy Spirit Medical Center have an emergency room?

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

Where is Penn State Health Holy Spirit Medical Center?

503 North 21st Street, Camp Hill, PA 17011, in Cumberland County, Pennsylvania.

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

(717) 763-2100, as listed by Medicare (CMS).

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

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

Penn State Health Holy Spirit Medical Center

Quick answers

Does Penn State Health Holy Spirit Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Penn State Health Holy Spirit Medical Center. In a medical emergency, call 911.
Where is Penn State Health Holy Spirit Medical Center?: 503 North 21st Street, Camp Hill, PA 17011, in Cumberland County, Pennsylvania.
What is the phone number of Penn State Health Holy Spirit Medical Center?: (717) 763-2100, as listed by Medicare (CMS).
What is the Medicare star rating of Penn State Health Holy Spirit Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Family Medicine
Geriatric Medicine
Internal Medicine
Sleep Medicine
Anesthesiology
Endocrinology
Digestive Diseases
Hospice and palliative care
Infectious Disease
Neurosurgery
Orthopaedics
Cardiovascular Disease
Neurology
Emergency Medicine
Imaging and Radiology
Psychiatry and Behavioral Health
Neonatology (NICU)

Treatments^[4]

Dialysis
Hyperbaric services
Wound care
Rehabilitation
Medical infusion

Procedures^[4]

Open heart surgery

Programs and centers^[4]

Trauma center
Intensive care (adult and cardiovascular)
Neonatal intensive care unit

Emergency care (hospital website)^[4]

Emergency room	Yes
Trauma designation	Level 2

Doctors and clinicians (1,074)

1,074 doctors and other clinicians list Penn State Health Holy Spirit 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 (1,074)

Aaron B. Tolpin, MDEmergency Medicine
Aaron J. Reiprich, DOGastroenterology
Aashay N. Patel, MDInternal Medicine
Abdul Akbaryeh, MDInternal Medicine
Abdulrhman Elnaggar, MDCardiac Surgery
Abigale L. Campos, PAPhysician Assistant
Adam M. Buerk, DOOrthopedic Surgery
Adebukola M. Ogundoyin, MDHospitalist
Aditya Sharma, MDInterventional Cardiology
Adnan Ahmad, DOGastroenterology
Adrian M. Garza Gangemi, MDUrology
Adrian Sosenko, MDUrology
Ahmed Tarique, MDInternal Medicine
Aidaliz Llorens Bonilla, MDEndocrinology
Aisatou Diallo, MDInternal Medicine
Ajay K. Saini, MDInternal Medicine
Ajay V. Kumar, MDPlastic and Reconstructive Surgery
Akin S. Amasyali, MDUrology
Alain Zingraff Lekoubou Looti, MDNeurology
Alaine E. Gada, MDNephrology
Alan J. Sweeney, MDInternal Medicine
Alannah Lyon, NPNurse Practitioner
Alea C. SaundersNurse Practitioner
Alex B. Sullivan, CNACertified Registered Nurse Anesthetist (CRNA)

And 1,050 more: the button below opens the full list.

Other emergency rooms nearby

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

Pennsylvania Psychiatric Institute2.6 mi · Harrisburg, PA · Psychiatric Hospital
UPMC Pinnacle Hospitals3.0 mi · Harrisburg, PA · Acute Care Hospital
Penn State Health Hampden Medical Center4.3 mi · Enola, PA · Acute Care Hospital
Milton S Hershey Medical Center16 mi · Hershey, PA · Acute Care Hospital
UPMC Carlisle17 mi · Carlisle, PA · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital - Central PA Harrisburg2.3 mi · Harrisburg, PA · Long-Term Acute Care Hospital
Encompass Health Rehabilitation Hospital of Mechan…3.9 mi · Mechanicsburg, PA · Inpatient Rehabilitation Hospital
Helen M Simpson Rehabilitation Hospital6.0 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 Shore0.3 mi · Camp Hill, PA · 1 of 5 stars
The Gardens at Camp Hill0.5 mi · Camp Hill, PA · 4 of 5 stars
Camp Hill Skilled Nursing and Rehabilitation Ctr1.0 mi · Camp Hill, PA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Adoration Hospice1.3 mi · Camp Hill, PA · 3 of 5 stars
Gentiva1.3 mi · Camp Hill, PA · 3 of 5 stars
Amedisys Hospice of Harrisburg West5.2 mi · Harrisburg, PA · 2 of 5 stars

All hospice providers in the state →

Home health agencies

Shadai Home Health Services1.3 mi · Camp Hill, PA
Adoration Home Health1.3 mi · Lemoyne, PA
Aveanna Healthcare5.2 mi · Harrisburg, PA

All home health agencies in the state →

Dialysis facilities

DCC Camp Hill Home1.3 mi · Camp Hill, PA · 2 of 5 stars
FKC Camp Hill1.3 mi · Camp Hill, PA · 3 of 5 stars
DaVita West Shore Dialysis1.3 mi · Lemoyne, 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.

Cardiovascular Experts, LLC1.3 mi · Camp Hill, PA
Slate Hill Surgery Center, LLC1.3 mi · Camp Hill, PA
UPMC Gastroenterology Associates - Digestive Disease Institute1.3 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

HHC- South Allison Hill3.2 mi · Harrisburg, PA · Community health center
Mobile Van13.8 mi · Mechanicsburg, PA · Community health center
Sadler Health Center Corporation Mechanicsburg3.8 mi · Mechanicsburg, PA · Community health center

Clinics and urgent care

Valor Medical Supply3.9 mi · Enola, PA · Urgent care center
Pinnacle Health Abc LLC5.2 mi · Harrisburg, PA · Urgent care center
American Current Care P.A.5.6 mi · Mechanicsburg, PA · Urgent care center

Pharmacies

GDD Pharmacy Services Inc.1.3 mi · Camp Hill, PA · Community/retail pharmacy
K-Pharma LLC1.3 mi · Camp Hill, PA · Community/retail pharmacy
The Giant Company, LLC1.3 mi · Camp Hill, PA · Community/retail pharmacy

Assisted living nearby

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

The Woods at Cedar Run1.3 mi · Camp Hill, PA
Artis Senior Living of West Shore1.3 mi · Lemoyne, PA
Homeland Center1.5 mi · Harrisburg, PA
Arden Courts (Susquehanna)5.2 mi · Harrisburg, 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 Holy Spirit 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)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	60%National average: 71%
Nurses “always” communicated well	73%National average: 80%
Doctors “always” communicated well	69%National average: 80%
Staff “always” explained medicines before giving them	50%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	63%National average: 74%
Area around the room “always” quiet at night	43%National average: 60%
Completed surveys	2,012Response rate: 26%

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)	0.46No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.941No 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	1.376No different from the national benchmark
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	12.7%
Deaths within 30 days: heart failure patients	11.3%
Deaths within 30 days: pneumonia patients	11.1%
Deaths within 30 days: COPD patients	9.4%
Deaths within 30 days: stroke patients	7.7%
Deaths within 30 days: coronary bypass surgery (CABG)	3.3%
Serious complications (patient safety indicator PSI-90)	0.98No different from the national rate
Complications after hip or knee replacement	4.2%

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	16.5%
Readmitted within 30 days: heart failure	22.7%
Readmitted within 30 days: pneumonia	19.3%
Readmitted within 30 days: COPD	18.6%
Readmitted within 30 days: coronary bypass surgery	11.7%
Readmitted within 30 days: hip or knee replacement	5.2%

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)	252 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%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 81 common services exactly as Penn State Health Holy Spirit 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 →

