Does St Luke's Hospital - Upper Bucks Campus have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Luke's Hospital - Upper Bucks Campus. In a medical emergency, call 911.

Where is St Luke's Hospital - Upper Bucks Campus?

3000 St. Luke's Drive, Quakertown, PA 18951, in Bucks County, Pennsylvania.

What is the phone number of St Luke's Hospital - Upper Bucks Campus?

(267) 985-1000, as listed by Medicare (CMS).

What is the Medicare star rating of St Luke's Hospital - Upper Bucks Campus?

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

St Luke's Hospital - Upper Bucks Campus

Quick answers

Does St Luke's Hospital - Upper Bucks Campus have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Luke's Hospital - Upper Bucks Campus. In a medical emergency, call 911.
Where is St Luke's Hospital - Upper Bucks Campus?: 3000 St. Luke's Drive, Quakertown, PA 18951, in Bucks County, Pennsylvania.
What is the phone number of St Luke's Hospital - Upper Bucks Campus?: (267) 985-1000, as listed by Medicare (CMS).
What is the Medicare star rating of St Luke's Hospital - Upper Bucks Campus?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Conditions treated^[5]

Chest pain
Abdominal pain
Shortness of breath
Lacerations
Broken bones
High fever
Dizziness and fainting
Seizures
Poisonings

Procedures^[4]

Hernia surgery

Programs and centers^[4][5]

Women & Babies Pavilion
Cancer Center
Laboratory services
Primary stroke center
Trauma center

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

Emergency room	Yes
Trauma designation	Level IV
Stroke designation	Primary Stroke Center certification (The Joint Commission)

Recognition^[4]

Center of Excellence in hernia surgery
Fully accredited trauma center

Doctors and clinicians (1,149)

1,149 doctors and other clinicians list St Luke's Hospital - Upper Bucks Campus 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

And 1,125 more: the button below opens the full list.

Other emergency rooms nearby

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

St Luke's Hospital - Grand View Campus6.8 mi · Sellersville, PA · Acute Care Hospital
St Lukes Hospital11 mi · Bethlehem, PA · Acute Care Hospital
Lehigh Valley Hospital12 mi · Allentown, PA · Acute Care Hospital
Lehigh Valley Hospital - Macungie12 mi · Macungie, PA · Acute Care Hospital
Jefferson Lansdale Hospital15 mi · Lansdale, PA · Acute Care Hospital

Other hospitals nearby

The Good Shepherd Rehabilitation Hospital7.6 mi · Center Valley, PA · Inpatient Rehabilitation Hospital
Good Shepherd Specialty Hospital13 mi · Bethlehem, PA · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Phoebe Richland HCC1.6 mi · Richlandtown, PA · 4 of 5 stars
Belle Terrace1.6 mi · Quakertown, PA · 3 of 5 stars
Quakertown Center2.0 mi · Quakertown, PA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Grand View Hospice6.5 mi · Sellersville, PA · 4 of 5 stars
Family Pillars Palliative Care Hospice, LLC6.8 mi · Center Valley, PA · 5 of 5 stars
St Luke's Hospice8.9 mi · Bethlehem, PA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Revolutionary Home Health Inc0.0 mi · Quakertown, PA · 5 of 5 stars
Grand View Home Care6.5 mi · Sellersville, PA
Providence Home Health Agency, Inc.8.7 mi · Emmaus, PA · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FKC Sellersville6.5 mi · Sellersville, PA · 3 of 5 stars
FKC Allentown11 mi · Allentown, PA · 3 of 5 stars
FKC South Allentown11 mi · Allentown, PA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

St Luke's Endoscopy Center- Buxmont6.5 mi · Sellersville, PA
The Colonoscopy Center, Sellersville6.5 mi · Sellersville, PA
Valley Surgical Center Inc8.9 mi · Bethlehem, PA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Neighborhood Health Centers of the Lehigh Valley- Bethlehem10 mi · Bethlehem, PA · Community health center
Star Community Health KidsCare - Bethlehem11 mi · Bethlehem, PA · Community health center
Star Community Health Southside - Bethlehem11 mi · Bethlehem, PA · Community health center

