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Acute Care Hospital

Punxsutawney Area Hospital

Punxsutawney, Pennsylvania · Jefferson County · Emergency services listed

Summary

Punxsutawney Area Hospital is an acute care hospital in Punxsutawney, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 116 services, specialties and programs. Medicare lists 153 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

Call(814) 938‑1800 Directions Website Medicare profile
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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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
153Doctors and clinicians
116Services listed

Quick answers

Does Punxsutawney Area Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Punxsutawney Area Hospital. In a medical emergency, call 911.
Where is Punxsutawney Area Hospital?
81 Hillcrest Drive, Punxsutawney, PA 15767, in Jefferson County, Pennsylvania.
What is the phone number of Punxsutawney Area Hospital?
(814) 938-1800, as listed by Medicare (CMS).
What is the Medicare star rating of Punxsutawney Area Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][7][13][14][15][16]

Conditions treated[8][9][12][13][15][16]

Treatments[7][8][9][10][11][12][13][14][15]

  • Cardioversion
  • Echocardiograms
  • Event monitoring
  • 24-hour Holter monitoring
  • Stress testing
  • Pacemaker and defibrillator management
  • Cardiac medication therapy
  • Abdominal reconstruction
  • Ambulatory phlebectomy
  • Appendectomy
  • Breast biopsy
  • Colon cancer surgery
  • Endoscopy
  • Gallbladder removal
  • Hemorrhoidectomy
  • Hernia surgery
  • Sclerotherapy
  • Skin cancer surgery

Programs and centers[4][5][7][8][11][12][13]

  • Intensive Care Unit
  • Transitional Care Services
  • Home Health Care
  • Rapid Care
  • Emergency Department
  • Short Procedure Unit (same-day surgery)
  • Center for Spine and Pain Management
  • Medical Outpatient Clinic and Wound Clinic
  • Coumadin Clinic
  • UPMC Hillman Cancer Center at Punxsutawney Area Hospital
  • Cancer support group
  • Rehabilitation Department

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

Emergency roomYes
Open 24/7Yes

Recognition[10]

  • American College of Radiology accredited mammography suite

Doctors and clinicians (153)

153 doctors and other clinicians list Punxsutawney Area 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 (153)

And 129 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 Punxsutawney Area Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home5 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1079%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well85%National average: 80%
Doctors “always” communicated well87%National average: 80%
Staff “always” explained medicines before giving them69%National average: 62%
Were given information about recovery at home94%National average: 86%
Room and bathroom “always” clean71%National average: 74%
Area around the room “always” quiet at night49%National average: 60%
Completed surveys327Response rate: 34%

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)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.556No different from 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients11.7%
Deaths within 30 days: pneumonia patients19%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.99No 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 attackToo few cases to report
Readmitted within 30 days: heart failure21.9%
Readmitted within 30 days: pneumonia16.5%
Readmitted within 30 days: COPD19.9%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)136 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)60%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 PennsylvaniaBest hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 49 common services exactly as Punxsutawney Area 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 →