$ 12 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)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: 99203 Outpatient Visit New Lvl 3 BH Tech	$349	$83.38	$62.39 – $279.20
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $62.39 [Aetna Signature Administrators] — [Comm]: $209.71 [Aetna] — [Comm]: $206.61 [AmeriHealth Caritas] — [MA]: $63.47 [CBC] — [CHIP]: $125.77 [CBC] — [Comm]: $179.67 [Cigna] — [Comm]: $165.71 [First Health] — [Comm]: $279.20 [Geisinger] — [Comm]: $240.39 [Highmark ACA] — [Comm]: $189.41
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: 99204 Outpatient Visit New Lvl 4 BH Tech	$495	$118.26	$103.93 – $396
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $103.93 [Aetna Signature Administrators] — [Comm]: $297.45 [Aetna] — [Comm]: $293.04 [AmeriHealth Caritas] — [MA]: $105.73 [CBC] — [CHIP]: $178.38 [CBC] — [Comm]: $254.83 [Cigna] — [Comm]: $235.03 [First Health] — [Comm]: $396 [Geisinger] — [Comm]: $340.96 [Highmark ACA] — [Comm]: $268.65
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: 99205 Outpatient Visit New Lvl 5 BH Tech	$632	$150.98	$69 – $505.60
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $69 [Aetna Signature Administrators] — [Comm]: $379.77 [Aetna] — [Comm]: $374.14 [AmeriHealth Caritas] — [MA]: $70.20 [CBC] — [CHIP]: $227.75 [CBC] — [Comm]: $325.35 [Cigna] — [Comm]: $300.07 [First Health] — [Comm]: $505.60 [Geisinger] — [Comm]: $435.32 [Highmark ACA] — [Comm]: $343
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 Outpatient Visit Est Lvl 3 BH Tech	$303	$72.39	$46 – $242.40
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $46 [Aetna Signature Administrators] — [Comm]: $182.07 [Aetna] — [Comm]: $179.38 [AmeriHealth Caritas] — [MA]: $46.80 [CBC] — [CHIP]: $109.19 [CBC] — [Comm]: $155.98 [Cigna] — [Comm]: $143.86 [First Health] — [Comm]: $242.40 [Geisinger] — [Comm]: $208.71 [Highmark ACA] — [Comm]: $164.44
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 Outpatient Visit Est Lvl 4 BH Tech	$392	$93.65	$62.58 – $313.60
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $62.58 [Aetna Signature Administrators] — [Comm]: $235.55 [Aetna] — [Comm]: $232.06 [AmeriHealth Caritas] — [MA]: $63.67 [CBC] — [CHIP]: $141.26 [CBC] — [Comm]: $201.80 [Cigna] — [Comm]: $186.12 [First Health] — [Comm]: $313.60 [Geisinger] — [Comm]: $270.01 [Highmark ACA] — [Comm]: $212.74
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: 99283 EMERGENCY DEPT VISIT Tech	$1,800	$430.02	$65.15 – $1,440
Emergency room visit (moderate): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $65.15 [Aetna Signature Administrators] — [Comm]: $1,081.62 [Aetna] — [Comm]: $1,065.60 [Aetna] — [Medicare]: $269.46 [AmeriHealth Caritas] — [MA]: $66.28 [CBC] — [CHIP]: $648.65 [CBC] — [Comm]: $926.64 [CBC] — [Medicare]: $274.79 [Cigna] — [Comm]: $854.64 [First Health] — [Comm]: $1,440
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: 99284 EMERGENCY DEPT VISIT Tech	$2,768	$661.28	$109.63 – $2,214.40
Emergency room visit (moderately high): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $109.63 [Aetna Signature Administrators] — [Comm]: $1,663.29 [Aetna] — [Comm]: $1,638.66 [Aetna] — [Medicare]: $411.89 [AmeriHealth Caritas] — [MA]: $111.54 [CBC] — [CHIP]: $997.48 [CBC] — [Comm]: $1,424.97 [CBC] — [Medicare]: $420.04 [Cigna] — [Comm]: $1,314.25 [First Health] — [Comm]: $2,214.40
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: 99285 EMERGENCY DEPT VISIT Tech	$3,985	$952.02	$159.55 – $3,188
Emergency room visit (high): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $159.55 [Aetna Signature Administrators] — [Comm]: $2,394.59 [Aetna] — [Comm]: $2,359.12 [Aetna] — [Medicare]: $587.86 [AmeriHealth Caritas] — [MA]: $162.33 [CBC] — [CHIP]: $1,436.04 [CBC] — [Comm]: $2,051.48 [CBC] — [Medicare]: $599.50 [Cigna] — [Comm]: $1,892.08 [First Health] — [Comm]: $3,188