Clinics and urgent care

Medexpress Urgent Care, PC - Pennsylvania0.0 mi · Quakertown, PA · Urgent care center
St. Luke's Quakertown Hospital0.0 mi · Quakertown, PA · Urgent care center
St Luke's Hospital6.8 mi · Center Valley, PA · Urgent care center

Pharmacies

BDRX LLC0.0 mi · Quakertown, PA · Community/retail pharmacy
DWH Direct RX LLC0.0 mi · Quakertown, PA · Clinic pharmacy
Priority Care RX LLC0.0 mi · Quakertown, PA · Pharmacy

Assisted living nearby

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

Franklin Court0.0 mi · Quakertown, PA
New Vitae Quakertown House0.0 mi · Quakertown, PA
Success Rehabilitation at Rock Ridge0.0 mi · Quakertown, PA
The Village at Lifequest0.0 mi · Quakertown, 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 Luke's Hospital - Upper Bucks Campus reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	81%National average: 72%
Would definitely recommend the hospital	81%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	80%National average: 74%
Area around the room “always” quiet at night	60%National average: 60%
Completed surveys	1,106Response rate: 24%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.81No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	10.6%
Deaths within 30 days: pneumonia patients	14.6%
Deaths within 30 days: COPD patients	8.1%
Deaths within 30 days: stroke patients	8.3%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.85No different from the national rate
Complications after hip or knee replacement	3.8%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.3%
Readmitted within 30 days: pneumonia	18.1%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	179 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)	90%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Pennsylvania Best hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as St Luke's Hospital - Upper Bucks Campus lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT NEW (INTERMEDIATE)	$716	$644.40	$54.25 – $592.99
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates Aetna — Commercial: $249.88 Aetna — Medical Rental: $246.30 Aetna — Medicare: $122.85 AmeriHealth Caritas — Medicaid: $65.10 Capital Blue Cross — Commercial: $592.99 Cigna — Commercial: $195.97 Geisinger — Commercial: $201.27 Geisinger — Medicaid/CHIP: $64.02 Highmark Wholecare — Medicaid: $65.10 Independence Blue Cross — HMO: $352.84
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT NEW (INTERMEDIATE)	$716	$644.40	$185.80 – $201.34
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Geisinger — Commercial: $201.34 Oscar — Commercial: $185.80 UPMC Health Plan — Commercial: $195.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT NEW (EXTENDED)	$1,058	$952.20	$90.37 – $876.24
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates Aetna — Commercial: $369.24 Aetna — Medical Rental: $363.95 Aetna — Medicare: $185.92 AmeriHealth Caritas — Medicaid: $108.44 Capital Blue Cross — Commercial: $876.24 Cigna — Commercial: $289.57 Geisinger — Commercial: $297.40 Geisinger — Medicaid/CHIP: $106.64 Highmark Wholecare — Medicaid: $108.44 Independence Blue Cross — HMO: $521.38
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT NEW (EXTENDED)	$1,058	$952.20	$274.55 – $297.51
