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Acute Care Hospital

Reading Hospital

West Reading, Pennsylvania · Berks County · Emergency services listed

Reading Hospital is an acute care hospital at 420 S 5th Avenue, West Reading, PA 19611. Phone: (610) 988-8000. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Reading Hospital is an acute care hospital in West Reading, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 57 services, specialties and programs. Medicare lists 1,416 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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(610) 988‑8000 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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
697Beds (hospital website)
1,416Doctors and clinicians
57Services listed

Quick answers

Does Reading Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Reading Hospital. In a medical emergency, call 911.
Where is Reading Hospital?
420 S 5th Avenue, West Reading, PA 19611, in Berks County, Pennsylvania.
What is the phone number of Reading Hospital?
(610) 988-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Reading Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Reading Hospital for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Reading Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.5822; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Conditions treated[11]

  • Traumatic injuries
  • Intracranial tumor
  • Stroke
  • Intracerebral hemorrhage
  • Status epilepticus

Treatments[4][7]

Procedures[11]

  • Emergency surgery
  • Elective general surgery

Programs and centers[4][7][10][11]

  • McGlinn Cancer Institute
  • Pediatric Asthma Care
  • Female Fertility and Reproductive Health
  • Trauma Center
  • Beginnings Maternity Center
  • Neonatal Intensive Care Unit
  • Miller Regional Heart Center
  • Reading HealthPlex
  • Cardiac Decision Unit
  • Psychiatric Evaluation Center
  • Clinical research

Emergency care (hospital website)[4][6][11]

Emergency roomYes
Trauma designationLevel I
Stroke designationCertified Comprehensive Stroke Center (Joint Commission)

Visiting and practical information

ParkingFree valet at 5th Ave, ED and HealthPlex entrances on weekdays; self-park garages; campus shuttle[5]
Interpreters and languagesQualified sign language interpreters and other communication aids free of charge on request[12]

Recognition[4][6]

  • Magnet Recognition
  • Level I Trauma Center
  • Accredited by The Joint Commission
  • Certified Comprehensive Stroke Center (Joint Commission)
  • Newsweek World's Best Hospitals 2026

Doctors and clinicians (1,416)

1,416 doctors and other clinicians list Reading 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 (1,416)

And 1,392 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near West Reading

Hospitals in Berks County · Hospitals near me

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1064%National average: 72%
Would definitely recommend the hospital65%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well75%National average: 80%
“Always” got help as soon as they wanted48%National average: 64%
Staff “always” explained medicines before giving them54%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean75%National average: 73%
Completed surveys435Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.482Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.743No different from the national benchmark
Surgical site infections after colon surgery1.455No different from the national benchmark
Surgical site infections after abdominal hysterectomy2.535Worse than the national benchmark
MRSA bloodstream infections0.97No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.113No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients10.3%
Deaths within 30 days: heart failure patients8.5%
Deaths within 30 days: pneumonia patients12.4%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients10%
Deaths within 30 days: coronary bypass surgery (CABG)2%
Serious complications (patient safety indicator PSI-90)0.94No different from the national rate
Complications after hip or knee replacement3.6%