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: .BO Ebola BMP Tech	$55	$13.14	$7.19 – $44
Basic metabolic panel (blood test): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $10.76 [Aetna Signature Administrators] — [Comm]: $23.35 [Aetna] — [Comm]: $23 [Aetna] — [Medicare]: $8.54 [AmeriHealth Caritas] — [MA]: $10.95 [CBC] — [CHIP]: $19.82 [CBC] — [Comm]: $28.31 [CBC] — [Medicare]: $8.71 [Cigna] — [Comm]: $24.49 [First Health] — [Comm]: $44
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: 80048 METABOLIC PANEL TOTAL CA Tech	$55	$13.14	$7.19 – $44
Basic metabolic panel (blood test): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $10.76 [Aetna Signature Administrators] — [Comm]: $23.35 [Aetna] — [Comm]: $23 [Aetna] — [Medicare]: $8.54 [AmeriHealth Caritas] — [MA]: $10.95 [CBC] — [CHIP]: $19.82 [CBC] — [Comm]: $28.31 [CBC] — [Medicare]: $8.71 [Cigna] — [Comm]: $24.49 [First Health] — [Comm]: $44
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: 80053 COMPREHEN METABOLIC PANEL Tech	$69	$16.48	$8.98 – $55.20
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $13.44 [Aetna Signature Administrators] — [Comm]: $29.15 [Aetna] — [Comm]: $28.71 [Aetna] — [Medicare]: $10.67 [AmeriHealth Caritas] — [MA]: $13.68 [CBC] — [CHIP]: $24.86 [CBC] — [Comm]: $35.52 [CBC] — [Medicare]: $10.88 [Cigna] — [Comm]: $30.57 [First Health] — [Comm]: $55.20
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: 80055 OBSTETRIC PANEL Tech	$311	$74.30	$13.80 – $248.80
Obstetric blood test panel: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $13.80 [Aetna Signature Administrators] — [Comm]: $131.96 [Aetna] — [Comm]: $130 [Aetna] — [Medicare]: $48.29 [AmeriHealth Caritas] — [MA]: $14.04 [CBC] — [CHIP]: $112.07 [CBC] — [Comm]: $160.10 [CBC] — [Medicare]: $49.24 [Cigna] — [Comm]: $138.41 [First Health] — [Comm]: $248.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: 80061 LIPID PANEL Tech	$87	$20.78	$11.38 – $69.60
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $16.10 [Aetna Signature Administrators] — [Comm]: $36.96 [Aetna] — [Comm]: $36.41 [Aetna] — [Medicare]: $13.52 [AmeriHealth Caritas] — [MA]: $16.38 [CBC] — [CHIP]: $31.35 [CBC] — [Comm]: $44.79 [CBC] — [Medicare]: $13.79 [Cigna] — [Comm]: $38.76 [First Health] — [Comm]: $69.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: 80061 Lipid Panel. Tech	$87	$20.78	$11.38 – $69.60
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $16.10 [Aetna Signature Administrators] — [Comm]: $36.96 [Aetna] — [Comm]: $36.41 [Aetna] — [Medicare]: $13.52 [AmeriHealth Caritas] — [MA]: $16.38 [CBC] — [CHIP]: $31.35 [CBC] — [Comm]: $44.79 [CBC] — [Medicare]: $13.79 [Cigna] — [Comm]: $38.76 [First Health] — [Comm]: $69.60
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: 80069 RENAL FUNCTION PANEL Tech	$56	$13.38	$7.38 – $44.80
Kidney function panel: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $11.04 [Aetna Signature Administrators] — [Comm]: $23.96 [Aetna] — [Comm]: $23.60 [Aetna] — [Medicare]: $8.77 [AmeriHealth Caritas] — [MA]: $11.23 [CBC] — [CHIP]: $20.18 [CBC] — [Comm]: $28.83 [CBC] — [Medicare]: $8.94 [Cigna] — [Comm]: $25.13 [First Health] — [Comm]: $44.80
Liver function panel CPT 80076 · Inpatient or outpatient In the file: .BO Ebola Hepatic Panel Tech	$53	$12.66	$6.94 – $42.40
Liver function panel: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $10.38 [Aetna Signature Administrators] — [Comm]: $22.55 [Aetna] — [Comm]: $22.22 [Aetna] — [Medicare]: $8.25 [AmeriHealth Caritas] — [MA]: $10.57 [CBC] — [CHIP]: $19.10 [CBC] — [Comm]: $27.28 [CBC] — [Medicare]: $8.42 [Cigna] — [Comm]: $23.65 [First Health] — [Comm]: $42.40
Liver function panel CPT 80076 · Inpatient or outpatient In the file: 80076 HEPATIC FUNCTION PANEL Tech	$53	$12.66	$6.94 – $42.40
Liver function panel: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $10.38 [Aetna Signature Administrators] — [Comm]: $22.55 [Aetna] — [Comm]: $22.22 [Aetna] — [Medicare]: $8.25 [AmeriHealth Caritas] — [MA]: $10.57 [CBC] — [CHIP]: $19.10 [CBC] — [Comm]: $27.28 [CBC] — [Medicare]: $8.42 [Cigna] — [Comm]: $23.65 [First Health] — [Comm]: $42.40
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: 81001 URINALYSIS AUTO W/SCOPE Tech	$21	$5.02	$2.69 – $16.80
Urine test (automated, with microscope): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $3.45 [Aetna Signature Administrators] — [Comm]: $8.75 [Aetna] — [Comm]: $8.62 [Aetna] — [Medicare]: $3.20 [AmeriHealth Caritas] — [MA]: $3.51 [CBC] — [CHIP]: $7.57 [CBC] — [Comm]: $10.81 [CBC] — [Medicare]: $3.27 [Cigna] — [Comm]: $9.18 [First Health] — [Comm]: $16.80
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: 81002 URINALYSIS NONAUTO W/O SCOPE Tech	$23	$5.49	$2.96 – $18.40
Urine test (manual, without microscope): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $4.11 [Aetna Signature Administrators] — [Comm]: $9.60 [Aetna] — [Comm]: $9.46 [Aetna] — [Medicare]: $3.51 [AmeriHealth Caritas] — [MA]: $4.18 [CBC] — [CHIP]: $8.29 [CBC] — [Comm]: $11.84 [CBC] — [Medicare]: $3.58 [Cigna] — [Comm]: $10.07 [First Health] — [Comm]: $18.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 Specific Gravity Urine. Tech	$15	$3.58	$1.91 – $12
Urine test (automated, without microscope): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $3.57 [Aetna Signature Administrators] — [Comm]: $6.21 [Aetna] — [Comm]: $6.12 [Aetna] — [Medicare]: $2.27 [AmeriHealth Caritas] — [MA]: $3.63 [CBC] — [CHIP]: $5.40 [CBC] — [Comm]: $7.72 [CBC] — [Medicare]: $2.32 [Cigna] — [Comm]: $6.51 [First Health] — [Comm]: $12
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 URINALYSIS AUTO W/O SCOPE Tech	$15	$3.58	$1.91 – $12
Urine test (automated, without microscope): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $3.57 [Aetna Signature Administrators] — [Comm]: $6.21 [Aetna] — [Comm]: $6.12 [Aetna] — [Medicare]: $2.27 [AmeriHealth Caritas] — [MA]: $3.63 [CBC] — [CHIP]: $5.40 [CBC] — [Comm]: $7.72 [CBC] — [Medicare]: $2.32 [Cigna] — [Comm]: $6.51 [First Health] — [Comm]: $12
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: 81003 Urinalysis auto without scope tech	$15	$3.58	$1.91 – $12
Urine test (automated, without microscope): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $3.57 [Aetna Signature Administrators] — [Comm]: $6.21 [Aetna] — [Comm]: $6.12 [Aetna] — [Medicare]: $2.27 [AmeriHealth Caritas] — [MA]: $3.63 [CBC] — [CHIP]: $5.40 [CBC] — [Comm]: $7.72 [CBC] — [Medicare]: $2.32 [Cigna] — [Comm]: $6.51 [First Health] — [Comm]: $12
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: 84153 .PSA, Post-Prostatectomy w HAMA-Quest Tech	$120	$28.67	$15.63 – $96
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $28.01 [Aetna Signature Administrators] — [Comm]: $50.76 [Aetna] — [Comm]: $50.01 [Aetna] — [Medicare]: $18.57 [AmeriHealth Caritas] — [MA]: $28.50 [CBC] — [CHIP]: $43.25 [CBC] — [Comm]: $61.78 [CBC] — [Medicare]: $18.94 [Cigna] — [Comm]: $53.24 [First Health] — [Comm]: $96
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: 84153 ASSAY OF PSA TOTAL Tech	$120	$28.67	$15.63 – $96
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $28.01 [Aetna Signature Administrators] — [Comm]: $50.76 [Aetna] — [Comm]: $50.01 [Aetna] — [Medicare]: $18.57 [AmeriHealth Caritas] — [MA]: $28.50 [CBC] — [CHIP]: $43.25 [CBC] — [Comm]: $61.78 [CBC] — [Medicare]: $18.94 [Cigna] — [Comm]: $53.24 [First Health] — [Comm]: $96
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: 84153 PSA Diagnostic. Tech	$120	$28.67	$15.63 – $96
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $28.01 [Aetna Signature Administrators] — [Comm]: $50.76 [Aetna] — [Comm]: $50.01 [Aetna] — [Medicare]: $18.57 [AmeriHealth Caritas] — [MA]: $28.50 [CBC] — [CHIP]: $43.25 [CBC] — [Comm]: $61.78 [CBC] — [Medicare]: $18.94 [Cigna] — [Comm]: $53.24 [First Health] — [Comm]: $96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 Thyroid Stimulating Hormone. Tech	$109	$26.04	$14.28 – $87.20
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $26.69 [Aetna Signature Administrators] — [Comm]: $46.37 [Aetna] — [Comm]: $45.68 [Aetna] — [Medicare]: $16.97 [AmeriHealth Caritas] — [MA]: $27.16 [CBC] — [CHIP]: $39.28 [CBC] — [Comm]: $56.11 [CBC] — [Medicare]: $17.30 [Cigna] — [Comm]: $48.63 [First Health] — [Comm]: $87.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 TSH (NEWBORN Scrn) Tech	$109	$26.04	$14.28 – $87.20
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $26.69 [Aetna Signature Administrators] — [Comm]: $46.37 [Aetna] — [Comm]: $45.68 [Aetna] — [Medicare]: $16.97 [AmeriHealth Caritas] — [MA]: $27.16 [CBC] — [CHIP]: $39.28 [CBC] — [Comm]: $56.11 [CBC] — [Medicare]: $17.30 [Cigna] — [Comm]: $48.63 [First Health] — [Comm]: $87.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: 84443 TSH Neonatal-Quest Tech	$109	$26.04	$14.28 – $87.20
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $26.69 [Aetna Signature Administrators] — [Comm]: $46.37 [Aetna] — [Comm]: $45.68 [Aetna] — [Medicare]: $16.97 [AmeriHealth Caritas] — [MA]: $27.16 [CBC] — [CHIP]: $39.28 [CBC] — [Comm]: $56.11 [CBC] — [Medicare]: $17.30 [Cigna] — [Comm]: $48.63 [First Health] — [Comm]: $87.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .BO Ebola CBC Diff Tech	$51	$12.18	$6.60 – $40.80
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $6.90 [Aetna Signature Administrators] — [Comm]: $21.45 [Aetna] — [Comm]: $21.13 [Aetna] — [Medicare]: $7.85 [AmeriHealth Caritas] — [MA]: $7.02 [CBC] — [CHIP]: $18.38 [CBC] — [Comm]: $26.25 [CBC] — [Medicare]: $8 [Cigna] — [Comm]: $22.49 [First Health] — [Comm]: $40.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: 85025 COMPLETE CBC W/AUTO DIFF WBC Tech	$51	$12.18	$6.60 – $40.80
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $6.90 [Aetna Signature Administrators] — [Comm]: $21.45 [Aetna] — [Comm]: $21.13 [Aetna] — [Medicare]: $7.85 [AmeriHealth Caritas] — [MA]: $7.02 [CBC] — [CHIP]: $18.38 [CBC] — [Comm]: $26.25 [CBC] — [Medicare]: $8 [Cigna] — [Comm]: $22.49 [First Health] — [Comm]: $40.80
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: 85027 CBC w/ Manual Differential. Tech	$42	$10.03	$5.50 – $33.60
Complete blood count (CBC), automated: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $8.65 [Aetna Signature Administrators] — [Comm]: $17.86 [Aetna] — [Comm]: $17.59 [Aetna] — [Medicare]: $6.53 [AmeriHealth Caritas] — [MA]: $8.80 [CBC] — [CHIP]: $15.13 [CBC] — [Comm]: $21.62 [CBC] — [Medicare]: $6.66 [Cigna] — [Comm]: $18.73 [First Health] — [Comm]: $33.60
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: 85027 COMPLETE CBC AUTOMATED Tech	$42	$10.03	$5.50 – $33.60
Complete blood count (CBC), automated: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $8.65 [Aetna Signature Administrators] — [Comm]: $17.86 [Aetna] — [Comm]: $17.59 [Aetna] — [Medicare]: $6.53 [AmeriHealth Caritas] — [MA]: $8.80 [CBC] — [CHIP]: $15.13 [CBC] — [Comm]: $21.62 [CBC] — [Medicare]: $6.66 [Cigna] — [Comm]: $18.73 [First Health] — [Comm]: $33.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 Prothrombin Time and INR. Tech	$28	$6.69	$3.65 – $22.40
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $4.60 [Aetna Signature Administrators] — [Comm]: $11.84 [Aetna] — [Comm]: $11.67 [Aetna] — [Medicare]: $4.33 [AmeriHealth Caritas] — [MA]: $4.68 [CBC] — [CHIP]: $10.09 [CBC] — [Comm]: $14.41 [CBC] — [Medicare]: $4.42 [Cigna] — [Comm]: $12.42 [First Health] — [Comm]: $22.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: 85610 PROTHROMBIN TIME Tech	$28	$6.69	$3.65 – $22.40
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $4.60 [Aetna Signature Administrators] — [Comm]: $11.84 [Aetna] — [Comm]: $11.67 [Aetna] — [Medicare]: $4.33 [AmeriHealth Caritas] — [MA]: $4.68 [CBC] — [CHIP]: $10.09 [CBC] — [Comm]: $14.41 [CBC] — [Medicare]: $4.42 [Cigna] — [Comm]: $12.42 [First Health] — [Comm]: $22.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: POC Prothrombin Time/INR by Istat Tech	$28	$6.69	$3.65 – $22.40
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $4.60 [Aetna Signature Administrators] — [Comm]: $11.84 [Aetna] — [Comm]: $11.67 [Aetna] — [Medicare]: $4.33 [AmeriHealth Caritas] — [MA]: $4.68 [CBC] — [CHIP]: $10.09 [CBC] — [Comm]: $14.41 [CBC] — [Medicare]: $4.42 [Cigna] — [Comm]: $12.42 [First Health] — [Comm]: $22.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 APTT (QST) Tech	$39	$9.32	$5.11 – $31.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $8.63 [Aetna Signature Administrators] — [Comm]: $16.59 [Aetna] — [Comm]: $16.34 [Aetna] — [Medicare]: $6.07 [AmeriHealth Caritas] — [MA]: $8.78 [CBC] — [CHIP]: $14.06 [CBC] — [Comm]: $20.08 [CBC] — [Medicare]: $6.19 [Cigna] — [Comm]: $17.40 [First Health] — [Comm]: $31.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 Partial Thromboplastin Time. Tech	$39	$9.32	$5.11 – $31.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $8.63 [Aetna Signature Administrators] — [Comm]: $16.59 [Aetna] — [Comm]: $16.34 [Aetna] — [Medicare]: $6.07 [AmeriHealth Caritas] — [MA]: $8.78 [CBC] — [CHIP]: $14.06 [CBC] — [Comm]: $20.08 [CBC] — [Medicare]: $6.19 [Cigna] — [Comm]: $17.40 [First Health] — [Comm]: $31.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: 85730 THROMBOPLASTIN TIME PARTIAL Tech	$39	$9.32	$5.11 – $31.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $8.63 [Aetna Signature Administrators] — [Comm]: $16.59 [Aetna] — [Comm]: $16.34 [Aetna] — [Medicare]: $6.07 [AmeriHealth Caritas] — [MA]: $8.78 [CBC] — [CHIP]: $14.06 [CBC] — [Comm]: $20.08 [CBC] — [Medicare]: $6.19 [Cigna] — [Comm]: $17.40 [First Health] — [Comm]: $31.20

