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Acute Care Hospital

Phoenixville Hospital

Phoenixville, Pennsylvania · Chester County · Emergency services listed

Summary

Phoenixville Hospital is an acute care hospital in Phoenixville, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 38 services, specialties and programs. Medicare lists 638 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of Phoenixville Hospital
Photo: Mr. Matté (if there is an issue with this image, contact me using this image'..., CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
144Beds (hospital website)
38Services listed

Quick answers

Does Phoenixville Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Phoenixville Hospital. In a medical emergency, call 911.
Where is Phoenixville Hospital?
140 Nutt Road, Phoenixville, PA 19460, in Chester County, Pennsylvania.
What is the phone number of Phoenixville Hospital?
(610) 983-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Phoenixville Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4][5][9]

Treatments[4][9]

Procedures[4][9]

Programs and centers[4][9][11]

  • Heart Station (cardiac diagnostics)
  • Breast Health Center
  • McGlinn Cancer Institute, Phoenixville campus
  • Robotic Surgery Center
  • Pain Management Institute
  • Tobacco Treatment Program

Emergency care (hospital website)[4][5][8][9]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center

Visiting and practical information

VisitingGeneral visiting hours 11 a.m. to 8 p.m.; Emergency Department has 24-hour visitation[7]
ParkingOff-street parking, including spaces designated for disabled persons; curb cuts and ramps[6]
Interpreters and languagesQualified sign language interpreters for deaf/hard of hearing patients, no extra charge; TTY line available[6]

Recognition[4][5]

  • Primary Stroke Center
  • The Joint Commission accreditation
  • Accredited by The Joint Commission
  • Advanced Hip/Knee Replacement (The Joint Commission)
  • Heart Failure (The Joint Commission)
  • American College of Radiology accreditation: CT, Mammography, MRI, Breast MRI, PET/CT
  • National Accreditation Program for Breast Centers (NAPBC) accredited breast center
  • Commission on Cancer accredited (McGlinn Cancer Institute, Phoenixville campus)

Doctors and clinicians (638)

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

Main specialties

Doctors with a page on this site (638)

And 614 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean81%National average: 74%
Area around the room “always” quiet at night51%National average: 60%
Completed surveys743Response rate: 27%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.527No different from the national benchmark
Surgical site infections after colon surgery0.523No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.631No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.373Better 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 patients11.5%
Deaths within 30 days: heart failure patients11.5%
Deaths within 30 days: pneumonia patients15.8%
Deaths within 30 days: COPD patients7.6%
Deaths within 30 days: stroke patients14.6%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)0.91No different from the national rate
Complications after hip or knee replacementToo few cases to report

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 attack15%
Readmitted within 30 days: heart failure24%
Readmitted within 30 days: pneumonia19.5%
Readmitted within 30 days: COPD20.8%
Readmitted within 30 days: coronary bypass surgeryToo few cases to report
Readmitted within 30 days: hip or knee replacementToo few cases to report