$ 1 amount is marked with “!”: it is 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. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RRT PHYS NEW PT LTD 30 MIN $421 $151.56 $66.83 – $168.40
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $110.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $110.66
  • Centene Corporation — PA H and W Medicare: $118.41
  • Geisinger — Geisinger: $157.44
  • Geisinger Health Plan — Geisinger Medicare: $112.87
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $88.50
  • Highmark — Highmark CHIP / Social Mission: $66.83
  • Highmark — Highmark Comm Managed/Indemnity: $88.50
  • Highmark — Highmark MCR Community/Complete Blue: $110.66
  • Highmark — Highmark MCR Freedom Blue: $110.66
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PACU/OP VISIT, NEW PT 30M $421 $151.56 $66.83 – $168.40
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $110.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $110.66
  • Centene Corporation — PA H and W Medicare: $118.41
  • Geisinger — Geisinger: $157.44
  • Geisinger Health Plan — Geisinger Medicare: $112.87
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $88.50
  • Highmark — Highmark CHIP / Social Mission: $66.83
  • Highmark — Highmark Comm Managed/Indemnity: $88.50
  • Highmark — Highmark MCR Community/Complete Blue: $110.66
  • Highmark — Highmark MCR Freedom Blue: $110.66
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RRT PHYS NEW PT LTD 30 MIN $421 $151.56 $51.65 – $421
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $60
  • Centene Corporation — PA H and W Medicaid: $168.40
  • Cigna — Cigna: $250.07
  • PA Workers Compensation — PA Workers Compensation: $421
  • Tricare — Tricare: $421
  • UnitedHealthcare Insurance Company — United CHIP: $59.68
  • UPMC Health Plan — UPMC: $255.15
  • UPMC Health Plan — UPMC CHIP: $51.65
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RRT PHYS NEW PT INT 45 MIN $712 $256.32 $102.09 – $284.80
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $167.43
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $167.43
  • Centene Corporation — PA H and W Medicare: $179.15
  • Geisinger — Geisinger: $238.21
  • Geisinger Health Plan — Geisinger Medicare: $170.78
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $144.13
  • Highmark — Highmark CHIP / Social Mission: $108.81
  • Highmark — Highmark Comm Managed/Indemnity: $144.13
  • Highmark — Highmark MCR Community/Complete Blue: $167.43
  • Highmark — Highmark MCR Freedom Blue: $167.43
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RRT PHYS NEW PT INT 45 MIN $712 $256.32 $60 – $712
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $60
  • Centene Corporation — PA H and W Medicaid: $284.80
  • Cigna — Cigna: $422.93
  • PA Workers Compensation — PA Workers Compensation: $712
  • Tricare — Tricare: $712
  • UnitedHealthcare Insurance Company — United CHIP: $99.41
  • UPMC Health Plan — UPMC: $327.32
  • UPMC Health Plan — UPMC CHIP: $66.26
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RRT PHYS NEW PT INT 45 MIN $712 $291.92 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RRT PHYS NEW PT EXT 60 MIN $925 $333 $136.38 – $370
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $223.66
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $223.66
  • Centene Corporation — PA H and W Medicare: $239.32
  • Geisinger — Geisinger: $318.22
  • Geisinger Health Plan — Geisinger Medicare: $228.14
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $196.14
  • Highmark — Highmark CHIP / Social Mission: $148
  • Highmark — Highmark Comm Managed/Indemnity: $196.14
  • Highmark — Highmark MCR Community/Complete Blue: $223.66
  • Highmark — Highmark MCR Freedom Blue: $223.66
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RRT PHYS NEW PT EXT 60 MIN $925 $333 $60 – $925
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $60
  • Centene Corporation — PA H and W Medicaid: $370
  • Cigna — Cigna: $549.45
  • PA Workers Compensation — PA Workers Compensation: $925
  • Tricare — Tricare: $925
  • UnitedHealthcare Insurance Company — United CHIP: $129.29
  • UPMC Health Plan — UPMC: $399.35
  • UPMC Health Plan — UPMC CHIP: $80.84
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RRT PHYS NEW PT EXT 60 MIN $925 $379.25 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RRT PHYS EST PT LTD 15 MIN $260 $93.60 $53.76 – $127.44
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $89.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $89.57
  • Centene Corporation — PA H and W Medicare: $95.84
  • Geisinger — Geisinger: $127.44
  • Geisinger Health Plan — Geisinger Medicare: $91.36
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $71.16
  • Highmark — Highmark CHIP / Social Mission: $53.76
  • Highmark — Highmark Comm Managed/Indemnity: $71.16
  • Highmark — Highmark MCR Community/Complete Blue: $89.57
  • Highmark — Highmark MCR Freedom Blue: $89.57
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OUTPATIENT VISIT EST LEVEL III $154 $55.44 $53.76 – $127.44
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $89.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $89.57
  • Centene Corporation — PA H and W Medicare: $95.84
  • Geisinger — Geisinger: $127.44
  • Geisinger Health Plan — Geisinger Medicare: $91.36
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $71.16
  • Highmark — Highmark CHIP / Social Mission: $53.76
  • Highmark — Highmark Comm Managed/Indemnity: $71.16
  • Highmark — Highmark MCR Community/Complete Blue: $89.57
  • Highmark — Highmark MCR Freedom Blue: $89.57
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OUTPATIENT CONSULT LEVEL III $169 $60.84 $53.76 – $127.44
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $89.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $89.57
  • Centene Corporation — PA H and W Medicare: $95.84
  • Geisinger — Geisinger: $127.44
  • Geisinger Health Plan — Geisinger Medicare: $91.36
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $71.16
  • Highmark — Highmark CHIP / Social Mission: $53.76
  • Highmark — Highmark Comm Managed/Indemnity: $71.16
  • Highmark — Highmark MCR Community/Complete Blue: $89.57
  • Highmark — Highmark MCR Freedom Blue: $89.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RRT PHYS EST PT INT 25 MIN $399 $143.64 $77.92 – $181.82
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $127.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $127.79
  • Centene Corporation — PA H and W Medicare: $136.74
  • Geisinger — Geisinger: $181.82
  • Geisinger Health Plan — Geisinger Medicare: $130.35
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $104.75
  • Highmark — Highmark CHIP / Social Mission: $79.15
  • Highmark — Highmark Comm Managed/Indemnity: $104.75
  • Highmark — Highmark MCR Community/Complete Blue: $127.79
  • Highmark — Highmark MCR Freedom Blue: $127.79
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OUTPATIENT VISIT EST LEVEL IV $231 $83.16 $77.92 – $181.82
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $127.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $127.79
  • Centene Corporation — PA H and W Medicare: $136.74
  • Geisinger — Geisinger: $181.82
  • Geisinger Health Plan — Geisinger Medicare: $130.35
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $104.75
  • Highmark — Highmark CHIP / Social Mission: $79.15
  • Highmark — Highmark Comm Managed/Indemnity: $104.75
  • Highmark — Highmark MCR Community/Complete Blue: $127.79
  • Highmark — Highmark MCR Freedom Blue: $127.79
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OUTPATIENT CONSULT LEVEL IV $264 $95.04 $77.92 – $181.82
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $127.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $127.79
  • Centene Corporation — PA H and W Medicare: $136.74
  • Geisinger — Geisinger: $181.82
  • Geisinger Health Plan — Geisinger Medicare: $130.35
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $104.75
  • Highmark — Highmark CHIP / Social Mission: $79.15
  • Highmark — Highmark Comm Managed/Indemnity: $104.75
  • Highmark — Highmark MCR Community/Complete Blue: $127.79
  • Highmark — Highmark MCR Freedom Blue: $127.79
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL THREE TECHNICAL $532 $191.52 $38.50 – $532
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna — Aetna: $626.49
  • Aetna Medicare — Aetna Medicare: $283.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $38.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $280.21
  • Centene Corporation — PA H and W Medicaid: $76.48
  • Centene Corporation — PA H and W Medicare: $299.82
  • Cigna — Cigna: $316.01
  • Geisinger — Geisinger: $797.36
  • Geisinger Health Plan — Geisinger CHIP: $74.78
  • Geisinger Health Plan — Geisinger Medicaid: $74.78
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL THREE PROF COMP $200 $72 $38.50 – $200
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • Aetna — Aetna: $626.49
  • Aetna Medicare — Aetna Medicare: $283.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $38.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $280.21
  • Centene Corporation — PA H and W Medicaid: $80
  • Centene Corporation — PA H and W Medicare: $299.82
  • Cigna — Cigna: $118.80
  • Geisinger — Geisinger: $797.36
  • Geisinger Health Plan — Geisinger Medicare: $285.81
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $431.66
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT LEVEL THREE TECHNICAL $532 $191.52 $41 – $212.80
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $67.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $67.25
  • Centene Corporation — PA H and W Medicare: $71.95
  • Cigna — Cigna: $68.99
  • Geisinger — Geisinger: $95.68
  • Geisinger Health Plan — Geisinger Medicare: $68.59
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $89.03
  • Highmark — Highmark CHIP / Social Mission: $58.01
  • Highmark — Highmark Comm Managed/Indemnity: $89.03
  • Highmark — Highmark MCR Community/Complete Blue: $67.25
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL FOUR TECHNICAL $872 $313.92 $55 – $872
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $957.62
  • Aetna Medicare — Aetna Medicare: $432.60
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $428.32
  • Centene Corporation — PA H and W Medicaid: $128.70
  • Centene Corporation — PA H and W Medicare: $458.30
  • Cigna — Cigna: $517.97
  • Geisinger — Geisinger: $1,218.78
  • Geisinger Health Plan — Geisinger CHIP: $125.84
  • Geisinger Health Plan — Geisinger Medicaid: $125.84
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL FOUR PROF COMP $302 $108.72 $55 – $302
Emergency room visit (moderately high): 10 of 28 insurance plan rates
  • Aetna — Aetna: $957.62
  • Aetna Medicare — Aetna Medicare: $432.60
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $428.32
  • Centene Corporation — PA H and W Medicaid: $120.80
  • Centene Corporation — PA H and W Medicare: $458.30
  • Cigna — Cigna: $179.39
  • Geisinger — Geisinger: $1,218.78
  • Geisinger Health Plan — Geisinger Medicare: $436.89
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $651.81
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT LEVEL FOUR TECHNICAL $872 $313.92 $69.82 – $348.80
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $114.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $114.50
  • Centene Corporation — PA H and W Medicare: $122.51
  • Cigna — Cigna: $117.42
  • Geisinger — Geisinger: $162.90
  • Geisinger Health Plan — Geisinger Medicare: $116.79
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $151.90
  • Highmark — Highmark CHIP / Social Mission: $98.98
  • Highmark — Highmark Comm Managed/Indemnity: $151.90
  • Highmark — Highmark MCR Community/Complete Blue: $114.50
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL FIVE TECHNICAL $1,302 $468.72 $55 – $1,302
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,366.75
  • Aetna Medicare — Aetna Medicare: $617.42
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $611.31
  • Centene Corporation — PA H and W Medicaid: $187.30
  • Centene Corporation — PA H and W Medicare: $654.10
  • Cigna — Cigna: $773.39
  • Geisinger — Geisinger: $1,739.50
  • Geisinger Health Plan — Geisinger CHIP: $183.14
  • Geisinger Health Plan — Geisinger Medicaid: $183.14
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER VISIT LEVEL FIVE PROF COMP $444 $159.84 $55 – $444
Emergency room visit (high): 10 of 28 insurance plan rates
  • Aetna — Aetna: $1,366.75
  • Aetna Medicare — Aetna Medicare: $617.42
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $55
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $611.31
  • Centene Corporation — PA H and W Medicaid: $177.60
  • Centene Corporation — PA H and W Medicare: $654.10
  • Cigna — Cigna: $263.74
  • Geisinger — Geisinger: $1,739.50
  • Geisinger Health Plan — Geisinger Medicare: $623.54
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $958.29
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT LEVEL FIVE TECHNICAL $1,302 $468.72 $101.21 – $520.80
Emergency room visit (high): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $165.98
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $165.98
  • Centene Corporation — PA H and W Medicare: $177.60
  • Cigna — Cigna: $170.15
  • Geisinger — Geisinger: $236.15
  • Geisinger Health Plan — Geisinger Medicare: $169.30
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $220.26
  • Highmark — Highmark CHIP / Social Mission: $143.58
  • Highmark — Highmark Comm Managed/Indemnity: $220.26
  • Highmark — Highmark MCR Community/Complete Blue: $165.98