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)17.3%
Readmitted within 30 days: heart attack16.1%
Readmitted within 30 days: heart failure24.1%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD22.7%
Readmitted within 30 days: coronary bypass surgery14%
Readmitted within 30 days: hip or knee replacement5.3%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)230 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)64%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Reading Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.5822Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack0.9577Fewer readmissions than expected
Heart failure1.0129More readmissions than expected
Pneumonia1.0719More readmissions than expected
COPD (chronic lung disease)1.0451More readmissions than expected
Hip or knee replacement0.7378Fewer readmissions than expected
Coronary bypass surgery (CABG)1.1314More readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score19.08 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)38.33 out of 100
Person and community engagement (patient survey)18.00 out of 100
Safety (infections and sepsis care)20.00 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.02Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 71 common services exactly as Reading 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 71 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P LOW 30 MIN $347 $242.90 $59.17 – $328.77
New patient office visit (about 30–44 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $208.20
  • Aetna — Better Health CHIP: $104.10
  • Aetna — Medicare: $71.63
  • Amerihealth Caritas — Medicare: $70.26
  • Capital Blue Cross — All Commercial Plans: $123.60
  • Capital Blue Cross — CHIP: $69.61
  • Capital Blue Cross — Medicare: $68.91
  • Cigna — All Commercial Plans: $190.85
  • Devoted Health — Medicare: $72.39
  • First Health — All Commercial Plans: $208.20
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P LOW 30 MIN $347 $242.90 $59.17 – $328.77
New patient office visit (about 30–44 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $208.20
  • Aetna — Better Health CHIP: $104.10
  • Aetna — Medicare: $71.63
  • Amerihealth Caritas — Medicare: $70.26
  • Capital Blue Cross — All Commercial Plans: $123.60
  • Capital Blue Cross — CHIP: $69.61
  • Capital Blue Cross — Medicare: $68.91
  • Cigna — All Commercial Plans: $190.85
  • Devoted Health — Medicare: $72.39
  • First Health — All Commercial Plans: $208.20
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OC MED OP VISIT, N/P LOW 30 MIN $246 $172.20 $59.17 – $328.77
New patient office visit (about 30–44 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $147.60
  • Aetna — Better Health CHIP: $73.80
  • Aetna — Medicare: $71.63
  • Amerihealth Caritas — Medicare: $70.26
  • Capital Blue Cross — All Commercial Plans: $123.60
  • Capital Blue Cross — CHIP: $69.61
  • Capital Blue Cross — Medicare: $68.91
  • Cigna — All Commercial Plans: $135.30
  • Devoted Health — Medicare: $72.39
  • First Health — All Commercial Plans: $147.60
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P MODERATE 45 MIN $498 $348.60 $85.68 – $396.44
New patient office visit (about 45–59 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $298.80
  • Aetna — Better Health CHIP: $149.40
  • Aetna — Medicare: $117.08
  • Amerihealth Caritas — Medicare: $114.85
  • Capital Blue Cross — All Commercial Plans: $209.18
  • Capital Blue Cross — CHIP: $113.78
  • Capital Blue Cross — Medicare: $112.64
  • Cigna — All Commercial Plans: $273.90
  • Devoted Health — Medicare: $118.33
  • First Health — All Commercial Plans: $298.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P MODERATE 45 MIN $498 $348.60 $85.68 – $396.44
New patient office visit (about 45–59 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $298.80
  • Aetna — Better Health CHIP: $149.40
  • Aetna — Medicare: $117.08
  • Amerihealth Caritas — Medicare: $114.85
  • Capital Blue Cross — All Commercial Plans: $209.18
  • Capital Blue Cross — CHIP: $113.78
  • Capital Blue Cross — Medicare: $112.64
  • Cigna — All Commercial Plans: $273.90
  • Devoted Health — Medicare: $118.33
  • First Health — All Commercial Plans: $298.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OC MED OP VISIT, N/P MODERATE 45 MIN $375 $262.50 $85.68 – $396.44
New patient office visit (about 45–59 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $225
  • Aetna — Better Health CHIP: $112.50
  • Aetna — Medicare: $117.08
  • Amerihealth Caritas — Medicare: $114.85
  • Capital Blue Cross — All Commercial Plans: $209.18
  • Capital Blue Cross — CHIP: $113.78
  • Capital Blue Cross — Medicare: $112.64
  • Cigna — All Commercial Plans: $206.25
  • Devoted Health — Medicare: $118.33
  • First Health — All Commercial Plans: $225
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P HIGH 60 MIN $603 $422.10 $96.39 – $361.80
New patient office visit (about 60–74 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $361.80
  • Aetna — Better Health CHIP: $180.90
  • Aetna — Medicare: $160.44
  • Amerihealth Caritas — Medicare: $157.39
  • Capital Blue Cross — All Commercial Plans: $272.95
  • Capital Blue Cross — CHIP: $155.92
  • Capital Blue Cross — Medicare: $154.36
  • Cigna — All Commercial Plans: $331.65
  • Devoted Health — Medicare: $162.16
  • First Health — All Commercial Plans: $361.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT N/P HIGH 60 MIN $603 $422.10 $96.39 – $361.80
New patient office visit (about 60–74 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $361.80
  • Aetna — Better Health CHIP: $180.90
  • Aetna — Medicare: $160.44
  • Amerihealth Caritas — Medicare: $157.39
  • Capital Blue Cross — All Commercial Plans: $272.95
  • Capital Blue Cross — CHIP: $155.92
  • Capital Blue Cross — Medicare: $154.36
  • Cigna — All Commercial Plans: $331.65
  • Devoted Health — Medicare: $162.16
  • First Health — All Commercial Plans: $361.80
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OC MED OP VISIT, N/P HIGH 60 MIN $472 $330.40 $96.39 – $334.57
New patient office visit (about 60–74 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $283.20
  • Aetna — Better Health CHIP: $141.60
  • Aetna — Medicare: $160.44
  • Amerihealth Caritas — Medicare: $157.39
  • Capital Blue Cross — All Commercial Plans: $272.95
  • Capital Blue Cross — CHIP: $155.92
  • Capital Blue Cross — Medicare: $154.36
  • Cigna — All Commercial Plans: $259.60
  • Devoted Health — Medicare: $162.16
  • First Health — All Commercial Plans: $283.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P LOW 20 MIN $270 $189 $31.79 – $162
Established patient office visit (about 20–29 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $162
  • Aetna — Better Health CHIP: $81
  • Aetna — Medicare: $57.56
  • Amerihealth Caritas — Medicare: $56.47
  • Capital Blue Cross — All Commercial Plans: $82.71
  • Capital Blue Cross — CHIP: $55.94
  • Capital Blue Cross — Medicare: $55.38
  • Cigna — All Commercial Plans: $148.50
  • Devoted Health — Medicare: $58.18
  • First Health — All Commercial Plans: $162
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P LOW 20 MIN $270 $189 $31.79 – $162
Established patient office visit (about 20–29 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $162
  • Aetna — Better Health CHIP: $81
  • Aetna — Medicare: $57.56
  • Amerihealth Caritas — Medicare: $56.47
  • Capital Blue Cross — All Commercial Plans: $82.71
  • Capital Blue Cross — CHIP: $55.94
  • Capital Blue Cross — Medicare: $55.38
  • Cigna — All Commercial Plans: $148.50
  • Devoted Health — Medicare: $58.18
  • First Health — All Commercial Plans: $162
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB MH OUTPATIENT VISIT LOW 20 MIN $175 $122.50 $31.79 – $105
Established patient office visit (about 20–29 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $105
  • Aetna — Better Health CHIP: $52.50
  • Aetna — Medicare: $57.56
  • Amerihealth Caritas — Medicare: $56.47
  • Capital Blue Cross — All Commercial Plans: $82.71
  • Capital Blue Cross — CHIP: $55.94
  • Capital Blue Cross — Medicare: $55.38
  • Cigna — All Commercial Plans: $96.25
  • Devoted Health — Medicare: $58.18
  • First Health — All Commercial Plans: $105
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P MODERATE 30 MIN $333 $233.10 $47.73 – $199.80
Established patient office visit (about 30–39 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $199.80
  • Aetna — Better Health CHIP: $99.90
  • Aetna — Medicare: $84.71
  • Amerihealth Caritas — Medicare: $83.09
  • Capital Blue Cross — All Commercial Plans: $127.49
  • Capital Blue Cross — CHIP: $82.32
  • Capital Blue Cross — Medicare: $81.50
  • Cigna — All Commercial Plans: $183.15
  • Devoted Health — Medicare: $85.61
  • First Health — All Commercial Plans: $199.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB GL OFFICE VISIT E/P MODERATE 30 MIN $333 $233.10 $47.73 – $199.80
Established patient office visit (about 30–39 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $199.80
  • Aetna — Better Health CHIP: $99.90
  • Aetna — Medicare: $84.71
  • Amerihealth Caritas — Medicare: $83.09
  • Capital Blue Cross — All Commercial Plans: $127.49
  • Capital Blue Cross — CHIP: $82.32
  • Capital Blue Cross — Medicare: $81.50
  • Cigna — All Commercial Plans: $183.15
  • Devoted Health — Medicare: $85.61
  • First Health — All Commercial Plans: $199.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB MH OUTPATIENT VISIT MODERATE 30 MIN $239 $167.30 $47.73 – $154.73
Established patient office visit (about 30–39 minutes): 10 of 40 insurance plan rates
  • Aetna — All Commercial Plans: $143.40
  • Aetna — Better Health CHIP: $71.70
  • Aetna — Medicare: $84.71
  • Amerihealth Caritas — Medicare: $83.09
  • Capital Blue Cross — All Commercial Plans: $127.49
  • Capital Blue Cross — CHIP: $82.32
  • Capital Blue Cross — Medicare: $81.50
  • Cigna — All Commercial Plans: $131.45
  • Devoted Health — Medicare: $85.61
  • First Health — All Commercial Plans: $143.40
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-LOW, 30 MIN $414 $289.80 $72.05 – $248.40
Office consultation with a specialist (moderate): 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $248.40
  • Aetna — Better Health CHIP: $138.92
  • Aetna — Medicare: $87.22
  • Amerihealth Caritas — Medicaid: $112.18
  • Amerihealth Caritas — Medicare: $85.56
  • Capital Blue Cross — All Commercial Plans: $155.21
  • Capital Blue Cross — CHIP: $84.76
  • Capital Blue Cross — Medicare: $83.91
  • Cigna — All Commercial Plans: $227.70
  • Devoted Health — Medicare: $88.15
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-LOW, 30 MIN $414 $289.80 $72.05 – $248.40
Office consultation with a specialist (moderate): 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $248.40
  • Aetna — Better Health CHIP: $138.92
  • Aetna — Medicare: $87.22
  • Amerihealth Caritas — Medicaid: $112.18
  • Amerihealth Caritas — Medicare: $85.56
  • Capital Blue Cross — All Commercial Plans: $155.21
  • Capital Blue Cross — CHIP: $84.76
  • Capital Blue Cross — Medicare: $83.91
  • Cigna — All Commercial Plans: $227.70
  • Devoted Health — Medicare: $88.15
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-MODERATE, 40 MIN $612 $428.40 $109.88 – $367.20
Office consultation with a specialist (moderate to high): 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $367.20
  • Aetna — Better Health CHIP: $211.88
  • Aetna — Medicare: $133.02
  • Amerihealth Caritas — Medicaid: $171.09
  • Amerihealth Caritas — Medicare: $130.49
  • Capital Blue Cross — All Commercial Plans: $249.46
  • Capital Blue Cross — CHIP: $129.27
  • Capital Blue Cross — Medicare: $127.98
  • Cigna — All Commercial Plans: $336.60
  • Devoted Health — Medicare: $134.44
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB OFFICE/OP CONSULT-MODERATE, 40 MIN $612 $428.40 $109.88 – $367.20
Office consultation with a specialist (moderate to high): 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $367.20
  • Aetna — Better Health CHIP: $211.88
  • Aetna — Medicare: $133.02
  • Amerihealth Caritas — Medicaid: $171.09
  • Amerihealth Caritas — Medicare: $130.49
  • Capital Blue Cross — All Commercial Plans: $249.46
  • Capital Blue Cross — CHIP: $129.27
  • Capital Blue Cross — Medicare: $127.98
  • Cigna — All Commercial Plans: $336.60
  • Devoted Health — Medicare: $134.44
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PREVENTIVE MED N/P AGE 18-39 $203 $142.10 $25 – $192.85
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $146.16
  • Berkshire — All Commercial Plans: $152.25
  • Blue Ridge — All Commercial Plans: $192.85
  • Capital Blue Cross — All Commercial Plans: $116.73
  • Capital Blue Cross — CHIP: $81.71
  • First Health — All Commercial Plans: $156.31
  • Geisinger — All Commercial Plans: $128.52
  • Independence Blue Cross — All Commercial Plans: $130.49
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $91.35
  • PMA — Workers Comp: $81.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PREVENTIVE MED N/P AGE 18-39 $203 $142.10 $81.20 – $192.85
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $152.25
  • Blue Ridge — All Commercial Plans: $192.85
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $91.35
  • PMA — Workers Comp: $81.20
  • UPMC — All ACA & Commercial Plans: $109.64
  • UPMC — RH Employees: $81.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PREVENTIVE MED N/P AGE 40-64 $203 $142.10 $25 – $192.85
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $146.16
  • Berkshire — All Commercial Plans: $152.25
  • Blue Ridge — All Commercial Plans: $192.85
  • Capital Blue Cross — All Commercial Plans: $116.73
  • Capital Blue Cross — CHIP: $81.71
  • First Health — All Commercial Plans: $156.31
  • Geisinger — All Commercial Plans: $128.52
  • Independence Blue Cross — All Commercial Plans: $130.49
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $91.35
  • PMA — Workers Comp: $81.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PREVENTIVE MED N/P AGE 40-64 $203 $142.10 $81.20 – $192.85
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $152.25
  • Blue Ridge — All Commercial Plans: $192.85
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $91.35
  • PMA — Workers Comp: $81.20
  • UPMC — All ACA & Commercial Plans: $109.64
  • UPMC — RH Employees: $81.20
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - LOW $435 $304.50 $57.63 – $270.37
Emergency room visit (moderate): 10 of 41 insurance plan rates
  • Aetna — All Commercial Plans: $261
  • Aetna — Better Health CHIP: $113.30
  • Aetna — Medicare: $69.77
  • Amerihealth Caritas — Medicaid: $91.49
  • Amerihealth Caritas — Medicare: $68.44
  • Capital Blue Cross — All Commercial Plans: $101.32
  • Capital Blue Cross — CHIP: $67.80
  • Capital Blue Cross — Medicare: $67.12
  • Cigna — All Commercial Plans: $174.18
  • Devoted Health — Medicare: $70.51
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - LOW $435 $304.50 $57.63 – $270.37
Emergency room visit (moderate): 10 of 41 insurance plan rates
  • Aetna — All Commercial Plans: $261
  • Aetna — Better Health CHIP: $113.30
  • Aetna — Medicare: $69.77
  • Amerihealth Caritas — Medicaid: $91.49
  • Amerihealth Caritas — Medicare: $68.44
  • Capital Blue Cross — All Commercial Plans: $101.32
  • Capital Blue Cross — CHIP: $67.80
  • Capital Blue Cross — Medicare: $67.12
  • Cigna — All Commercial Plans: $174.18
  • Devoted Health — Medicare: $70.51
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ECU VISIT - LOW $1,521 $1,064.70 $43.75 – $1,444.95
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $1,064.70
  • Aetna — Better Health CHIP: $141.63
  • Amerihealth Caritas — Medicaid: $101.91
  • Berkshire — All Commercial Plans: $1,140.75
  • Blue Ridge — All Commercial Plans: $1,444.95
  • Capital Blue Cross — All Commercial Plans: $874.58
  • Capital Blue Cross — CHIP: $612.20
  • Cigna — All Commercial Plans: $1,009.94
  • First Health — All Commercial Plans: $1,171.17
  • Gateway — Medicaid: $72.51
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - MODERATE $669 $468.30 $98.13 – $723.78
Emergency room visit (moderately high): 10 of 41 insurance plan rates
  • Aetna — All Commercial Plans: $401.40
  • Aetna — Better Health CHIP: $190.66
  • Aetna — Medicare: $118.80
  • Amerihealth Caritas — Medicaid: $153.96
  • Amerihealth Caritas — Medicare: $116.54
  • Capital Blue Cross — All Commercial Plans: $192.29
  • Capital Blue Cross — CHIP: $115.45
  • Capital Blue Cross — Medicare: $114.30
  • Cigna — All Commercial Plans: $319.99
  • Devoted Health — Medicare: $120.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - MODERATE $669 $468.30 $98.13 – $723.78
Emergency room visit (moderately high): 10 of 41 insurance plan rates
  • Aetna — All Commercial Plans: $401.40
  • Aetna — Better Health CHIP: $190.66
  • Aetna — Medicare: $118.80
  • Amerihealth Caritas — Medicaid: $153.96
  • Amerihealth Caritas — Medicare: $116.54
  • Capital Blue Cross — All Commercial Plans: $192.29
  • Capital Blue Cross — CHIP: $115.45
  • Capital Blue Cross — Medicare: $114.30
  • Cigna — All Commercial Plans: $319.99
  • Devoted Health — Medicare: $120.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ECU VISIT - MODERATE $2,492 $1,744.40 $62.50 – $2,367.40
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $1,744.40
  • Aetna — Better Health CHIP: $238.33
  • Amerihealth Caritas — Medicaid: $158.67
  • Berkshire — All Commercial Plans: $1,869
  • Blue Ridge — All Commercial Plans: $2,367.40
  • Capital Blue Cross — All Commercial Plans: $1,432.90
  • Capital Blue Cross — CHIP: $1,003.03
  • Cigna — All Commercial Plans: $1,654.69
  • First Health — All Commercial Plans: $1,918.84
  • Gateway — Medicaid: $122.02
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - HIGH $1,001 $700.70 $142.24 – $600.60
Emergency room visit (high): 10 of 41 insurance plan rates
  • Aetna — All Commercial Plans: $600.60
  • Aetna — Better Health CHIP: $277.48
  • Aetna — Medicare: $172.19
  • Amerihealth Caritas — Medicaid: $224.07
  • Amerihealth Caritas — Medicare: $168.91
  • Capital Blue Cross — All Commercial Plans: $283.41
  • Capital Blue Cross — CHIP: $167.34
  • Capital Blue Cross — Medicare: $165.67
  • Cigna — All Commercial Plans: $464.97
  • Devoted Health — Medicare: $174.03
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EMERGENCY DEPT VISIT - HIGH $1,001 $700.70 $142.24 – $600.60
Emergency room visit (high): 10 of 41 insurance plan rates
  • Aetna — All Commercial Plans: $600.60
  • Aetna — Better Health CHIP: $277.48
  • Aetna — Medicare: $172.19
  • Amerihealth Caritas — Medicaid: $224.07
  • Amerihealth Caritas — Medicare: $168.91
  • Capital Blue Cross — All Commercial Plans: $283.41
  • Capital Blue Cross — CHIP: $167.34
  • Capital Blue Cross — Medicare: $165.67
  • Cigna — All Commercial Plans: $464.97
  • Devoted Health — Medicare: $174.03
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ECU VISIT HIGH SEVERITY/LIFE THREAT $2,971 $2,079.70 $62.50 – $2,822.45
Emergency room visit (high): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $2,079.70
  • Aetna — Better Health CHIP: $346.85
  • Amerihealth Caritas — Medicaid: $248.97
  • Berkshire — All Commercial Plans: $2,228.25
  • Blue Ridge — All Commercial Plans: $2,822.45
  • Capital Blue Cross — All Commercial Plans: $1,708.33
  • Capital Blue Cross — CHIP: $1,195.83
  • Cigna — All Commercial Plans: $1,972.74
  • First Health — All Commercial Plans: $2,287.67
  • Gateway — Medicaid: $177.59