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)178 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)54%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 53 common services exactly as Phoenixville Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P LOW 30 MIN $347 $86.75 $73.98 – $340.06
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $173
  • Aetna — Better Health CHIP: $104.10
  • Aetna — Medicare: $73.98
  • Cigna — All Commercial Plans: $92.40
  • Cigna — All Medicare Plans: $76.95
  • Devon — All Commercial Plans: $340.06
  • First Health — All Commercial Plans: $190
  • Geisinger — All Commercial Plans: $186.98
  • Geisinger — Medicare: $76.95
  • Health America — All Commercial Plans: $173
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P LOW 30 MIN $347 $86.75 $73.98 – $340.06
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $173
  • Aetna — Better Health CHIP: $104.10
  • Aetna — Medicare: $73.98
  • Cigna — All Commercial Plans: $92.40
  • Cigna — All Medicare Plans: $76.95
  • Devon — All Commercial Plans: $340.06
  • First Health — All Commercial Plans: $190
  • Geisinger — All Commercial Plans: $186.98
  • Geisinger — Medicare: $76.95
  • Health America — All Commercial Plans: $173
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OUTPATIENT VISIT, N/P LOW 30 MIN $247 $61.75 $61.75 – $242.06
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $173
  • Aetna — Better Health CHIP: $74.10
  • Aetna — Medicare: $73.98
  • Cigna — All Commercial Plans: $92.40
  • Cigna — All Medicare Plans: $76.95
  • Devon — All Commercial Plans: $242.06
  • First Health — All Commercial Plans: $190
  • Geisinger — All Commercial Plans: $186.98
  • Geisinger — Medicare: $76.95
  • Health America — All Commercial Plans: $173
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P MODERATE 45 MIN $498 $124.50 $120.90 – $488.04
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $262
  • Aetna — Better Health CHIP: $149.40
  • Aetna — Medicare: $120.90
  • Cigna — All Commercial Plans: $155.67
  • Cigna — All Medicare Plans: $125.75
  • Devon — All Commercial Plans: $488.04
  • First Health — All Commercial Plans: $288
  • Geisinger — All Commercial Plans: $285.90
  • Geisinger — Medicare: $125.75
  • Health America — All Commercial Plans: $262
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P MODERATE 45 MIN $498 $124.50 $120.90 – $488.04
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $262
  • Aetna — Better Health CHIP: $149.40
  • Aetna — Medicare: $120.90
  • Cigna — All Commercial Plans: $155.67
  • Cigna — All Medicare Plans: $125.75
  • Devon — All Commercial Plans: $488.04
  • First Health — All Commercial Plans: $288
  • Geisinger — All Commercial Plans: $285.90
  • Geisinger — Medicare: $125.75
  • Health America — All Commercial Plans: $262
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OUTPATIENT VISIT, N/P MODERATE 45 MIN $398 $99.50 $99.50 – $390.04
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $262
  • Aetna — Better Health CHIP: $119.40
  • Aetna — Medicare: $120.90
  • Cigna — All Commercial Plans: $155.67
  • Cigna — All Medicare Plans: $125.75
  • Devon — All Commercial Plans: $390.04
  • First Health — All Commercial Plans: $288
  • Geisinger — All Commercial Plans: $285.90
  • Geisinger — Medicare: $125.75
  • Health America — All Commercial Plans: $262
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P HIGH 60 MIN $603 $150.75 $150.75 – $590.94
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $330
  • Aetna — Better Health CHIP: $180.90
  • Aetna — Medicare: $166.01
  • Cigna — All Commercial Plans: $201.55
  • Cigna — All Medicare Plans: $172.67
  • Devon — All Commercial Plans: $590.94
  • First Health — All Commercial Plans: $362
  • Geisinger — All Commercial Plans: $359.53
  • Geisinger — Medicare: $172.67
  • Health America — All Commercial Plans: $330
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P HIGH 60 MIN $603 $150.75 $150.75 – $590.94
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $330
  • Aetna — Better Health CHIP: $180.90
  • Aetna — Medicare: $166.01
  • Cigna — All Commercial Plans: $201.55
  • Cigna — All Medicare Plans: $172.67
  • Devon — All Commercial Plans: $590.94
  • First Health — All Commercial Plans: $362
  • Geisinger — All Commercial Plans: $359.53
  • Geisinger — Medicare: $172.67
  • Health America — All Commercial Plans: $330
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OUTPATIENT VISIT, N/P HIGH 60 MIN $503 $125.75 $125.75 – $492.94
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $330
  • Aetna — Better Health CHIP: $150.90
  • Aetna — Medicare: $166.01
  • Cigna — All Commercial Plans: $201.55
  • Cigna — All Medicare Plans: $172.67
  • Devon — All Commercial Plans: $492.94
  • First Health — All Commercial Plans: $362
  • Geisinger — All Commercial Plans: $359.53
  • Geisinger — Medicare: $172.67
  • Health America — All Commercial Plans: $330
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P LOW 20 MIN $270 $67.50 $59.25 – $264.60
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $118
  • Aetna — Better Health CHIP: $81
  • Aetna — Medicare: $59.25
  • Cigna — All Commercial Plans: $60.83
  • Cigna — All Medicare Plans: $61.63
  • Devon — All Commercial Plans: $264.60
  • First Health — All Commercial Plans: $130
  • Geisinger — All Commercial Plans: $121.44
  • Geisinger — Medicare: $61.63
  • Health America — All Commercial Plans: $118
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P LOW 20 MIN $270 $67.50 $59.25 – $264.60
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $118
  • Aetna — Better Health CHIP: $81
  • Aetna — Medicare: $59.25
  • Cigna — All Commercial Plans: $60.83
  • Cigna — All Medicare Plans: $61.63
  • Devon — All Commercial Plans: $264.60
  • First Health — All Commercial Plans: $130
  • Geisinger — All Commercial Plans: $121.44
  • Geisinger — Medicare: $61.63
  • Health America — All Commercial Plans: $118
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OUTPATIENT VISIT, E/P LOW 20 MIN $170 $42.50 $42.50 – $166.60
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $118
  • Aetna — Better Health CHIP: $51
  • Aetna — Medicare: $59.25
  • Cigna — All Commercial Plans: $60.83
  • Cigna — All Medicare Plans: $61.63
  • Devon — All Commercial Plans: $166.60
  • First Health — All Commercial Plans: $130
  • Geisinger — All Commercial Plans: $121.44
  • Geisinger — Medicare: $61.63
  • Health America — All Commercial Plans: $118
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P MODERATE 30 MIN $333 $83.25 $83.25 – $326.34
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $173
  • Aetna — Better Health CHIP: $99.90
  • Aetna — Medicare: $87.19
  • Cigna — All Commercial Plans: $94.03
  • Cigna — All Medicare Plans: $90.69
  • Devon — All Commercial Plans: $326.34
  • First Health — All Commercial Plans: $190
  • Geisinger — All Commercial Plans: $184.21
  • Geisinger — Medicare: $90.69
  • Health America — All Commercial Plans: $173
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P MODERATE 30 MIN $333 $83.25 $83.25 – $326.34
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $173
  • Aetna — Better Health CHIP: $99.90
  • Aetna — Medicare: $87.19
  • Cigna — All Commercial Plans: $94.03
  • Cigna — All Medicare Plans: $90.69
  • Devon — All Commercial Plans: $326.34
  • First Health — All Commercial Plans: $190
  • Geisinger — All Commercial Plans: $184.21
  • Geisinger — Medicare: $90.69
  • Health America — All Commercial Plans: $173
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OUTPATIENT VISIT E/P MODERATE 30 MIN $233 $58.25 $58.25 – $228.34
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $173
  • Aetna — Better Health CHIP: $69.90
  • Aetna — Medicare: $87.19
  • Cigna — All Commercial Plans: $94.03
  • Cigna — All Medicare Plans: $90.69
  • Devon — All Commercial Plans: $228.34
  • First Health — All Commercial Plans: $190
  • Geisinger — All Commercial Plans: $184.21
  • Geisinger — Medicare: $90.69
  • Health America — All Commercial Plans: $173
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-LOW, 30 MIN $414 $103.50 $87.52 – $405.72
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $195
  • Aetna — Better Health CHIP: $116.69
  • Aetna — Medicare: $90.26
  • Cigna — All Commercial Plans: $124.43
  • Cigna — All Medicare Plans: $93.88
  • Devon — All Commercial Plans: $405.72
  • First Health — All Commercial Plans: $214
  • Geisinger — All Commercial Plans: $249.09
  • Geisinger — Medicaid & CHIP: $90.99
  • Geisinger — Medicare: $93.88
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-LOW, 30 MIN $414 $103.50 $87.52 – $405.72
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $195
  • Aetna — Better Health CHIP: $116.69
  • Aetna — Medicare: $90.26
  • Cigna — All Commercial Plans: $124.43
  • Cigna — All Medicare Plans: $93.88
  • Devon — All Commercial Plans: $405.72
  • First Health — All Commercial Plans: $214
  • Geisinger — All Commercial Plans: $249.09
  • Geisinger — Medicaid & CHIP: $90.99
  • Geisinger — Medicare: $93.88
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-MODERATE, 40 MIN $612 $153 $133.48 – $599.76
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $291
  • Aetna — Better Health CHIP: $177.98
  • Aetna — Medicare: $137.86
  • Cigna — All Commercial Plans: $196.47
  • Cigna — All Medicare Plans: $143.38
  • Devon — All Commercial Plans: $599.76
  • First Health — All Commercial Plans: $319
  • Geisinger — All Commercial Plans: $367.67
  • Geisinger — Medicaid & CHIP: $138.78
  • Geisinger — Medicare: $143.38
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-MODERATE, 40 MIN $612 $153 $133.48 – $599.76
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $291
  • Aetna — Better Health CHIP: $177.98
  • Aetna — Medicare: $137.86
  • Cigna — All Commercial Plans: $196.47
  • Cigna — All Medicare Plans: $143.38
  • Devon — All Commercial Plans: $599.76
  • First Health — All Commercial Plans: $319
  • Geisinger — All Commercial Plans: $367.67
  • Geisinger — Medicaid & CHIP: $138.78
  • Geisinger — Medicare: $143.38
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - LOW $435 $108.75 $71.38 – $426.30
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $99
  • Aetna — Better Health CHIP: $95.17
  • Aetna — Medicare: $72.10
  • Cigna — All Commercial Plans: $77.64
  • Cigna — All Medicare Plans: $74.99
  • Devon — All Commercial Plans: $426.30
  • First Health — All Commercial Plans: $108
  • Geisinger — All Commercial Plans: $126.06
  • Geisinger — Medicaid & CHIP: $74.21
  • Geisinger — Medicare: $74.99
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - LOW $435 $108.75 $71.38 – $426.30
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $99
  • Aetna — Better Health CHIP: $95.17
  • Aetna — Medicare: $72.10
  • Cigna — All Commercial Plans: $77.64
  • Cigna — All Medicare Plans: $74.99
  • Devon — All Commercial Plans: $426.30
  • First Health — All Commercial Plans: $108
  • Geisinger — All Commercial Plans: $126.06
  • Geisinger — Medicaid & CHIP: $74.21
  • Geisinger — Medicare: $74.99
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ECU VISIT - LOW $1,521 $380.25 $67.98 – $1,490.58
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — Better Health CHIP: $96.31
  • Capital Blue Cross — All Commercial Plans: $1,245.85
  • Devon — All Commercial Plans: $1,490.58
  • First Health — All Commercial Plans: $1,368.90
  • Geisinger — Medicaid & CHIP: $67.98
  • Health America — All Commercial Plans: $1,026
  • Health Partners — Medicaid & CHIP: $70.81
  • Independence Blue Cross — All Exchange Plans: $900
  • Independence Blue Cross — All Other Commercial Plans: $945
  • Keystone First — Medicaid: $101.40
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - MODERATE $669 $167.25 $120.12 – $655.62
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $187
  • Aetna — Better Health CHIP: $160.15
  • Aetna — Medicare: $122.75
  • Cigna — All Commercial Plans: $145.58
  • Cigna — All Medicare Plans: $127.67
  • Devon — All Commercial Plans: $655.62
  • First Health — All Commercial Plans: $205
  • Geisinger — All Commercial Plans: $230.25
  • Geisinger — Medicaid & CHIP: $124.88
  • Geisinger — Medicare: $127.67
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - MODERATE $669 $167.25 $120.12 – $655.62
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $187
  • Aetna — Better Health CHIP: $160.15
  • Aetna — Medicare: $122.75
  • Cigna — All Commercial Plans: $145.58
  • Cigna — All Medicare Plans: $127.67
  • Devon — All Commercial Plans: $655.62
  • First Health — All Commercial Plans: $205
  • Geisinger — All Commercial Plans: $230.25
  • Geisinger — Medicaid & CHIP: $124.88
  • Geisinger — Medicare: $127.67
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ECU VISIT - MODERATE $2,492 $623 $114.40 – $2,442.16
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — Better Health CHIP: $162.06
  • Capital Blue Cross — All Commercial Plans: $2,041.20
  • Devon — All Commercial Plans: $2,442.16
  • First Health — All Commercial Plans: $2,242.80
  • Geisinger — Medicaid & CHIP: $114.40
  • Health America — All Commercial Plans: $1,026
  • Health Partners — Medicaid & CHIP: $119.16
  • Independence Blue Cross — All Exchange Plans: $1,021
  • Independence Blue Cross — All Other Commercial Plans: $1,073
  • Keystone First — Medicaid: $170.64
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - HIGH $1,001 $250.25 $174.81 – $980.98
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $276
  • Aetna — Better Health CHIP: $233.08
  • Aetna — Medicare: $177.71
  • Cigna — All Commercial Plans: $214.87
  • Cigna — All Medicare Plans: $184.84
  • Devon — All Commercial Plans: $980.98
  • First Health — All Commercial Plans: $303
  • Geisinger — All Commercial Plans: $344.62
  • Geisinger — Medicaid & CHIP: $181.75
  • Geisinger — Medicare: $184.84
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - HIGH $1,001 $250.25 $174.81 – $980.98
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $276
  • Aetna — Better Health CHIP: $233.08
  • Aetna — Medicare: $177.71
  • Cigna — All Commercial Plans: $214.87
  • Cigna — All Medicare Plans: $184.84
  • Devon — All Commercial Plans: $980.98
  • First Health — All Commercial Plans: $303
  • Geisinger — All Commercial Plans: $344.62
  • Geisinger — Medicaid & CHIP: $181.75
  • Geisinger — Medicare: $184.84
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ECU VISIT HIGH SEVERITY/LIFE THREAT $2,971 $742.75 $166.49 – $2,911.58
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — Better Health CHIP: $235.86
  • Capital Blue Cross — All Commercial Plans: $2,433.55
  • Devon — All Commercial Plans: $2,911.58
  • First Health — All Commercial Plans: $2,673.90
  • Geisinger — Medicaid & CHIP: $166.49
  • Health America — All Commercial Plans: $1,026
  • Health Partners — Medicaid & CHIP: $173.43
  • Independence Blue Cross — All Exchange Plans: $1,021
  • Independence Blue Cross — All Other Commercial Plans: $1,073
  • Keystone First — Medicaid: $248.34

