Quick answers
- Does St Clair Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at St Clair Hospital. In a medical emergency, call 911.
- Where is St Clair Hospital?
- 1000 Bower Hill Road, Pittsburgh, PA 15243, in Allegheny County, Pennsylvania.
- What is the phone number of St Clair Hospital?
- (412) 942-4000, as listed by Medicare (CMS).
- What is the Medicare star rating of St Clair 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 St Clair Hospital for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for St Clair Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4668; 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][6][7][8][9][10]
- Cardiology
- Cardiac surgery
- Emergency medicine
- Hospital medicine
- Medical imaging
- Oncology
- Orthopedics
- Psychiatry and mental health
- Women's imaging
- Care for women and children
- Respiratory care
- Sleep disorders
- Cardiac and pulmonary rehabilitation
- Physical, occupational and speech therapy
Conditions treated[6][7]
- Heart attack
- Heart failure
- Abnormal heart rhythms (arrhythmias)
- Aorta disease
- Congenital heart disease
- Deep vein thrombosis
- Heart muscle disease
- Valvular heart disease
- Stroke
- Asthma attacks
- Sports injuries
Treatments[6][10][11]
- Interventional treatment of heart attack
- Cardiac rehabilitation
- Physical therapy
- Occupational therapy
- Speech therapy
- Infusion therapy
- Partial hospitalization (mental health)
Procedures[6][9][12]
- Open heart surgery
- Angioplasty
- Coronary stenting
- CT scan
- MRI
- PET CT
- Mammography
- Bone density scan
- Nuclear medicine
- Ultrasound
- OB ultrasound
- Echocardiogram
- Holter monitoring
- Cardiac stress testing
- EEG
Programs and centers[5][6][10][11][12]
- Family Birth Center
- Critical care units
- Cardiovascular Services
- Cardiac and Pulmonary Rehabilitation
- Sleep Disorders Center
- Partial Hospitalization Program
- Coronary Care Unit (16 beds)
- Cardiovascular Surgical Unit (6 beds)
- Intermediate Care cardiac unit (30 beds)
- Behavioral and mental health inpatient units
Emergency care (hospital website)[5]
| Emergency room | Yes |
|---|
Visiting and practical information
| Visiting | Inpatient units: two visitors at a time, 9 a.m.-9 p.m.; critical care: noon-2 p.m. and 5-7 p.m.; under-16s with an adult[5] |
|---|---|
| Parking | A parking garage is listed on the hospital's main floor directory[10] |
| Interpreters and languages | Foreign-language interpreters are listed for this location[8] |
| Patient portal | FollowMyHealth |
Recognition[6]
- AACVPR Program Certificate (cardiac/pulmonary rehabilitation)
Doctors and clinicians (689)
689 doctors and other clinicians list St Clair 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
- Physician Assistant92
- Internal Medicine91
- Family Practice66
- Nurse Practitioner54
- Certified Registered Nurse Anesthetist (CRNA)43
- Emergency Medicine41
- Obstetrics/Gynecology26
- Diagnostic Radiology23
- Orthopedic Surgery19
- Ophthalmology14
- Cardiovascular Disease (Cardiology)14
- General Surgery13
Doctors with a page on this site (689)
- Aaron N. Berg, MDPathology
- Aaron R. Dean, PAPhysician Assistant
- Aaron S. Wang, MDOphthalmology
- Abby L. Spacht, NPNurse Practitioner
- Abdias Rodriguez, MDEmergency Medicine
- Abigail G. Crum, PAPhysician Assistant
- Abraham Rodriguez, MDPsychiatry
- Adarsh Shetty, MDInternal Medicine
- Adiba Ahmed, MDInternal Medicine
- Adil Waheed, DOCardiovascular Disease (Cardiology)
- Adrienne K. Ruzicka, CNACertified Registered Nurse Anesthetist (CRNA)
- Adrienne R. Joyce, NPNurse Practitioner
- Aiysha I. Chatha, MDInternal Medicine
- Alain C. Corcos, MDGeneral Surgery
- Alaina C. Maynard, PAPhysician Assistant
- Albert J. Cook Ii, MDDiagnostic Radiology
- Aleksander W. Keller, MDEmergency Medicine
- Aleksandra Shcherbak, NPNurse Practitioner
- Alexander C. Whiting, MDNeurosurgery
- Alexandre R. Martinez, MDInternal Medicine
- Alexis J. Carulli, MDInternal Medicine
- Alexis M. Cowieson, PAPhysician Assistant
- Alicia A. Bianco-Floom, MDInternal Medicine
- Allen I. Wolfert, MDNephrology
And 665 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- UPMC Mercy6.2 mi · Pittsburgh, PA · Acute Care Hospital