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PROFILE $226 $158.20 $8.65 – $214.70
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $122.04
  • Aetna — Better Health CHIP: $23.40
  • Amerihealth Caritas — Medicaid: $9.36
  • Berkshire — All Commercial Plans: $169.50
  • Blue Ridge — All Commercial Plans: $214.70
  • Capital Blue Cross — All Commercial Plans: $59.41
  • Capital Blue Cross — CHIP: $8.65
  • Cigna — All Commercial Plans: $129.27
  • First Health — All Commercial Plans: $134.24
  • Gateway — Medicaid: $11.98
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PROFILE $226 $158.20 $90.40 – $214.70
Basic metabolic panel (blood test): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $169.50
  • Blue Ridge — All Commercial Plans: $214.70
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $101.70
  • PMA — Workers Comp: $90.40
  • UPMC — All ACA & Commercial Plans: $122.06
  • UPMC — RH Employees: $90.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPREHENSVE METABOLIC PROFIL $449 $314.30 $10.81 – $426.55
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $242.46
  • Aetna — Better Health CHIP: $29.23
  • Amerihealth Caritas — Medicaid: $11.69
  • Berkshire — All Commercial Plans: $336.75
  • Blue Ridge — All Commercial Plans: $426.55
  • Capital Blue Cross — All Commercial Plans: $74.22
  • Capital Blue Cross — CHIP: $10.81
  • Cigna — All Commercial Plans: $256.83
  • First Health — All Commercial Plans: $266.71
  • Gateway — Medicaid: $14.96
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMPREHENSVE METABOLIC PROFIL $449 $314.30 $179.60 – $426.55
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $336.75
  • Blue Ridge — All Commercial Plans: $426.55
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $202.05
  • PMA — Workers Comp: $179.60
  • UPMC — All ACA & Commercial Plans: $242.50
  • UPMC — RH Employees: $179.60
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL $599 $419.30 $12 – $569.05
Obstetric blood test panel: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $323.46
  • Aetna — Better Health CHIP: $30
  • Amerihealth Caritas — Medicaid: $12
  • Berkshire — All Commercial Plans: $449.25
  • Blue Ridge — All Commercial Plans: $569.05
  • Capital Blue Cross — All Commercial Plans: $149.88
  • Capital Blue Cross — CHIP: $33.47
  • Cigna — All Commercial Plans: $342.63
  • First Health — All Commercial Plans: $355.81
  • Gateway — Medicaid: $15.36
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL $599 $419.30 $239.60 – $569.05
Obstetric blood test panel: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $449.25
  • Blue Ridge — All Commercial Plans: $569.05
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $269.55
  • PMA — Workers Comp: $239.60
  • UPMC — All ACA & Commercial Plans: $323.52
  • UPMC — RH Employees: $239.60
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIPID PROFILE $336 $235.20 $13.70 – $319.20
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $181.44
  • Aetna — Better Health CHIP: $35
  • Amerihealth Caritas — Medicaid: $14
  • Berkshire — All Commercial Plans: $252
  • Blue Ridge — All Commercial Plans: $319.20
  • Capital Blue Cross — All Commercial Plans: $94.07
  • Capital Blue Cross — CHIP: $13.70
  • Cigna — All Commercial Plans: $192.19
  • First Health — All Commercial Plans: $199.58
  • Gateway — Medicaid: $17.92
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB NMR LIPID PROFILE $316 $221.20 $13.70 – $300.20
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $170.64
  • Aetna — Better Health CHIP: $35
  • Amerihealth Caritas — Medicaid: $14
  • Berkshire — All Commercial Plans: $237
  • Blue Ridge — All Commercial Plans: $300.20
  • Capital Blue Cross — All Commercial Plans: $94.07
  • Capital Blue Cross — CHIP: $13.70
  • Cigna — All Commercial Plans: $180.75
  • First Health — All Commercial Plans: $187.70
  • Gateway — Medicaid: $17.92
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LIPID PROFILE $336 $235.20 $134.40 – $319.20
Cholesterol panel (lipid panel): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $252
  • Blue Ridge — All Commercial Plans: $319.20
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $151.20
  • PMA — Workers Comp: $134.40
  • UPMC — All ACA & Commercial Plans: $181.47
  • UPMC — RH Employees: $134.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RENAL PROFILE $218 $152.60 $8.88 – $207.10
Kidney function panel: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $117.72
  • Aetna — Better Health CHIP: $24
  • Amerihealth Caritas — Medicaid: $9.60
  • Berkshire — All Commercial Plans: $163.50
  • Blue Ridge — All Commercial Plans: $207.10
  • Capital Blue Cross — All Commercial Plans: $60.95
  • Capital Blue Cross — CHIP: $8.88
  • Cigna — All Commercial Plans: $124.70
  • First Health — All Commercial Plans: $129.49
  • Gateway — Medicaid: $12.29
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RENAL PROFILE $218 $152.60 $87.20 – $207.10
Kidney function panel: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $163.50
  • Blue Ridge — All Commercial Plans: $207.10
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $98.10
  • PMA — Workers Comp: $87.20
  • UPMC — All ACA & Commercial Plans: $117.74
  • UPMC — RH Employees: $87.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIVER PROFILE $244 $170.80 $8.35 – $231.80
Liver function panel: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $131.76
  • Aetna — Better Health CHIP: $22.58
  • Amerihealth Caritas — Medicaid: $9.03
  • Berkshire — All Commercial Plans: $183
  • Blue Ridge — All Commercial Plans: $231.80
  • Capital Blue Cross — All Commercial Plans: $57.35
  • Capital Blue Cross — CHIP: $8.35
  • Cigna — All Commercial Plans: $139.57
  • First Health — All Commercial Plans: $144.94
  • Gateway — Medicaid: $11.56
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LIVER PROFILE $244 $170.80 $97.60 – $231.80
Liver function panel: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $183
  • Blue Ridge — All Commercial Plans: $231.80
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $109.80
  • PMA — Workers Comp: $97.60
  • UPMC — All ACA & Commercial Plans: $131.78
  • UPMC — RH Employees: $97.60
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS W MICROSCOPIC $97 $67.90 $3 – $92.15
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $52.38
  • Aetna — Better Health CHIP: $7.50
  • Amerihealth Caritas — Medicaid: $3
  • Berkshire — All Commercial Plans: $72.75
  • Blue Ridge — All Commercial Plans: $92.15
  • Capital Blue Cross — All Commercial Plans: $22.26
  • Capital Blue Cross — CHIP: $3.24
  • Cigna — All Commercial Plans: $55.48
  • First Health — All Commercial Plans: $57.62
  • Gateway — Medicaid: $3.84
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS W MICROSCOPIC $97 $67.90 $38.80 – $92.15
Urine test (automated, with microscope): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $72.75
  • Blue Ridge — All Commercial Plans: $92.15
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $43.65
  • PMA — Workers Comp: $38.80
  • UPMC — All ACA & Commercial Plans: $52.39
  • UPMC — RH Employees: $38.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LEUKOCYTE ESTERASE BY DIPSTICK $39 $27.30 $2.62 – $37.05
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $21.06
  • Aetna — Better Health CHIP: $8.93
  • Amerihealth Caritas — Medicaid: $3.57
  • Berkshire — All Commercial Plans: $29.25
  • Blue Ridge — All Commercial Plans: $37.05
  • Capital Blue Cross — All Commercial Plans: $17.98
  • Capital Blue Cross — CHIP: $2.62
  • Cigna — All Commercial Plans: $22.31
  • First Health — All Commercial Plans: $23.17
  • Gateway — Medicaid: $4.57
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MYOGLOBIN URINE QUALITATIVE $39 $27.30 $2.62 – $37.05
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $21.06
  • Aetna — Better Health CHIP: $8.93
  • Amerihealth Caritas — Medicaid: $3.57
  • Berkshire — All Commercial Plans: $29.25
  • Blue Ridge — All Commercial Plans: $37.05
  • Capital Blue Cross — All Commercial Plans: $17.98
  • Capital Blue Cross — CHIP: $2.62
  • Cigna — All Commercial Plans: $22.31
  • First Health — All Commercial Plans: $23.17
  • Gateway — Medicaid: $4.57
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PH URINE $39 $27.30 $2.62 – $37.05
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $21.06
  • Aetna — Better Health CHIP: $8.93
  • Amerihealth Caritas — Medicaid: $3.57
  • Berkshire — All Commercial Plans: $29.25
  • Blue Ridge — All Commercial Plans: $37.05
  • Capital Blue Cross — All Commercial Plans: $17.98
  • Capital Blue Cross — CHIP: $2.62
  • Cigna — All Commercial Plans: $22.31
  • First Health — All Commercial Plans: $23.17
  • Gateway — Medicaid: $4.57
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS W/O MICRO $66 $46.20 $2.30 – $62.70
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $35.64
  • Aetna — Better Health CHIP: $7.75
  • Amerihealth Caritas — Medicaid: $3.10
  • Berkshire — All Commercial Plans: $49.50
  • Blue Ridge — All Commercial Plans: $62.70
  • Capital Blue Cross — All Commercial Plans: $15.77
  • Capital Blue Cross — CHIP: $2.30
  • Cigna — All Commercial Plans: $37.75
  • First Health — All Commercial Plans: $39.20
  • Gateway — Medicaid: $3.97
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS-DIP STICK $66 $46.20 $2.30 – $62.70
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $35.64
  • Aetna — Better Health CHIP: $7.75
  • Amerihealth Caritas — Medicaid: $3.10
  • Berkshire — All Commercial Plans: $49.50
  • Blue Ridge — All Commercial Plans: $62.70
  • Capital Blue Cross — All Commercial Plans: $15.77
  • Capital Blue Cross — CHIP: $2.30
  • Cigna — All Commercial Plans: $37.75
  • First Health — All Commercial Plans: $39.20
  • Gateway — Medicaid: $3.97
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINE SPECIFIC GRAVITY $66 $46.20 $2.30 – $62.70
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $35.64
  • Aetna — Better Health CHIP: $7.75
  • Amerihealth Caritas — Medicaid: $3.10
  • Berkshire — All Commercial Plans: $49.50
  • Blue Ridge — All Commercial Plans: $62.70
  • Capital Blue Cross — All Commercial Plans: $15.77
  • Capital Blue Cross — CHIP: $2.30
  • Cigna — All Commercial Plans: $37.75
  • First Health — All Commercial Plans: $39.20
  • Gateway — Medicaid: $3.97
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSA DIAGNOSTIC $301 $210.70 $18.80 – $285.95
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $162.54
  • Aetna — Better Health CHIP: $60.90
  • Amerihealth Caritas — Medicaid: $24.36
  • Berkshire — All Commercial Plans: $225.75
  • Blue Ridge — All Commercial Plans: $285.95
  • Capital Blue Cross — All Commercial Plans: $129.07
  • Capital Blue Cross — CHIP: $18.80
  • Cigna — All Commercial Plans: $172.17
  • First Health — All Commercial Plans: $178.79
  • Gateway — Medicaid: $31.18
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSA TOTAL $301 $210.70 $18.80 – $285.95
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $162.54
  • Aetna — Better Health CHIP: $60.90
  • Amerihealth Caritas — Medicaid: $24.36
  • Berkshire — All Commercial Plans: $225.75
  • Blue Ridge — All Commercial Plans: $285.95
  • Capital Blue Cross — All Commercial Plans: $129.07
  • Capital Blue Cross — CHIP: $18.80
  • Cigna — All Commercial Plans: $172.17
  • First Health — All Commercial Plans: $178.79
  • Gateway — Medicaid: $31.18
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PSA DIAGNOSTIC $301 $210.70 $120.40 – $285.95
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $225.75
  • Blue Ridge — All Commercial Plans: $285.95
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $135.45
  • PMA — Workers Comp: $120.40
  • UPMC — All ACA & Commercial Plans: $162.57
  • UPMC — RH Employees: $120.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TSH $350 $245 $17.17 – $332.50
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $189
  • Aetna — Better Health CHIP: $58.03
  • Amerihealth Caritas — Medicaid: $23.21
  • Berkshire — All Commercial Plans: $262.50
  • Blue Ridge — All Commercial Plans: $332.50
  • Capital Blue Cross — All Commercial Plans: $117.92
  • Capital Blue Cross — CHIP: $17.17
  • Cigna — All Commercial Plans: $200.20
  • First Health — All Commercial Plans: $207.90
  • Gateway — Medicaid: $29.71
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB TSH $350 $245 $140 – $332.50
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $262.50
  • Blue Ridge — All Commercial Plans: $332.50
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $157.50
  • PMA — Workers Comp: $140
  • UPMC — All ACA & Commercial Plans: $189.04
  • UPMC — RH Employees: $140
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS & 5-PART DIFF $141 $98.70 $6 – $133.95
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $76.14
  • Aetna — Better Health CHIP: $15
  • Amerihealth Caritas — Medicaid: $6
  • Berkshire — All Commercial Plans: $105.75
  • Blue Ridge — All Commercial Plans: $133.95
  • Capital Blue Cross — All Commercial Plans: $54.56
  • Capital Blue Cross — CHIP: $7.95
  • Cigna — All Commercial Plans: $80.65
  • First Health — All Commercial Plans: $83.75
  • Gateway — Medicaid: $7.68
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS & 5-PART DIFF $141 $98.70 $56.40 – $133.95
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $105.75
  • Blue Ridge — All Commercial Plans: $133.95
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $63.45
  • PMA — Workers Comp: $56.40
  • UPMC — All ACA & Commercial Plans: $76.15
  • UPMC — RH Employees: $56.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS NO DIFF $113 $79.10 $6.62 – $107.35
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $61.02
  • Aetna — Better Health CHIP: $18.80
  • Amerihealth Caritas — Medicaid: $7.52
  • Berkshire — All Commercial Plans: $84.75
  • Blue Ridge — All Commercial Plans: $107.35
  • Capital Blue Cross — All Commercial Plans: $45.43
  • Capital Blue Cross — CHIP: $6.62
  • Cigna — All Commercial Plans: $64.64
  • First Health — All Commercial Plans: $67.12
  • Gateway — Medicaid: $9.63
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CBC W/PLATELETS NO DIFF $113 $79.10 $45.20 – $107.35
Complete blood count (CBC), automated: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $84.75
  • Blue Ridge — All Commercial Plans: $107.35
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $50.85
  • PMA — Workers Comp: $45.20
  • UPMC — All ACA & Commercial Plans: $61.03
  • UPMC — RH Employees: $45.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB I-STAT INR/PT $84 $58.80 $4 – $79.80
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $45.36
  • Aetna — Better Health CHIP: $10
  • Amerihealth Caritas — Medicaid: $4
  • Berkshire — All Commercial Plans: $63
  • Blue Ridge — All Commercial Plans: $79.80
  • Capital Blue Cross — All Commercial Plans: $27.59
  • Capital Blue Cross — CHIP: $4.02
  • Cigna — All Commercial Plans: $48.05
  • First Health — All Commercial Plans: $49.90
  • Gateway — Medicaid: $5.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POC-PROTHROMBIN TIME $84 $58.80 $4 – $79.80
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $45.36
  • Aetna — Better Health CHIP: $10
  • Amerihealth Caritas — Medicaid: $4
  • Berkshire — All Commercial Plans: $63
  • Blue Ridge — All Commercial Plans: $79.80
  • Capital Blue Cross — All Commercial Plans: $27.59
  • Capital Blue Cross — CHIP: $4.02
  • Cigna — All Commercial Plans: $48.05
  • First Health — All Commercial Plans: $49.90
  • Gateway — Medicaid: $5.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROTHROMBIN TIME $84 $58.80 $4 – $79.80
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $45.36
  • Aetna — Better Health CHIP: $10
  • Amerihealth Caritas — Medicaid: $4
  • Berkshire — All Commercial Plans: $63
  • Blue Ridge — All Commercial Plans: $79.80
  • Capital Blue Cross — All Commercial Plans: $27.59
  • Capital Blue Cross — CHIP: $4.02
  • Cigna — All Commercial Plans: $48.05
  • First Health — All Commercial Plans: $49.90
  • Gateway — Medicaid: $5.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PARTIAL THROMBOPLASTIN TIME $144 $100.80 $6.13 – $136.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $77.76
  • Aetna — Better Health CHIP: $18.75
  • Amerihealth Caritas — Medicaid: $7.50
  • Berkshire — All Commercial Plans: $108
  • Blue Ridge — All Commercial Plans: $136.80
  • Capital Blue Cross — All Commercial Plans: $42.11
  • Capital Blue Cross — CHIP: $6.13
  • Cigna — All Commercial Plans: $82.37
  • First Health — All Commercial Plans: $85.54
  • Gateway — Medicaid: $9.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PARTIAL THROMBOPLASTIN TIME $144 $100.80 $57.60 – $136.80
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $108
  • Blue Ridge — All Commercial Plans: $136.80
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $64.80
  • PMA — Workers Comp: $57.60
  • UPMC — All ACA & Commercial Plans: $77.77
  • UPMC — RH Employees: $57.60