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PROFILE $226 $56.50 $8.46 – $221.48
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $21.57
  • Aetna — Better Health CHIP: $15.91
  • Capital Blue Cross — All Commercial Plans: $44.69
  • Cigna — All Commercial Plans: $8.46
  • Devon — All Commercial Plans: $221.48
  • First Health — All Commercial Plans: $203.40
  • Geisinger — Medicaid & CHIP: $11.23
  • Health America — All Commercial Plans: $17.23
  • Health Partners — Medicaid & CHIP: $11.70
  • Independence Blue Cross — All Exchange Plans: $37.05
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PROFILE $226 $56.50 $203.40 – $221.48
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Devon — All Commercial Plans: $221.48
  • First Health — All Commercial Plans: $203.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPREHENSVE METABOLIC PROFIL $449 $112.25 $10.56 – $440.02
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $26.94
  • Aetna — Better Health CHIP: $19.87
  • Capital Blue Cross — All Commercial Plans: $55.82
  • Cigna — All Commercial Plans: $10.56
  • Devon — All Commercial Plans: $440.02
  • First Health — All Commercial Plans: $404.10
  • Geisinger — Medicaid & CHIP: $14.03
  • Health America — All Commercial Plans: $21.52
  • Health Partners — Medicaid & CHIP: $14.61
  • Independence Blue Cross — All Exchange Plans: $46.23
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMPREHENSVE METABOLIC PROFIL $449 $112.25 $404.10 – $440.02
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Devon — All Commercial Plans: $440.02
  • First Health — All Commercial Plans: $404.10
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL $599 $149.75 $14.40 – $587.02
Obstetric blood test panel: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $121.92
  • Aetna — Better Health CHIP: $20.40
  • Capital Blue Cross — All Commercial Plans: $490.64
  • Cigna — All Commercial Plans: $47.81
  • Devon — All Commercial Plans: $587.02
  • First Health — All Commercial Plans: $539.10
  • Geisinger — Medicaid & CHIP: $14.40
  • Health America — All Commercial Plans: $97.38
  • Health Partners — Medicaid & CHIP: $15
  • Independence Blue Cross — All Exchange Plans: $84.54
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL $599 $149.75 $539.10 – $587.02
Obstetric blood test panel: rates for 2 insurance plans
  • Devon — All Commercial Plans: $587.02
  • First Health — All Commercial Plans: $539.10
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIPID PROFILE $336 $84 $13.39 – $329.28
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $34.14
  • Aetna — Better Health CHIP: $23.80
  • Capital Blue Cross — All Commercial Plans: $70.76
  • Cigna — All Commercial Plans: $13.39
  • Devon — All Commercial Plans: $329.28
  • First Health — All Commercial Plans: $302.40
  • Geisinger — Medicaid & CHIP: $16.80
  • Health America — All Commercial Plans: $27.27
  • Health Partners — Medicaid & CHIP: $17.50
  • Independence Blue Cross — All Exchange Plans: $60.16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB NMR LIPID PROFILE $316 $79 $13.39 – $309.68
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $34.14
  • Aetna — Better Health CHIP: $23.80
  • Capital Blue Cross — All Commercial Plans: $70.76
  • Cigna — All Commercial Plans: $13.39
  • Devon — All Commercial Plans: $309.68
  • First Health — All Commercial Plans: $284.40
  • Geisinger — Medicaid & CHIP: $16.80
  • Health America — All Commercial Plans: $27.27
  • Health Partners — Medicaid & CHIP: $17.50
  • Independence Blue Cross — All Exchange Plans: $60.16
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LIPID PROFILE $336 $84 $302.40 – $329.28
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • Devon — All Commercial Plans: $329.28
  • First Health — All Commercial Plans: $302.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RENAL PROFILE $218 $54.50 $8.68 – $213.64
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $22.14
  • Aetna — Better Health CHIP: $16.32
  • Capital Blue Cross — All Commercial Plans: $45.85
  • Cigna — All Commercial Plans: $8.68
  • Devon — All Commercial Plans: $213.64
  • First Health — All Commercial Plans: $196.20
  • Geisinger — Medicaid & CHIP: $11.52
  • Health America — All Commercial Plans: $17.69
  • Health Partners — Medicaid & CHIP: $12
  • Independence Blue Cross — All Exchange Plans: $38
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RENAL PROFILE $218 $54.50 $196.20 – $213.64
Kidney function panel: rates for 2 insurance plans
  • Devon — All Commercial Plans: $213.64
  • First Health — All Commercial Plans: $196.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIVER PROFILE $244 $61 $8.17 – $239.12
Liver function panel: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $20.82
  • Aetna — Better Health CHIP: $15.35
  • Capital Blue Cross — All Commercial Plans: $43.13
  • Cigna — All Commercial Plans: $8.17
  • Devon — All Commercial Plans: $239.12
  • First Health — All Commercial Plans: $219.60
  • Geisinger — Medicaid & CHIP: $10.84
  • Health America — All Commercial Plans: $16.65
  • Health Partners — Medicaid & CHIP: $11.29
  • Independence Blue Cross — All Exchange Plans: $35.78
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LIVER PROFILE $244 $61 $219.60 – $239.12
Liver function panel: rates for 2 insurance plans
  • Devon — All Commercial Plans: $239.12
  • First Health — All Commercial Plans: $219.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS W MICROSCOPIC $97 $24.25 $3.17 – $95.06
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $8.07
  • Aetna — Better Health CHIP: $5.10
  • Capital Blue Cross — All Commercial Plans: $16.74
  • Cigna — All Commercial Plans: $3.17
  • Devon — All Commercial Plans: $95.06
  • First Health — All Commercial Plans: $87.30
  • Geisinger — Medicaid & CHIP: $3.60
  • Health America — All Commercial Plans: $6.47
  • Health Partners — Medicaid & CHIP: $3.75
  • Independence Blue Cross — All Exchange Plans: $13.93
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS W MICROSCOPIC $97 $24.25 $87.30 – $95.06
Urine test (automated, with microscope): rates for 2 insurance plans
  • Devon — All Commercial Plans: $95.06
  • First Health — All Commercial Plans: $87.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LEUKOCYTE ESTERASE BY DIPSTICK $39 $9.75 $3.48 – $38.22
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $8.88
  • Aetna — Better Health CHIP: $6.07
  • Capital Blue Cross — All Commercial Plans: $13.52
  • Cigna — All Commercial Plans: $3.48
  • Devon — All Commercial Plans: $38.22
  • First Health — All Commercial Plans: $35.10
  • Geisinger — Medicaid & CHIP: $4.28
  • Health America — All Commercial Plans: $5.74
  • Health Partners — Medicaid & CHIP: $4.46
  • Independence Blue Cross — All Exchange Plans: $15.83
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MYOGLOBIN URINE QUALITATIVE $39 $9.75 $3.48 – $38.22
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $8.88
  • Aetna — Better Health CHIP: $6.07
  • Capital Blue Cross — All Commercial Plans: $13.52
  • Cigna — All Commercial Plans: $3.48
  • Devon — All Commercial Plans: $38.22
  • First Health — All Commercial Plans: $35.10
  • Geisinger — Medicaid & CHIP: $4.28
  • Health America — All Commercial Plans: $5.74
  • Health Partners — Medicaid & CHIP: $4.46
  • Independence Blue Cross — All Exchange Plans: $15.83
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PH URINE $39 $9.75 $3.48 – $38.22
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $8.88
  • Aetna — Better Health CHIP: $6.07
  • Capital Blue Cross — All Commercial Plans: $13.52
  • Cigna — All Commercial Plans: $3.48
  • Devon — All Commercial Plans: $38.22
  • First Health — All Commercial Plans: $35.10
  • Geisinger — Medicaid & CHIP: $4.28
  • Health America — All Commercial Plans: $5.74
  • Health Partners — Medicaid & CHIP: $4.46
  • Independence Blue Cross — All Exchange Plans: $15.83