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 BRAIN/HEAD W/O CONTRAST Tech	$532	$127.09	$86.85 – $441.52
CT scan of the head or brain, without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $89.13 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $90.68 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: 70450 CT BRAIN/HEAD W/O CONTRAST WKC Tech	$532	$127.09	$86.85 – $441.52
CT scan of the head or brain, without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $89.13 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $90.68 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
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	$127.09	$86.85 – $441.52
CT scan of the head or brain, without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $89.13 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $90.68 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
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	$426.68	$289.82 – $1,473.33
MRI of the brain, before and after contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $309.35 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $314.73 [CBC] — [CHIP]: $643.60 [CBC] — [Comm]: $919.43 [CBC] — [Medicare]: $351.20 [Cigna] — [Comm]: $1,185.36 [First Health] — [Comm]: $1,428.80
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 XR Chest 2 Views Tech	$440	$105.12	$17.08 – $367.50
Chest X-ray, 2 views: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $17.08 [Aetna Signature Administrators] — [Comm]: $223.28 [Aetna] — [Comm]: $219.98 [Aetna] — [Medicare]: $85.90 [AmeriHealth Caritas] — [MA]: $17.37 [CBC] — [CHIP]: $158.56 [CBC] — [Comm]: $226.51 [CBC] — [Medicare]: $87.60 [Cigna] — [Comm]: $260.37 [First Health] — [Comm]: $352
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 XR Chest 2 Views w/ Fluoroscopy Tech	$440	$105.12	$17.08 – $367.50
Chest X-ray, 2 views: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $17.08 [Aetna Signature Administrators] — [Comm]: $223.28 [Aetna] — [Comm]: $219.98 [Aetna] — [Medicare]: $85.90 [AmeriHealth Caritas] — [MA]: $17.37 [CBC] — [CHIP]: $158.56 [CBC] — [Comm]: $226.51 [CBC] — [Medicare]: $87.60 [Cigna] — [Comm]: $260.37 [First Health] — [Comm]: $352
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: 71046 X-RAY EXAM CHEST 2 VIEWS Tech	$440	$105.12	$17.08 – $367.50
Chest X-ray, 2 views: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $17.08 [Aetna Signature Administrators] — [Comm]: $223.28 [Aetna] — [Comm]: $219.98 [Aetna] — [Medicare]: $85.90 [AmeriHealth Caritas] — [MA]: $17.37 [CBC] — [CHIP]: $158.56 [CBC] — [Comm]: $226.51 [CBC] — [Medicare]: $87.60 [Cigna] — [Comm]: $260.37 [First Health] — [Comm]: $352
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	$127.09	$25.88 – $441.52
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $25.88 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $26.33 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
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 WKC TECH	$532	$127.09	$25.88 – $441.52
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $25.88 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $26.33 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
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	$288.83	$198.22 – $1,007.66
MRI of the lower back (lumbar spine), without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $215.28 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $219.02 [CBC] — [CHIP]: $435.67 [CBC] — [Comm]: $622.39 [CBC] — [Medicare]: $240.20 [Cigna] — [Comm]: $740.67 [First Health] — [Comm]: $967.20
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	$288.83	$198.22 – $1,007.66
MRI of the lower back (lumbar spine), without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $215.28 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $219.02 [CBC] — [CHIP]: $435.67 [CBC] — [Comm]: $622.39 [CBC] — [Medicare]: $240.20 [Cigna] — [Comm]: $740.67 [First Health] — [Comm]: $967.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: 72148 MRI LUMBAR SPINE W/O DYE WKC TECH	$1,209	$288.83	$198.22 – $1,007.66
MRI of the lower back (lumbar spine), without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $215.28 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $219.02 [CBC] — [CHIP]: $435.67 [CBC] — [Comm]: $622.39 [CBC] — [Medicare]: $240.20 [Cigna] — [Comm]: $740.67 [First Health] — [Comm]: $967.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: 72193 CT PELVIS W/ CONTRAST Tech	$890	$212.62	$99.48 – $740.75
CT scan of the pelvis, with contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $99.48 [Aetna Signature Administrators] — [Comm]: $492.80 [Aetna] — [Comm]: $485.51 [Aetna] — [Medicare]: $173.14 [AmeriHealth Caritas] — [MA]: $101.21 [CBC] — [CHIP]: $320.72 [CBC] — [Comm]: $458.17 [CBC] — [Medicare]: $176.57 [Cigna] — [Comm]: $574.98 [First Health] — [Comm]: $712
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: 72193 CT PELVIS W/DYE Tech	$890	$212.62	$99.48 – $740.75
CT scan of the pelvis, with contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $99.48 [Aetna Signature Administrators] — [Comm]: $492.80 [Aetna] — [Comm]: $485.51 [Aetna] — [Medicare]: $173.14 [AmeriHealth Caritas] — [MA]: $101.21 [CBC] — [CHIP]: $320.72 [CBC] — [Comm]: $458.17 [CBC] — [Medicare]: $176.57 [Cigna] — [Comm]: $574.98 [First Health] — [Comm]: $712
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 Left Tech	$1,209	$288.83	$198.22 – $1,007.66
MRI of a leg joint (such as the knee), without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $309.35 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $314.73 [CBC] — [CHIP]: $435.67 [CBC] — [Comm]: $622.39 [CBC] — [Medicare]: $240.20 [Cigna] — [Comm]: $740.67 [First Health] — [Comm]: $967.20
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	$288.83	$198.22 – $1,007.66
MRI of a leg joint (such as the knee), without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $309.35 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $314.73 [CBC] — [CHIP]: $435.67 [CBC] — [Comm]: $622.39 [CBC] — [Medicare]: $240.20 [Cigna] — [Comm]: $740.67 [First Health] — [Comm]: $967.20
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	$288.83	$198.22 – $1,007.66
MRI of a leg joint (such as the knee), without contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $309.35 [Aetna Signature Administrators] — [Comm]: $635.16 [Aetna] — [Comm]: $625.77 [Aetna] — [Medicare]: $235.53 [AmeriHealth Caritas] — [MA]: $314.73 [CBC] — [CHIP]: $435.67 [CBC] — [Comm]: $622.39 [CBC] — [Medicare]: $240.20 [Cigna] — [Comm]: $740.67 [First Health] — [Comm]: $967.20
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	$426.68	$221.64 – $1,473.33
CT scan of the abdomen and pelvis, with contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $221.64 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $225.49 [CBC] — [CHIP]: $643.60 [CBC] — [Comm]: $919.43 [CBC] — [Medicare]: $351.20 [Cigna] — [Comm]: $1,185.36 [First Health] — [Comm]: $1,428.80
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	$426.68	$221.64 – $1,473.33
CT scan of the abdomen and pelvis, with contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $221.64 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $225.49 [CBC] — [CHIP]: $643.60 [CBC] — [Comm]: $919.43 [CBC] — [Medicare]: $351.20 [Cigna] — [Comm]: $1,185.36 [First Health] — [Comm]: $1,428.80
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	$426.68	$221.64 – $1,473.33
CT scan of the abdomen and pelvis, with contrast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $221.64 [Aetna Signature Administrators] — [Comm]: $1,016.01 [Aetna] — [Comm]: $1,000.99 [Aetna] — [Medicare]: $344.38 [AmeriHealth Caritas] — [MA]: $225.49 [CBC] — [CHIP]: $643.60 [CBC] — [Comm]: $919.43 [CBC] — [Medicare]: $351.20 [Cigna] — [Comm]: $1,185.36 [First Health] — [Comm]: $1,428.80
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700 ECHOgraphy Abdomen Complete Tech	$532	$127.09	$66.13 – $441.52
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $66.13 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $67.28 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: 76700 US EXAM ABDOM COMPLETE Tech	$532	$127.09	$66.13 – $441.52
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $66.13 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $67.28 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: 76805 OB US >= 14 WKS SNGL FETUS Tech	$532	$127.09	$53.48 – $441.52
Pregnancy ultrasound (after the first trimester): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $53.48 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $54.41 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: 76830 TRANSVAGINAL US NON-OB Tech	$532	$127.09	$53.48 – $441.52
Transvaginal ultrasound: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $53.48 [Aetna Signature Administrators] — [Comm]: $300.76 [Aetna] — [Comm]: $296.31 [Aetna] — [Medicare]: $103.20 [AmeriHealth Caritas] — [MA]: $54.41 [CBC] — [CHIP]: $191.71 [CBC] — [Comm]: $273.87 [CBC] — [Medicare]: $105.25 [Cigna] — [Comm]: $350.45 [First Health] — [Comm]: $425.60
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 DX MAMMO INCL CAD UNI RT Tech	$513	$122.56	$67.25 – $410.40
Diagnostic mammogram, one breast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $81.66 [Aetna Signature Administrators] — [Comm]: $308.26 [Aetna] — [Comm]: $303.70 [Aetna] — [Medicare]: $79.91 [AmeriHealth Caritas] — [MA]: $83.08 [CBC] — [CHIP]: $184.86 [CBC] — [Comm]: $264.09 [CBC] — [Medicare]: $81.49 [Cigna] — [Comm]: $243.57 [First Health] — [Comm]: $410.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 DX MAMMO INCL CAD UNI Tech	$513	$122.56	$67.25 – $410.40
Diagnostic mammogram, one breast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $81.66 [Aetna Signature Administrators] — [Comm]: $308.26 [Aetna] — [Comm]: $303.70 [Aetna] — [Medicare]: $79.91 [AmeriHealth Caritas] — [MA]: $83.08 [CBC] — [CHIP]: $184.86 [CBC] — [Comm]: $264.09 [CBC] — [Medicare]: $81.49 [Cigna] — [Comm]: $243.57 [First Health] — [Comm]: $410.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 77065 MG. Mammo Digital Diagnostic Left Tech	$513	$122.56	$67.25 – $410.40
Diagnostic mammogram, one breast: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $81.66 [Aetna Signature Administrators] — [Comm]: $308.26 [Aetna] — [Comm]: $303.70 [Aetna] — [Medicare]: $79.91 [AmeriHealth Caritas] — [MA]: $83.08 [CBC] — [CHIP]: $184.86 [CBC] — [Comm]: $264.09 [CBC] — [Medicare]: $81.49 [Cigna] — [Comm]: $243.57 [First Health] — [Comm]: $410.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 DX MAMMO INCL CAD BI Tech	$653	$156	$86.28 – $522.40
Diagnostic mammogram, both breasts: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $104.45 [Aetna Signature Administrators] — [Comm]: $392.39 [Aetna] — [Comm]: $386.58 [Aetna] — [Medicare]: $102.53 [AmeriHealth Caritas] — [MA]: $106.27 [CBC] — [CHIP]: $235.31 [CBC] — [Comm]: $336.16 [CBC] — [Medicare]: $104.56 [Cigna] — [Comm]: $310.04 [First Health] — [Comm]: $522.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 MG. Bilat Diag Mam Call Back Same day - Report Tech	$653	$156	$86.28 – $522.40
Diagnostic mammogram, both breasts: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $104.45 [Aetna Signature Administrators] — [Comm]: $392.39 [Aetna] — [Comm]: $386.58 [Aetna] — [Medicare]: $102.53 [AmeriHealth Caritas] — [MA]: $106.27 [CBC] — [CHIP]: $235.31 [CBC] — [Comm]: $336.16 [CBC] — [Medicare]: $104.56 [Cigna] — [Comm]: $310.04 [First Health] — [Comm]: $522.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 77066 MG. Mammo Digital Diagnostic Bilat - Report Tech	$653	$156	$86.28 – $522.40
Diagnostic mammogram, both breasts: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $104.45 [Aetna Signature Administrators] — [Comm]: $392.39 [Aetna] — [Comm]: $386.58 [Aetna] — [Medicare]: $102.53 [AmeriHealth Caritas] — [MA]: $106.27 [CBC] — [CHIP]: $235.31 [CBC] — [Comm]: $336.16 [CBC] — [Medicare]: $104.56 [Cigna] — [Comm]: $310.04 [First Health] — [Comm]: $522.40
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 MG. Mammo Digital Screening Bilateral - Report Tech	$540	$129.01	$71.16 – $432
Screening mammogram, both breasts: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $86.27 [Aetna Signature Administrators] — [Comm]: $324.49 [Aetna] — [Comm]: $319.68 [Aetna] — [Medicare]: $84.56 [AmeriHealth Caritas] — [MA]: $87.77 [CBC] — [CHIP]: $194.59 [CBC] — [Comm]: $277.99 [CBC] — [Medicare]: $86.23 [Cigna] — [Comm]: $256.39 [First Health] — [Comm]: $432
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 MG. Mammo Digital Screening Left Tech	$540	$129.01	$71.16 – $432
Screening mammogram, both breasts: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $86.27 [Aetna Signature Administrators] — [Comm]: $324.49 [Aetna] — [Comm]: $319.68 [Aetna] — [Medicare]: $84.56 [AmeriHealth Caritas] — [MA]: $87.77 [CBC] — [CHIP]: $194.59 [CBC] — [Comm]: $277.99 [CBC] — [Medicare]: $86.23 [Cigna] — [Comm]: $256.39 [First Health] — [Comm]: $432
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 77067 MG. Mammo Digital Screening Right - Report Tech	$540	$129.01	$71.16 – $432
Screening mammogram, both breasts: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $86.27 [Aetna Signature Administrators] — [Comm]: $324.49 [Aetna] — [Comm]: $319.68 [Aetna] — [Medicare]: $84.56 [AmeriHealth Caritas] — [MA]: $87.77 [CBC] — [CHIP]: $194.59 [CBC] — [Comm]: $277.99 [CBC] — [Medicare]: $86.23 [Cigna] — [Comm]: $256.39 [First Health] — [Comm]: $432