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CT BRAIN OR HEAD W/O CONTRAST $2,659 $1,861.30 $85.25 – $2,526.05
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $1,834.71
  • Aetna — Better Health CHIP: $193.75
  • Amerihealth Caritas — Medicaid: $98.81
  • Berkshire — All Commercial Plans: $1,994.25
  • Blue Ridge — All Commercial Plans: $2,526.05
  • Capital Blue Cross — All Commercial Plans: $1,350.79
  • Capital Blue Cross — CHIP: $114.25
  • Cigna — All Commercial Plans: $1,520.95
  • First Health — All Commercial Plans: $2,047.43
  • Gateway — Medicaid: $99.20
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CT BRAIN OR HEAD W/O CONTRAST $2,659 $1,861.30 $1,063.60 – $2,526.05
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $1,994.25
  • Blue Ridge — All Commercial Plans: $2,526.05
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $1,196.55
  • PMA — Workers Comp: $1,063.60
  • UPMC — All ACA & Commercial Plans: $1,436.13
  • UPMC — RH Employees: $1,063.60
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD MRI BRAIN W/O & W/CONTRAST $7,981 $5,586.70 $295.90 – $7,581.95
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $5,506.89
  • Aetna — Better Health CHIP: $672.50
  • Amerihealth Caritas — Medicaid: $342.98
  • Berkshire — All Commercial Plans: $5,985.75
  • Blue Ridge — All Commercial Plans: $7,581.95
  • Capital Blue Cross — All Commercial Plans: $4,167.08
  • Capital Blue Cross — CHIP: $352.44
  • Cigna — All Commercial Plans: $4,565.13
  • First Health — All Commercial Plans: $6,145.37
  • Gateway — Medicaid: $344.32
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD MRI BRAIN W/O & W/CONTRAST $7,981 $5,586.70 $3,192.40 – $7,581.95
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $5,985.75
  • Blue Ridge — All Commercial Plans: $7,581.95
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $3,591.45
  • PMA — Workers Comp: $3,192.40
  • UPMC — All ACA & Commercial Plans: $4,310.54
  • UPMC — RH Employees: $3,192.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CHEST 2 VIEWS $493 $345.10 $13 – $468.35
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $340.17
  • Aetna — Better Health CHIP: $37.13
  • Amerihealth Caritas — Medicaid: $18.93
  • Berkshire — All Commercial Plans: $369.75
  • Blue Ridge — All Commercial Plans: $468.35
  • Capital Blue Cross — All Commercial Plans: $153.69
  • Capital Blue Cross — CHIP: $13
  • Cigna — All Commercial Plans: $282
  • First Health — All Commercial Plans: $379.61
  • Gateway — Medicaid: $19.01
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CHEST 2 VIEWS $493 $345.10 $197.20 – $468.35
Chest X-ray, 2 views: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $369.75
  • Blue Ridge — All Commercial Plans: $468.35
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $221.85
  • PMA — Workers Comp: $197.20
  • UPMC — All ACA & Commercial Plans: $266.27
  • UPMC — RH Employees: $197.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD SPINE LUMBAR MIN 4 VIEWS $934 $653.80 $24.75 – $887.30
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $644.46
  • Aetna — Better Health CHIP: $56.25
  • Amerihealth Caritas — Medicaid: $28.69
  • Berkshire — All Commercial Plans: $700.50
  • Blue Ridge — All Commercial Plans: $887.30
  • Capital Blue Cross — All Commercial Plans: $292.74
  • Capital Blue Cross — CHIP: $24.76
  • Cigna — All Commercial Plans: $534.25
  • First Health — All Commercial Plans: $719.18
  • Gateway — Medicaid: $28.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD SPINE LUMBAR MIN 4 VIEWS $934 $653.80 $373.60 – $887.30
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $700.50
  • Blue Ridge — All Commercial Plans: $887.30
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $420.30
  • PMA — Workers Comp: $373.60
  • UPMC — All ACA & Commercial Plans: $504.45
  • UPMC — RH Employees: $373.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD MRI SPINE LUMBAR W/O CONTRAST $4,871 $3,409.70 $205.92 – $4,627.45
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $3,360.99
  • Aetna — Better Health CHIP: $468
  • Amerihealth Caritas — Medicaid: $238.68
  • Berkshire — All Commercial Plans: $3,653.25
  • Blue Ridge — All Commercial Plans: $4,627.45
  • Capital Blue Cross — All Commercial Plans: $2,687.35
  • Capital Blue Cross — CHIP: $227.29
  • Cigna — All Commercial Plans: $2,786.21
  • First Health — All Commercial Plans: $3,750.67
  • Gateway — Medicaid: $239.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD MRI SPINE LUMBAR W/O CONTRAST $4,871 $3,409.70 $1,948.40 – $4,627.45
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $3,653.25
  • Blue Ridge — All Commercial Plans: $4,627.45
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $2,191.95
  • PMA — Workers Comp: $1,948.40
  • UPMC — All ACA & Commercial Plans: $2,630.83
  • UPMC — RH Employees: $1,948.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CT PELVIS W/CONTRAST $3,518 $2,462.60 $95.15 – $3,342.10
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $2,427.42
  • Aetna — Better Health CHIP: $216.25
  • Amerihealth Caritas — Medicaid: $110.29
  • Berkshire — All Commercial Plans: $2,638.50
  • Blue Ridge — All Commercial Plans: $3,342.10
  • Capital Blue Cross — All Commercial Plans: $2,048.99
  • Capital Blue Cross — CHIP: $173.30
  • Cigna — All Commercial Plans: $2,012.30
  • First Health — All Commercial Plans: $2,708.86
  • Gateway — Medicaid: $110.72
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CT PELVIS W/CONTRAST $3,518 $2,462.60 $1,407.20 – $3,342.10
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $2,638.50
  • Blue Ridge — All Commercial Plans: $3,342.10
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $1,583.10
  • PMA — Workers Comp: $1,407.20
  • UPMC — All ACA & Commercial Plans: $1,900.07
  • UPMC — RH Employees: $1,407.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD MRI LOW EXT ANY JT W/O CONTRAST $4,754 $3,327.80 $226.50 – $4,516.30
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — All Commercial Plans: $3,280.26
  • Aetna — Better Health CHIP: $672.50
  • Amerihealth Caritas — Medicaid: $342.98
  • Berkshire — All Commercial Plans: $3,565.50
  • Blue Ridge — All Commercial Plans: $4,516.30
  • Capital Blue Cross — All Commercial Plans: $2,677.99
  • Capital Blue Cross — CHIP: $226.50
  • Cigna — All Commercial Plans: $2,719.29
  • First Health — All Commercial Plans: $3,660.58
  • Geisinger — All Commercial Plans: $3,009.76
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD MRI LOW EXT ANY JT W/O CONTRAST $4,754 $3,327.80 $1,901.60 – $4,516.30
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $3,565.50
  • Blue Ridge — All Commercial Plans: $4,516.30
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $2,139.30
  • PMA — Workers Comp: $1,901.60
  • UPMC — All ACA & Commercial Plans: $2,567.64
  • UPMC — RH Employees: $1,901.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD CT ABD/PELVIS W/ CONTRAST $5,684 $3,978.80 $168.64 – $5,399.80
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $3,921.96
  • Aetna — Better Health CHIP: $481.83
  • Amerihealth Caritas — Medicaid: $245.73
  • Berkshire — All Commercial Plans: $4,263
  • Blue Ridge — All Commercial Plans: $5,399.80
  • Capital Blue Cross — All Commercial Plans: $1,993.87
  • Capital Blue Cross — CHIP: $168.64
  • Cigna — All Commercial Plans: $3,251.25
  • First Health — All Commercial Plans: $4,376.68
  • Gateway — Medicaid: $246.69
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD CT ABD/PELVIS W/ CONTRAST $5,684 $3,978.80 $2,273.60 – $5,399.80
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $4,263
  • Blue Ridge — All Commercial Plans: $5,399.80
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $2,557.80
  • PMA — Workers Comp: $2,273.60
  • UPMC — All ACA & Commercial Plans: $3,069.93
  • UPMC — RH Employees: $2,273.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD US ABDOMEN COMPLETE $1,580 $1,106 $61.85 – $1,501
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $1,090.20
  • Aetna — Better Health CHIP: $143.75
  • Amerihealth Caritas — Medicaid: $73.31
  • Berkshire — All Commercial Plans: $1,185
  • Blue Ridge — All Commercial Plans: $1,501
  • Capital Blue Cross — All Commercial Plans: $731.30
  • Capital Blue Cross — CHIP: $61.85
  • Cigna — All Commercial Plans: $903.76
  • First Health — All Commercial Plans: $1,216.60
  • Gateway — Medicaid: $73.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD US ABDOMEN COMPLETE $1,580 $1,106 $632 – $1,501
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $1,185
  • Blue Ridge — All Commercial Plans: $1,501
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $711
  • PMA — Workers Comp: $632
  • UPMC — All ACA & Commercial Plans: $853.36
  • UPMC — RH Employees: $632
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD US OBS BASIC 2, 3 TRIMESTER $1,196 $837.20 $51.15 – $1,136.20
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $825.24
  • Aetna — Better Health CHIP: $116.25
  • Amerihealth Caritas — Medicaid: $59.29
  • Berkshire — All Commercial Plans: $897
  • Blue Ridge — All Commercial Plans: $1,136.20
  • Capital Blue Cross — All Commercial Plans: $740.08
  • Capital Blue Cross — CHIP: $62.59
  • Cigna — All Commercial Plans: $684.11
  • First Health — All Commercial Plans: $920.92
  • Gateway — Medicaid: $59.52
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US OBS BASIC 2, 3 TRIMESTER $1,196 $837.20 $51.15 – $1,136.20
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $825.24
  • Aetna — Better Health CHIP: $116.25
  • Amerihealth Caritas — Medicaid: $59.29
  • Berkshire — All Commercial Plans: $897
  • Blue Ridge — All Commercial Plans: $1,136.20
  • Capital Blue Cross — All Commercial Plans: $740.08
  • Capital Blue Cross — CHIP: $62.59
  • Cigna — All Commercial Plans: $684.11
  • First Health — All Commercial Plans: $920.92
  • Gateway — Medicaid: $59.52
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD US OBS BASIC 2, 3 TRIMESTER $1,196 $837.20 $478.40 – $1,136.20
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $897
  • Blue Ridge — All Commercial Plans: $1,136.20
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $538.20
  • PMA — Workers Comp: $478.40
  • UPMC — All ACA & Commercial Plans: $645.96
  • UPMC — RH Employees: $478.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB IR US TRANSVAGINAL NON-OB $1,069 $748.30 $51.15 – $1,015.55
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $737.61
  • Aetna — Better Health CHIP: $116.25
  • Amerihealth Caritas — Medicaid: $59.29
  • Berkshire — All Commercial Plans: $801.75
  • Blue Ridge — All Commercial Plans: $1,015.55
  • Capital Blue Cross — All Commercial Plans: $653.50
  • Capital Blue Cross — CHIP: $55.27
  • Cigna — All Commercial Plans: $611.47
  • First Health — All Commercial Plans: $823.13
  • Gateway — Medicaid: $59.52
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD US TRANSVAGINAL NON-OB $1,069 $748.30 $51.15 – $1,015.55
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $737.61
  • Aetna — Better Health CHIP: $116.25
  • Amerihealth Caritas — Medicaid: $59.29
  • Berkshire — All Commercial Plans: $801.75
  • Blue Ridge — All Commercial Plans: $1,015.55
  • Capital Blue Cross — All Commercial Plans: $653.50
  • Capital Blue Cross — CHIP: $55.27
  • Cigna — All Commercial Plans: $611.47
  • First Health — All Commercial Plans: $823.13
  • Gateway — Medicaid: $59.52
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US TRANSVAGINAL NON-OB $1,069 $748.30 $51.15 – $1,015.55
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $737.61
  • Aetna — Better Health CHIP: $116.25
  • Amerihealth Caritas — Medicaid: $59.29
  • Berkshire — All Commercial Plans: $801.75
  • Blue Ridge — All Commercial Plans: $1,015.55
  • Capital Blue Cross — All Commercial Plans: $653.50
  • Capital Blue Cross — CHIP: $55.27
  • Cigna — All Commercial Plans: $611.47
  • First Health — All Commercial Plans: $823.13
  • Gateway — Medicaid: $59.52
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, UNILATERAL $610 $427 $62.13 – $734.61
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $420.90
  • Aetna — Better Health CHIP: $177.53
  • Amerihealth Caritas — Medicaid: $90.54
  • Berkshire — All Commercial Plans: $457.50
  • Blue Ridge — All Commercial Plans: $579.50
  • Capital Blue Cross — All Commercial Plans: $734.61
  • Capital Blue Cross — CHIP: $62.13
  • Cigna — All Commercial Plans: $348.92
  • First Health — All Commercial Plans: $469.70
  • Gateway — Medicaid: $90.89
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, UNILATERAL $610 $427 $244 – $579.50
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $457.50
  • Blue Ridge — All Commercial Plans: $579.50
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $274.50
  • PMA — Workers Comp: $244
  • UPMC — All ACA & Commercial Plans: $329.46
  • UPMC — RH Employees: $244
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, BILATERAL $755 $528.50 $79.48 – $939.70
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $520.95
  • Aetna — Better Health CHIP: $227.08
  • Amerihealth Caritas — Medicaid: $115.81
  • Berkshire — All Commercial Plans: $566.25
  • Blue Ridge — All Commercial Plans: $717.25
  • Capital Blue Cross — All Commercial Plans: $939.70
  • Capital Blue Cross — CHIP: $79.48
  • Cigna — All Commercial Plans: $431.86
  • First Health — All Commercial Plans: $581.35
  • Gateway — Medicaid: $116.26
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD DIAG MAMMO INCLUDE CAD, BILATERAL $755 $528.50 $302 – $717.25
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $566.25
  • Blue Ridge — All Commercial Plans: $717.25
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $339.75
  • PMA — Workers Comp: $302
  • UPMC — All ACA & Commercial Plans: $407.78
  • UPMC — RH Employees: $302
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD SCREENING MAMMO BILATERAL, INCLUDE CAD $693 $485.10 $65.65 – $776.16
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $478.17
  • Aetna — Better Health CHIP: $187.55
  • Amerihealth Caritas — Medicaid: $95.65
  • Berkshire — All Commercial Plans: $519.75
  • Blue Ridge — All Commercial Plans: $658.35
  • Capital Blue Cross — All Commercial Plans: $776.16
  • Capital Blue Cross — CHIP: $65.65
  • Cigna — All Commercial Plans: $396.40
  • First Health — All Commercial Plans: $533.61
  • Gateway — Medicaid: $96.03
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RAD SCREENING MAMMO BILATERAL, INCLUDE CAD $693 $485.10 $277.20 – $658.35
Screening mammogram, both breasts: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $519.75
  • Blue Ridge — All Commercial Plans: $658.35
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $311.85
  • PMA — Workers Comp: $277.20
  • UPMC — All ACA & Commercial Plans: $374.29
  • UPMC — RH Employees: $277.20