- Allegheny General Hospital6.3 mi · Pittsburgh, PA · Acute Care Hospital
- Magee Womens Hospital of UPMC Health System6.9 mi · Pittsburgh, PA · Acute Care Hospital
- UPMC Presbyterian Shadyside7.0 mi · Pittsburgh, PA · Acute Care Hospital
- Jefferson Hospital8.0 mi · Jefferson Hills, PA · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Pittsburgh
- Select Specialty Hospital - Pittsburgh/Upmc7.0 mi · Pittsburgh, PA · Long-Term Acute Care Hospital
All hospitals in Pittsburgh · Hospitals in Allegheny 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
- Concordia of the South Hills0.5 mi · Pittsburgh, PA · 5 of 5 stars
- Asbury Health Center0.6 mi · Pittsburgh, PA · 1 of 5 stars
- John J Kane Regional Center-Sc1.1 mi · Pittsburgh, PA · 4 of 5 stars
All nursing homes in the state →
Hospice providers
- Bethany Hospice of Western Pennsylvania2.9 mi · Pittsburgh, PA · 4 of 5 stars
- Heartland Hospice2.9 mi · Pittsburgh, PA · 4 of 5 stars
- Anova Hospice Palliative Care Services Inc3.1 mi · Carnegie, PA · 4 of 5 stars
All hospice providers in the state →
Home health agencies
- Anova Home Healthcare Services Inc3.1 mi · Carnegie, PA · 4 of 5 stars
- Emerald Home Health3.1 mi · Carnegie, PA · 2.5 of 5 stars
- Gallagher Home Health Services4.2 mi · Bridgeville, PA · 3.5 of 5 stars
All home health agencies in the state →
Dialysis facilities
- DCI Pittsburgh Banksville2.3 mi · Pittsburgh, PA · 3 of 5 stars
- FKC Liberty Dialysis Banksville2.3 mi · Pittsburgh, PA · 4 of 5 stars
- DaVita Bethel Park4.2 mi · Bethel Park, PA
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Dermatology and Cosmetic Surgery Center, PC0.6 mi · Pittsburgh, PA
- South Hills Endoscopy Center3.3 mi · Pittsburgh, PA
- Radiance - A Private Outpatient Surgery Center4.2 mi · Bridgeville, PA
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
- SHHC Brentwood4.4 mi · Pittsburgh, PA · Community health center
- Hilltop Community Health Center of Cornerstone Care4.4 mi · Pittsburgh, PA · Community health center
- West End Health Center4.6 mi · Pittsburgh, PA · Community health center
Clinics and urgent care
- Medexpress Urgent Care, PC - Pennsylvania1.2 mi · Pittsburgh, PA · Urgent care center
- Greentree Medical Center Urgent Care2.9 mi · Pittsburgh, PA · Urgent care center
- Medexpress Urgent Care, PC - Pennsylvania2.9 mi · Pittsburgh, PA · Urgent care center
Pharmacies
- Walgreen Co0.6 mi · Pittsburgh, PA · Pharmacy
- Potomac Pharmacy, Inc.2.3 mi · Pittsburgh, PA · Community/retail pharmacy
- C & G Health Solutions LLC2.6 mi · Pittsburgh, PA · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Asbury Health Center0.6 mi · Pittsburgh, PA
- Asbury Place0.6 mi · Pittsburgh, PA
- Asbury Villas0.6 mi · Pittsburgh, PA
- Providence Point0.6 mi · Pittsburgh, PA
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What St Clair 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 hospital | 3 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 4 of 5 stars |
| Patients got help quickly from staff | 2 of 5 stars |
| Staff explained medicines | 2 of 5 stars |
| Information about recovery at home | 3 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 1 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 68%National average: 72% |
| Would definitely recommend the hospital | 71%National average: 71% |
| Nurses “always” communicated well | 80%National average: 80% |
| Doctors “always” communicated well | 82%National average: 80% |
| “Always” got help as soon as they wanted | 53%National average: 64% |
| Staff “always” explained medicines before giving them | 60%National average: 62% |
| Were given information about recovery at home | 85%National average: 86% |
| Room and bathroom “always” clean | 66%National average: 73% |
| Completed surveys | 487Response rate: 37% |
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) | 1.199No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 1.32No different from the national benchmark |
| Surgical site infections after colon surgery | 1.564No different from the national benchmark |
| MRSA bloodstream infections | 0.3No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.785No different from the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy |