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Geisinger — Commercial: $297.51 Oscar — Commercial: $274.55 UPMC Health Plan — Commercial: $289.26
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT NEW (COMPREHENSIVE)	$1,293	$1,163.70	$117.54 – $1,070.86
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates Aetna — Commercial: $451.26 Aetna — Medical Rental: $444.79 Aetna — Medicare: $233.55 AmeriHealth Caritas — Medicaid: $141.05 Capital Blue Cross — Commercial: $1,070.86 Cigna — Commercial: $353.89 Geisinger — Commercial: $363.46 Geisinger — Medicaid/CHIP: $138.70 Highmark Wholecare — Medicaid: $141.05 Independence Blue Cross — HMO: $637.19
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT NEW (COMPREHENSIVE)	$1,293	$1,163.70	$335.53 – $363.59
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Geisinger — Commercial: $363.59 Oscar — Commercial: $335.53 UPMC Health Plan — Commercial: $353.51
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT EST (INTERMEDIATE)	$348	$313.20	$33.41 – $288.21
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates Aetna — Commercial: $121.45 Aetna — Medical Rental: $119.71 Aetna — Medicare: $83.89 AmeriHealth Caritas — Medicaid: $42 Capital Blue Cross — Commercial: $288.21 Cigna — Commercial: $95.25 Geisinger — Commercial: $97.82 Geisinger — Medicaid/CHIP: $41.30 Highmark Wholecare — Medicaid: $42 Independence Blue Cross — HMO: $171.49
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT EST (INTERMEDIATE)	$348	$313.20	$90.31 – $97.86
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Geisinger — Commercial: $97.86 Oscar — Commercial: $90.31 UPMC Health Plan — Commercial: $95.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT EST (EXTENDED)	$578	$520.20	$54.42 – $478.70
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates Aetna — Commercial: $201.72 Aetna — Medical Rental: $198.83 Aetna — Medicare: $122.63 AmeriHealth Caritas — Medicaid: $65.30 Capital Blue Cross — Commercial: $478.70 Cigna — Commercial: $158.20 Geisinger — Commercial: $162.48 Geisinger — Medicaid/CHIP: $64.22 Highmark Wholecare — Medicaid: $65.30 Independence Blue Cross — HMO: $284.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OFFICE/OUTPATIENT VISIT EST (EXTENDED)	$578	$520.20	$149.99 – $162.53
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Geisinger — Commercial: $162.53 Oscar — Commercial: $149.99 UPMC Health Plan — Commercial: $158.03
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY DEPT VISIT (LEVEL 3, INTERMEDIATE)	$2,820	$2,538	$66.85 – $2,335.52
Emergency room visit (moderate): 10 of 28 insurance plan rates Aetna — Commercial: $984.18 Aetna — Medical Rental: $970.08 Aetna — Medicare: $289.14 AmeriHealth Caritas — Medicaid: $94.80 Capital Blue Cross — Commercial: $2,335.52 Capital Blue Cross — Medicare: $283.47 Cigna — Commercial: $771.83 Geisinger — Commercial: $792.70 Geisinger — Medicaid/CHIP: $66.85 Geisinger — Medicare: $289.14
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PRO EMERGENCY DEPT VISIT (LEVEL 3, INTERMEDIATE)	$1,107	$996.30	$66.85 – $1,424