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB ELECTROCARDIOGRAM, COMPLETE $88 $61.60 $15.84 – $53.02
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $49.17
  • Aetna — Better Health CHIP: $38.44
  • Amerihealth Caritas — Medicaid: $31.04
  • Capital Blue Cross — All Commercial Plans: $26.14
  • Cigna — All Commercial Plans: $44.19
  • First Health — All Commercial Plans: $53.02
  • Gateway — Medicaid: $24.60
  • Geisinger — All Commercial Plans: $34.16
  • Geisinger — Medicaid & CHIP: $25.18
  • Health Partners — Medicaid & CHIP: $25.89
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB ELECTROCARDIOGRAM, COMPLETE $88 $61.60 $15.84 – $53.02
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $49.17
  • Aetna — Better Health CHIP: $38.44
  • Amerihealth Caritas — Medicaid: $31.04
  • Capital Blue Cross — All Commercial Plans: $26.14
  • Cigna — All Commercial Plans: $44.19
  • First Health — All Commercial Plans: $53.02
  • Gateway — Medicaid: $24.60
  • Geisinger — All Commercial Plans: $34.16
  • Geisinger — Medicaid & CHIP: $25.18
  • Health Partners — Medicaid & CHIP: $25.89
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LEFT HEART CATH +/- LVGRAM $16,162 $11,313.40 $970 – $15,353.90
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $11,636.64
  • Berkshire — All Commercial Plans: $12,121.50
  • Blue Ridge — All Commercial Plans: $15,353.90
  • Capital Blue Cross — All Commercial Plans: $9,293.15
  • Capital Blue Cross — CHIP: $6,505.21
  • First Health — All Commercial Plans: $12,444.74
  • Geisinger — All Commercial Plans: $10,232.16
  • Independence Blue Cross — All Commercial Plans: $10,388.93
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $7,272.90
  • PMA — Workers Comp: $6,464.80
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LEFT HEART CATH +/- LVGRAM $16,162 $11,313.40 $6,464.80 – $15,353.90
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $12,121.50
  • Blue Ridge — All Commercial Plans: $15,353.90
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $7,272.90
  • PMA — Workers Comp: $6,464.80
  • UPMC — All ACA & Commercial Plans: $8,729.10
  • UPMC — RH Employees: $6,464.80
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB HBCOMP EP EVAL W/O INDUCTION $1,089 $762.30 $222.19 – $2,508.50
Heart rhythm study (electrophysiology evaluation): 10 of 38 insurance plan rates
  • Aetna — All Commercial Plans: $2,326.32
  • Aetna — Better Health CHIP: $1,359.82
  • Aetna — Medicare: $373.20
  • Amerihealth Caritas — Medicaid: $1,098.05
  • Amerihealth Caritas — Medicare: $366.09
  • Capital Blue Cross — All Commercial Plans: $635.47
  • Capital Blue Cross — CHIP: $362.68
  • Capital Blue Cross — Medicare: $359.05
  • Cigna — All Commercial Plans: $1,063.46
  • Devoted Health — Medicare: $377.19
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB HBCOMP EP EVAL W/O INDUCTION $1,089 $762.30 $222.19 – $2,508.50
Heart rhythm study (electrophysiology evaluation): 10 of 38 insurance plan rates
  • Aetna — All Commercial Plans: $2,326.32
  • Aetna — Better Health CHIP: $1,359.82
  • Aetna — Medicare: $373.20
  • Amerihealth Caritas — Medicaid: $1,098.05
  • Amerihealth Caritas — Medicare: $366.09
  • Capital Blue Cross — All Commercial Plans: $635.47
  • Capital Blue Cross — CHIP: $362.68
  • Capital Blue Cross — Medicare: $359.05
  • Cigna — All Commercial Plans: $1,063.46
  • Devoted Health — Medicare: $377.19
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HBCOMP EP EVAL W/O INDUCTION $11,908 $8,335.60 $970 – $11,312.60
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $8,573.76
  • Berkshire — All Commercial Plans: $8,931
  • Blue Ridge — All Commercial Plans: $11,312.60
  • Capital Blue Cross — All Commercial Plans: $6,847.10
  • Capital Blue Cross — CHIP: $4,792.97
  • Cigna — All Commercial Plans: $7,906.91
  • First Health — All Commercial Plans: $9,169.16
  • Geisinger — All Commercial Plans: $7,538.95
  • Independence Blue Cross — All Commercial Plans: $8,027.90
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $5,358.60
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $2,687 $1,880.90 $29.71 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,179.76
Heart rhythm study with ablation for atrial fibrillation: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $3,876.20
  • Aetna — Better Health CHIP: $1,749
  • Aetna — Medicare: $806.60
  • Amerihealth Caritas — Medicaid: $1,412.32
  • Amerihealth Caritas — Medicare: $791.24
  • Capital Blue Cross — All Commercial Plans: $1,828.63
  • Capital Blue Cross — CHIP: $783.87
  • Capital Blue Cross — Medicare: $776.03
  • Cigna — All Commercial Plans: $3,059.85
  • Devoted Health — Medicare: $815.22
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $2,687 $1,880.90 $29.71 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,179.76
Heart rhythm study with ablation for atrial fibrillation: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $3,876.20
  • Aetna — Better Health CHIP: $1,749
  • Aetna — Medicare: $806.60
  • Amerihealth Caritas — Medicaid: $1,412.32
  • Amerihealth Caritas — Medicare: $791.24
  • Capital Blue Cross — All Commercial Plans: $1,828.63
  • Capital Blue Cross — CHIP: $783.87
  • Capital Blue Cross — Medicare: $776.03
  • Cigna — All Commercial Plans: $3,059.85
  • Devoted Health — Medicare: $815.22
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $55,423 $38,796.10 $970 – $52,651.85
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $39,904.56
  • Berkshire — All Commercial Plans: $41,567.25
  • Blue Ridge — All Commercial Plans: $52,651.85
  • Capital Blue Cross — All Commercial Plans: $31,868.23
  • Capital Blue Cross — CHIP: $22,307.76
  • Cigna — All Commercial Plans: $36,800.87
  • First Health — All Commercial Plans: $42,675.71
  • Geisinger — All Commercial Plans: $35,088.30
  • Independence Blue Cross — All Commercial Plans: $35,625.90
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $24,940.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $355 $248.50 $91.49 – $2,192.46
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates
  • Aetna — All Commercial Plans: $2,033.23
  • Aetna — Better Health CHIP: $152.48
  • Aetna — Medicare: $119.09
  • Amerihealth Caritas — Medicaid: $123.13
  • Amerihealth Caritas — Medicare: $116.82
  • Capital Blue Cross — All Commercial Plans: $192.38
  • Capital Blue Cross — CHIP: $115.73
  • Capital Blue Cross — Medicare: $114.57
  • Cigna — All Commercial Plans: $325.27
  • Devoted Health — Medicare: $120.36
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $355 $248.50 $91.49 – $2,192.46
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates
  • Aetna — All Commercial Plans: $2,033.23
  • Aetna — Better Health CHIP: $152.48
  • Aetna — Medicare: $119.09
  • Amerihealth Caritas — Medicaid: $123.13
  • Amerihealth Caritas — Medicare: $116.82
  • Capital Blue Cross — All Commercial Plans: $192.38
  • Capital Blue Cross — CHIP: $115.73
  • Capital Blue Cross — Medicare: $114.57
  • Cigna — All Commercial Plans: $325.27
  • Devoted Health — Medicare: $120.36
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POLYSOMOGRAPH >6 YRS PARAMETERS ATTENDED BY TECH $7,756 $5,429.20 $297.35 – $7,368.20
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $5,584.32
  • Aetna — Better Health CHIP: $675.80
  • Amerihealth Caritas — Medicaid: $344.66
  • Berkshire — All Commercial Plans: $5,817
  • Blue Ridge — All Commercial Plans: $7,368.20
  • Capital Blue Cross — All Commercial Plans: $2,945.68
  • Capital Blue Cross — CHIP: $657.73
  • Cigna — All Commercial Plans: $5,149.98
  • First Health — All Commercial Plans: $5,972.12
  • Gateway — Medicaid: $346.01