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 patients | 11.4% |
|---|---|
| Deaths within 30 days: heart failure patients | 10.9% |
| Deaths within 30 days: pneumonia patients | 15.1% |
| Deaths within 30 days: COPD patients | 7.6% |
| Deaths within 30 days: stroke patients | 13.8% |
| Deaths within 30 days: coronary bypass surgery (CABG) | 2.2% |
| Serious complications (patient safety indicator PSI-90) | 0.89No different from the national rate |
| Complications after hip or knee replacement | 3% |
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) | 15.4% |
|---|---|
| Readmitted within 30 days: heart attack | 14.3% |
| Readmitted within 30 days: heart failure | 20% |
| Readmitted within 30 days: pneumonia | 15.4% |
| Readmitted within 30 days: COPD | 19.3% |
| Readmitted within 30 days: coronary bypass surgery | 11.7% |
| Readmitted within 30 days: hip or knee replacement | 5.1% |
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) | High (40,000–59,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 200 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) | 55%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
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 St Clair 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 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | -0.4668Lower 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 attack | 1.0592More readmissions than expected |
|---|---|
| Heart failure | 1.0937More readmissions than expected |
| Pneumonia | 0.9096Fewer readmissions than expected |
| COPD (chronic lung disease) | 1.0683More readmissions than expected |
| Hip or knee replacement | 0.8678Fewer readmissions than expected |
| No result published | Coronary bypass surgery (CABG) (not reported, or too few cases) |
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 Score | 32.67 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 22.00 out of 100 |
| Person and community engagement (patient survey) | 52.00 out of 100 |
| Safety (infections and sepsis care) | 26.67 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 30.00 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, ratio | 0.94Below the national median hospital (1.00): Medicare spent less |
|---|
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.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as St Clair 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 →
Show the prices of 77 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: O/P NEW MOD 45-59 MIN | $219 | $54.33 | $54.33 – $243.22 |
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: O/P EST LOW 20-29 MIN | $93 | $23.07 | $23.07 – $102.16 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: O/P EST MOD 30-39 MIN | $109 | $27.04 | $27.04 – $121.32 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: LEVEL 3 INTERMEDIATE | $844 | $209.40 | $38.50 – $872.54 |
Emergency room visit (moderate): 10 of 78 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: INTERMEDIATE W MODIFER | $844 | $209.40 | $38.50 – $872.54 |
Emergency room visit (moderate): 10 of 78 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: LEVEL 4 EXTENSIVE | $1,395 | $346.10 | $55 – $1,395 |
Emergency room visit (moderately high): 10 of 78 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EXTENSIVE W MODIFER | $1,395 | $346.10 | $55 – $1,395 |
Emergency room visit (moderately high): 10 of 78 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: LEVEL 5 COMPREHENSIVE | $2,047 | $507.86 | $55 – $2,047 |
Emergency room visit (high): 10 of 78 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: COMPREHENSIVE W MODIFER | $2,047 | $507.86 | $55 – $2,047 |
Emergency room visit (high): 10 of 78 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL | $160 | $39.70 | $7.54 – $160 |
Basic metabolic panel (blood test): 10 of 76 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL FAS | $160 | $39.70 | $7.54 – $160 |
Basic metabolic panel (blood test): 10 of 76 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METAB PANEL | $361 | $89.56 | $9.41 – $361 |
Comprehensive metabolic panel (blood test): 10 of 76 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE PANEL FAST | $361 | $89.56 | $9.41 – $361 |