Emergency room visit (moderate): 10 of 28 insurance plan rates Aetna — Commercial: $386.34 Aetna — Medical Rental: $380.81 Aetna — Medicare: $289.14 AmeriHealth Caritas — Medicaid: $67.98 Capital Blue Cross — Commercial: $916.82 Capital Blue Cross — Medicare: $283.47 Cigna — Commercial: $302.99 Geisinger — Commercial: $311.18 Geisinger — Medicaid/CHIP: $66.85 Geisinger — Medicare: $289.14
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EMERGENCY DEPT VISIT (LEVEL 3, INTERMEDIATE)	$2,820	$2,538	$731.79 – $792.98
Emergency room visit (moderate): rates for 3 insurance plans Geisinger — Commercial: $792.98 Oscar — Commercial: $731.79 UPMC Health Plan — Commercial: $770.99
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY DEPT VISIT (LEVEL 4, EXTENDED)	$6,631	$5,967.90	$112.49 – $5,491.79
Emergency room visit (moderately high): 10 of 28 insurance plan rates Aetna — Commercial: $2,314.22 Aetna — Medical Rental: $2,281.06 Aetna — Medicare: $444.66 AmeriHealth Caritas — Medicaid: $147.60 Capital Blue Cross — Commercial: $5,491.79 Capital Blue Cross — Medicare: $435.94 Cigna — Commercial: $1,814.90 Geisinger — Commercial: $1,863.97 Geisinger — Medicaid/CHIP: $112.49 Geisinger — Medicare: $444.66
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PRO EMERGENCY DEPT VISIT (LEVEL 4, EXTENDED)	$1,700	$1,530	$112.49 – $1,506.48
Emergency room visit (moderately high): 10 of 28 insurance plan rates Aetna — Commercial: $593.30 Aetna — Medical Rental: $584.80 Aetna — Medicare: $444.66 AmeriHealth Caritas — Medicaid: $114.40 Capital Blue Cross — Commercial: $1,407.94 Capital Blue Cross — Medicare: $435.94 Cigna — Commercial: $465.29 Geisinger — Commercial: $477.87 Geisinger — Medicaid/CHIP: $112.49 Geisinger — Medicare: $444.66
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EMERGENCY DEPT VISIT (LEVEL 4, EXTENDED)	$6,631	$5,967.90	$1,720.74 – $1,864.64
Emergency room visit (moderately high): rates for 3 insurance plans Geisinger — Commercial: $1,864.64 Oscar — Commercial: $1,720.74 UPMC Health Plan — Commercial: $1,812.92
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EMERGENCY DEPT VISIT (LEVEL 5, COMPREHENSIVE)	$11,656	$10,490.40	$146 – $9,653.50
Emergency room visit (high): 10 of 28 insurance plan rates Aetna — Commercial: $4,067.94 Aetna — Medical Rental: $4,009.66 Aetna — Medicare: $640.22 AmeriHealth Caritas — Medicaid: $231.60 Capital Blue Cross — Commercial: $9,653.50 Capital Blue Cross — Medicare: $627.67 Cigna — Commercial: $3,190.25 Geisinger — Commercial: $3,276.50 Geisinger — Medicaid/CHIP: $163.71 Geisinger — Medicare: $640.22
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PRO EMERGENCY DEPT VISIT (LEVEL 5, COMPREHENSIVE)	$2,663	$2,396.70	$146 – $2,205.50
Emergency room visit (high): 10 of 28 insurance plan rates Aetna — Commercial: $929.39 Aetna — Medical Rental: $916.07 Aetna — Medicare: $640.22 AmeriHealth Caritas — Medicaid: $166.49 Capital Blue Cross — Commercial: $2,205.50 Capital Blue Cross — Medicare: $627.67 Cigna — Commercial: $728.86 Geisinger — Commercial: $748.57 Geisinger — Medicaid/CHIP: $163.71 Geisinger — Medicare: $640.22
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EMERGENCY DEPT VISIT (LEVEL 5, COMPREHENSIVE)	$11,656	$10,490.40	$3,024.73 – $3,277.67
Emergency room visit (high): rates for 3 insurance plans Geisinger — Commercial: $3,277.67 Oscar — Commercial: $3,024.73 UPMC Health Plan — Commercial: $3,186.75