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS W/O MICRO $66 $16.50 $2.25 – $64.68
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $5.73
  • Aetna — Better Health CHIP: $5.27
  • Capital Blue Cross — All Commercial Plans: $11.86
  • Cigna — All Commercial Plans: $2.25
  • Devon — All Commercial Plans: $64.68
  • First Health — All Commercial Plans: $59.40
  • Geisinger — Medicaid & CHIP: $3.72
  • Health America — All Commercial Plans: $4.57
  • Health Partners — Medicaid & CHIP: $3.88
  • Independence Blue Cross — All Exchange Plans: $10.77
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS-DIP STICK $66 $16.50 $2.25 – $64.68
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $5.73
  • Aetna — Better Health CHIP: $5.27
  • Capital Blue Cross — All Commercial Plans: $11.86
  • Cigna — All Commercial Plans: $2.25
  • Devon — All Commercial Plans: $64.68
  • First Health — All Commercial Plans: $59.40
  • Geisinger — Medicaid & CHIP: $3.72
  • Health America — All Commercial Plans: $4.57
  • Health Partners — Medicaid & CHIP: $3.88
  • Independence Blue Cross — All Exchange Plans: $10.77
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINE SPECIFIC GRAVITY $66 $16.50 $2.25 – $64.68
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $5.73
  • Aetna — Better Health CHIP: $5.27
  • Capital Blue Cross — All Commercial Plans: $11.86
  • Cigna — All Commercial Plans: $2.25
  • Devon — All Commercial Plans: $64.68
  • First Health — All Commercial Plans: $59.40
  • Geisinger — Medicaid & CHIP: $3.72
  • Health America — All Commercial Plans: $4.57
  • Health Partners — Medicaid & CHIP: $3.88
  • Independence Blue Cross — All Exchange Plans: $10.77
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSA DIAGNOSTIC $301 $75.25 $18.39 – $294.98
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $46.89
  • Aetna — Better Health CHIP: $41.41
  • Capital Blue Cross — All Commercial Plans: $97.08
  • Cigna — All Commercial Plans: $18.39
  • Devon — All Commercial Plans: $294.98
  • First Health — All Commercial Plans: $270.90
  • Geisinger — Medicaid & CHIP: $29.23
  • Health America — All Commercial Plans: $37.47
  • Health Partners — Medicaid & CHIP: $30.45
  • Independence Blue Cross — All Exchange Plans: $82.64
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSA TOTAL $301 $75.25 $18.39 – $294.98
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $46.89
  • Aetna — Better Health CHIP: $41.41
  • Capital Blue Cross — All Commercial Plans: $97.08
  • Cigna — All Commercial Plans: $18.39
  • Devon — All Commercial Plans: $294.98
  • First Health — All Commercial Plans: $270.90
  • Geisinger — Medicaid & CHIP: $29.23
  • Health America — All Commercial Plans: $37.47
  • Health Partners — Medicaid & CHIP: $30.45
  • Independence Blue Cross — All Exchange Plans: $82.64
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PSA DIAGNOSTIC $301 $75.25 $270.90 – $294.98
PSA (prostate specific antigen) blood test: rates for 2 insurance plans
  • Devon — All Commercial Plans: $294.98
  • First Health — All Commercial Plans: $270.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TSH $350 $87.50 $16.80 – $343
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $42.84
  • Aetna — Better Health CHIP: $39.46
  • Capital Blue Cross — All Commercial Plans: $88.69
  • Cigna — All Commercial Plans: $16.80
  • Devon — All Commercial Plans: $343
  • First Health — All Commercial Plans: $315
  • Geisinger — Medicaid & CHIP: $27.85
  • Health America — All Commercial Plans: $34.24
  • Health Partners — Medicaid & CHIP: $29.01
  • Independence Blue Cross — All Exchange Plans: $82.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB TSH $350 $87.50 $315 – $343
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • Devon — All Commercial Plans: $343
  • First Health — All Commercial Plans: $315
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS & 5-PART DIFF $141 $35.25 $7.20 – $138.18
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $19.80
  • Aetna — Better Health CHIP: $10.20
  • Capital Blue Cross — All Commercial Plans: $41.04
  • Cigna — All Commercial Plans: $7.77
  • Devon — All Commercial Plans: $138.18
  • First Health — All Commercial Plans: $126.90
  • Geisinger — Medicaid & CHIP: $7.20
  • Health America — All Commercial Plans: $15.82
  • Health Partners — Medicaid & CHIP: $7.50
  • Independence Blue Cross — All Exchange Plans: $34.83
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS & 5-PART DIFF $141 $35.25 $126.90 – $138.18
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Devon — All Commercial Plans: $138.18
  • First Health — All Commercial Plans: $126.90
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS NO DIFF $113 $28.25 $6.47 – $110.74
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $16.50
  • Aetna — Better Health CHIP: $12.78
  • Capital Blue Cross — All Commercial Plans: $34.17
  • Cigna — All Commercial Plans: $6.47
  • Devon — All Commercial Plans: $110.74
  • First Health — All Commercial Plans: $101.70
  • Geisinger — Medicaid & CHIP: $9.02
  • Health America — All Commercial Plans: $13.17
  • Health Partners — Medicaid & CHIP: $9.40
  • Independence Blue Cross — All Exchange Plans: $31.66
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS NO DIFF $113 $28.25 $101.70 – $110.74
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Devon — All Commercial Plans: $110.74
  • First Health — All Commercial Plans: $101.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB I-STAT INR/PT $84 $21 $4.29 – $82.32
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $10.95
  • Aetna — Better Health CHIP: $6.80
  • Capital Blue Cross — All Commercial Plans: $20.75
  • Cigna — All Commercial Plans: $4.29
  • Devon — All Commercial Plans: $82.32
  • First Health — All Commercial Plans: $75.60
  • Geisinger — Medicaid & CHIP: $4.80
  • Health America — All Commercial Plans: $8
  • Health Partners — Medicaid & CHIP: $5
  • Independence Blue Cross — All Exchange Plans: $17.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POC-PROTHROMBIN TIME $84 $21 $4.29 – $82.32
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $10.95
  • Aetna — Better Health CHIP: $6.80
  • Capital Blue Cross — All Commercial Plans: $20.75
  • Cigna — All Commercial Plans: $4.29
  • Devon — All Commercial Plans: $82.32
  • First Health — All Commercial Plans: $75.60
  • Geisinger — Medicaid & CHIP: $4.80
  • Health America — All Commercial Plans: $8
  • Health Partners — Medicaid & CHIP: $5
  • Independence Blue Cross — All Exchange Plans: $17.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROTHROMBIN TIME $84 $21 $4.29 – $82.32
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $10.95
  • Aetna — Better Health CHIP: $6.80
  • Capital Blue Cross — All Commercial Plans: $20.75
  • Cigna — All Commercial Plans: $4.29
  • Devon — All Commercial Plans: $82.32
  • First Health — All Commercial Plans: $75.60
  • Geisinger — Medicaid & CHIP: $4.80
  • Health America — All Commercial Plans: $8
  • Health Partners — Medicaid & CHIP: $5
  • Independence Blue Cross — All Exchange Plans: $17.73
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PARTIAL THROMBOPLASTIN TIME $144 $36 $6.01 – $141.12
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $15.33
  • Aetna — Better Health CHIP: $12.75
  • Capital Blue Cross — All Commercial Plans: $31.67
  • Cigna — All Commercial Plans: $6.01
  • Devon — All Commercial Plans: $141.12
  • First Health — All Commercial Plans: $129.60
  • Geisinger — Medicaid & CHIP: $9
  • Health America — All Commercial Plans: $12.24
  • Health Partners — Medicaid & CHIP: $9.38
  • Independence Blue Cross — All Exchange Plans: $29.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PARTIAL THROMBOPLASTIN TIME $144 $36 $129.60 – $141.12
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans
  • Devon — All Commercial Plans: $141.12
  • First Health — All Commercial Plans: $129.60