Comprehensive metabolic panel (blood test): 10 of 76 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL | $160 | $39.70 | $11.93 – $160 |
Cholesterol panel (lipid panel): 10 of 76 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL (MAYO) | $199 | $49.37 | $11.93 – $199 |
Cholesterol panel (lipid panel): 10 of 76 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: NMR LIPOPROFILE | $82 | $20.34 | $11.93 – $82 |
Cholesterol panel (lipid panel): 10 of 76 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL PANEL | $217 | $53.84 | $7.73 – $217 |
Kidney function panel: 10 of 76 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL PANEL FASTING | $217 | $53.84 | $7.73 – $217 |
Kidney function panel: 10 of 76 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER PANEL | $200 | $49.62 | $7.28 – $200 |
Liver function panel: 10 of 76 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS (R/M) | $28 | $6.95 | $2.45 – $28 |
Urine test (automated, with microscope): 10 of 76 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS WITH REFLEX | $28 | $6.95 | $2.45 – $28 |
Urine test (automated, with microscope): 10 of 76 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HEMOGLOBIN URINE | $59 | $14.64 | $3.10 – $59 |
Urine test (manual, without microscope): 10 of 76 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINANALYSIS DIPSTICK WO | $14 | $3.47 | $3.10 – $17.22 |
Urine test (manual, without microscope): 10 of 76 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: BLOOD, UR | $34 | $8.44 | $2 – $34 |
Urine test (automated, without microscope): 10 of 76 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: SPECIFIC GRAVITY, UR | $28 | $6.95 | $2 – $28 |
Urine test (automated, without microscope): 10 of 76 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: PH, UR | $28 | $6.95 | $2 – $28 |
Urine test (automated, without microscope): 10 of 76 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA DIAGNOSTIC | $169 | $41.93 | $16.39 – $169 |
PSA (prostate specific antigen) blood test: 10 of 76 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: MAYO PHI TOTAL | $69 | $17.12 | $16.39 – $69 |
PSA (prostate specific antigen) blood test: 10 of 76 insurance plan rates
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| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, ULTRASENSITIVE | $64 | $15.88 | $15.88 – $64 |
PSA (prostate specific antigen) blood test: 10 of 76 insurance plan rates
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| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH-3RD GEN | $249 | $61.78 | $14.97 – $249 |
Thyroid stimulating hormone (TSH) test: 10 of 76 insurance plan rates
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| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMON | $88 | $21.83 | $14.97 – $88 |
Thyroid stimulating hormone (TSH) test: 10 of 76 insurance plan rates
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| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH AUTO DIFF-WAM | $46 | $11.41 | $6.30 – $46 |
Complete blood count (CBC) with differential: 10 of 76 insurance plan rates
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| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC & PLT & AUTO COMP DIF | $30 | $7.44 | $6.30 – $32.41 |
Complete blood count (CBC) with differential: 10 of 76 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC HEMOGRAM | $46 | $11.41 | $4.70 – $46 |
Complete blood count (CBC), automated: 10 of 76 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC HEMOGRAM-WAM | $46 | $11.41 | $4.70 – $46 |
Complete blood count (CBC), automated: 10 of 76 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC HEMOGRAM-PHY | $46 | $11.41 | $4.70 – $46 |
Complete blood count (CBC), automated: 10 of 76 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME / INR | $79 | $19.60 | $2.32 – $79 |
Blood clotting time test (prothrombin time, PT): 10 of 76 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: INR BEDSIDE | $94 | $23.32 | $2.32 – $94 |
Blood clotting time test (prothrombin time, PT): 10 of 76 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: ITXM PROTHROMBIN TIME | $79 | $19.60 | $2.32 – $79 |