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB METABOLIC PANEL TOTAL CA	$271	$243.90	$8.46 – $224.44
Basic metabolic panel (blood test): 10 of 28 insurance plan rates Aetna — Commercial: $33.65 Aetna — Medical Rental: $33.65 Aetna — Medicare: $8.63 AmeriHealth Caritas — Medicaid: $11.23 Capital Blue Cross — Commercial: $224.44 Capital Blue Cross — Medicare: $8.46 Cigna — Commercial: $74.17 Geisinger — Commercial: $76.18 Geisinger — Medicaid/CHIP: $11.04 Geisinger — Medicare: $8.63
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB METABOLIC PANEL TOTAL CA	$271	$243.90	$70.32 – $76.21
Basic metabolic panel (blood test): rates for 3 insurance plans Geisinger — Commercial: $76.21 Oscar — Commercial: $70.32 UPMC Health Plan — Commercial: $74.09
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPREHEN METABOLIC PANEL	$322	$289.80	$10.56 – $266.68
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates Aetna — Commercial: $42.03 Aetna — Medical Rental: $42.03 Aetna — Medicare: $10.77 AmeriHealth Caritas — Medicaid: $14.03 Capital Blue Cross — Commercial: $266.68 Capital Blue Cross — Medicare: $10.56 Cigna — Commercial: $88.13 Geisinger — Commercial: $90.51 Geisinger — Medicaid/CHIP: $13.79 Geisinger — Medicare: $10.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMPREHEN METABOLIC PANEL	$322	$289.80	$83.56 – $90.55
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Geisinger — Commercial: $90.55 Oscar — Commercial: $83.56 UPMC Health Plan — Commercial: $88.03
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL	$1,494	$1,344.60	$12 – $1,237.33
Obstetric blood test panel: 10 of 28 insurance plan rates Aetna — Commercial: $190.20 Aetna — Medical Rental: $190.20 Aetna — Medicare: $48.77 AmeriHealth Caritas — Medicaid: $14.40 Capital Blue Cross — Commercial: $1,237.33 Capital Blue Cross — Medicare: $47.81 Cigna — Commercial: $408.91 Geisinger — Commercial: $419.96 Geisinger — Medicaid/CHIP: $14.16 Geisinger — Medicare: $48.77
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OBSTETRIC PANEL	$1,494	$1,344.60	$387.69 – $420.11
Obstetric blood test panel: rates for 3 insurance plans Geisinger — Commercial: $420.11 Oscar — Commercial: $387.69 UPMC Health Plan — Commercial: $408.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIPID PANEL	$509	$458.10	$13.39 – $421.55
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates Aetna — Commercial: $53.26 Aetna — Medical Rental: $53.26 Aetna — Medicare: $13.66 AmeriHealth Caritas — Medicaid: $16.80 Capital Blue Cross — Commercial: $421.55 Capital Blue Cross — Medicare: $13.39 Cigna — Commercial: $139.31 Geisinger — Commercial: $143.08 Geisinger — Medicaid/CHIP: $16.52 Geisinger — Medicare: $13.66
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LIPID PANEL	$509	$458.10	$132.09 – $143.13
Cholesterol panel (lipid panel): rates for 3 insurance plans Geisinger — Commercial: $143.13 Oscar — Commercial: $132.09 UPMC Health Plan — Commercial: $139.16
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RENAL FUNCTION PANEL	$344	$309.60	$8.68 – $284.90
Kidney function panel: 10 of 28 insurance plan rates Aetna — Commercial: $34.54 Aetna — Medical Rental: $34.54 Aetna — Medicare: $8.85 AmeriHealth Caritas — Medicaid: $11.52 Capital Blue Cross — Commercial: $284.90 Capital Blue Cross — Medicare: $8.68 Cigna — Commercial: $94.15 Geisinger — Commercial: $96.70 Geisinger — Medicaid/CHIP: $11.33 Geisinger — Medicare: $8.85
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RENAL FUNCTION PANEL	$344	$309.60	$89.27 – $96.73
Kidney function panel: rates for 3 insurance plans Geisinger — Commercial: $96.73 Oscar — Commercial: $89.27 UPMC Health Plan — Commercial: $94.05