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CT BRAIN OR HEAD W/O CONTRAST $2,659 $664.75 $96.88 – $2,605.82
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $253.87
  • Aetna — Better Health CHIP: $131.75
  • Capital Blue Cross — All Commercial Plans: $848.37
  • Devon — All Commercial Plans: $2,605.82
  • First Health — All Commercial Plans: $2,393.10
  • Geisinger — Medicaid & CHIP: $140.10
  • Health America — All Commercial Plans: $132.23
  • Health Partners — Medicaid & CHIP: $96.88
  • Independence Blue Cross — All Exchange Plans: $699.75
  • Independence Blue Cross — All Other Commercial Plans: $699.75
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CT BRAIN OR HEAD W/O CONTRAST $2,659 $664.75 $2,393.10 – $2,605.82
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Devon — All Commercial Plans: $2,605.82
  • First Health — All Commercial Plans: $2,393.10
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD MRI BRAIN W/O & W/CONTRAST $7,981 $1,995.25 $336.25 – $7,821.38
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $944.84
  • Aetna — Better Health CHIP: $457.30
  • Capital Blue Cross — All Commercial Plans: $2,617.14
  • Devon — All Commercial Plans: $7,821.38
  • First Health — All Commercial Plans: $7,182.90
  • Geisinger — Medicaid & CHIP: $406.80
  • Health America — All Commercial Plans: $476.27
  • Health Partners — Medicaid & CHIP: $336.25
  • Independence Blue Cross — All Exchange Plans: $2,438.05
  • Independence Blue Cross — All Other Commercial Plans: $2,438.05
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD MRI BRAIN W/O & W/CONTRAST $7,981 $1,995.25 $7,182.90 – $7,821.38
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Devon — All Commercial Plans: $7,821.38
  • First Health — All Commercial Plans: $7,182.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CHEST 2 VIEWS $493 $123.25 $18.56 – $483.14
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $74.48
  • Aetna — Better Health CHIP: $25.25
  • Capital Blue Cross — All Commercial Plans: $96.53
  • Devon — All Commercial Plans: $483.14
  • First Health — All Commercial Plans: $443.70
  • Geisinger — All Commercial Plans: $221.85
  • Geisinger — Medicaid & CHIP: $28.37
  • Health America — All Commercial Plans: $35.26
  • Health Partners — Medicaid & CHIP: $18.56
  • Independence Blue Cross — All Exchange Plans: $107.65
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CHEST 2 VIEWS $493 $123.25 $443.70 – $483.14
Chest X-ray, 2 views: rates for 2 insurance plans
  • Devon — All Commercial Plans: $483.14
  • First Health — All Commercial Plans: $443.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD SPINE LUMBAR MIN 4 VIEWS $934 $233.50 $28.13 – $915.32
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $125.14
  • Aetna — Better Health CHIP: $38.25
  • Capital Blue Cross — All Commercial Plans: $183.85
  • Devon — All Commercial Plans: $915.32
  • First Health — All Commercial Plans: $840.60
  • Geisinger — All Commercial Plans: $420.30
  • Geisinger — Medicaid & CHIP: $43.94
  • Health America — All Commercial Plans: $59.52
  • Health Partners — Medicaid & CHIP: $28.13
  • Independence Blue Cross — All Exchange Plans: $158.32
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD SPINE LUMBAR MIN 4 VIEWS $934 $233.50 $840.60 – $915.32
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Devon — All Commercial Plans: $915.32
  • First Health — All Commercial Plans: $840.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD MRI SPINE LUMBAR W/O CONTRAST $4,871 $1,217.75 $234 – $4,773.58
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $944.84
  • Aetna — Better Health CHIP: $318.24
  • Capital Blue Cross — All Commercial Plans: $1,687.79
  • Devon — All Commercial Plans: $4,773.58
  • First Health — All Commercial Plans: $4,383.90
  • Geisinger — Medicaid & CHIP: $307.38
  • Health America — All Commercial Plans: $271.31
  • Health Partners — Medicaid & CHIP: $234
  • Independence Blue Cross — All Exchange Plans: $1,503.99
  • Independence Blue Cross — All Other Commercial Plans: $1,503.99
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD MRI SPINE LUMBAR W/O CONTRAST $4,871 $1,217.75 $4,383.90 – $4,773.58
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Devon — All Commercial Plans: $4,773.58
  • First Health — All Commercial Plans: $4,383.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CT PELVIS W/CONTRAST $3,518 $879.50 $108.13 – $3,447.64
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $643
  • Aetna — Better Health CHIP: $147.05
  • Capital Blue Cross — All Commercial Plans: $1,286.87
  • Devon — All Commercial Plans: $3,447.64
  • First Health — All Commercial Plans: $3,166.20
  • Geisinger — Medicaid & CHIP: $168.11
  • Health America — All Commercial Plans: $301.93
  • Health Partners — Medicaid & CHIP: $108.13
  • Independence Blue Cross — All Exchange Plans: $984.72
  • Independence Blue Cross — All Other Commercial Plans: $984.72
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CT PELVIS W/CONTRAST $3,518 $879.50 $3,166.20 – $3,447.64
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Devon — All Commercial Plans: $3,447.64
  • First Health — All Commercial Plans: $3,166.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD MRI LOW EXT ANY JT W/O CONTRAST $4,754 $1,188.50 $305.94 – $4,658.92
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $944.84
  • Aetna — Better Health CHIP: $457.30
  • Capital Blue Cross — All Commercial Plans: $1,681.92
  • Devon — All Commercial Plans: $4,658.92
  • First Health — All Commercial Plans: $4,278.60
  • Health America — All Commercial Plans: $305.94
  • Health Partners — Medicaid & CHIP: $336.25
  • Independence Blue Cross — All Exchange Plans: $1,503.99
  • Independence Blue Cross — All Other Commercial Plans: $1,503.99
  • Keystone First — Medicaid: $481.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD MRI LOW EXT ANY JT W/O CONTRAST $4,754 $1,188.50 $4,278.60 – $4,658.92
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Devon — All Commercial Plans: $4,658.92
  • First Health — All Commercial Plans: $4,278.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CT ABD/PELVIS W/ CONTRAST $5,684 $1,421 $240.91 – $5,570.32
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $861.48
  • Aetna — Better Health CHIP: $327.64
  • Capital Blue Cross — All Commercial Plans: $1,252.25
  • Devon — All Commercial Plans: $5,570.32
  • First Health — All Commercial Plans: $5,115.60
  • Geisinger — Medicaid & CHIP: $315.79
  • Health America — All Commercial Plans: $396.99
  • Health Partners — Medicaid & CHIP: $240.91
  • Independence Blue Cross — All Exchange Plans: $1,003.72
  • Independence Blue Cross — All Other Commercial Plans: $1,003.72
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CT ABD/PELVIS W/ CONTRAST $5,684 $1,421 $5,115.60 – $5,570.32
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Devon — All Commercial Plans: $5,570.32
  • First Health — All Commercial Plans: $5,115.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD US ABDOMEN COMPLETE $1,580 $395 $71.88 – $1,548.40
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $257.70
  • Aetna — Better Health CHIP: $97.75
  • Capital Blue Cross — All Commercial Plans: $459.30
  • Devon — All Commercial Plans: $1,548.40
  • First Health — All Commercial Plans: $1,422
  • Geisinger — Medicaid & CHIP: $114.32
  • Health America — All Commercial Plans: $149.46
  • Health Partners — Medicaid & CHIP: $71.88
  • Independence Blue Cross — All Exchange Plans: $360.96
  • Independence Blue Cross — All Other Commercial Plans: $360.96
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD US ABDOMEN COMPLETE $1,580 $395 $1,422 – $1,548.40
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Devon — All Commercial Plans: $1,548.40
  • First Health — All Commercial Plans: $1,422
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD US OBS BASIC 2, 3 TRIMESTER $1,196 $299 $58.13 – $1,172.08
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $285.73
  • Aetna — Better Health CHIP: $79.05
  • Capital Blue Cross — All Commercial Plans: $464.81
  • Devon — All Commercial Plans: $1,172.08
  • First Health — All Commercial Plans: $1,076.40
  • Geisinger — Medicaid & CHIP: $93
  • Health America — All Commercial Plans: $167.33
  • Health Partners — Medicaid & CHIP: $58.13
  • Independence Blue Cross — All Exchange Plans: $316.63
  • Independence Blue Cross — All Other Commercial Plans: $316.63
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US OBS BASIC 2, 3 TRIMESTER $1,196 $299 $58.13 – $1,172.08
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $285.73
  • Aetna — Better Health CHIP: $79.05
  • Capital Blue Cross — All Commercial Plans: $464.81
  • Devon — All Commercial Plans: $1,172.08
  • First Health — All Commercial Plans: $1,076.40
  • Geisinger — Medicaid & CHIP: $93
  • Health America — All Commercial Plans: $167.33
  • Health Partners — Medicaid & CHIP: $58.13
  • Independence Blue Cross — All Exchange Plans: $316.63
  • Independence Blue Cross — All Other Commercial Plans: $316.63
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD US OBS BASIC 2, 3 TRIMESTER $1,196 $299 $1,076.40 – $1,172.08
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Devon — All Commercial Plans: $1,172.08
  • First Health — All Commercial Plans: $1,076.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD US TRANSVAGINAL NON-OB $1,069 $267.25 $58.13 – $1,047.62
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $283.55
  • Aetna — Better Health CHIP: $79.05
  • Capital Blue Cross — All Commercial Plans: $410.43
  • Devon — All Commercial Plans: $1,047.62
  • First Health — All Commercial Plans: $962.10
  • Geisinger — Medicaid & CHIP: $91.80
  • Health America — All Commercial Plans: $159.03
  • Health Partners — Medicaid & CHIP: $58.13
  • Independence Blue Cross — All Exchange Plans: $294.47
  • Independence Blue Cross — All Other Commercial Plans: $294.47
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US TRANSVAGINAL NON-OB $1,069 $267.25 $58.13 – $1,047.62
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $283.55
  • Aetna — Better Health CHIP: $79.05
  • Capital Blue Cross — All Commercial Plans: $410.43
  • Devon — All Commercial Plans: $1,047.62
  • First Health — All Commercial Plans: $962.10
  • Geisinger — Medicaid & CHIP: $91.80
  • Health America — All Commercial Plans: $159.03
  • Health Partners — Medicaid & CHIP: $58.13
  • Independence Blue Cross — All Exchange Plans: $294.47
  • Independence Blue Cross — All Other Commercial Plans: $294.47
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD US TRANSVAGINAL NON-OB $1,069 $267.25 $962.10 – $1,047.62
Transvaginal ultrasound: rates for 2 insurance plans
  • Devon — All Commercial Plans: $1,047.62
  • First Health — All Commercial Plans: $962.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, UNILATERAL $610 $152.50 $88.76 – $597.80
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $282.47
  • Aetna — Better Health CHIP: $120.72
  • Capital Blue Cross — All Commercial Plans: $461.37
  • Devon — All Commercial Plans: $597.80
  • First Health — All Commercial Plans: $549
  • Geisinger — Medicaid & CHIP: $122.89
  • Health America — All Commercial Plans: $170.51
  • Health Partners — Medicaid & CHIP: $88.76
  • Independence Blue Cross — All Exchange Plans: $196.31
  • Independence Blue Cross — All Other Commercial Plans: $196.31
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, UNILATERAL $610 $152.50 $549 – $597.80
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • Devon — All Commercial Plans: $597.80
  • First Health — All Commercial Plans: $549
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, BILATERAL $755 $188.75 $113.54 – $739.90
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $360.08
  • Aetna — Better Health CHIP: $154.41
  • Capital Blue Cross — All Commercial Plans: $590.18
  • Devon — All Commercial Plans: $739.90
  • First Health — All Commercial Plans: $679.50
  • Geisinger — Medicaid & CHIP: $155.82
  • Health America — All Commercial Plans: $217.72
  • Health Partners — Medicaid & CHIP: $113.54
  • Independence Blue Cross — All Exchange Plans: $250.14
  • Independence Blue Cross — All Other Commercial Plans: $250.14
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, BILATERAL $755 $188.75 $679.50 – $739.90
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Devon — All Commercial Plans: $739.90
  • First Health — All Commercial Plans: $679.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD SCREENING MAMMO BILATERAL, INCLUDE CAD $693 $173.25 $93.78 – $679.14
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $297.58
  • Aetna — Better Health CHIP: $127.53
  • Capital Blue Cross — All Commercial Plans: $487.47
  • Devon — All Commercial Plans: $679.14
  • First Health — All Commercial Plans: $623.70
  • Geisinger — Medicaid & CHIP: $125.64
  • Health America — All Commercial Plans: $180.08
  • Health Partners — Medicaid & CHIP: $93.78
  • Independence Blue Cross — All Exchange Plans: $189.98
  • Independence Blue Cross — All Other Commercial Plans: $189.98
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD SCREENING MAMMO BILATERAL, INCLUDE CAD $693 $173.25 $623.70 – $679.14
Screening mammogram, both breasts: rates for 2 insurance plans
  • Devon — All Commercial Plans: $679.14
  • First Health — All Commercial Plans: $623.70