Blood clotting time test (prothrombin time, PT): 10 of 76 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT | $183 | $45.40 | $4.52 – $183 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 76 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: ITXM APTT | $61 | $15.13 | $4.52 – $61 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 76 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: ITXM APTT + | $61 | $15.13 | $4.52 – $61 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 76 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HEAD UNH STROKE | $1,615 | $400.68 | $90.73 – $1,615 |
CT scan of the head or brain, without contrast: 10 of 76 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HEAD UHN | $1,615 | $400.68 | $90.73 – $1,615 |
CT scan of the head or brain, without contrast: 10 of 76 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE | $432.92 | $107.41 | $90.73 – $538.01 |
CT scan of the head or brain, without contrast: 10 of 68 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN UNH/ENH | $3,672 | $911.02 | $302.77 – $3,672 |
MRI of the brain, before and after contrast: 10 of 76 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI RAD TP- MRI BRAIN UAE | $2,469 | $612.56 | $302.77 – $2,498.87 |
MRI of the brain, before and after contrast: 10 of 76 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI RAD TP-BRAIN U AND E | $2,469 | $612.56 | $302.77 – $2,498.87 |
MRI of the brain, before and after contrast: 10 of 76 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST (PA-LAT) | $334 | $82.87 | $24.82 – $334 |
Chest X-ray, 2 views: 10 of 75 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEW W/FLUORO | $640 | $158.78 | $24.82 – $640 |
Chest X-ray, 2 views: 10 of 75 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS | $226.30 | $56.14 | $56.14 – $278.16 |
Chest X-ray, 2 views: 10 of 68 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBAR SPINE (COMPLETE) | $509 | $126.28 | $34.29 – $509 |
X-ray of the lower spine, at least 4 views: 10 of 76 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $432.92 | $107.41 | $90.73 – $432.92 |
X-ray of the lower spine, at least 4 views: 10 of 68 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINE LUMBAR UNH | $3,014 | $747.77 | $207.07 – $3,014 |
MRI of the lower back (lumbar spine), without contrast: 10 of 76 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE | $890.43 | $220.92 | $207.07 – $1,277.44 |
MRI of the lower back (lumbar spine), without contrast: 10 of 68 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: PELVIS ENH | $2,427 | $602.14 | $147.09 – $2,427 |
CT scan of the pelvis, with contrast: 10 of 76 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE | $917.49 | $227.63 | $152.22 – $917.49 |
CT scan of the pelvis, with contrast: 10 of 68 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOW EXT JOINT UNH RT | $2,597 | $644.32 | $207.07 – $2,597 |
MRI of a leg joint (such as the knee), without contrast: 10 of 76 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOW EXT JOINT UNH LT | $2,597 | $644.32 | $207.07 – $2,597 |
MRI of a leg joint (such as the knee), without contrast: 10 of 76 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI ABBR HIP UNE-BILAT | $1,091 | $270.68 | $207.07 – $1,101.47 |
MRI of a leg joint (such as the knee), without contrast: 10 of 76 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAS | $4,562 | $1,131.83 | $276.32 – $4,562 |
CT scan of the abdomen and pelvis, with contrast: 10 of 75 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ENTERGRPHY-ABD-PELV EN | $4,562 | $1,131.83 | $276.32 – $4,562 |
CT scan of the abdomen and pelvis, with contrast: 10 of 75 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONT | $4,562 | $1,131.83 | $276.32 – $4,562 |
CT scan of the abdomen and pelvis, with contrast: 10 of 75 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: ABDOMEN COMPLETE | $710 | $176.15 | $74.31 – $710 |
Ultrasound of the abdomen, complete: 10 of 76 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE | $432.92 | $107.41 | $90.73 – $432.92 |
Ultrasound of the abdomen, complete: 10 of 68 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB + 14 WKS TABD | $602 | $149.36 | $81.38 – $602 |