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: BASIC METABOLIC PANEL(PXY 8) $80 $28.80 $7.07 – $80
Basic metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Aetna: $18.61
  • Aetna Medicare — Aetna Medicare: $8.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.36
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.29
  • Centene Corporation — PA H and W Medicaid: $12.64
  • Centene Corporation — PA H and W Medicare: $8.87
  • Cigna — Cigna: $47.52
  • Geisinger — Geisinger: $23.69
  • Geisinger Health Plan — Geisinger CHIP: $12.36
  • Geisinger Health Plan — Geisinger Medicaid: $12.36
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BASIC METABOLIC PANEL(PXY 8) $80 $28.80 $3.48 – $32
Basic metabolic panel (blood test): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $8.29
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.29
  • Centene Corporation — PA H and W Medicare: $8.87
  • Cigna — Cigna: $4.01
  • Geisinger — Geisinger: $11.84
  • Geisinger Health Plan — Geisinger Medicare: $8.46
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $5.49
  • Highmark — Highmark CHIP / Social Mission: $5.49
  • Highmark — Highmark Comm Managed/Indemnity: $5.49
  • Highmark — Highmark MCR Community/Complete Blue: $8.29
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL(PXY 8) $80 $32.80 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $100 $36 $8.82 – $100
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Aetna: $23.23
  • Aetna Medicare — Aetna Medicare: $10.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $11.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $10.35
  • Centene Corporation — PA H and W Medicaid: $15.78
  • Centene Corporation — PA H and W Medicare: $11.07
  • Cigna — Cigna: $59.40
  • Geisinger — Geisinger: $29.57
  • Geisinger Health Plan — Geisinger CHIP: $15.43
  • Geisinger Health Plan — Geisinger Medicaid: $15.43
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $100 $36 $4.35 – $40
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $10.35
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $10.35
  • Centene Corporation — PA H and W Medicare: $11.07
  • Cigna — Cigna: $4.94
  • Geisinger — Geisinger: $14.78
  • Geisinger Health Plan — Geisinger Medicare: $10.56
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $6.86
  • Highmark — Highmark CHIP / Social Mission: $6.86
  • Highmark — Highmark Comm Managed/Indemnity: $6.86
  • Highmark — Highmark MCR Community/Complete Blue: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $100 $41 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE/ BLOOD CHEMISTRY $321 $115.56 $11.19 – $321
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • Aetna — Aetna: $29.46
  • Aetna Medicare — Aetna Medicare: $13.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $14
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $13.12
  • Centene Corporation — PA H and W Medicaid: $18.90
  • Centene Corporation — PA H and W Medicare: $14.04
  • Cigna — Cigna: $190.67
  • Geisinger — Geisinger: $37.49
  • Geisinger Health Plan — Geisinger CHIP: $18.48
  • Geisinger Health Plan — Geisinger Medicaid: $18.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $119 $42.84 $11.19 – $119
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • Aetna — Aetna: $29.46
  • Aetna Medicare — Aetna Medicare: $13.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $14
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $13.12
  • Centene Corporation — PA H and W Medicaid: $18.90
  • Centene Corporation — PA H and W Medicare: $14.04
  • Cigna — Cigna: $70.69
  • Geisinger — Geisinger: $37.49
  • Geisinger Health Plan — Geisinger CHIP: $18.48
  • Geisinger Health Plan — Geisinger Medicaid: $18.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LIPID PROFILE/ BLOOD CHEMISTRY $321 $115.56 $5.51 – $128.40
Cholesterol panel (lipid panel): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $13.12
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $13.12
  • Centene Corporation — PA H and W Medicare: $14.04
  • Cigna — Cigna: $6.33
  • Geisinger — Geisinger: $18.75
  • Geisinger Health Plan — Geisinger Medicare: $13.38
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $8.68
  • Highmark — Highmark CHIP / Social Mission: $8.68
  • Highmark — Highmark Comm Managed/Indemnity: $8.68
  • Highmark — Highmark MCR Community/Complete Blue: $13.12
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $104 $37.44 $7.25 – $104
Kidney function panel: 10 of 34 insurance plan rates
  • Aetna — Aetna: $19.10
  • Aetna Medicare — Aetna Medicare: $8.60
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.60
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.51
  • Centene Corporation — PA H and W Medicaid: $12.96
  • Centene Corporation — PA H and W Medicare: $9.11
  • Cigna — Cigna: $61.78
  • Geisinger — Geisinger: $24.30
  • Geisinger Health Plan — Geisinger CHIP: $12.67
  • Geisinger Health Plan — Geisinger Medicaid: $12.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RENAL FUNCTION PANEL $104 $37.44 $3.57 – $41.60
Kidney function panel: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $8.51
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.51
  • Centene Corporation — PA H and W Medicare: $9.10
  • Cigna — Cigna: $4.17
  • Geisinger — Geisinger: $12.15
  • Geisinger Health Plan — Geisinger Medicare: $8.68
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $5.63
  • Highmark — Highmark CHIP / Social Mission: $5.63
  • Highmark — Highmark Comm Managed/Indemnity: $5.63
  • Highmark — Highmark MCR Community/Complete Blue: $8.51
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $104 $42.64 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC PANEL (A) $66 $23.76 $6.82 – $66
Liver function panel: 10 of 34 insurance plan rates
  • Aetna — Aetna: $17.97
  • Aetna Medicare — Aetna Medicare: $8.09
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $9.03
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.01
  • Centene Corporation — PA H and W Medicaid: $12.19
  • Centene Corporation — PA H and W Medicare: $8.57
  • Cigna — Cigna: $39.20
  • Geisinger — Geisinger: $22.88
  • Geisinger Health Plan — Geisinger CHIP: $11.92
  • Geisinger Health Plan — Geisinger Medicaid: $11.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEPATIC PANEL (A) $66 $23.76 $3.36 – $26.40
Liver function panel: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $8.01
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $8.01
  • Centene Corporation — PA H and W Medicare: $8.57
  • Cigna — Cigna: $3.86
  • Geisinger — Geisinger: $11.44
  • Geisinger Health Plan — Geisinger Medicare: $8.17
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $5.30
  • Highmark — Highmark CHIP / Social Mission: $5.30
  • Highmark — Highmark Comm Managed/Indemnity: $5.30
  • Highmark — Highmark MCR Community/Complete Blue: $8.01
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC PANEL (A) $66 $27.06 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $36 $12.96 $2.45 – $36
Urine test (automated, with microscope): 10 of 34 insurance plan rates
  • Aetna — Aetna: $6.97
  • Aetna Medicare — Aetna Medicare: $3.14
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.11
  • Centene Corporation — PA H and W Medicaid: $4.05
  • Centene Corporation — PA H and W Medicare: $3.33
  • Cigna — Cigna: $21.38
  • Geisinger — Geisinger: $8.88
  • Geisinger Health Plan — Geisinger CHIP: $3.96
  • Geisinger Health Plan — Geisinger Medicaid: $3.96
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS AUTO W/SCOPE $36 $12.96 $1.30 – $14.40
Urine test (automated, with microscope): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $3.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.11
  • Centene Corporation — PA H and W Medicare: $3.32
  • Cigna — Cigna: $1.54
  • Geisinger — Geisinger: $4.44
  • Geisinger Health Plan — Geisinger Medicare: $3.17
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $2.05
  • Highmark — Highmark CHIP / Social Mission: $2.05
  • Highmark — Highmark Comm Managed/Indemnity: $2.05
  • Highmark — Highmark MCR Community/Complete Blue: $3.11
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $36 $14.76 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RHC URINALYSIS NON-AUTOMATED $18 $6.48 $2.91 – $18
Urine test (manual, without microscope): 10 of 34 insurance plan rates
  • Aetna — Aetna: $7.66
  • Aetna Medicare — Aetna Medicare: $3.44
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.57
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.41
  • Centene Corporation — PA H and W Medicaid: $4.82
  • Centene Corporation — PA H and W Medicare: $3.65
  • Cigna — Cigna: $10.69
  • Geisinger — Geisinger: $9.74
  • Geisinger Health Plan — Geisinger CHIP: $4.71
  • Geisinger Health Plan — Geisinger Medicaid: $4.71
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RHC URINALYSIS NON-AUTOMATED $18 $6.48 $1.43 – $7.20
Urine test (manual, without microscope): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $3.41
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $3.41
  • Centene Corporation — PA H and W Medicare: $3.65
  • Cigna — Cigna: $1.70
  • Geisinger — Geisinger: $4.87
  • Geisinger Health Plan — Geisinger Medicare: $3.48
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $2.26
  • Highmark — Highmark CHIP / Social Mission: $2.26
  • Highmark — Highmark Comm Managed/Indemnity: $2.26
  • Highmark — Highmark MCR Community/Complete Blue: $3.41
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RHC URINALYSIS NON-AUTOMATED $18 $7.38 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/O MICRO $25 $9 $1.88 – $25
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Aetna — Aetna: $4.95
  • Aetna Medicare — Aetna Medicare: $2.22
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $3.10
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $2.20
  • Centene Corporation — PA H and W Medicaid: $4.18
  • Centene Corporation — PA H and W Medicare: $2.35
  • Cigna — Cigna: $14.85