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	$4,994.68	$892.40 – $16,725.60
Left heart catheterization (diagnostic): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $12,563.02 [Aetna] — [Comm]: $12,376.94 [Aetna] — [Medicare]: $3,200.15 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $7,534.04 [CBC] — [Comm]: $10,762.92 [CBC] — [Medicare]: $3,263.52 [Cigna] — [Comm]: $9,926.64 [First Health] — [Comm]: $16,725.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: 93619 ELECTROPHYSIOLOGY EVALUATION Tech	$49,323	$11,783.26	$892.40 – $39,458.40
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $29,638.19 [Aetna] — [Comm]: $29,199.22 [Aetna] — [Medicare]: $7,699.15 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $17,774.04 [CBC] — [Comm]: $25,391.48 [CBC] — [Medicare]: $7,851.61 [Cigna] — [Comm]: $23,418.56 [First Health] — [Comm]: $39,458.40
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	$38,094.99	$892.40 – $127,568
Heart rhythm study with ablation for atrial fibrillation: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $95,819.51 [Aetna] — [Comm]: $94,400.32 [Aetna] — [Medicare]: $25,801.03 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $57,463.01 [CBC] — [Comm]: $82,090.01 [CBC] — [Medicare]: $26,311.94 [Cigna] — [Comm]: $75,711.61 [First Health] — [Comm]: $127,568
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: 95810 POLYSOM 6/> YRS 4/> PARAM Tech	$6,613	$1,579.85	$310.87 – $5,290.40
Sleep study (overnight, in a sleep lab): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $310.87 [Aetna Signature Administrators] — [Comm]: $3,973.75 [Aetna] — [Comm]: $3,914.90 [Aetna] — [Medicare]: $847.67 [AmeriHealth Caritas] — [MA]: $316.27 [CBC] — [CHIP]: $2,383.06 [CBC] — [Comm]: $3,404.37 [CBC] — [Medicare]: $864.46 [Cigna] — [Comm]: $3,139.85 [First Health] — [Comm]: $5,290.40