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LHC VENT PUNC $12,665 $3,166.25 $6,712.45 – $12,411.70
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • Capital Blue Cross — All Commercial Plans: $10,373.90
  • Devon — All Commercial Plans: $12,411.70
  • First Health — All Commercial Plans: $11,398.50
  • Health America — All Commercial Plans: $6,712.45
  • Independence Blue Cross — All Exchange Plans: $7,638.80
  • Independence Blue Cross — All Other Commercial Plans: $8,040.80
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LHC VENT PUNC $12,665 $3,166.25 $11,398.50 – $12,411.70
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • Devon — All Commercial Plans: $12,411.70
  • First Health — All Commercial Plans: $11,398.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HBCOMP EP EVAL W/O INDUCTION $11,908 $2,977 $6,311.24 – $11,669.84
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $9,753.84
  • Devon — All Commercial Plans: $11,669.84
  • First Health — All Commercial Plans: $10,717.20
  • Geisinger — All Commercial Plans: $6,949.51
  • Health America — All Commercial Plans: $6,311.24
  • Independence Blue Cross — All Exchange Plans: $7,223.60
  • Independence Blue Cross — All Other Commercial Plans: $7,603.80
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HBCOMP EP EVAL W/O INDUCTION $11,908 $2,977 $10,717.20 – $11,669.84
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans
  • Devon — All Commercial Plans: $11,669.84
  • First Health — All Commercial Plans: $10,717.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $55,423 $13,855.75 $7,638.80 – $54,314.54
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $45,396.98
  • Devon — All Commercial Plans: $54,314.54
  • First Health — All Commercial Plans: $49,880.70
  • Geisinger — All Commercial Plans: $32,344.86
  • Health America — All Commercial Plans: $29,374.19
  • Independence Blue Cross — All Exchange Plans: $7,638.80
  • Independence Blue Cross — All Other Commercial Plans: $8,040.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $55,423 $13,855.75 $49,880.70 – $54,314.54
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans
  • Devon — All Commercial Plans: $54,314.54
  • First Health — All Commercial Plans: $49,880.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POLYSOMOGRAPH >6 YRS PARAMETERS LIMITED ATTENDED BY TECH $3,633 $908.25 $337.90 – $3,560.34
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $1,393.60
  • Aetna — Better Health CHIP: $459.54
  • Capital Blue Cross — All Commercial Plans: $2,975.79
  • Devon — All Commercial Plans: $3,560.34
  • First Health — All Commercial Plans: $3,269.70
  • Geisinger — All Commercial Plans: $1,634.85
  • Geisinger — Medicaid & CHIP: $415.87
  • Health America — All Commercial Plans: $1,925.49
  • Health Partners — Medicaid & CHIP: $337.90
  • Independence Blue Cross — All Exchange Plans: $1,292
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB POLYSOMOGRAPH >6 YRS PARAMETERS LIMITED ATTENDED BY TECH $3,633 $908.25 $3,269.70 – $3,560.34
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Devon — All Commercial Plans: $3,560.34
  • First Health — All Commercial Plans: $3,269.70