  • Geisinger — Geisinger: $6.30
  • Geisinger Health Plan — Geisinger CHIP: $4.09
  • Geisinger Health Plan — Geisinger Medicaid: $4.09
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS W/O MICRO $25 $9 $0.93 – $10
Urine test (automated, without microscope): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $2.21
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $2.21
  • Centene Corporation — PA H and W Medicare: $2.36
  • Cigna — Cigna: $1.08
  • Geisinger — Geisinger: $3.15
  • Geisinger Health Plan — Geisinger Medicare: $2.25
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1.46
  • Highmark — Highmark CHIP / Social Mission: $1.46
  • Highmark — Highmark Comm Managed/Indemnity: $1.46
  • Highmark — Highmark MCR Community/Complete Blue: $2.21
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS W/O MICRO $25 $10.25 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATIC SPEC ANTIGEN/DIAG $360 $129.60 $15.36 – $360
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Aetna — Aetna: $40.46
  • Aetna Medicare — Aetna Medicare: $18.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $24.36
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $18.02
  • Centene Corporation — PA H and W Medicaid: $32.89
  • Centene Corporation — PA H and W Medicare: $19.28
  • Cigna — Cigna: $213.84
  • Geisinger — Geisinger: $51.49
  • Geisinger Health Plan — Geisinger CHIP: $32.16
  • Geisinger Health Plan — Geisinger Medicaid: $32.16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA/TOTAL $158 $56.88 $15.36 – $158
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Aetna — Aetna: $40.46
  • Aetna Medicare — Aetna Medicare: $18.20
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $24.36
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $18.02
  • Centene Corporation — PA H and W Medicaid: $32.89
  • Centene Corporation — PA H and W Medicare: $19.28
  • Cigna — Cigna: $93.85
  • Geisinger — Geisinger: $51.49
  • Geisinger Health Plan — Geisinger CHIP: $32.16
  • Geisinger Health Plan — Geisinger Medicaid: $32.16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROSTATIC SPEC ANTIGEN/DIAG $360 $129.60 $7.57 – $144
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $18.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $18.02
  • Centene Corporation — PA H and W Medicare: $19.28
  • Cigna — Cigna: $8.64
  • Geisinger — Geisinger: $25.75
  • Geisinger Health Plan — Geisinger Medicare: $18.38
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $11.93
  • Highmark — Highmark CHIP / Social Mission: $11.93
  • Highmark — Highmark Comm Managed/Indemnity: $11.93
  • Highmark — Highmark MCR Community/Complete Blue: $18.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $171 $61.56 $14.03 – $171
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Aetna — Aetna: $36.96
  • Aetna Medicare — Aetna Medicare: $16.62
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $23.21
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $16.46
  • Centene Corporation — PA H and W Medicaid: $31.33
  • Centene Corporation — PA H and W Medicare: $17.61
  • Cigna — Cigna: $101.57
  • Geisinger — Geisinger: $47.04
  • Geisinger Health Plan — Geisinger CHIP: $30.64
  • Geisinger Health Plan — Geisinger Medicaid: $30.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TSH $171 $61.56 $6.91 – $68.40
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $16.46
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $16.46
  • Centene Corporation — PA H and W Medicare: $17.62
  • Cigna — Cigna: $7.87
  • Geisinger — Geisinger: $23.52
  • Geisinger Health Plan — Geisinger Medicare: $16.79
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $10.90
  • Highmark — Highmark CHIP / Social Mission: $10.90
  • Highmark — Highmark Comm Managed/Indemnity: $10.90
  • Highmark — Highmark MCR Community/Complete Blue: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH $171 $70.11 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH DIFF $66 $23.76 $6 – $66
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • Aetna — Aetna: $17.09
  • Aetna Medicare — Aetna Medicare: $7.69
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $6
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $7.61
  • Centene Corporation — PA H and W Medicaid: $8.10
  • Centene Corporation — PA H and W Medicare: $8.14
  • Cigna — Cigna: $39.20
  • Geisinger — Geisinger: $21.76
  • Geisinger Health Plan — Geisinger CHIP: $7.92
  • Geisinger Health Plan — Geisinger Medicaid: $7.92
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC WITH DIFF $66 $23.76 $3.20 – $26.40
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $7.61
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $7.61
  • Centene Corporation — PA H and W Medicare: $8.15
  • Cigna — Cigna: $3.70
  • Geisinger — Geisinger: $10.88
  • Geisinger Health Plan — Geisinger Medicare: $7.77
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $5.04
  • Highmark — Highmark CHIP / Social Mission: $5.04
  • Highmark — Highmark Comm Managed/Indemnity: $5.04
  • Highmark — Highmark MCR Community/Complete Blue: $7.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC WITH DIFF $66 $27.06 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC without DIFF $81 $29.16 $4.70 – $81
Complete blood count (CBC), automated: 10 of 34 insurance plan rates
  • Aetna — Aetna: $14.23
  • Aetna Medicare — Aetna Medicare: $6.40
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.52
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $6.34
  • Centene Corporation — PA H and W Medicaid: $10.15
  • Centene Corporation — PA H and W Medicare: $6.78
  • Cigna — Cigna: $48.11
  • Geisinger — Geisinger: $18.12
  • Geisinger Health Plan — Geisinger CHIP: $9.93
  • Geisinger Health Plan — Geisinger Medicaid: $9.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC without DIFF $81 $29.16 $2.66 – $32.40
Complete blood count (CBC), automated: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $6.34
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $6.34
  • Centene Corporation — PA H and W Medicare: $6.78
  • Cigna — Cigna: $3.09
  • Geisinger — Geisinger: $9.06
  • Geisinger Health Plan — Geisinger Medicare: $6.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $4.20
  • Highmark — Highmark CHIP / Social Mission: $4.20
  • Highmark — Highmark Comm Managed/Indemnity: $4.20
  • Highmark — Highmark MCR Community/Complete Blue: $6.34
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC without DIFF $81 $33.21 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION CHECK $25 $9 $2.32 – $25
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Aetna: $9.44
  • Aetna Medicare — Aetna Medicare: $4.24
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $4
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $4.20
  • Centene Corporation — PA H and W Medicaid: $5.40
  • Centene Corporation — PA H and W Medicare: $4.49
  • Cigna — Cigna: $14.85
  • Geisinger — Geisinger: $12.01
  • Geisinger Health Plan — Geisinger CHIP: $5.28
  • Geisinger Health Plan — Geisinger Medicaid: $5.28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME W/INR $26 $9.36 $2.32 – $26
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Aetna: $9.44
  • Aetna Medicare — Aetna Medicare: $4.24
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $4
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $4.20
  • Centene Corporation — PA H and W Medicaid: $5.40
  • Centene Corporation — PA H and W Medicare: $4.49
  • Cigna — Cigna: $15.44
  • Geisinger — Geisinger: $12.01
  • Geisinger Health Plan — Geisinger CHIP: $5.28
  • Geisinger Health Plan — Geisinger Medicaid: $5.28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $26 $9.36 $2.32 – $26
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Aetna: $9.44
  • Aetna Medicare — Aetna Medicare: $4.24
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $4
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $4.20
  • Centene Corporation — PA H and W Medicaid: $5.40
  • Centene Corporation — PA H and W Medicare: $4.49
  • Cigna — Cigna: $15.44
  • Geisinger — Geisinger: $12.01
  • Geisinger Health Plan — Geisinger CHIP: $5.28
  • Geisinger Health Plan — Geisinger Medicaid: $5.28
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBIN TIME PLASMA $55 $19.80 $4.52 – $55
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Aetna — Aetna: $13.22
  • Aetna Medicare — Aetna Medicare: $5.95
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $5.89
  • Centene Corporation — PA H and W Medicaid: $10.13
  • Centene Corporation — PA H and W Medicare: $6.30
  • Cigna — Cigna: $32.67
  • Geisinger — Geisinger: $16.83
  • Geisinger Health Plan — Geisinger CHIP: $9.90
  • Geisinger Health Plan — Geisinger Medicaid: $9.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $37 $13.32 $4.52 – $37
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Aetna — Aetna: $13.22
  • Aetna Medicare — Aetna Medicare: $5.95
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $7.50
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $5.89
  • Centene Corporation — PA H and W Medicaid: $10.13
  • Centene Corporation — PA H and W Medicare: $6.30
  • Cigna — Cigna: $21.98
  • Geisinger — Geisinger: $16.83
  • Geisinger Health Plan — Geisinger CHIP: $9.90
  • Geisinger Health Plan — Geisinger Medicaid: $9.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: THROMBIN TIME PLASMA $55 $19.80 $2.47 – $22
Blood clotting test (partial thromboplastin time, PTT): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $5.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $5.89
  • Centene Corporation — PA H and W Medicare: $6.30
  • Cigna — Cigna: $2.78
  • Geisinger — Geisinger: $8.41
  • Geisinger Health Plan — Geisinger Medicare: $6.01
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $3.90
  • Highmark — Highmark CHIP / Social Mission: $3.90
  • Highmark — Highmark Comm Managed/Indemnity: $3.90
  • Highmark — Highmark MCR Community/Complete Blue: $5.89