Pregnancy ultrasound (after the first trimester): 10 of 76 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >/= 14 WKS SNGL FETUS | $432.92 | $107.41 | $90.73 – $432.92 |
Pregnancy ultrasound (after the first trimester): 10 of 68 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: PELVIC TVAG ONLY | $623 | $154.57 | $62.60 – $623 |
Transvaginal ultrasound: 10 of 76 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ADD-ON PELVIC TRANSVAG | $623 | $154.57 | $62.60 – $623 |
Transvaginal ultrasound: 10 of 76 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB | $432.92 | $107.41 | $90.73 – $432.92 |
Transvaginal ultrasound: 10 of 68 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO DIG UNILATERAL RT | $289 | $71.70 | $70.50 – $289 |
Diagnostic mammogram, one breast: 10 of 75 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO DIG UNILATERAL LT | $289 | $71.70 | $70.50 – $289 |
Diagnostic mammogram, one breast: 10 of 75 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO DIG RECALL UNIL RT | $289 | $71.70 | $70.50 – $289 |
Diagnostic mammogram, one breast: 10 of 75 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DIG BILATERAL | $445 | $110.40 | $90.45 – $445 |
Diagnostic mammogram, both breasts: 10 of 75 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DIG REACLL BILAT | $445 | $110.40 | $90.45 – $445 |
Diagnostic mammogram, both breasts: 10 of 75 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO DIG RECALL BILAT | $445 | $110.40 | $90.45 – $445 |
Diagnostic mammogram, both breasts: 10 of 75 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO DIG SCREEN | $354 | $87.83 | $74.59 – $361.45 |
Screening mammogram, both breasts: 10 of 75 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY | $10,214.10 | $2,534.12 | $853.60 – $10,362.43 |
Left heart catheterization (diagnostic): 10 of 70 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LFT HRT CATH | $6,589 | $1,634.73 | $1,634.73 – $10,362.43 |
Left heart catheterization (diagnostic): 10 of 68 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPREHENSIVE EP EVALUATION | $19,291.80 | $4,786.30 | $853.60 – $24,930.66 |
Heart rhythm study (electrophysiology evaluation): 10 of 70 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: EPS W/O INDUCT OR ATTEMPE | $20,966 | $5,201.66 | $402.31 – $24,930.66 |
Heart rhythm study (electrophysiology evaluation): 10 of 69 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB | $67,418 | $16,726.40 | $853.60 – $83,546.42 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 70 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: TX ATR FIB PULM VEIN ISOL | $70,289 | $17,438.70 | $9,968.89 – $83,546.42 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 68 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOMNOGRAM 98510 | $3,459 | $858.18 | $168.61 – $3,459 |
Sleep study (overnight, in a sleep lab): 10 of 76 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM | $3,277.61 | $813.18 | $618.92 – $3,277.61 |
Sleep study (overnight, in a sleep lab): 10 of 68 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THER EXER 15 MIN | $97 | $24.07 | $15.63 – $125 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 69 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPUTIC EXERCISE | $98 | $24.31 | $15.63 – $125 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 69 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISE PTA | $98 | $24.31 | $15.63 – $125 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 69 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX | $315 | $78.15 | $66.79 – $315 |
Physical therapy evaluation (low complexity): 10 of 75 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT TELEHEALTH EVAL LOW | $315 | $78.15 | $66.79 – $315 |
Physical therapy evaluation (low complexity): 10 of 75 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT TELEHEALTH EVAL LO | $315 | $78.15 | $66.79 – $315 |
Physical therapy evaluation (low complexity): 10 of 75 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX | $315 | $78.15 | $66.79 – $315 |
Physical therapy evaluation (moderate complexity): 10 of 75 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT TELEHEALTH EVAL MOD | $315 | $78.15 | $66.79 – $315 |