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 OTA Therapeutic Exercise 15 min Tech	$179	$42.76	$23.73 – $143.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $76.59 [Aetna] — [Comm]: $75.46 [Aetna] — [Medicare]: $28.20 [CBC] — [CHIP]: $64.51 [CBC] — [Comm]: $92.15 [CBC] — [Medicare]: $28.76 [Cigna] — [Comm]: $84.99 [First Health] — [Comm]: $143.20 [Geisinger] — [CHIP]: $25.13 [Geisinger] — [Comm]: $123.30
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 PTA Therapeutic Exercises (15 Min) Tech	$179	$42.76	$23.73 – $143.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $76.59 [Aetna] — [Comm]: $75.46 [Aetna] — [Medicare]: $28.20 [CBC] — [CHIP]: $64.51 [CBC] — [Comm]: $92.15 [CBC] — [Medicare]: $28.76 [Cigna] — [Comm]: $84.99 [First Health] — [Comm]: $143.20 [Geisinger] — [CHIP]: $25.13 [Geisinger] — [Comm]: $123.30
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: 97110 TELE THERAPEUTIC EXERCISES Tech OT Tech	$179	$42.76	$23.73 – $143.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $76.59 [Aetna] — [Comm]: $75.46 [Aetna] — [Medicare]: $28.20 [CBC] — [CHIP]: $64.51 [CBC] — [Comm]: $92.15 [CBC] — [Medicare]: $28.76 [Cigna] — [Comm]: $84.99 [First Health] — [Comm]: $143.20 [Geisinger] — [CHIP]: $25.13 [Geisinger] — [Comm]: $123.30
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 PT EVAL LOW COMPLEX 20 MIN Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (low complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 PT Initial Evaluation Low Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (low complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: 97161 TELEMED PT EVAL LOW COMPLEX 20 MIN Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (low complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 PT EVAL MOD COMPLEX 30 MIN Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (moderate complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 PT Initial Evaluation Moderate Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (moderate complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: 97162 TELEMED PT EVAL MOD COMPLEX 30 MIN Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (moderate complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 PT EVAL HIGH COMPLEX 45 MIN Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (high complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 Pt Initial Evaluation High Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (high complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: 97163 TELEMED PT EVAL HIGH COMPLEX 45 MIN Tech	$610	$145.73	$73.15 – $488
Physical therapy evaluation (high complexity): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $73.15 [Aetna Signature Administrators] — [Comm]: $260.79 [Aetna] — [Comm]: $256.94 [Aetna] — [Medicare]: $95.01 [AmeriHealth Caritas] — [MA]: $74.42 [CBC] — [CHIP]: $219.82 [CBC] — [Comm]: $314.03 [CBC] — [Medicare]: $96.89 [Cigna] — [Comm]: $289.63 [First Health] — [Comm]: $488
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 Psytx INDV Pt 30 Minutes BH Tech	$1,243	$296.95	$147.45 – $994.40
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $746.92 [Aetna] — [Comm]: $735.86 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $447.93 [CBC] — [Comm]: $639.90 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $590.18 [First Health] — [Comm]: $994.40 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $856.18
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 PSYTX W PT 30 MINUTES Tech	$1,044	$249.41	$147.45 – $835.20
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 THERAPIST TELE-Psytx Pt&Fam 30 Min BH Tech	$1,044	$249.41	$147.45 – $835.20
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 DBT Indiv Therapy 45 Min Tech	$1,044	$249.41	$147.45 – $835.20
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 Psytx INDV Pt 45 Minutes BH Tech	$1,308	$312.48	$147.45 – $1,046.40
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $785.98 [Aetna] — [Comm]: $774.34 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $471.35 [CBC] — [Comm]: $673.36 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $621.04 [First Health] — [Comm]: $1,046.40 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $900.95
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 PSYTX W PT 45 MINUTES Tech	$1,044	$249.41	$147.45 – $835.20
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 Psytx INDV Pt 60 Minutes BH Tech	$1,433	$342.34	$147.45 – $1,146.40
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $861.09 [Aetna] — [Comm]: $848.34 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $516.40 [CBC] — [Comm]: $737.71 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $680.39 [First Health] — [Comm]: $1,146.40 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $987.05
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 PSYTX W PT 60 MINUTES Tech	$1,044	$249.41	$147.45 – $835.20
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 THERAPIST TELE-Psytx Pt&Fam 60 Min BH Tech	$1,044	$249.41	$147.45 – $835.20
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 Family Psychotherapy W/O Patient BH Tech	$1,328	$317.26	$147.45 – $1,062.40
Family psychotherapy, without the patient: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $798 [Aetna] — [Comm]: $786.18 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $478.56 [CBC] — [Comm]: $683.65 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $630.53 [First Health] — [Comm]: $1,062.40 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $914.73
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 FAMILY PSYTX W/O PT 50 MIN Tech	$1,044	$249.41	$147.45 – $835.20
Family psychotherapy, without the patient: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 THERAPIST TELE-Fam Psytx W/O Pt BH Tech	$1,044	$249.41	$147.45 – $835.20
Family psychotherapy, without the patient: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 DBT Fam Psytx W/Pt 50 Min Tech	$1,044	$249.41	$147.45 – $835.20
Family psychotherapy, with the patient: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 FAMILY PSYTX W/PT 50 MIN Tech	$1,044	$249.41	$147.45 – $835.20
Family psychotherapy, with the patient: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $627.34 [Aetna] — [Comm]: $618.05 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $376.22 [CBC] — [Comm]: $537.45 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $495.69 [First Health] — [Comm]: $835.20 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $719.11
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 Family Therapy 60 Min W/P BH Tech	$1,341	$320.36	$147.45 – $1,072.80
Family psychotherapy, with the patient: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $805.81 [Aetna] — [Comm]: $793.87 [Aetna] — [Medicare]: $175.20 [CBC] — [CHIP]: $483.25 [CBC] — [Comm]: $690.35 [CBC] — [Medicare]: $178.67 [Cigna] — [Comm]: $636.71 [First Health] — [Comm]: $1,072.80 [Geisinger] — [CHIP]: $156.12 [Geisinger] — [Comm]: $923.68
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 Group Psychotherapy BH Tech	$671	$160.30	$84.40 – $536.80
Group psychotherapy: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $403.20 [Aetna] — [Comm]: $397.23 [Aetna] — [Medicare]: $100.28 [CBC] — [CHIP]: $241.80 [CBC] — [Comm]: $345.43 [CBC] — [Medicare]: $102.27 [Cigna] — [Comm]: $318.59 [First Health] — [Comm]: $536.80 [Geisinger] — [CHIP]: $89.36 [Geisinger] — [Comm]: $462.18
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 GROUP PSYCHOTHERAPY Tech	$601	$143.58	$84.40 – $480.80
Group psychotherapy: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $361.14 [Aetna] — [Comm]: $355.79 [Aetna] — [Medicare]: $100.28 [CBC] — [CHIP]: $216.57 [CBC] — [Comm]: $309.39 [CBC] — [Medicare]: $102.27 [Cigna] — [Comm]: $285.35 [First Health] — [Comm]: $480.80 [Geisinger] — [CHIP]: $89.36 [Geisinger] — [Comm]: $413.97
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: 90853 MA/MAHMO Group Psychotherapy BH Tech	$671	$160.30	$84.40 – $536.80
Group psychotherapy: 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $403.20 [Aetna] — [Comm]: $397.23 [Aetna] — [Medicare]: $100.28 [CBC] — [CHIP]: $241.80 [CBC] — [Comm]: $345.43 [CBC] — [Medicare]: $102.27 [Cigna] — [Comm]: $318.59 [First Health] — [Comm]: $536.80 [Geisinger] — [CHIP]: $89.36 [Geisinger] — [Comm]: $462.18