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: CT HEAD W/O CONTRAST 70450 $761 $273.96 $85.25 – $761
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $239.93
  • Aetna Medicare — Aetna Medicare: $108.39
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $85.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $107.32
  • Centene Corporation — PA H and W Medicaid: $104.63
  • Centene Corporation — PA H and W Medicare: $114.83
  • Cigna — Cigna: $452.03
  • Geisinger — Geisinger: $305.37
  • Geisinger Health Plan — Geisinger CHIP: $102.30
  • Geisinger Health Plan — Geisinger Medicaid: $102.30
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT HEAD W/O CONTRAST 70450 $761 $273.96 $60.08 – $304.40
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $98.54
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $98.54
  • Centene Corporation — PA H and W Medicare: $105.44
  • Cigna — Cigna: $102.66
  • Geisinger — Geisinger: $140.20
  • Geisinger Health Plan — Geisinger Medicare: $100.51
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $133.51
  • Highmark — Highmark CHIP / Social Mission: $86.05
  • Highmark — Highmark Comm Managed/Indemnity: $133.51
  • Highmark — Highmark MCR Community/Complete Blue: $98.54
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST 70450 $761 $312.01 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN INC STEM W/WO 70553 $3,532 $1,271.52 $295.90 – $3,532
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $800.67
  • Aetna Medicare — Aetna Medicare: $361.70
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $295.90
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $358.12
  • Centene Corporation — PA H and W Medicaid: $363.15
  • Centene Corporation — PA H and W Medicare: $383.19
  • Cigna — Cigna: $2,098.01
  • Geisinger — Geisinger: $1,019.03
  • Geisinger Health Plan — Geisinger CHIP: $355.08
  • Geisinger Health Plan — Geisinger Medicaid: $355.08
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI BRAIN INC STEM W/WO 70553 $3,532 $1,271.52 $178.34 – $1,412.80
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $292.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $292.47
  • Centene Corporation — PA H and W Medicare: $312.95
  • Cigna — Cigna: $308.58
  • Geisinger — Geisinger: $416.12
  • Geisinger Health Plan — Geisinger Medicare: $298.32
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $398.88
  • Highmark — Highmark CHIP / Social Mission: $256.58
  • Highmark — Highmark Comm Managed/Indemnity: $398.88
  • Highmark — Highmark MCR Community/Complete Blue: $292.47
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN INC STEM W/WO 70553 $3,532 $1,448.12 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $436 $156.96 $16.34 – $436
Chest X-ray, 2 views: 10 of 34 insurance plan rates
  • Aetna — Aetna: $199.72
  • Aetna Medicare — Aetna Medicare: $90.22
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $16.34
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $89.33
  • Centene Corporation — PA H and W Medicaid: $20.05
  • Centene Corporation — PA H and W Medicare: $95.58
  • Cigna — Cigna: $258.98
  • Geisinger — Geisinger: $254.18
  • Geisinger Health Plan — Geisinger CHIP: $19.60
  • Geisinger Health Plan — Geisinger Medicaid: $19.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHEST 2 VIEWS $436 $156.96 $18.57 – $174.40
Chest X-ray, 2 views: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $30.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $30.45
  • Centene Corporation — PA H and W Medicare: $32.59
  • Cigna — Cigna: $31.70
  • Geisinger — Geisinger: $43.33
  • Geisinger Health Plan — Geisinger Medicare: $31.06
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $40.12
  • Highmark — Highmark CHIP / Social Mission: $32.10
  • Highmark — Highmark Comm Managed/Indemnity: $40.12
  • Highmark — Highmark MCR Community/Complete Blue: $30.45
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $436 $178.76 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBOSACRAL SPINE/ MIN 4 VIEWS $527 $189.72 $24.75 – $527
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates
  • Aetna — Aetna: $239.93
  • Aetna Medicare — Aetna Medicare: $108.39
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $24.75
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $107.32
  • Centene Corporation — PA H and W Medicaid: $30.38
  • Centene Corporation — PA H and W Medicare: $114.83
  • Cigna — Cigna: $313.04
  • Geisinger — Geisinger: $305.37
  • Geisinger Health Plan — Geisinger CHIP: $29.70
  • Geisinger Health Plan — Geisinger Medicaid: $29.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LUMBOSACRAL SPINE/ MIN 4 VIEWS $527 $189.72 $29.86 – $210.80
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $48.97
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $48.97
  • Centene Corporation — PA H and W Medicare: $52.40
  • Cigna — Cigna: $48.77
  • Geisinger — Geisinger: $69.68
  • Geisinger Health Plan — Geisinger Medicare: $49.95
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $61.97
  • Highmark — Highmark CHIP / Social Mission: $41.01
  • Highmark — Highmark Comm Managed/Indemnity: $61.97
  • Highmark — Highmark MCR Community/Complete Blue: $48.97
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBOSACRAL SPINE/ MIN 4 VIEWS $527 $216.07 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/0 CON 72148 $1,726 $621.36 $205.92 – $1,726
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $547.60
  • Aetna Medicare — Aetna Medicare: $247.38
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $205.92
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $244.93
  • Centene Corporation — PA H and W Medicaid: $252.72
  • Centene Corporation — PA H and W Medicare: $262.08
  • Cigna — Cigna: $1,025.24
  • Geisinger — Geisinger: $696.95
  • Geisinger Health Plan — Geisinger CHIP: $247.10
  • Geisinger Health Plan — Geisinger Medicaid: $247.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/0 CON 72148 $1,726 $621.36 $108.02 – $690.40
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $177.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $177.15
  • Centene Corporation — PA H and W Medicare: $189.55
  • Cigna — Cigna: $185.65
  • Geisinger — Geisinger: $252.04
  • Geisinger Health Plan — Geisinger Medicare: $180.69
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $239.08
  • Highmark — Highmark CHIP / Social Mission: $154.01
  • Highmark — Highmark Comm Managed/Indemnity: $239.08
  • Highmark — Highmark MCR Community/Complete Blue: $177.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/0 CON 72148 $1,726 $707.66 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST 72193 $1,488 $535.68 $95.15 – $1,488
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $402.56
  • Aetna Medicare — Aetna Medicare: $181.85
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $95.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $180.05
  • Centene Corporation — PA H and W Medicaid: $116.78
  • Centene Corporation — PA H and W Medicare: $192.65
  • Cigna — Cigna: $883.87
  • Geisinger — Geisinger: $512.34
  • Geisinger Health Plan — Geisinger CHIP: $114.18
  • Geisinger Health Plan — Geisinger Medicaid: $114.18
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS W/CONTRAST 72193 $1,488 $535.68 $126.27 – $595.20
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $207.08
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $207.08
  • Centene Corporation — PA H and W Medicare: $221.58
  • Cigna — Cigna: $220.36
  • Geisinger — Geisinger: $294.63
  • Geisinger Health Plan — Geisinger Medicare: $211.22
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $283.45
  • Highmark — Highmark CHIP / Social Mission: $181.38
  • Highmark — Highmark Comm Managed/Indemnity: $283.45
  • Highmark — Highmark MCR Community/Complete Blue: $207.08
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST 72193 $1,488 $610.08 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI ANY JT LOW EXT W/O 73721LT $1,663 $598.68 $226.04 – $1,663
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $547.60
  • Aetna Medicare — Aetna Medicare: $247.38
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $295.90
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $244.93
  • Centene Corporation — PA H and W Medicaid: $363.15
  • Centene Corporation — PA H and W Medicare: $262.08
  • Cigna — Cigna: $987.82
  • Geisinger — Geisinger: $696.95
  • Geisinger Health Plan — Geisinger CHIP: $355.08
  • Geisinger Health Plan — Geisinger Medicaid: $355.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI ANY JT LOW EXT W/O 73721RT $1,663 $598.68 $226.04 – $1,663
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $547.60
  • Aetna Medicare — Aetna Medicare: $247.38
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $295.90
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $244.93
  • Centene Corporation — PA H and W Medicaid: $363.15
  • Centene Corporation — PA H and W Medicare: $262.08
  • Cigna — Cigna: $987.82
  • Geisinger — Geisinger: $696.95
  • Geisinger Health Plan — Geisinger CHIP: $355.08
  • Geisinger Health Plan — Geisinger Medicaid: $355.08
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: MRI ANY JT LOW EXT W/O 73721LT $288 $103.68 $171.07 – $300.07
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $691.52
  • Aetna Medicare — Aetna Medicare: $313.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $288
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $244.93
  • Centene Corporation — PA H and W Medicaid: $288
  • Centene Corporation — PA H and W Medicare: $262.08
  • Cigna — Cigna: $171.07
  • Geisinger — Geisinger: $696.95
  • Geisinger Health Plan — Geisinger CHIP: $288
  • Geisinger Health Plan — Geisinger Medicaid: $288
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W CONT 74177 $3,661 $1,317.96 $212 – $3,661
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $800.67
  • Aetna Medicare — Aetna Medicare: $361.70
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $212
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $358.12
  • Centene Corporation — PA H and W Medicaid: $260.19
  • Centene Corporation — PA H and W Medicare: $383.19
  • Cigna — Cigna: $2,174.63
  • Geisinger — Geisinger: $1,019.03
  • Geisinger Health Plan — Geisinger CHIP: $254.40
  • Geisinger Health Plan — Geisinger Medicaid: $254.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT ABD & PELVIS W CONT 74177 $3,661 $1,317.96 $168.37 – $1,464.40
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $276.13
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $276.13
  • Centene Corporation — PA H and W Medicare: $295.46
  • Cigna — Cigna: $292.62
  • Geisinger — Geisinger: $392.87
  • Geisinger Health Plan — Geisinger Medicare: $281.65
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $377.52
  • Highmark — Highmark CHIP / Social Mission: $242.13
  • Highmark — Highmark Comm Managed/Indemnity: $377.52
  • Highmark — Highmark MCR Community/Complete Blue: $276.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W CONT 74177 $3,661 $1,501.01 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABD COMP*LIVER SPLN GB PA $527 $189.72 $63.25 – $527
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates
  • Aetna — Aetna: $239.93
  • Aetna Medicare — Aetna Medicare: $108.39
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $63.25
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $107.32
  • Centene Corporation — PA H and W Medicaid: $77.63
  • Centene Corporation — PA H and W Medicare: $114.83
  • Cigna — Cigna: $313.04
  • Geisinger — Geisinger: $305.37
  • Geisinger Health Plan — Geisinger CHIP: $75.90
  • Geisinger Health Plan — Geisinger Medicaid: $75.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ABD COMP*LIVER SPLN GB PA $527 $189.72 $64.25 – $210.80
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $105.37
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $105.37
  • Centene Corporation — PA H and W Medicare: $112.74
  • Cigna — Cigna: $109.66
  • Geisinger — Geisinger: $149.91
  • Geisinger Health Plan — Geisinger Medicare: $107.47
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $142.13
  • Highmark — Highmark CHIP / Social Mission: $91.42
  • Highmark — Highmark Comm Managed/Indemnity: $142.13
  • Highmark — Highmark MCR Community/Complete Blue: $105.37
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABD COMP*LIVER SPLN GB PA $527 $216.07 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREGNANCY COMPLETE $527 $189.72 $51.15 – $527
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • Aetna — Aetna: $239.93
  • Aetna Medicare — Aetna Medicare: $108.39
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $51.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $107.32
  • Centene Corporation — PA H and W Medicaid: $62.77
  • Centene Corporation — PA H and W Medicare: $114.83
  • Cigna — Cigna: $313.04
  • Geisinger — Geisinger: $305.37
  • Geisinger Health Plan — Geisinger CHIP: $61.38
  • Geisinger Health Plan — Geisinger Medicaid: $61.38
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREGNANCY COMPLETE $527 $189.72 $76.51 – $210.80
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $125.47
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $125.47
  • Centene Corporation — PA H and W Medicare: $134.25
  • Cigna — Cigna: $127.99
  • Geisinger — Geisinger: $178.51
  • Geisinger Health Plan — Geisinger Medicare: $127.98
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $159.69
  • Highmark — Highmark CHIP / Social Mission: $106.31
  • Highmark — Highmark Comm Managed/Indemnity: $159.69
  • Highmark — Highmark MCR Community/Complete Blue: $125.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREGNANCY COMPLETE $527 $216.07 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL/PELVIS ULTRASOUND $629 $226.44 $51.15 – $629
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — Aetna: $239.93
  • Aetna Medicare — Aetna Medicare: $108.39
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $51.15
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $107.32
  • Centene Corporation — PA H and W Medicaid: $62.77
  • Centene Corporation — PA H and W Medicare: $114.83
  • Cigna — Cigna: $373.63
  • Geisinger — Geisinger: $305.37
  • Geisinger Health Plan — Geisinger CHIP: $61.38
  • Geisinger Health Plan — Geisinger Medicaid: $61.38
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TRANSVAGINAL/PELVIS ULTRASOUND $629 $226.44 $65.89 – $251.60
Transvaginal ultrasound: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $108.06
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $108.06
  • Centene Corporation — PA H and W Medicare: $115.63
  • Cigna — Cigna: $112.14
  • Geisinger — Geisinger: $153.75
  • Geisinger Health Plan — Geisinger Medicare: $110.22
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $145.01
  • Highmark — Highmark CHIP / Social Mission: $92.99
  • Highmark — Highmark Comm Managed/Indemnity: $145.01
  • Highmark — Highmark MCR Community/Complete Blue: $108.06
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TRANSVAGINAL/PELVIS ULTRASOUND $629 $257.89 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: TC MAMMO UNILAT LT ALL VIEW $711 $255.96 $70.97 – $711
Diagnostic mammogram, one breast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $174.06
  • Aetna Medicare — Aetna Medicare: $78.63
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $77.85
  • Centene Corporation — PA H and W Medicaid: $95.86
  • Centene Corporation — PA H and W Medicare: $83.30
  • Cigna — Cigna: $422.33
  • Geisinger — Geisinger: $221.54
  • Geisinger Health Plan — Geisinger CHIP: $93.73
  • Geisinger Health Plan — Geisinger Medicaid: $93.73
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: TC MAMMO UNILAT RT ALL VIEWS $711 $255.96 $70.97 – $711
Diagnostic mammogram, one breast: 10 of 34 insurance plan rates
  • Aetna — Aetna: $174.06
  • Aetna Medicare — Aetna Medicare: $78.63
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $77.85
  • Centene Corporation — PA H and W Medicaid: $95.86
  • Centene Corporation — PA H and W Medicare: $83.30
  • Cigna — Cigna: $422.33
  • Geisinger — Geisinger: $221.54
  • Geisinger Health Plan — Geisinger CHIP: $93.73
  • Geisinger Health Plan — Geisinger Medicaid: $93.73
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: PC MAMMO UNILAT LT ALL VIEWS $98 $35.28 $34.30 – $221.54
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $174.06
  • Aetna Medicare — Aetna Medicare: $78.63
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $78.11
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $77.85
  • Centene Corporation — PA H and W Medicaid: $95.86
  • Centene Corporation — PA H and W Medicare: $83.30
  • Cigna — Cigna: $58.21
  • Geisinger — Geisinger: $221.54
  • Geisinger Health Plan — Geisinger CHIP: $93.73
  • Geisinger Health Plan — Geisinger Medicaid: $93.73
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TC MAMMO BIL ALL VIEWS $901 $324.36 $72 – $901
Diagnostic mammogram, both breasts: 10 of 34 insurance plan rates
  • Aetna — Aetna: $223.32
  • Aetna Medicare — Aetna Medicare: $100.89
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $99.91
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $99.89
  • Centene Corporation — PA H and W Medicaid: $122.62
  • Centene Corporation — PA H and W Medicare: $106.88
  • Cigna — Cigna: $535.19
  • Geisinger — Geisinger: $284.23
  • Geisinger Health Plan — Geisinger CHIP: $119.90
  • Geisinger Health Plan — Geisinger Medicaid: $119.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TC MAMMO BIL ALL VIEWS $901 $324.36 $88.12 – $360.40
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $144.52
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $144.52
  • Centene Corporation — PA H and W Medicare: $154.64
  • Cigna — Cigna: $149.31
  • Geisinger — Geisinger: $205.62
  • Geisinger Health Plan — Geisinger Medicare: $147.41
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $186.70
  • Highmark — Highmark CHIP / Social Mission: $125.28
  • Highmark — Highmark Comm Managed/Indemnity: $186.70
  • Highmark — Highmark MCR Community/Complete Blue: $144.52
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TC MAMMO BIL ALL VIEWS $901 $369.41 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TC MAMMO DIG SREEN BIL ALL V $776 $279.36 $72 – $776
Screening mammogram, both breasts: 10 of 34 insurance plan rates
  • Aetna — Aetna: $184.18
  • Aetna Medicare — Aetna Medicare: $82.87
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $82.52
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $82.05
  • Centene Corporation — PA H and W Medicaid: $101.28
  • Centene Corporation — PA H and W Medicare: $87.79
  • Cigna — Cigna: $460.94
  • Geisinger — Geisinger: $234.42
  • Geisinger Health Plan — Geisinger CHIP: $99.03
  • Geisinger Health Plan — Geisinger Medicaid: $99.03
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TC MAMMO DIG SREEN BIL ALL V $776 $279.36 $70.78 – $310.40
Screening mammogram, both breasts: 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $115.61
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $115.61
  • Centene Corporation — PA H and W Medicare: $123.70
  • Cigna — Cigna: $120.34
  • Geisinger — Geisinger: $165.16
  • Geisinger Health Plan — Geisinger Medicare: $117.92
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $151.32
  • Highmark — Highmark CHIP / Social Mission: $101.43
  • Highmark — Highmark Comm Managed/Indemnity: $151.32
  • Highmark — Highmark MCR Community/Complete Blue: $115.61
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TC MAMMO DIG SREEN BIL ALL V $776 $318.16 Not listed in the file