Physical therapy evaluation (moderate complexity): 10 of 75 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX | $315 | $78.15 | $66.79 – $315 |
Physical therapy evaluation (high complexity): 10 of 75 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT TELEHEALTH EVAL HIGH | $315 | $78.15 | $66.79 – $315 |
Physical therapy evaluation (high complexity): 10 of 75 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES | $450.13 | $111.68 | $111.68 – $567.34 |
Psychotherapy, 30 minutes: 10 of 68 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: IND THER 20-30MIN IP/PH | $300 | $74.43 | $74.43 – $567.34 |
Psychotherapy, 30 minutes: 10 of 68 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES | $450.13 | $111.68 | $111.68 – $567.34 |
Psychotherapy, 45 minutes: 10 of 68 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: IND THER 45-50MIN IP/PH | $442 | $109.66 | $109.66 – $567.34 |
Psychotherapy, 45 minutes: 10 of 68 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES | $450.13 | $111.68 | $111.68 – $567.34 |
Psychotherapy, 60 minutes: 10 of 68 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: IND THER 75-80MIN IP/PH | $649 | $161.02 | $154.04 – $649 |
Psychotherapy, 60 minutes: 10 of 68 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN | $450.13 | $111.68 | $111.68 – $567.34 |
Family psychotherapy, without the patient: 10 of 68 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY THERAPY W PAT | $276 | $68.48 | $45.27 – $567.34 |
Family psychotherapy, with the patient: 10 of 69 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN | $450.13 | $111.68 | $111.68 – $567.34 |
Family psychotherapy, with the patient: 10 of 68 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY | $261.96 | $64.99 | $64.99 – $324.72 |
Group psychotherapy: 10 of 69 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP THERAPY | $256 | $63.51 | $57.78 – $324.72 |
Group psychotherapy: 10 of 69 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION | $9,902.94 | $2,456.92 | $474.08 – $12,515.20 |
Removal of breast growth (open surgery): 10 of 71 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY | $36,748.63 | $9,117.34 | $853.60 – $41,037.25 |
Total hip replacement: 10 of 70 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY | $36,748.63 | $9,117.34 | $853.60 – $41,037.25 |
Total knee replacement: 10 of 70 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION | $1,346.90 | $334.16 | $334.16 – $1,740.68 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: ARTHRS KNE SRG MNISECTMY M/L | $9,602.86 | $2,382.47 | $580.41 – $10,458.54 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 71 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS | $15,750.99 | $3,907.82 | $763.40 – $18,922 |
Removal of tonsils and adenoids (under age 12): 10 of 71 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UP.GASTROINT.ENDO INC.ESO | $2,983 | $740.08 | $125.22 – $2,983 |
Upper GI endoscopy (diagnostic): 10 of 76 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UGI SIM PRIM EXAM W/SCOPE | $2,931 | $727.18 | $125.22 – $2,931 |
Upper GI endoscopy (diagnostic): 10 of 76 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH | $2,699.57 | $669.76 | $305.97 – $2,899.07 |
Upper GI endoscopy (diagnostic): 10 of 71 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: UPPER GI ENDO W/BX SINGL | $2,983 | $740.08 | $148.58 – $2,983 |
Upper GI endoscopy with biopsy: 10 of 76 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE | $2,699.57 | $669.76 | $309.10 – $2,974.39 |
Upper GI endoscopy with biopsy: 10 of 71 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY | $2,577.82 | $639.56 | $413.50 – $2,973.22 |
Colonoscopy (diagnostic): 10 of 71 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY | $3,770.79 | $935.53 | $352 – $3,824.92 |
Colonoscopy with biopsy: 10 of 71 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL | $3,770.79 | $935.53 | $410.27 – $3,824.92 |
Colonoscopy with removal of polyps (snare): 10 of 71 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON CA SCRN NOT HI RSK IND | $2,577.82 | $639.56 | $639.56 – $2,972.49 |