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OT THERAPEUTIC EXCERCISE EA 15 MIN $168 $117.60 $10.48 – $200
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $120.96
  • Berkshire — All Commercial Plans: $126
  • Blue Ridge — All Commercial Plans: $159.60
  • Capital Blue Cross — All Commercial Plans: $96.60
  • Capital Blue Cross — CHIP: $67.62
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $129.36
  • Geisinger — All Commercial Plans: $106.36
  • Independence Blue Cross — All Commercial Plans: $164.83
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $75.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT THERAPEUTIC EXCERCISE EA 15 MIN $168 $117.60 $10.48 – $200
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $120.96
  • Berkshire — All Commercial Plans: $126
  • Blue Ridge — All Commercial Plans: $159.60
  • Capital Blue Cross — All Commercial Plans: $96.60
  • Capital Blue Cross — CHIP: $67.62
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $129.36
  • Geisinger — All Commercial Plans: $106.36
  • Independence Blue Cross — All Commercial Plans: $164.83
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $75.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OT THERAPEUTIC EXCERCISE EA 15 MIN $168 $117.60 $67.20 – $159.60
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $126
  • Blue Ridge — All Commercial Plans: $159.60
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $75.60
  • PMA — Workers Comp: $67.20
  • UPMC — All ACA & Commercial Plans: $90.74
  • UPMC — RH Employees: $67.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL LOW COMPLEX 15 MIN $137 $95.90 $54.80 – $219.77
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $98.64
  • Berkshire — All Commercial Plans: $102.75
  • Blue Ridge — All Commercial Plans: $130.15
  • Capital Blue Cross — All Commercial Plans: $78.78
  • Capital Blue Cross — CHIP: $55.14
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $105.49
  • Geisinger — All Commercial Plans: $86.73
  • Independence Blue Cross — All Commercial Plans: $219.77
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $61.65
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL LOW COMPLEX 30 MIN $273 $191.10 $79.51 – $259.35
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $196.56
  • Berkshire — All Commercial Plans: $204.75
  • Blue Ridge — All Commercial Plans: $259.35
  • Capital Blue Cross — All Commercial Plans: $156.98
  • Capital Blue Cross — CHIP: $109.88
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $210.21
  • Geisinger — All Commercial Plans: $172.84
  • Independence Blue Cross — All Commercial Plans: $219.77
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $122.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL LOW COMPLEX 45 MIN $493 $345.10 $79.51 – $468.35
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $354.96
  • Berkshire — All Commercial Plans: $369.75
  • Blue Ridge — All Commercial Plans: $468.35
  • Capital Blue Cross — All Commercial Plans: $283.48
  • Capital Blue Cross — CHIP: $198.43
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $379.61
  • Geisinger — All Commercial Plans: $312.12
  • Independence Blue Cross — All Commercial Plans: $219.77
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $221.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL MOD COMPLEX 30 MIN $273 $191.10 $31.66 – $274.71
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $196.56
  • Berkshire — All Commercial Plans: $204.75
  • Blue Ridge — All Commercial Plans: $259.35
  • Capital Blue Cross — All Commercial Plans: $156.98
  • Capital Blue Cross — CHIP: $109.88
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $210.21
  • Geisinger — All Commercial Plans: $172.84
  • Independence Blue Cross — All Commercial Plans: $274.71
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $122.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL MOD COMPLEX 45 MIN $493 $345.10 $31.66 – $468.35
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $354.96
  • Berkshire — All Commercial Plans: $369.75
  • Blue Ridge — All Commercial Plans: $468.35
  • Capital Blue Cross — All Commercial Plans: $283.48
  • Capital Blue Cross — CHIP: $198.43
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $379.61
  • Geisinger — All Commercial Plans: $312.12
  • Independence Blue Cross — All Commercial Plans: $274.71
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $221.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL MOD COMPLEX 60 MIN $545 $381.50 $31.66 – $517.75
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $392.40
  • Berkshire — All Commercial Plans: $408.75
  • Blue Ridge — All Commercial Plans: $517.75
  • Capital Blue Cross — All Commercial Plans: $313.38
  • Capital Blue Cross — CHIP: $219.36
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $419.65
  • Geisinger — All Commercial Plans: $345.04
  • Independence Blue Cross — All Commercial Plans: $274.71
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $245.25
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL HIGH COMPLEX 45 MIN $493 $345.10 $79.51 – $468.35
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $354.96
  • Berkshire — All Commercial Plans: $369.75
  • Blue Ridge — All Commercial Plans: $468.35
  • Capital Blue Cross — All Commercial Plans: $283.48
  • Capital Blue Cross — CHIP: $198.43
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $379.61
  • Geisinger — All Commercial Plans: $312.12
  • Independence Blue Cross — All Commercial Plans: $329.65
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $221.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL HIGH COMPLEX 60 MIN $545 $381.50 $79.51 – $517.75
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $392.40
  • Berkshire — All Commercial Plans: $408.75
  • Blue Ridge — All Commercial Plans: $517.75
  • Capital Blue Cross — All Commercial Plans: $313.38
  • Capital Blue Cross — CHIP: $219.36
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $419.65
  • Geisinger — All Commercial Plans: $345.04
  • Independence Blue Cross — All Commercial Plans: $329.65
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $245.25
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT PHYSICAL THERAPY EVAL HIGH COMPLEX 75 MIN $683 $478.10 $79.51 – $648.85
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $491.76
  • Berkshire — All Commercial Plans: $512.25
  • Blue Ridge — All Commercial Plans: $648.85
  • Capital Blue Cross — All Commercial Plans: $392.73
  • Capital Blue Cross — CHIP: $274.91
  • Cigna — All Commercial Plans: $200
  • First Health — All Commercial Plans: $525.91
  • Geisinger — All Commercial Plans: $432.41
  • Independence Blue Cross — All Commercial Plans: $329.65
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $307.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB PSYCHOLOGICAL COUNSELING 30MI $131 $91.70 $32.75 – $121.69
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $78.60
  • Aetna — Better Health CHIP: $39.30
  • Aetna — Medicare: $70.44
  • Amerihealth Caritas — Medicare: $69.09
  • Capital Blue Cross — All Commercial Plans: $98.91
  • Capital Blue Cross — CHIP: $68.45
  • Capital Blue Cross — Medicare: $67.77
  • Cigna — All Commercial Plans: $72.05
  • Devoted Health — Medicare: $71.19
  • First Health — All Commercial Plans: $78.60
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB PSYCHOTHERAPY W/PT 30 MIN $197 $137.90 $47.86 – $121.69
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $118.20
  • Aetna — Better Health CHIP: $59.10
  • Aetna — Medicare: $70.44
  • Amerihealth Caritas — Medicare: $69.09
  • Capital Blue Cross — All Commercial Plans: $98.91
  • Capital Blue Cross — CHIP: $68.45
  • Capital Blue Cross — Medicare: $67.77
  • Cigna — All Commercial Plans: $108.35
  • Devoted Health — Medicare: $71.19
  • First Health — All Commercial Plans: $118.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB PSYCHOTHERAPY W/PT 30 MIN $197 $137.90 $47.86 – $121.69
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $118.20
  • Aetna — Better Health CHIP: $59.10
  • Aetna — Medicare: $70.44
  • Amerihealth Caritas — Medicare: $69.09
  • Capital Blue Cross — All Commercial Plans: $98.91
  • Capital Blue Cross — CHIP: $68.45
  • Capital Blue Cross — Medicare: $67.77
  • Cigna — All Commercial Plans: $108.35
  • Devoted Health — Medicare: $71.19
  • First Health — All Commercial Plans: $118.20
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB PSYCHOTHERAPY W/PT 45 MIN $262 $183.40 $49.62 – $162.32
Psychotherapy, 45 minutes: 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $157.20
  • Aetna — Better Health CHIP: $78.60
  • Aetna — Medicare: $93.11
  • Amerihealth Caritas — Medicare: $91.34
  • Capital Blue Cross — All Commercial Plans: $132.08
  • Capital Blue Cross — CHIP: $90.49
  • Capital Blue Cross — Medicare: $89.59
  • Cigna — All Commercial Plans: $144.10
  • Devoted Health — Medicare: $94.11
  • First Health — All Commercial Plans: $157.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB PSYCHOTHERAPY W/PT 45 MIN $262 $183.40 $49.62 – $162.32
Psychotherapy, 45 minutes: 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $157.20
  • Aetna — Better Health CHIP: $78.60
  • Aetna — Medicare: $93.11
  • Amerihealth Caritas — Medicare: $91.34
  • Capital Blue Cross — All Commercial Plans: $132.08
  • Capital Blue Cross — CHIP: $90.49
  • Capital Blue Cross — Medicare: $89.59
  • Cigna — All Commercial Plans: $144.10
  • Devoted Health — Medicare: $94.11
  • First Health — All Commercial Plans: $157.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB IND THERAPY 45 MIN $419 $293.30 $48.75 – $398.05
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $301.68
  • Berkshire — All Commercial Plans: $314.25
  • Blue Ridge — All Commercial Plans: $398.05
  • Capital Blue Cross — All Commercial Plans: $240.93
  • Capital Blue Cross — CHIP: $168.65
  • Cigna — All Commercial Plans: $278.22
  • First Health — All Commercial Plans: $322.63
  • Geisinger — All Commercial Plans: $265.27
  • Independence Blue Cross — All Commercial Plans: $269.33
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $188.55
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB PSYCHOTHERAPY W/PT 60 MIN $385 $269.50 $22.71 – $244.26
Psychotherapy, 60 minutes: 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $231
  • Aetna — Better Health CHIP: $115.50
  • Aetna — Medicare: $137.16
  • Amerihealth Caritas — Medicare: $134.54
  • Capital Blue Cross — All Commercial Plans: $198.42
  • Capital Blue Cross — CHIP: $133.29
  • Capital Blue Cross — Medicare: $131.96
  • Cigna — All Commercial Plans: $211.75
  • Devoted Health — Medicare: $138.62
  • First Health — All Commercial Plans: $231
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB PSYCHOTHERAPY W/PT 60 MIN $385 $269.50 $22.71 – $244.26
Psychotherapy, 60 minutes: 10 of 42 insurance plan rates
  • Aetna — All Commercial Plans: $231
  • Aetna — Better Health CHIP: $115.50
  • Aetna — Medicare: $137.16
  • Amerihealth Caritas — Medicare: $134.54
  • Capital Blue Cross — All Commercial Plans: $198.42
  • Capital Blue Cross — CHIP: $133.29
  • Capital Blue Cross — Medicare: $131.96
  • Cigna — All Commercial Plans: $211.75
  • Devoted Health — Medicare: $138.62
  • First Health — All Commercial Plans: $231
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COCA ADMISSION SESSION PER 15 MIN $160 $112 $64 – $152
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $115.20
  • Berkshire — All Commercial Plans: $120
  • Blue Ridge — All Commercial Plans: $152
  • Capital Blue Cross — All Commercial Plans: $92
  • Capital Blue Cross — CHIP: $64.40
  • Cigna — All Commercial Plans: $106.24
  • First Health — All Commercial Plans: $123.20
  • Geisinger — All Commercial Plans: $101.30
  • Independence Blue Cross — All Commercial Plans: $102.85
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $72
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB FAM THERAPY W/O PATIENT 45-50MIN $873 $611.10 $16.25 – $829.35
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $628.56
  • Berkshire — All Commercial Plans: $654.75
  • Blue Ridge — All Commercial Plans: $829.35
  • Capital Blue Cross — All Commercial Plans: $501.98
  • Capital Blue Cross — CHIP: $351.38
  • Cigna — All Commercial Plans: $579.67
  • First Health — All Commercial Plans: $672.21
  • Geisinger — All Commercial Plans: $552.70
  • Independence Blue Cross — All Commercial Plans: $561.16
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $392.85
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB FAMILY THERAPY W/O PATIENT PER 15 MIN - CCBH $178 $124.60 $16.25 – $169.10
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $128.16
  • Berkshire — All Commercial Plans: $133.50
  • Blue Ridge — All Commercial Plans: $169.10
  • Capital Blue Cross — All Commercial Plans: $102.35
  • Capital Blue Cross — CHIP: $71.65
  • Cigna — All Commercial Plans: $118.19
  • First Health — All Commercial Plans: $137.06
  • Geisinger — All Commercial Plans: $112.69
  • Independence Blue Cross — All Commercial Plans: $114.42
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $80.10
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB FAMILY COUNSELING W/O PATIENT $178 $124.60 $16.25 – $169.10
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $128.16
  • Berkshire — All Commercial Plans: $133.50
  • Blue Ridge — All Commercial Plans: $169.10
  • Capital Blue Cross — All Commercial Plans: $102.35
  • Capital Blue Cross — CHIP: $71.65
  • First Health — All Commercial Plans: $137.06
  • Geisinger — All Commercial Plans: $112.69
  • Independence Blue Cross — All Commercial Plans: $114.42
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $80.10
  • PMA — Workers Comp: $71.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB FAM THERAPY 45-50 MIN $472 $330.40 $16.25 – $448.40
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $339.84
  • Berkshire — All Commercial Plans: $354
  • Blue Ridge — All Commercial Plans: $448.40
  • Capital Blue Cross — All Commercial Plans: $271.40
  • Capital Blue Cross — CHIP: $189.98
  • Cigna — All Commercial Plans: $313.41
  • First Health — All Commercial Plans: $363.44
  • Geisinger — All Commercial Plans: $298.82
  • Independence Blue Cross — All Commercial Plans: $303.40
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $212.40
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB FAM THERAPY PER 15 MIN - CCBH $215 $150.50 $16.25 – $204.25
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $154.80
  • Berkshire — All Commercial Plans: $161.25
  • Blue Ridge — All Commercial Plans: $204.25
  • Capital Blue Cross — All Commercial Plans: $123.63
  • Capital Blue Cross — CHIP: $86.54
  • Cigna — All Commercial Plans: $142.76
  • First Health — All Commercial Plans: $165.55
  • Geisinger — All Commercial Plans: $136.12
  • Independence Blue Cross — All Commercial Plans: $138.20
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $96.75
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB FAMILY COUNSELING W/ PATIENT $215 $150.50 $16.25 – $204.25
Family psychotherapy, with the patient: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $154.80
  • Berkshire — All Commercial Plans: $161.25
  • Blue Ridge — All Commercial Plans: $204.25
  • Capital Blue Cross — All Commercial Plans: $123.63
  • Capital Blue Cross — CHIP: $86.54
  • First Health — All Commercial Plans: $165.55
  • Geisinger — All Commercial Plans: $136.12
  • Independence Blue Cross — All Commercial Plans: $138.20
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $96.75
  • PMA — Workers Comp: $86
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB GROUP PSYCHOTHERAPY $231 $161.70 $37.50 – $219.45
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $166.32
  • Berkshire — All Commercial Plans: $173.25
  • Blue Ridge — All Commercial Plans: $219.45
  • Capital Blue Cross — All Commercial Plans: $132.83
  • Capital Blue Cross — CHIP: $92.98
  • Cigna — All Commercial Plans: $153.38
  • First Health — All Commercial Plans: $177.87
  • Geisinger — All Commercial Plans: $146.25
  • Independence Blue Cross — All Commercial Plans: $148.49
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $103.95
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB GROUP THERAPY PER 15MIN-CCBH $137 $95.90 $37.50 – $130.15
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $98.64
  • Berkshire — All Commercial Plans: $102.75
  • Blue Ridge — All Commercial Plans: $130.15
  • Capital Blue Cross — All Commercial Plans: $78.78
  • Capital Blue Cross — CHIP: $55.14
  • Cigna — All Commercial Plans: $90.97
  • First Health — All Commercial Plans: $105.49
  • Geisinger — All Commercial Plans: $86.73
  • Independence Blue Cross — All Commercial Plans: $88.06
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $61.65
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB GROUP THERAPY-NON CCBH $137 $95.90 $37.50 – $130.15
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $98.64
  • Berkshire — All Commercial Plans: $102.75
  • Blue Ridge — All Commercial Plans: $130.15
  • Capital Blue Cross — All Commercial Plans: $78.78
  • Capital Blue Cross — CHIP: $55.14
  • Cigna — All Commercial Plans: $90.97
  • First Health — All Commercial Plans: $105.49
  • Geisinger — All Commercial Plans: $86.73
  • Independence Blue Cross — All Commercial Plans: $88.06
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $61.65