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	$5,946.22	$957.95 – $19,912
Removal of breast growth (open surgery): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $957.95 [Aetna Signature Administrators] — [Comm]: $14,956.40 [Aetna] — [Comm]: $14,734.88 [Aetna] — [Medicare]: $3,864.98 [AmeriHealth Caritas] — [MA]: $974.61 [CBC] — [CHIP]: $8,969.36 [CBC] — [Comm]: $12,813.37 [CBC] — [Medicare]: $3,941.51 [Cigna] — [Comm]: $11,817.77 [First Health] — [Comm]: $19,912
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: 27130 TOTAL HIP ARTHROPLASTY Tech	$83,634	$19,980.16	$892.40 – $66,907.20
Total hip replacement: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $50,255.67 [Aetna] — [Comm]: $49,511.33 [Aetna] — [Medicare]: $12,673.23 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $30,138.35 [CBC] — [Comm]: $43,054.78 [CBC] — [Medicare]: $12,924.18 [Cigna] — [Comm]: $39,709.42 [First Health] — [Comm]: $66,907.20
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: 27447 TOTAL KNEE ARTHROPLASTY Tech	$83,634	$19,980.16	$892.40 – $66,907.20
Total knee replacement: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $50,255.67 [Aetna] — [Comm]: $49,511.33 [Aetna] — [Medicare]: $12,673.23 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $30,138.35 [CBC] — [Comm]: $43,054.78 [CBC] — [Medicare]: $12,924.18 [Cigna] — [Comm]: $39,709.42 [First Health] — [Comm]: $66,907.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: 29826 SHOULDER ARTHROSCOPY/SURGERY Tech	$3,863	$922.87	$1,392.07 – $3,090.40
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates [Aetna Signature Administrators] — [Comm]: $2,321.28 [Aetna] — [Comm]: $2,286.90 [CBC] — [CHIP]: $1,392.07 [CBC] — [Comm]: $1,988.67 [Cigna] — [Comm]: $1,834.15 [First Health] — [Comm]: $3,090.40 [Geisinger] — [Comm]: $2,660.83 [Multiplan] — [Comm]: $3,090.40 [Preferred Healthcare Systems] — [Comm]: $2,897.25 [UHC] — [CHIP]: $1,467.94
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: 29881 KNEE ARTHROSCOPY/SURGERY Tech	$21,090	$5,038.40	$1,071.80 – $16,872
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $1,071.80 [Aetna Signature Administrators] — [Comm]: $12,672.98 [Aetna] — [Comm]: $12,485.28 [Aetna] — [Medicare]: $3,229.84 [AmeriHealth Caritas] — [MA]: $1,090.44 [CBC] — [CHIP]: $7,599.99 [CBC] — [Comm]: $10,857.13 [CBC] — [Medicare]: $3,293.80 [Cigna] — [Comm]: $10,013.53 [First Health] — [Comm]: $16,872
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: 42820 REMOVE TONSILS AND ADENOIDS Tech	$38,452	$9,186.18	$798.10 – $30,761.60
Removal of tonsils and adenoids (under age 12): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $798.10 [Aetna Signature Administrators] — [Comm]: $23,105.81 [Aetna] — [Comm]: $22,763.58 [Aetna] — [Medicare]: $5,843.55 [AmeriHealth Caritas] — [MA]: $811.98 [CBC] — [CHIP]: $13,856.56 [CBC] — [Comm]: $19,795.09 [CBC] — [Medicare]: $5,959.26 [Cigna] — [Comm]: $18,257.01 [First Health] — [Comm]: $30,761.60
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: 43235 EGD DIAGNOSTIC BRUSH WASH Tech	$6,094	$1,455.86	$328.90 – $4,875.20
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $328.90 [Aetna Signature Administrators] — [Comm]: $3,661.88 [Aetna] — [Comm]: $3,607.65 [Aetna] — [Medicare]: $895.29 [AmeriHealth Caritas] — [MA]: $334.62 [CBC] — [CHIP]: $2,196.03 [CBC] — [Comm]: $3,137.19 [CBC] — [Medicare]: $913.02 [Cigna] — [Comm]: $2,893.43 [First Health] — [Comm]: $4,875.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: 43239 EGD BIOPSY SINGLE/MULTIPLE Tech	$6,094	$1,455.86	$323.15 – $4,875.20
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $323.15 [Aetna Signature Administrators] — [Comm]: $3,661.88 [Aetna] — [Comm]: $3,607.65 [Aetna] — [Medicare]: $895.29 [AmeriHealth Caritas] — [MA]: $328.77 [CBC] — [CHIP]: $2,196.03 [CBC] — [Comm]: $3,137.19 [CBC] — [Medicare]: $913.02 [Cigna] — [Comm]: $2,893.43 [First Health] — [Comm]: $4,875.20
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: 45378 DIAGNOSTIC COLONOSCOPY Tech	$5,926	$1,415.72	$509.45 – $4,740.80
Colonoscopy (diagnostic): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $509.45 [Aetna Signature Administrators] — [Comm]: $3,560.93 [Aetna] — [Comm]: $3,508.19 [Aetna] — [Medicare]: $917.97 [AmeriHealth Caritas] — [MA]: $518.31 [CBC] — [CHIP]: $2,135.49 [CBC] — [Comm]: $3,050.70 [CBC] — [Medicare]: $936.15 [Cigna] — [Comm]: $2,813.66 [First Health] — [Comm]: $4,740.80
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: 45380 COLONOSCOPY AND BIOPSY Tech	$7,664	$1,830.93	$368 – $6,131.20
Colonoscopy with biopsy: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $368 [Aetna Signature Administrators] — [Comm]: $4,605.30 [Aetna] — [Comm]: $4,537.09 [Aetna] — [Medicare]: $1,181.23 [AmeriHealth Caritas] — [MA]: $374.40 [CBC] — [CHIP]: $2,761.80 [CBC] — [Comm]: $3,945.43 [CBC] — [Medicare]: $1,204.62 [Cigna] — [Comm]: $3,638.87 [First Health] — [Comm]: $6,131.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: 45385 COLONOSCOPY W/LESION REMOVAL Tech	$7,664	$1,830.93	$437 – $6,131.20
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $437 [Aetna Signature Administrators] — [Comm]: $4,605.30 [Aetna] — [Comm]: $4,537.09 [Aetna] — [Medicare]: $1,181.23 [AmeriHealth Caritas] — [MA]: $444.60 [CBC] — [CHIP]: $2,761.80 [CBC] — [Comm]: $3,945.43 [CBC] — [Medicare]: $1,204.62 [Cigna] — [Comm]: $3,638.87 [First Health] — [Comm]: $6,131.20
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: 45391 COLONOSCOPY W/ENDOSCOPE US Tech	$7,664	$1,830.93	$892.40 – $6,131.20
Ultrasound of the lower bowel by endoscope: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $4,605.30 [Aetna] — [Comm]: $4,537.09 [Aetna] — [Medicare]: $1,181.23 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $2,761.80 [CBC] — [Comm]: $3,945.43 [CBC] — [Medicare]: $1,204.62 [Cigna] — [Comm]: $3,638.87 [First Health] — [Comm]: $6,131.20
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: G0121 SCREENING COLONOSCOPY Tech	$5,926	$1,415.72	$772.55 – $4,740.80
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $3,560.93 [Aetna] — [Comm]: $3,508.19 [Aetna] — [Medicare]: $917.97 [CBC] — [CHIP]: $2,135.49 [CBC] — [Comm]: $3,050.70 [CBC] — [Medicare]: $936.15 [Cigna] — [Comm]: $2,813.66 [First Health] — [Comm]: $4,740.80 [Geisinger] — [CHIP]: $817.99 [Geisinger] — [Comm]: $4,081.83
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: 47562 LAPAROSCOPIC CHOLECYSTECTOMY Tech	$37,923	$9,059.80	$892.40 – $30,338.40
Gallbladder removal by laparoscope: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $22,787.93 [Aetna] — [Comm]: $22,450.42 [Aetna] — [Medicare]: $5,967.62 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $13,665.93 [CBC] — [Comm]: $19,522.76 [CBC] — [Medicare]: $6,085.79 [Cigna] — [Comm]: $18,005.84 [First Health] — [Comm]: $30,338.40
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	$5,480.13	$926.90 – $18,351.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $926.90 [Aetna Signature Administrators] — [Comm]: $13,784.05 [Aetna] — [Comm]: $13,579.89 [Aetna] — [Medicare]: $3,534.26 [AmeriHealth Caritas] — [MA]: $943.02 [CBC] — [CHIP]: $8,266.30 [CBC] — [Comm]: $11,809 [CBC] — [Medicare]: $3,604.25 [Cigna] — [Comm]: $10,891.44 [First Health] — [Comm]: $18,351.20
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 BIOPSY OF PROSTATE Tech	$13,315	$3,180.95	$892.40 – $10,652
Prostate biopsy: 10 of 16 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $8,000.98 [Aetna] — [Comm]: $7,882.48 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $4,798.19 [CBC] — [Comm]: $6,854.56 [Cigna] — [Comm]: $6,321.96 [First Health] — [Comm]: $10,652 [Geisinger] — [Comm]: $9,171.37 [Multiplan] — [Comm]: $10,652
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 CT Biopsy Prostate Tech	$13,315	$3,180.95	$892.40 – $10,652
Prostate biopsy: 10 of 16 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $8,000.98 [Aetna] — [Comm]: $7,882.48 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $4,798.19 [CBC] — [Comm]: $6,854.56 [Cigna] — [Comm]: $6,321.96 [First Health] — [Comm]: $10,652 [Geisinger] — [Comm]: $9,171.37 [Multiplan] — [Comm]: $10,652
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: 55700 US* BIOPSY PROSTATE Tech	$13,315	$3,180.95	$892.40 – $10,652
Prostate biopsy: 10 of 16 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $8,000.98 [Aetna] — [Comm]: $7,882.48 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $4,798.19 [CBC] — [Comm]: $6,854.56 [Cigna] — [Comm]: $6,321.96 [First Health] — [Comm]: $10,652 [Geisinger] — [Comm]: $9,171.37 [Multiplan] — [Comm]: $10,652
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: 55866 LAPARO RADICAL PROSTATECTOMY Tech	$67,673	$16,167.08	$8,830.62 – $54,138.40
Prostate removal by laparoscope (radical prostatectomy): 10 of 35 insurance plan rates [Aetna Signature Administrators] — [Comm]: $40,664.71 [Aetna] — [Comm]: $40,062.42 [Aetna] — [Medicare]: $10,492.85 [CBC] — [CHIP]: $24,386.64 [CBC] — [Comm]: $34,838.06 [CBC] — [Medicare]: $10,700.63 [Cigna] — [Comm]: $32,131.14 [First Health] — [Comm]: $54,138.40 [Geisinger] — [CHIP]: $9,350.06 [Geisinger] — [Comm]: $46,613.16
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: 58558 HYSTEROSCOPY BIOPSY Tech	$20,667	$4,937.35	$892.40 – $16,533.60
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $12,418.80 [Aetna] — [Comm]: $12,234.86 [Aetna] — [Medicare]: $3,195.41 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $7,447.56 [CBC] — [Comm]: $10,639.37 [CBC] — [Medicare]: $3,258.68 [Cigna] — [Comm]: $9,812.69 [First Health] — [Comm]: $16,533.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 NJX INTERLAMINAR LMBR/SAC Tech	$4,501	$1,075.29	$586.41 – $3,600.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $2,704.65 [Aetna] — [Comm]: $2,664.59 [Aetna] — [Medicare]: $696.79 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $1,621.98 [CBC] — [Comm]: $2,317.11 [CBC] — [Medicare]: $710.59 [Cigna] — [Comm]: $2,137.07 [First Health] — [Comm]: $3,600.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: 62323 NM INJ RP LUM/SAC Tech	$4,501	$1,075.29	$586.41 – $3,600.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $2,704.65 [Aetna] — [Comm]: $2,664.59 [Aetna] — [Medicare]: $696.79 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $1,621.98 [CBC] — [Comm]: $2,317.11 [CBC] — [Medicare]: $710.59 [Cigna] — [Comm]: $2,137.07 [First Health] — [Comm]: $3,600.80
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	$1,075.29	$586.41 – $3,600.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $2,704.65 [Aetna] — [Comm]: $2,664.59 [Aetna] — [Medicare]: $696.79 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $1,621.98 [CBC] — [Comm]: $2,317.11 [CBC] — [Medicare]: $710.59 [Cigna] — [Comm]: $2,137.07 [First Health] — [Comm]: $3,600.80
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	$1,382.51	$734.77 – $4,629.60
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $3,477.41 [Aetna] — [Comm]: $3,425.90 [Aetna] — [Medicare]: $873.07 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $2,085.41 [CBC] — [Comm]: $2,979.15 [CBC] — [Medicare]: $890.36 [Cigna] — [Comm]: $2,747.67 [First Health] — [Comm]: $4,629.60
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: 64721 CARPAL TUNNEL SURGERY Tech	$12,693	$3,032.36	$763.60 – $10,154.40
Carpal tunnel release: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $763.60 [Aetna Signature Administrators] — [Comm]: $7,627.22 [Aetna] — [Comm]: $7,514.26 [Aetna] — [Medicare]: $1,927.56 [AmeriHealth Caritas] — [MA]: $776.88 [CBC] — [CHIP]: $4,574.05 [CBC] — [Comm]: $6,534.36 [CBC] — [Medicare]: $1,965.73 [Cigna] — [Comm]: $6,026.64 [First Health] — [Comm]: $10,154.40
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: 66821 AFTER CATARACT LASER SURGERY Tech	$3,566	$851.92	$456.90 – $2,852.80
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $892.40 [Aetna Signature Administrators] — [Comm]: $2,142.81 [Aetna] — [Comm]: $2,111.07 [Aetna] — [Medicare]: $542.91 [AmeriHealth Caritas] — [MA]: $907.92 [CBC] — [CHIP]: $1,285.05 [CBC] — [Comm]: $1,835.78 [CBC] — [Medicare]: $553.66 [Cigna] — [Comm]: $1,693.14 [First Health] — [Comm]: $2,852.80
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: 66984 XCAPSL CTRC RMVL W/O ECP Tech	$14,825	$3,541.69	$1,902.10 – $11,860
Cataract removal with lens implant: 10 of 37 insurance plan rates [Aetna Better Health] — [CHIP]: $1,902.10 [Aetna Signature Administrators] — [Comm]: $8,908.34 [Aetna] — [Comm]: $8,776.40 [Aetna] — [Medicare]: $2,278.09 [AmeriHealth Caritas] — [MA]: $1,935.18 [CBC] — [CHIP]: $5,342.34 [CBC] — [Comm]: $7,631.91 [CBC] — [Medicare]: $2,323.20 [Cigna] — [Comm]: $7,038.91 [First Health] — [Comm]: $11,860