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OT THERAPEUTIC EXCERCISE EA 15 MIN $168 $42 $89.04 – $230
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $164.64
  • First Health — All Commercial Plans: $151.20
  • Health America — All Commercial Plans: $89.04
  • Independence Blue Cross — All Exchange Plans: $112.70
  • Independence Blue Cross — All Other Commercial Plans: $112.70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT THERAPEUTIC EXCERCISE EA 15 MIN $168 $42 $89.04 – $230
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $164.64
  • First Health — All Commercial Plans: $151.20
  • Health America — All Commercial Plans: $89.04
  • Independence Blue Cross — All Exchange Plans: $112.70
  • Independence Blue Cross — All Other Commercial Plans: $112.70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OT THERAPEUTIC EXCERCISE EA 15 MIN $168 $42 $151.20 – $164.64
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans
  • Devon — All Commercial Plans: $164.64
  • First Health — All Commercial Plans: $151.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL LOW COMPLEX 15 MIN $137 $34.25 $72.61 – $230
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $134.26
  • First Health — All Commercial Plans: $123.30
  • Health America — All Commercial Plans: $72.61
  • Independence Blue Cross — All Exchange Plans: $150.26
  • Independence Blue Cross — All Other Commercial Plans: $150.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL LOW COMPLEX 30 MIN $273 $68.25 $125 – $267.54
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $267.54
  • First Health — All Commercial Plans: $245.70
  • Health America — All Commercial Plans: $144.69
  • Independence Blue Cross — All Exchange Plans: $150.26
  • Independence Blue Cross — All Other Commercial Plans: $150.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL LOW COMPLEX 45 MIN $493 $123.25 $125 – $483.14
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $483.14
  • First Health — All Commercial Plans: $443.70
  • Health America — All Commercial Plans: $261.29
  • Independence Blue Cross — All Exchange Plans: $150.26
  • Independence Blue Cross — All Other Commercial Plans: $150.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL MOD COMPLEX 30 MIN $273 $68.25 $125 – $267.54
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $267.54
  • First Health — All Commercial Plans: $245.70
  • Health America — All Commercial Plans: $144.69
  • Independence Blue Cross — All Exchange Plans: $187.83
  • Independence Blue Cross — All Other Commercial Plans: $187.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL MOD COMPLEX 45 MIN $493 $123.25 $125 – $483.14
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $483.14
  • First Health — All Commercial Plans: $443.70
  • Health America — All Commercial Plans: $261.29
  • Independence Blue Cross — All Exchange Plans: $187.83
  • Independence Blue Cross — All Other Commercial Plans: $187.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL MOD COMPLEX 60 MIN $545 $136.25 $125 – $534.10
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $534.10
  • First Health — All Commercial Plans: $490.50
  • Health America — All Commercial Plans: $288.85
  • Independence Blue Cross — All Exchange Plans: $187.83
  • Independence Blue Cross — All Other Commercial Plans: $187.83
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL HIGH COMPLEX 45 MIN $493 $123.25 $125 – $483.14
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $483.14
  • First Health — All Commercial Plans: $443.70
  • Health America — All Commercial Plans: $261.29
  • Independence Blue Cross — All Exchange Plans: $225.39
  • Independence Blue Cross — All Other Commercial Plans: $225.39
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL HIGH COMPLEX 60 MIN $545 $136.25 $125 – $534.10
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $534.10
  • First Health — All Commercial Plans: $490.50
  • Health America — All Commercial Plans: $288.85
  • Independence Blue Cross — All Exchange Plans: $225.39
  • Independence Blue Cross — All Other Commercial Plans: $225.39
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL HIGH COMPLEX 75 MIN $683 $170.75 $125 – $669.34
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Capital Blue Cross — All Commercial Plans: $230
  • Cigna — All Commercial Plans: $125
  • Devon — All Commercial Plans: $669.34
  • First Health — All Commercial Plans: $614.70
  • Health America — All Commercial Plans: $361.99
  • Independence Blue Cross — All Exchange Plans: $225.39
  • Independence Blue Cross — All Other Commercial Plans: $225.39