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HEPATIC FUNCTION PANEL	$449	$404.10	$8.17 – $371.86
Liver function panel: 10 of 28 insurance plan rates Aetna — Commercial: $32.48 Aetna — Medical Rental: $32.48 Aetna — Medicare: $8.33 AmeriHealth Caritas — Medicaid: $10.84 Capital Blue Cross — Commercial: $371.86 Capital Blue Cross — Medicare: $8.17 Cigna — Commercial: $122.89 Geisinger — Commercial: $126.21 Geisinger — Medicaid/CHIP: $10.66 Geisinger — Medicare: $8.33
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB HEPATIC FUNCTION PANEL	$449	$404.10	$116.52 – $126.26
Liver function panel: rates for 3 insurance plans Geisinger — Commercial: $126.26 Oscar — Commercial: $116.52 UPMC Health Plan — Commercial: $122.76
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/SCOPE	$150	$135	$3 – $124.23
Urine test (automated, with microscope): 10 of 28 insurance plan rates Aetna — Commercial: $12.59 Aetna — Medical Rental: $12.59 Aetna — Medicare: $3.23 AmeriHealth Caritas — Medicaid: $3.60 Capital Blue Cross — Commercial: $124.23 Capital Blue Cross — Medicare: $3.17 Cigna — Commercial: $41.05 Geisinger — Commercial: $42.16 Geisinger — Medicaid/CHIP: $3.54 Geisinger — Medicare: $3.23
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/SCOPE	$150	$135	$38.92 – $42.18
Urine test (automated, with microscope): rates for 3 insurance plans Geisinger — Commercial: $42.18 Oscar — Commercial: $38.92 UPMC Health Plan — Commercial: $41.01
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS NONAUTO W/O SCOPE	$42	$37.80	$3.48 – $34.78
Urine test (manual, without microscope): 10 of 28 insurance plan rates Aetna — Commercial: $13.85 Aetna — Medical Rental: $13.85 Aetna — Medicare: $3.55 AmeriHealth Caritas — Medicaid: $4.28 Capital Blue Cross — Commercial: $34.78 Capital Blue Cross — Medicare: $3.48 Cigna — Commercial: $11.50 Geisinger — Commercial: $11.81 Geisinger — Medicaid/CHIP: $4.21 Geisinger — Medicare: $3.55
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS NONAUTO W/O SCOPE	$42	$37.80	$10.90 – $11.81
Urine test (manual, without microscope): rates for 3 insurance plans Geisinger — Commercial: $11.81 Oscar — Commercial: $10.90 UPMC Health Plan — Commercial: $11.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/O SCOPE	$54	$48.60	$2.25 – $44.72
Urine test (automated, without microscope): 10 of 28 insurance plan rates Aetna — Commercial: $8.94 Aetna — Medical Rental: $8.94 Aetna — Medicare: $2.29 AmeriHealth Caritas — Medicaid: $3.72 Capital Blue Cross — Commercial: $44.72 Capital Blue Cross — Medicare: $2.25 Cigna — Commercial: $14.78 Geisinger — Commercial: $15.18 Geisinger — Medicaid/CHIP: $3.66 Geisinger — Medicare: $2.29
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB URINALYSIS AUTO W/O SCOPE	$54	$48.60	$14.01 – $15.18
Urine test (automated, without microscope): rates for 3 insurance plans Geisinger — Commercial: $15.18 Oscar — Commercial: $14.01 UPMC Health Plan — Commercial: $14.76
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ASSAY OF PSA TOTAL	$226	$203.40	$18.39 – $187.17
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates Aetna — Commercial: $73.15 Aetna — Medical Rental: $73.15 Aetna — Medicare: $18.76 AmeriHealth Caritas — Medicaid: $29.23 Capital Blue Cross — Commercial: $187.17 Capital Blue Cross — Medicare: $18.39 Cigna — Commercial: $61.86 Geisinger — Commercial: $63.53 Geisinger — Medicaid/CHIP: $28.74 Geisinger — Medicare: $18.76
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB ASSAY OF PSA TOTAL	$226	$203.40	$58.65 – $63.55
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Geisinger — Commercial: $63.55 Oscar — Commercial: $58.65 UPMC Health Plan — Commercial: $61.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ASSAY THYROID STIM HORMONE	$408	$367.20	$16.80 – $337.91