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	$4,937.35	$2,387.40 – $16,533.60
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $2,387.40 [Aetna Signature Administrators] — [Comm]: $12,418.80 [Aetna] — [Comm]: $12,234.86 [AmeriHealth Caritas] — [MA]: $2,428.92 [CBC] — [CHIP]: $7,447.56 [CBC] — [Comm]: $10,639.37 [Cigna] — [Comm]: $9,812.69 [First Health] — [Comm]: $16,533.60 [Geisinger] — [Comm]: $14,235.43 [Highmark ACA] — [Comm]: $11,216.34
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: 59510 CESAREAN DELIVERY Tech	$20,667	$4,937.35	$2,387.40 – $16,533.60
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $2,387.40 [Aetna Signature Administrators] — [Comm]: $12,418.80 [Aetna] — [Comm]: $12,234.86 [AmeriHealth Caritas] — [MA]: $2,428.92 [CBC] — [CHIP]: $7,447.56 [CBC] — [Comm]: $10,639.37 [Cigna] — [Comm]: $9,812.69 [First Health] — [Comm]: $16,533.60 [Geisinger] — [Comm]: $14,235.43 [Highmark ACA] — [Comm]: $11,216.34
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	$6,552.07	$2,387.40 – $21,940.80
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates [Aetna Better Health] — [CHIP]: $2,387.40 [Aetna Signature Administrators] — [Comm]: $16,480.28 [Aetna] — [Comm]: $16,236.19 [AmeriHealth Caritas] — [MA]: $2,428.92 [CBC] — [CHIP]: $9,883.23 [CBC] — [Comm]: $14,118.90 [Cigna] — [Comm]: $13,021.86 [First Health] — [Comm]: $21,940.80 [Geisinger] — [Comm]: $18,891.03 [Highmark ACA] — [Comm]: $14,884.58

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	$68,238.63 – $206,317.65
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 37 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]: $68,927.91 [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.) [CBC] — [CHIP]: $124,828.20 [CBC] — [Comm]: $178,326 [CBC] — [Medicare]: $70,995.75 [Cigna] — [Comm]: $191,058.08 [First Health] — [Comm]: $75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$13,853.52 – $40,555.12
Hip or knee replacement (major joint of the leg), without major complications: 10 of 37 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]: $13,993.45 [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.) [CBC] — [CHIP]: $27,706.70 [CBC] — [Comm]: $39,581 [CBC] — [Medicare]: $14,413.25 [Cigna] — [Comm]: $37,671.42 [First Health] — [Comm]: $75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$17,401.68 – $51,328.33
Neck (cervical) spinal fusion, without complications: 10 of 37 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]: $17,577.45 [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.) [CBC] — [CHIP]: $29,693.30 [CBC] — [Comm]: $42,419 [CBC] — [Medicare]: $18,104.77 [Cigna] — [Comm]: $47,678.59 [First Health] — [Comm]: $75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$9,088 – $26,263.53
Uterus and ovary surgery (not for cancer), without complications: 10 of 37 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]: $9,179.80 [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.) [CBC] — [CHIP]: $13,045.20 [CBC] — [Comm]: $18,636 [CBC] — [Medicare]: $9,455.19 [Cigna] — [Comm]: $24,230.87 [First Health] — [Comm]: $75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

Source: Penn State Health Holy Spirit 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	503 North 21st Street, Camp Hill, PA 17011
County	Cumberland County
State	Pennsylvania
Phone	(717) 763‑2100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	390004
Name in Medicare records	PENN STATE HEALTH HOLY SPIRIT 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 Holy Spirit Medical Center — pennstatehealth.org