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB IR INJECT INTERLAMINAR EPID/SUBARAC/LUM/SAC W/IMAGE GUIDE $3,939 $984.75 $97.58 – $3,860.22
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates
  • Aetna — Better Health CHIP: $138.24
  • Capital Blue Cross — All Commercial Plans: $3,226.43
  • Devon — All Commercial Plans: $3,860.22
  • First Health — All Commercial Plans: $3,545.10
  • Geisinger — All Commercial Plans: $2,298.80
  • Geisinger — Medicaid & CHIP: $97.58
  • Health America — All Commercial Plans: $2,087.67
  • Health Partners — Medicaid & CHIP: $101.65
  • Independence Blue Cross — All Exchange Plans: $1,279.95
  • Independence Blue Cross — All Other Commercial Plans: $1,347.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB IR INJECT INTERLAMINAR EPID/SUBARAC/LUM/SAC W/IMAGE GUIDE $3,939 $984.75 $3,545.10 – $3,860.22
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • Devon — All Commercial Plans: $3,860.22
  • First Health — All Commercial Plans: $3,545.10

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $25,413.82 – $206,004.94
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $132,067.80
  • Aetna — Medicare: $78,092.23
  • Capital Blue Cross — All Commercial Plans: $206,004.94
  • Capital Blue Cross — Medicare: $72,307.62
  • Cigna — All Commercial Plans: $139,629.90
  • Cigna — All Medicare Plans: $75,199.92
  • Devoted Health — Medicare: $75,199.92
  • Gateway — Medicare: $74,404.54
  • Geisinger — All Commercial Plans: $74,404.54
  • Geisinger — Medicare: $117,393.60
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NON-EXTENSIVE BURNS W/O O.R. Not listed in the file Not listed in the file $12,103.14 – $86,451.04
Spinal fusion (not neck), without major complications: rates for 4 insurance plans
  • Capital Blue Cross — All Commercial Plans: $86,451.04
  • Health America — Workers Comp: $12,103.14
  • Independence Blue Cross — All Exchange Plans: $45,391.66
  • Independence Blue Cross — All Other Commercial Plans: $48,249.78
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $12,331.21 – $45,309.69
Hip or knee replacement (major joint of the leg), without major complications: 10 of 30 insurance plan rates
  • Aetna — All Commercial Plans: $26,040.15
  • Aetna — Medicare: $15,667.89
  • Capital Blue Cross — All Commercial Plans: $45,309.69
  • Capital Blue Cross — Medicare: $14,507.31
  • Cigna — All Commercial Plans: $27,531.19
  • Cigna — All Medicare Plans: $15,087.60
  • Devoted Health — Medicare: $15,087.60
  • Gateway — Medicare: $14,928.02
  • Geisinger — All Commercial Plans: $14,928.02
  • Geisinger — Medicare: $23,146.80
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $15,536.55 – $49,301.69
Neck (cervical) spinal fusion, without complications: 10 of 31 insurance plan rates
  • Aetna — All Commercial Plans: $32,957.55
  • Aetna — Medicare: $19,740.55
  • Capital Blue Cross — All Commercial Plans: $49,301.69
  • Capital Blue Cross — Medicare: $18,278.29
  • Cigna — All Commercial Plans: $34,844.67
  • Cigna — All Medicare Plans: $19,009.42
  • Devoted Health — Medicare: $19,009.42
  • Gateway — Medicare: $18,808.36
  • Geisinger — All Commercial Plans: $18,808.36
  • Geisinger — Medicare: $29,295.60
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $8,026.17 – $22,952.95
Uterus and ovary surgery (not for cancer), without complications: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $16,749.45
  • Aetna — Medicare: $10,197.95
  • Capital Blue Cross — All Commercial Plans: $21,962.66
  • Capital Blue Cross — Medicare: $9,442.55
  • Cigna — All Commercial Plans: $17,708.51
  • Cigna — All Medicare Plans: $9,820.25
  • Devoted Health — Medicare: $9,820.25
  • Gateway — Medicare: $9,716.38
  • Geisinger — All Commercial Plans: $9,716.38
  • Geisinger — Medicare: $14,888.40

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

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

Hospital information

Hospital typeAcute Care Hospital
Address140 Nutt Road, Phoenixville, PA 19460
CountyChester County
StatePennsylvania
Phone(610) 983‑1000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390127
Name in Medicare recordsPHOENIXVILLE HOSPITAL
Profile levelMedicare data + hospital website
Official websitetowerhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Phoenixville Hospital | Tower Health — towerhealth.org
  2. Phoenixville Hospital Awards & Accreditations | Tower Health — towerhealth.org
  3. Notice of Program Accessibility - Phoenixville Hospital | Tower Health — towerhealth.org
  4. Visitor Information - Phoenixville Hospital | Tower Health — towerhealth.org
  5. Emergency Locations | Tower Health — towerhealth.org
  6. Emergency Department Phoenixville Hospital | Tower Health — towerhealth.org
  7. Phoenixville Hospital Phone Directory | Tower Health — towerhealth.org