Screening colonoscopy (not high risk): 10 of 68 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY | $16,294.60 | $4,042.69 | $853.60 – $19,323.78 |
Gallbladder removal by laparoscope: 10 of 71 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR | $10,568.31 | $2,622 | $580.46 – $11,444.31 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 71 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE | $6,155.52 | $1,527.18 | $413.71 – $6,155.52 |
Prostate biopsy: rates for 6 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD | $27,573.77 | $6,841.05 | $6,841.05 – $33,976.94 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 68 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY | $8,251.22 | $2,047.13 | $238.59 – $10,347.07 |
Hysteroscopy with biopsy of the uterus lining: 10 of 71 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: CT EPIDURAL INJECTION LUM | $2,152 | $533.91 | $85.39 – $2,256.26 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 76 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC | $1,972.72 | $489.43 | $489.43 – $2,256.26 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 70 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: EPIDUOGRAPHY LUMBAR | $3,056 | $758.19 | $612.61 – $3,056 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 70 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NJX AA&/STRD TFRM EPI L/S 1 | $2,440.07 | $605.38 | $113.66 – $2,827.11 |
Nerve root injection, lower back, with imaging guidance: 10 of 71 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY | $5,846.82 | $1,450.60 | $410.57 – $6,241.64 |
Carpal tunnel release: 10 of 71 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: AFTER CATARACT LASER SURGERY | $1,771.02 | $439.39 | $413.49 – $2,973.16 |
Laser treatment of clouding after cataract surgery: 10 of 71 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL W/O ECP | $6,974.61 | $1,730.40 | $920.73 – $7,376.67 |
Cataract removal with lens implant: 10 of 71 insurance plan rates
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: OBSTETRICAL CARE | $1,346.90 | $334.16 | $334.16 – $1,755.81 |
Vaginal delivery, with care before and after: rates for 5 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN DELIVERY | $1,346.90 | $334.16 | $334.16 – $2,751.81 |
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: VBAC DELIVERY | $1,346.90 | $334.16 | $334.16 – $1,346.90 |
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $477,601.19 | $71,622.91 | $62,339.89 – $477,601.19 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 67 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $75,060.85 | $14,122.07 | $12,291.72 – $75,060.85 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 68 insurance plan rates
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| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | $128,968.64 | $17,873.51 | $15,556.93 – $128,968.64 |
Neck (cervical) spinal fusion, without complications: 10 of 68 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $54,874.54 | $9,083.55 | $7,906.23 – $54,874.54 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 68 insurance plan rates
| |||
Source: St Clair Hospital’s standard charges file (stclair.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 1000 Bower Hill Road, Pittsburgh, PA 15243 |
| County | Allegheny County |
| State | Pennsylvania |
| Phone | (412) 942‑4000 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 4 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 390228 |
| Name in Medicare records | ST CLAIR HOSPITAL |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | St. Clair Health |
| Official website | stclair.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Home - St. Clair Health — stclair.org
- Visiting Hours - St. Clair Health — stclair.org
- Cardiology - St. Clair Health — stclair.org
- St. Clair Hospital Emergency Department - Pittsburgh - PA - Hospital — providers.stclair.org
- St. Clair Hospital - Pittsburgh - PA - Hospital — providers.stclair.org
- Imaging Services - St. Clair Health — stclair.org
- Hospital Maps & Directory - St. Clair Health — stclair.org
- Contact Us - St. Clair Health — stclair.org
- Inpatient Units - St. Clair Health — stclair.org