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 · modifier GP In the file: THERAPEUTIC EXERC EACH 15 MIN $99 $35.64 $9.22 – $99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Aetna: $61.42
  • Aetna Medicare — Aetna Medicare: $27.74
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $27.47
  • Centene Corporation — PA H and W Medicaid: $39.60
  • Centene Corporation — PA H and W Medicare: $29.39
  • Cigna — Cigna: $58.81
  • Geisinger Health Plan — Geisinger Medicare: $28.02
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $68.50
  • Highmark — Highmark CHIP / Social Mission: $40.61
  • Highmark — Highmark Comm Managed/Indemnity: $74.45
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXERC EA 15M W/CQ MOD $99 $35.64 $9.22 – $99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Aetna: $61.42
  • Aetna Medicare — Aetna Medicare: $27.74
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $27.47
  • Centene Corporation — PA H and W Medicaid: $39.60
  • Centene Corporation — PA H and W Medicare: $29.39
  • Cigna — Cigna: $58.81
  • Geisinger Health Plan — Geisinger Medicare: $28.02
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $68.50
  • Highmark — Highmark CHIP / Social Mission: $40.61
  • Highmark — Highmark Comm Managed/Indemnity: $74.45
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISE EA 15 MIN $99 $35.64 $9.22 – $99
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Aetna: $61.42
  • Aetna Medicare — Aetna Medicare: $27.74
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $27.47
  • Centene Corporation — PA H and W Medicaid: $39.60
  • Centene Corporation — PA H and W Medicare: $29.39
  • Cigna — Cigna: $58.81
  • Geisinger Health Plan — Geisinger Medicare: $28.02
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $68.50
  • Highmark — Highmark CHIP / Social Mission: $40.61
  • Highmark — Highmark Comm Managed/Indemnity: $74.45
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $439 $158.04 $69.97 – $439
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • Aetna — Aetna: $207.61
  • Aetna Medicare — Aetna Medicare: $93.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $69.97
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.86
  • Centene Corporation — PA H and W Medicaid: $85.87
  • Centene Corporation — PA H and W Medicare: $99.36
  • Cigna — Cigna: $260.77
  • Geisinger — Geisinger: $264.24
  • Geisinger Health Plan — Geisinger CHIP: $83.97
  • Geisinger Health Plan — Geisinger Medicaid: $83.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $439 $158.04 $56.44 – $175.60
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $92.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.56
  • Centene Corporation — PA H and W Medicare: $99.04
  • Cigna — Cigna: $96.62
  • Geisinger — Geisinger: $131.70
  • Geisinger Health Plan — Geisinger Medicare: $94.42
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $88.37
  • Highmark — Highmark CHIP / Social Mission: $81.76
  • Highmark — Highmark Comm Managed/Indemnity: $88.37
  • Highmark — Highmark MCR Community/Complete Blue: $92.56
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $439 $179.99 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $439 $158.04 $27.86 – $439
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • Aetna — Aetna: $207.61
  • Aetna Medicare — Aetna Medicare: $93.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $69.97
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.86
  • Centene Corporation — PA H and W Medicaid: $85.87
  • Centene Corporation — PA H and W Medicare: $99.36
  • Cigna — Cigna: $260.77
  • Geisinger — Geisinger: $264.24
  • Geisinger Health Plan — Geisinger CHIP: $83.97
  • Geisinger Health Plan — Geisinger Medicaid: $83.97
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $439 $158.04 $56.44 – $175.60
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $92.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.56
  • Centene Corporation — PA H and W Medicare: $99.04
  • Cigna — Cigna: $96.62
  • Geisinger — Geisinger: $131.70
  • Geisinger Health Plan — Geisinger Medicare: $94.42
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $88.37
  • Highmark — Highmark CHIP / Social Mission: $81.76
  • Highmark — Highmark Comm Managed/Indemnity: $88.37
  • Highmark — Highmark MCR Community/Complete Blue: $92.56
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $439 $179.99 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $406 $146.16 $69.97 – $406
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • Aetna — Aetna: $207.61
  • Aetna Medicare — Aetna Medicare: $93.79
  • AmeriHealth Caritas — AmeriHealth Caritas Medicaid: $69.97
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.86
  • Centene Corporation — PA H and W Medicaid: $85.87
  • Centene Corporation — PA H and W Medicare: $99.36
  • Cigna — Cigna: $241.16
  • Geisinger — Geisinger: $264.24
  • Geisinger Health Plan — Geisinger CHIP: $83.97
  • Geisinger Health Plan — Geisinger Medicaid: $83.97
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $406 $146.16 $56.44 – $162.40
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $92.56
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $92.56
  • Centene Corporation — PA H and W Medicare: $99.04
  • Cigna — Cigna: $96.62
  • Geisinger — Geisinger: $131.70
  • Geisinger Health Plan — Geisinger Medicare: $94.42
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $88.37
  • Highmark — Highmark CHIP / Social Mission: $81.76
  • Highmark — Highmark Comm Managed/Indemnity: $88.37
  • Highmark — Highmark MCR Community/Complete Blue: $92.56
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $406 $166.46 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY - 30 MIN TC $335 $120.60 $28.60 – $335
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates
  • Aetna — Aetna: $407.35
  • Aetna Medicare — Aetna Medicare: $184.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $182.20
  • Centene Corporation — PA H and W Medicaid: $134
  • Centene Corporation — PA H and W Medicare: $194.95
  • Cigna — Cigna: $198.99
  • Geisinger — Geisinger: $518.45
  • Geisinger Health Plan — Geisinger Medicare: $185.84
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $723.03
  • Highmark — Highmark CHIP / Social Mission: $242.62
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY - 30 MINS PF $153 $55.08 $28.60 – $153
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates
  • Aetna — Aetna: $407.35
  • Aetna Medicare — Aetna Medicare: $184.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $182.20
  • Centene Corporation — PA H and W Medicaid: $61.20
  • Centene Corporation — PA H and W Medicare: $194.95
  • Cigna — Cigna: $90.88
  • Geisinger — Geisinger: $518.45
  • Geisinger Health Plan — Geisinger Medicare: $185.84
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $330.22
  • Highmark — Highmark CHIP / Social Mission: $242.62
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INDIV THERAPY - 30 MIN TC $335 $120.60 $50.47 – $134
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $82.77
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $82.77
  • Centene Corporation — PA H and W Medicare: $88.57
  • Geisinger — Geisinger: $117.77
  • Geisinger Health Plan — Geisinger Medicare: $84.43
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $82.99
  • Highmark — Highmark CHIP / Social Mission: $59.06
  • Highmark — Highmark Comm Managed/Indemnity: $82.99
  • Highmark — Highmark MCR Community/Complete Blue: $82.77
  • Highmark — Highmark MCR Freedom Blue: $82.77
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY 45 MINS TC $380 $136.80 $42.90 – $380
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • Aetna — Aetna: $407.35
  • Aetna Medicare — Aetna Medicare: $184.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $182.20
  • Centene Corporation — PA H and W Medicaid: $152
  • Centene Corporation — PA H and W Medicare: $194.95
  • Cigna — Cigna: $225.72
  • Geisinger — Geisinger: $518.45
  • Geisinger Health Plan — Geisinger Medicare: $185.84
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $820.15
  • Highmark — Highmark CHIP / Social Mission: $242.62
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY 45 MIN PF $304 $109.44 $42.90 – $304
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • Aetna — Aetna: $407.35
  • Aetna Medicare — Aetna Medicare: $184.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $182.20
  • Centene Corporation — PA H and W Medicaid: $121.60
  • Centene Corporation — PA H and W Medicare: $194.95
  • Cigna — Cigna: $180.58
  • Geisinger — Geisinger: $518.45
  • Geisinger Health Plan — Geisinger Medicare: $185.84
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $656.12
  • Highmark — Highmark CHIP / Social Mission: $242.62
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INDIV THERAPY 45 MINS TC $380 $136.80 $66.95 – $156.23
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $109.80
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $109.80
  • Centene Corporation — PA H and W Medicare: $117.49
  • Geisinger — Geisinger: $156.23
  • Geisinger Health Plan — Geisinger Medicare: $112
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $109.49
  • Highmark — Highmark CHIP / Social Mission: $77.91
  • Highmark — Highmark Comm Managed/Indemnity: $109.49
  • Highmark — Highmark MCR Community/Complete Blue: $109.80
  • Highmark — Highmark MCR Freedom Blue: $109.80
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY - 60 MINS TC $477 $171.72 $57.20 – $477
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — Aetna: $407.35
  • Aetna Medicare — Aetna Medicare: $184.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $182.20
  • Centene Corporation — PA H and W Medicaid: $190.80
  • Centene Corporation — PA H and W Medicare: $194.95
  • Cigna — Cigna: $283.34
  • Geisinger — Geisinger: $518.45
  • Geisinger Health Plan — Geisinger Medicare: $185.84
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $1,029.51
  • Highmark — Highmark CHIP / Social Mission: $242.62
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY - 60 MINS PF $359 $129.24 $57.20 – $359
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — Aetna: $407.35
  • Aetna Medicare — Aetna Medicare: $184.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $182.20
  • Centene Corporation — PA H and W Medicaid: $143.60
  • Centene Corporation — PA H and W Medicare: $194.95
  • Cigna — Cigna: $213.25
  • Geisinger — Geisinger: $518.45
  • Geisinger Health Plan — Geisinger Medicare: $185.84
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $774.83
  • Highmark — Highmark CHIP / Social Mission: $242.62
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIV THERAPY 60 MIN PF $359 $129.24 $57.20 – $359
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — Aetna: $407.35
  • Aetna Medicare — Aetna Medicare: $184.02
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $182.20
  • Centene Corporation — PA H and W Medicaid: $143.60
  • Centene Corporation — PA H and W Medicare: $194.95
  • Cigna — Cigna: $213.25
  • Geisinger — Geisinger: $518.45
  • Geisinger Health Plan — Geisinger Medicare: $185.84
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $774.83
  • Highmark — Highmark CHIP / Social Mission: $242.62
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY - 60 MINS 2ND TC $276 $99.36 $33 – $276
Group psychotherapy: 10 of 27 insurance plan rates
  • Aetna — Aetna: $233.16
  • Aetna Medicare — Aetna Medicare: $105.32
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $104.28
  • Centene Corporation — PA H and W Medicaid: $110.40
  • Centene Corporation — PA H and W Medicare: $111.58
  • Cigna — Cigna: $163.94
  • Geisinger — Geisinger: $296.74
  • Geisinger Health Plan — Geisinger Medicare: $106.37
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $595.69
  • Highmark — Highmark CHIP / Social Mission: $138.87
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY - 60 MINS 2ND PF $96 $34.56 $33 – $96
Group psychotherapy: 10 of 27 insurance plan rates
  • Aetna — Aetna: $233.16
  • Aetna Medicare — Aetna Medicare: $105.32
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $104.28
  • Centene Corporation — PA H and W Medicaid: $38.40
  • Centene Corporation — PA H and W Medicare: $111.58
  • Cigna — Cigna: $57.02
  • Geisinger — Geisinger: $296.74
  • Geisinger Health Plan — Geisinger Medicare: $106.37
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $207.20
  • Highmark — Highmark CHIP / Social Mission: $138.87
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP THERAPY - 60 MINS 2ND TC $276 $99.36 $17.85 – $110.40
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $29.27
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $29.27
  • Centene Corporation — PA H and W Medicare: $31.32
  • Geisinger — Geisinger: $41.65
  • Geisinger Health Plan — Geisinger Medicare: $29.86
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $29.22
  • Highmark — Highmark CHIP / Social Mission: $20.79
  • Highmark — Highmark Comm Managed/Indemnity: $29.22
  • Highmark — Highmark MCR Community/Complete Blue: $29.27
  • Highmark — Highmark MCR Freedom Blue: $29.27