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $10,618 $7,432.60 $190.30 – $10,087.10
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $7,644.96
  • Aetna — Better Health CHIP: $432.50
  • Amerihealth Caritas — Medicaid: $242.21
  • Berkshire — All Commercial Plans: $7,963.50
  • Blue Ridge — All Commercial Plans: $10,087.10
  • Capital Blue Cross — All Commercial Plans: $6,105.35
  • Capital Blue Cross — CHIP: $4,273.75
  • Cigna — All Commercial Plans: $7,050.35
  • First Health — All Commercial Plans: $8,175.86
  • Gateway — Medicaid: $221.44
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $10,618 $7,432.60 $4,247.20 – $10,087.10
Removal of breast growth (open surgery): rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $7,963.50
  • Blue Ridge — All Commercial Plans: $10,087.10
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $4,778.10
  • PMA — Workers Comp: $4,247.20
  • UPMC — All ACA & Commercial Plans: $5,734.78
  • UPMC — RH Employees: $4,247.20
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EGD DIAGNOSTIC BRUSH WASH $362 $253.40 $90.62 – $449.11
Upper GI endoscopy (diagnostic): 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $416.49
  • Aetna — Better Health CHIP: $250.44
  • Aetna — Medicare: $109.70
  • Amerihealth Caritas — Medicaid: $202.23
  • Amerihealth Caritas — Medicare: $107.61
  • Capital Blue Cross — All Commercial Plans: $198.70
  • Capital Blue Cross — CHIP: $106.61
  • Capital Blue Cross — Medicare: $105.54
  • Cigna — All Commercial Plans: $199.10
  • Devoted Health — Medicare: $110.87
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EGD DIAGNOSTIC BRUSH WASH $362 $253.40 $90.62 – $449.11
Upper GI endoscopy (diagnostic): 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $416.49
  • Aetna — Better Health CHIP: $250.44
  • Aetna — Medicare: $109.70
  • Amerihealth Caritas — Medicaid: $202.23
  • Amerihealth Caritas — Medicare: $107.61
  • Capital Blue Cross — All Commercial Plans: $198.70
  • Capital Blue Cross — CHIP: $106.61
  • Capital Blue Cross — Medicare: $105.54
  • Cigna — All Commercial Plans: $199.10
  • Devoted Health — Medicare: $110.87
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,813 $1,969.10 $137.74 – $2,672.35
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $2,025.36
  • Aetna — Better Health CHIP: $313.05
  • Amerihealth Caritas — Medicaid: $175.31
  • Berkshire — All Commercial Plans: $2,109.75
  • Blue Ridge — All Commercial Plans: $2,672.35
  • Capital Blue Cross — All Commercial Plans: $1,617.48
  • Capital Blue Cross — CHIP: $1,132.23
  • Cigna — All Commercial Plans: $1,867.83
  • First Health — All Commercial Plans: $2,166.01
  • Gateway — Medicaid: $160.28
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB EGD BIOPSY SINGLE/MULTIPLE $408 $285.60 $101.40 – $505.78
Upper GI endoscopy with biopsy: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $469.05
  • Aetna — Better Health CHIP: $297.16
  • Aetna — Medicare: $122.75
  • Amerihealth Caritas — Medicaid: $239.96
  • Amerihealth Caritas — Medicare: $120.41
  • Capital Blue Cross — All Commercial Plans: $224.89
  • Capital Blue Cross — CHIP: $119.29
  • Capital Blue Cross — Medicare: $118.10
  • Cigna — All Commercial Plans: $224.40
  • Devoted Health — Medicare: $124.06
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB EGD BIOPSY SINGLE/MULTIPLE $408 $285.60 $101.40 – $505.78
Upper GI endoscopy with biopsy: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $469.05
  • Aetna — Better Health CHIP: $297.16
  • Aetna — Medicare: $122.75
  • Amerihealth Caritas — Medicaid: $239.96
  • Amerihealth Caritas — Medicare: $120.41
  • Capital Blue Cross — All Commercial Plans: $224.89
  • Capital Blue Cross — CHIP: $119.29
  • Capital Blue Cross — Medicare: $118.10
  • Cigna — All Commercial Plans: $224.40
  • Devoted Health — Medicare: $124.06
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB LAPAROSCOPIC CHOLECYSTECTOMY $1,979 $1,385.30 $416.63 – $2,455.85
Gallbladder removal by laparoscope: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $2,277.49
  • Aetna — Better Health CHIP: $1,178.70
  • Aetna — Medicare: $624.36
  • Amerihealth Caritas — Medicaid: $951.80
  • Amerihealth Caritas — Medicare: $612.46
  • Capital Blue Cross — All Commercial Plans: $1,061.37
  • Capital Blue Cross — CHIP: $606.76
  • Capital Blue Cross — Medicare: $600.69
  • Cigna — All Commercial Plans: $1,792.90
  • Devoted Health — Medicare: $631.03
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB LAPAROSCOPIC CHOLECYSTECTOMY $1,979 $1,385.30 $416.63 – $2,455.85
Gallbladder removal by laparoscope: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $2,277.49
  • Aetna — Better Health CHIP: $1,178.70
  • Aetna — Medicare: $624.36
  • Amerihealth Caritas — Medicaid: $951.80
  • Amerihealth Caritas — Medicare: $612.46
  • Capital Blue Cross — All Commercial Plans: $1,061.37
  • Capital Blue Cross — CHIP: $606.76
  • Capital Blue Cross — Medicare: $600.69
  • Cigna — All Commercial Plans: $1,792.90
  • Devoted Health — Medicare: $631.03
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB IR BIOPSY PROSTATE; NEEDLE/PUNCH, SINGLE OR MULTIPLE $6,834 $4,783.80 $98.45 – $6,492.30
Prostate biopsy: 10 of 23 insurance plan rates
  • Aetna — All Commercial Plans: $4,920.48
  • Aetna — Better Health CHIP: $223.75
  • Amerihealth Caritas — Medicaid: $125.30
  • Berkshire — All Commercial Plans: $5,125.50
  • Blue Ridge — All Commercial Plans: $6,492.30
  • Capital Blue Cross — All Commercial Plans: $3,929.55
  • Capital Blue Cross — CHIP: $2,750.69
  • First Health — All Commercial Plans: $5,262.18
  • Gateway — Medicaid: $114.56
  • Geisinger — All Commercial Plans: $4,326.61
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RAD BIOPSY PROSTATE; NEEDLE/PUNCH, SINGLE OR MULTIPLE $6,834 $4,783.80 $98.45 – $6,492.30
Prostate biopsy: 10 of 23 insurance plan rates
  • Aetna — All Commercial Plans: $4,920.48
  • Aetna — Better Health CHIP: $223.75
  • Amerihealth Caritas — Medicaid: $125.30
  • Berkshire — All Commercial Plans: $5,125.50
  • Blue Ridge — All Commercial Plans: $6,492.30
  • Capital Blue Cross — All Commercial Plans: $3,929.55
  • Capital Blue Cross — CHIP: $2,750.69
  • First Health — All Commercial Plans: $5,262.18
  • Gateway — Medicaid: $114.56
  • Geisinger — All Commercial Plans: $4,326.61
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB IR BIOPSY PROSTATE; NEEDLE/PUNCH, SINGLE OR MULTIPLE $6,834 $4,783.80 $2,733.60 – $6,492.30
Prostate biopsy: rates for 6 insurance plans
  • Berkshire — All Commercial Plans: $5,125.50
  • Blue Ridge — All Commercial Plans: $6,492.30
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $3,075.30
  • PMA — Workers Comp: $2,733.60
  • UPMC — All ACA & Commercial Plans: $3,691.04
  • UPMC — RH Employees: $2,733.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB HYSTEROSCOPY,W/ENDO BX $2,512 $1,758.40 $168.37 – $1,381.60
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $720.97
  • Aetna — Better Health CHIP: $477.54
  • Aetna — Medicare: $203.82
  • Amerihealth Caritas — Medicaid: $385.61
  • Amerihealth Caritas — Medicare: $199.94
  • Capital Blue Cross — All Commercial Plans: $369.03
  • Capital Blue Cross — CHIP: $198.08
  • Capital Blue Cross — Medicare: $196.10
  • Cigna — All Commercial Plans: $1,381.60
  • Devoted Health — Medicare: $206
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB HYSTEROSCOPY,W/ENDO BX $2,512 $1,758.40 $168.37 – $1,381.60
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $720.97
  • Aetna — Better Health CHIP: $477.54
  • Aetna — Medicare: $203.82
  • Amerihealth Caritas — Medicaid: $385.61
  • Amerihealth Caritas — Medicare: $199.94
  • Capital Blue Cross — All Commercial Plans: $369.03
  • Capital Blue Cross — CHIP: $198.08
  • Capital Blue Cross — Medicare: $196.10
  • Cigna — All Commercial Plans: $1,381.60
  • Devoted Health — Medicare: $206
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HYSTEROSCOPY; W/ENDOMETRIUM AND/OR POLYPECTOMY BX, W OR W/O D&C $5,602 $3,921.40 $970 – $5,321.90
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $4,033.44
  • Berkshire — All Commercial Plans: $4,201.50
  • Blue Ridge — All Commercial Plans: $5,321.90
  • Capital Blue Cross — All Commercial Plans: $3,221.15
  • Capital Blue Cross — CHIP: $2,254.81
  • First Health — All Commercial Plans: $4,313.54
  • Geisinger — All Commercial Plans: $3,546.63
  • Independence Blue Cross — All Commercial Plans: $3,600.97
  • Lehigh Valley Health Network — Tower Employees All Commercial Plans: $2,520.90
  • PMA — Workers Comp: $2,240.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB INJECT INTERLAMINAR LMBR/SAC W/ IMG GDN $294 $205.80 $73.31 – $2,694.17
Spinal injection, lower back (epidural), with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $312.41
  • Aetna — Better Health CHIP: $162.64
  • Aetna — Medicare: $88.75
  • Amerihealth Caritas — Medicaid: $131.33
  • Amerihealth Caritas — Medicare: $87.06
  • Capital Blue Cross — All Commercial Plans: $157.81
  • Capital Blue Cross — CHIP: $86.25
  • Capital Blue Cross — Medicare: $85.39
  • Cigna — All Commercial Plans: $161.70
  • Devoted Health — Medicare: $89.70
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB INJECT INTERLAMINAR LMBR/SAC W/ IMG GDN $294 $205.80 $73.31 – $2,694.17
Spinal injection, lower back (epidural), with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — All Commercial Plans: $312.41
  • Aetna — Better Health CHIP: $162.64
  • Aetna — Medicare: $88.75
  • Amerihealth Caritas — Medicaid: $131.33
  • Amerihealth Caritas — Medicare: $87.06
  • Capital Blue Cross — All Commercial Plans: $157.81
  • Capital Blue Cross — CHIP: $86.25
  • Capital Blue Cross — Medicare: $85.39
  • Cigna — All Commercial Plans: $161.70
  • Devoted Health — Medicare: $89.70
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJECT DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $1,950 $1,365 $89.45 – $1,852.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $1,404
  • Aetna — Better Health CHIP: $203.30
  • Amerihealth Caritas — Medicaid: $113.84
  • Berkshire — All Commercial Plans: $1,462.50
  • Blue Ridge — All Commercial Plans: $1,852.50
  • Capital Blue Cross — All Commercial Plans: $1,121.25
  • Capital Blue Cross — CHIP: $784.88
  • First Health — All Commercial Plans: $1,501.50
  • Gateway — Medicaid: $104.09
  • Geisinger — All Commercial Plans: $1,234.55