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates Aetna — Commercial: $66.83 Aetna — Medical Rental: $66.83 Aetna — Medicare: $17.14 AmeriHealth Caritas — Medicaid: $27.85 Capital Blue Cross — Commercial: $337.91 Capital Blue Cross — Medicare: $16.80 Cigna — Commercial: $111.67 Geisinger — Commercial: $114.69 Geisinger — Medicaid/CHIP: $27.39 Geisinger — Medicare: $17.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB ASSAY THYROID STIM HORMONE	$408	$367.20	$105.88 – $114.73
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Geisinger — Commercial: $114.73 Oscar — Commercial: $105.88 UPMC Health Plan — Commercial: $111.55
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPLETE CBC W/AUTO DIFF WBC	$248	$223.20	$6 – $205.39
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates Aetna — Commercial: $30.89 Aetna — Medical Rental: $30.89 Aetna — Medicare: $7.93 AmeriHealth Caritas — Medicaid: $7.20 Capital Blue Cross — Commercial: $205.39 Capital Blue Cross — Medicare: $7.77 Cigna — Commercial: $67.88 Geisinger — Commercial: $69.71 Geisinger — Medicaid/CHIP: $7.08 Geisinger — Medicare: $7.93
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMPLETE CBC W/AUTO DIFF WBC	$248	$223.20	$64.36 – $69.74
Complete blood count (CBC) with differential: rates for 3 insurance plans Geisinger — Commercial: $69.74 Oscar — Commercial: $64.36 UPMC Health Plan — Commercial: $67.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPLETE CBC AUTOMATED	$173	$155.70	$6.47 – $143.28
Complete blood count (CBC), automated: 10 of 28 insurance plan rates Aetna — Commercial: $25.74 Aetna — Medical Rental: $25.74 Aetna — Medicare: $6.60 AmeriHealth Caritas — Medicaid: $9.02 Capital Blue Cross — Commercial: $143.28 Capital Blue Cross — Medicare: $6.47 Cigna — Commercial: $47.35 Geisinger — Commercial: $48.63 Geisinger — Medicaid/CHIP: $8.87 Geisinger — Medicare: $6.60
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COMPLETE CBC AUTOMATED	$173	$155.70	$44.89 – $48.65
Complete blood count (CBC), automated: rates for 3 insurance plans Geisinger — Commercial: $48.65 Oscar — Commercial: $44.89 UPMC Health Plan — Commercial: $47.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROTHROMBIN TIME	$156	$140.40	$4 – $129.20
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates Aetna — Commercial: $17.08 Aetna — Medical Rental: $17.08 Aetna — Medicare: $4.38 AmeriHealth Caritas — Medicaid: $4.80 Capital Blue Cross — Commercial: $129.20 Capital Blue Cross — Medicare: $4.29 Cigna — Commercial: $42.70 Geisinger — Commercial: $43.85 Geisinger — Medicaid/CHIP: $4.72 Geisinger — Medicare: $4.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PROTHROMBIN TIME	$156	$140.40	$40.48 – $43.87
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Geisinger — Commercial: $43.87 Oscar — Commercial: $40.48 UPMC Health Plan — Commercial: $42.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB THROMBOPLASTIN TIME PARTIAL (PLASMA/WHOLE BLOOD)	$256	$230.40	$6.01 – $212.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates Aetna — Commercial: $23.91 Aetna — Medical Rental: $23.91 Aetna — Medicare: $6.13 AmeriHealth Caritas — Medicaid: $9 Capital Blue Cross — Commercial: $212.02 Capital Blue Cross — Medicare: $6.01 Cigna — Commercial: $70.07 Geisinger — Commercial: $71.96 Geisinger — Medicaid/CHIP: $8.85 Geisinger — Medicare: $6.13
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB THROMBOPLASTIN TIME PARTIAL (PLASMA/WHOLE BLOOD)	$256	$230.40	$66.43 – $71.99
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Geisinger — Commercial: $71.99 Oscar — Commercial: $66.43 UPMC Health Plan — Commercial: $69.99