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 $760 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $172,800.61
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates
  • Aetna — Aetna: $102,719.40
  • Aetna Medicare — Aetna Medicare: $106,933.84
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $105,875.09
  • Centene Corporation — PA H and W Medicare: $113,286.35
  • Cigna — Cigna: $74,723.37
  • Geisinger — Geisinger: $172,800.61
  • Geisinger Health Plan — Geisinger Medicare: $107,992.59
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $77,554.86
  • Highmark — Highmark CHIP / Social Mission: $79,790.57
  • Highmark — Highmark Comm Managed/Indemnity: $84,298.74
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $760 – $79,728.89
Spinal fusion (not neck), without major complications: 10 of 19 insurance plan rates
  • Aetna — Aetna: $79,728.89
  • Aetna Medicare — Aetna Medicare: $26,137.45
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $25,878.66
  • Centene Corporation — PA H and W Medicare: $27,690.17
  • Cigna — Cigna: $79,728.89
  • Geisinger — Geisinger: $42,194.19
  • Geisinger Health Plan — Geisinger Medicare: $26,396.24
  • Highmark — Highmark MCR Community/Complete Blue: $24,802.27
  • Highmark — Highmark MCR Freedom Blue: $26,107.66
  • Highmark — Highmark MCR Security Blue: $27,413.04
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 $760 – $22,735.36
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates
  • Aetna — Aetna: $20,253.45
  • Aetna Medicare — Aetna Medicare: $14,099.73
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $13,960.13
  • Centene Corporation — PA H and W Medicare: $14,937.34
  • Cigna — Cigna: $14,733.40
  • Geisinger — Geisinger: $22,735.36
  • Geisinger Health Plan — Geisinger Medicare: $14,239.33
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $13,638.26
  • Highmark — Highmark CHIP / Social Mission: $14,031.41
  • Highmark — Highmark Comm Managed/Indemnity: $14,824.19
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 $760 – $34,258.62
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates
  • Aetna — Aetna: $25,633.65
  • Aetna Medicare — Aetna Medicare: $17,667.18
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $17,492.25
  • Centene Corporation — PA H and W Medicare: $18,716.71
  • Cigna — Cigna: $18,647.24
  • Geisinger — Geisinger: $28,502.10
  • Geisinger Health Plan — Geisinger Medicare: $17,842.10
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $17,551.06
  • Highmark — Highmark CHIP / Social Mission: $18,057.01
  • Highmark — Highmark Comm Managed/Indemnity: $19,077.23
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 $760 – $14,990.06
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates
  • Aetna — Aetna: $13,027.35
  • Aetna Medicare — Aetna Medicare: $9,308.30
  • AmeriHealth Caritas — AmeriHealth Caritas Medicare: $9,216.13
  • Centene Corporation — PA H and W Medicare: $9,861.26
  • Cigna — Cigna: $9,476.76
  • Geisinger — Geisinger: $14,990.06
  • Geisinger Health Plan — Geisinger Medicare: $9,400.46
  • Highmark — Highmark ACA / My Direct Blue / My Blue Access PPO: $9,872.47
  • Highmark — Highmark CHIP / Social Mission: $10,157.07
  • Highmark — Highmark Comm Managed/Indemnity: $10,730.94