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB OBSTETRICAL CARE GLOBAL $4,318 $3,022.60 $1,079.50 – $8,108.70
Vaginal delivery, with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $1,295.40
  • Aetna — Medicare: $2,192.80
  • Amerihealth Caritas — Medicare: $2,151.03
  • Capital Blue Cross — All Commercial Plans: $3,358.93
  • Capital Blue Cross — CHIP: $2,131
  • Capital Blue Cross — Medicare: $2,109.69
  • Cigna — All Commercial Plans: $5,740.40
  • Devoted Health — Medicare: $2,216.24
  • First Health — All Commercial Plans: $8,108.70
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB OBSTETRICAL CARE GLOBAL $4,318 $3,022.60 $1,079.50 – $8,108.70
Vaginal delivery, with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $1,295.40
  • Aetna — Medicare: $2,192.80
  • Amerihealth Caritas — Medicare: $2,151.03
  • Capital Blue Cross — All Commercial Plans: $3,358.93
  • Capital Blue Cross — CHIP: $2,131
  • Capital Blue Cross — Medicare: $2,109.69
  • Cigna — All Commercial Plans: $5,740.40
  • Devoted Health — Medicare: $2,216.24
  • First Health — All Commercial Plans: $8,108.70
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB RBC OBSTETRICAL CARE GLOBAL - VAG DELIVERY $6,717 $4,701.90 $1,679.25 – $8,108.70
Vaginal delivery, with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $2,015.10
  • Aetna — Medicare: $2,192.80
  • Amerihealth Caritas — Medicare: $2,151.03
  • Capital Blue Cross — All Commercial Plans: $3,358.93
  • Capital Blue Cross — CHIP: $2,131
  • Capital Blue Cross — Medicare: $2,109.69
  • Cigna — All Commercial Plans: $5,740.40
  • Devoted Health — Medicare: $2,216.24
  • First Health — All Commercial Plans: $8,108.70
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB ROUTINE OBSTETRIC CARE INC C-SECTION PPC & ANTEPARTUM CARE $5,228 $3,659.60 $1,307 – $8,108.70
Cesarean delivery (C-section), with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $1,568.40
  • Aetna — Medicare: $2,450.27
  • Amerihealth Caritas — Medicare: $2,403.59
  • Capital Blue Cross — All Commercial Plans: $3,727.33
  • Capital Blue Cross — CHIP: $2,381.21
  • Capital Blue Cross — Medicare: $2,357.40
  • Cigna — All Commercial Plans: $6,367.84
  • Devoted Health — Medicare: $2,476.46
  • First Health — All Commercial Plans: $8,108.70
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB ROUTINE OBSTETRIC CARE INC C-SECTION PPC & ANTEPARTUM CARE $5,228 $3,659.60 $1,307 – $8,108.70
Cesarean delivery (C-section), with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $1,568.40
  • Aetna — Medicare: $2,450.27
  • Amerihealth Caritas — Medicare: $2,403.59
  • Capital Blue Cross — All Commercial Plans: $3,727.33
  • Capital Blue Cross — CHIP: $2,381.21
  • Capital Blue Cross — Medicare: $2,357.40
  • Cigna — All Commercial Plans: $6,367.84
  • Devoted Health — Medicare: $2,476.46
  • First Health — All Commercial Plans: $8,108.70
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB RBC OBSTETRICAL CARE GLOBAL - VBAC $7,041 $4,928.70 $1,760.25 – $8,108.70
Vaginal delivery after a previous C-section, with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $2,112.30
  • Aetna — Medicare: $2,308.92
  • Amerihealth Caritas — Medicare: $2,264.94
  • Capital Blue Cross — All Commercial Plans: $3,527.22
  • Capital Blue Cross — CHIP: $2,243.85
  • Capital Blue Cross — Medicare: $2,221.41
  • Cigna — All Commercial Plans: $6,041.86
  • Devoted Health — Medicare: $2,333.60
  • First Health — All Commercial Plans: $8,108.70
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MD HB RBC OBSTETRICAL CARE GLOBAL - VBAC $7,041 $4,928.70 $1,760.25 – $8,108.70
Vaginal delivery after a previous C-section, with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $2,112.30
  • Aetna — Medicare: $2,308.92
  • Amerihealth Caritas — Medicare: $2,264.94
  • Capital Blue Cross — All Commercial Plans: $3,527.22
  • Capital Blue Cross — CHIP: $2,243.85
  • Capital Blue Cross — Medicare: $2,221.41
  • Cigna — All Commercial Plans: $6,041.86
  • Devoted Health — Medicare: $2,333.60
  • First Health — All Commercial Plans: $8,108.70
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: MD HB ROUTINE OB CARE INC ANTEPARTUM CARE C-SECTION AND PPC AFTER PREVIOUS C-SECTION $4,959 $3,471.30 $1,239.75 – $8,108.70
Vaginal delivery after a previous C-section, with care before and after: 10 of 36 insurance plan rates
  • Aetna — All Commercial Plans: $7,519.80
  • Aetna — Better Health CHIP: $1,487.70
  • Aetna — Medicare: $2,308.92
  • Amerihealth Caritas — Medicare: $2,264.94
  • Capital Blue Cross — All Commercial Plans: $3,527.22
  • Capital Blue Cross — CHIP: $2,243.85
  • Capital Blue Cross — Medicare: $2,221.41
  • Cigna — All Commercial Plans: $6,041.86
  • Devoted Health — Medicare: $2,333.60
  • First Health — All Commercial Plans: $8,108.70

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 $20,829.98 – $355,722.17
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $273,380.35
  • Aetna — Medicare: $80,309.38
  • Aetna — Workers Comp: $21,487.76
  • Amerihealth Caritas — Medicare: $75,198.79
  • Capital Blue Cross — All Commercial Plans: $232,759.78
  • Capital Blue Cross — CHIP: $162,931.85
  • Capital Blue Cross — Medicare: $74,988.89
  • Cigna — All Commercial Plans: $180,786.14
  • Corvel — Workers Comp: $21,487.76
  • Devoted Health — Medicare: $76,658.96
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NON-EXTENSIVE BURNS W/O O.R. Not listed in the file Not listed in the file $9,920.12 – $91,173.74
Spinal fusion (not neck), without major complications: rates for 4 insurance plans
  • Aetna — Workers Comp: $10,233.39
  • Corvel — Workers Comp: $10,233.39
  • Independence Blue Cross — All Commercial Plans: $91,173.74
  • UPMC — Workpartners: $9,920.12
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $12,614.70 – $70,138.66
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $53,903.11
  • Aetna — Medicare: $16,324.90
  • Amerihealth Caritas — Medicare: $15,286.04
  • Capital Blue Cross — All Commercial Plans: $45,128.34
  • Capital Blue Cross — CHIP: $31,589.84
  • Capital Blue Cross — Medicare: $15,243.38
  • Cigna — All Commercial Plans: $35,646.07
  • Devoted Health — Medicare: $15,582.86
  • First Health — All Commercial Plans: $59,293.42
  • Gateway — Medicare: $59,293.42
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $15,840.40 – $88,770.55
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $68,222.13
  • Aetna — Medicare: $20,499.34
  • Aetna — Workers Comp: $36,878.17
  • Amerihealth Caritas — Medicare: $19,194.83
  • Capital Blue Cross — All Commercial Plans: $59,011.95
  • Capital Blue Cross — CHIP: $41,308.37
  • Capital Blue Cross — Medicare: $19,141.25
  • Cigna — All Commercial Plans: $45,115.22
  • Corvel — Workers Comp: $36,878.17
  • Devoted Health — Medicare: $19,567.55
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $8,282.28 – $45,114.33
Uterus and ovary surgery (not for cancer), without complications: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $34,671.36
  • Aetna — Medicare: $10,718.25
  • Amerihealth Caritas — Medicare: $10,036.18
  • Capital Blue Cross — All Commercial Plans: $27,867.96
  • Capital Blue Cross — CHIP: $19,507.57
  • Capital Blue Cross — Medicare: $10,008.16
  • Cigna — All Commercial Plans: $22,928.14
  • Devoted Health — Medicare: $10,231.05
  • First Health — All Commercial Plans: $38,138.50
  • Gateway — Medicare: $38,138.50

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

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

Hospital information

Hospital typeAcute Care Hospital
Address420 S 5th Avenue, West Reading, PA 19611
CountyBerks County
StatePennsylvania
Phone(610) 988‑8000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390044
Name in Medicare recordsREADING HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(484) 628‑8000[4]
Official websitetowerhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. Reading Hospital | Tower Health — towerhealth.org
  2. Parking & Shuttle Service | Tower Health — towerhealth.org
  3. Reading Hospital Awards & Accreditations | Tower Health — towerhealth.org
  4. Reading HealthPlex for Advanced Surgical & Patient Care | Tower Health — towerhealth.org
  5. Beginnings Maternity Center | Tower Health — towerhealth.org
  6. Trauma Services | Tower Health — towerhealth.org
  7. Notice of Program Accessibility - Reading Hospital | Tower Health — towerhealth.org