Source: Punxsutawney Area Hospital’s standard charges file (pah.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 2, 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
Address81 Hillcrest Drive, Punxsutawney, PA 15767
CountyJefferson County
StatePennsylvania
Phone(814) 938‑1800
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390199
Name in Medicare recordsPUNXSUTAWNEY AREA HOSPITAL
Profile levelMedicare data + hospital website
Official websitepah.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. Punxsutawney Area Hospital — pah.org
  2. Emergency Services | Punxsutawney Area Hospital — pah.org
  3. Physician Group | Punxsutawney Area Hospital — pah.org
  4. Cancer Care | Punxsutawney Area Hospital — pah.org
  5. Medical Outpatient Clinic | Punxsutawney Area Hospital — pah.org
  6. Medical Surgical Unit | Punxsutawney Area Hospital — pah.org
  7. Radiology | Punxsutawney Area Hospital — pah.org
  8. Short Procedure Unit & Surgical Services | Punxsutawney Area Hospital — pah.org
  9. Rehabilitation | Punxsutawney Area Hospital — pah.org
  10. Center for Spine and Pain Management | Punxsutawney Area Hospital — pah.org
  11. Cardiology | Punxsutawney Area Hospital — pah.org
  12. General Surgery | Punxsutawney Area Hospital — pah.org
  13. Neurology | Punxsutawney Area Hospital — pah.org