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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT HEAD/BRAIN W/O DYE	$2,960	$2,664	$108.87 – $2,451.47
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates Aetna — Commercial: $1,033.04 Aetna — Medical Rental: $1,018.24 Aetna — Medicare: $111.05 AmeriHealth Caritas — Medicaid: $140.10 Capital Blue Cross — Commercial: $2,451.47 Capital Blue Cross — Medicare: $108.87 Cigna — Commercial: $810.15 Geisinger — Commercial: $832.06 Geisinger — Medicaid/CHIP: $137.76 Geisinger — Medicare: $111.05
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT HEAD/BRAIN W/O DYE	$2,960	$2,664	$768.12 – $832.35
CT scan of the head or brain, without contrast: rates for 3 insurance plans Geisinger — Commercial: $832.35 Oscar — Commercial: $768.12 UPMC Health Plan — Commercial: $809.26
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI BRAIN STEM W/O & W/DYE	$14,453	$13,007.70	$339 – $5,044.10
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates Aetna — Commercial: $5,044.10 Aetna — Medical Rental: $4,971.83 Aetna — Medicare: $372.93 AmeriHealth Caritas — Medicaid: $406.80 Capital Blue Cross — Commercial: $1,480 Capital Blue Cross — Medicare: $365.62 Cigna — Commercial: $3,955.79 Geisinger — Commercial: $4,062.74 Geisinger — Medicaid/CHIP: $400.02 Geisinger — Medicare: $372.93
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI BRAIN STEM W/O & W/DYE	$14,453	$13,007.70	$3,750.55 – $4,064.18
MRI of the brain, before and after contrast: rates for 3 insurance plans Geisinger — Commercial: $4,064.18 Oscar — Commercial: $3,750.55 UPMC Health Plan — Commercial: $3,951.45
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB X-RAY EXAM CHEST 2 VIEWS	$718	$646.20	$23.64 – $594.65
Chest X-ray, 2 views: 10 of 28 insurance plan rates Aetna — Commercial: $250.58 Aetna — Medical Rental: $246.99 Aetna — Medicare: $91.94 AmeriHealth Caritas — Medicaid: $28.37 Capital Blue Cross — Commercial: $594.65 Capital Blue Cross — Medicare: $90.14 Cigna — Commercial: $196.52 Geisinger — Commercial: $201.83 Geisinger — Medicaid/CHIP: $27.90 Geisinger — Medicare: $91.94
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB X-RAY EXAM CHEST 2 VIEWS	$718	$646.20	$186.32 – $201.90
Chest X-ray, 2 views: rates for 3 insurance plans Geisinger — Commercial: $201.90 Oscar — Commercial: $186.32 UPMC Health Plan — Commercial: $196.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB X-RAY EXAM L-2 SPINE 4/>VWS	$1,648	$1,483.20	$36.62 – $1,364.87
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates Aetna — Commercial: $575.15 Aetna — Medical Rental: $566.91 Aetna — Medicare: $111.05 AmeriHealth Caritas — Medicaid: $43.94 Capital Blue Cross — Commercial: $1,364.87 Capital Blue Cross — Medicare: $108.87 Cigna — Commercial: $451.06 Geisinger — Commercial: $463.25 Geisinger — Medicaid/CHIP: $43.21 Geisinger — Medicare: $111.05
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB X-RAY EXAM L-2 SPINE 4/>VWS	$1,648	$1,483.20	$427.66 – $463.42
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Geisinger — Commercial: $463.42 Oscar — Commercial: $427.66 UPMC Health Plan — Commercial: $450.56
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI LUMBAR SPINE W/O DYE	$7,223	$6,500.70	$247.46 – $2,520.83
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates Aetna — Commercial: $2,520.83 Aetna — Medical Rental: $2,484.71 Aetna — Medicare: $252.41 AmeriHealth Caritas — Medicaid: $307.38 Capital Blue Cross — Commercial: $1,480 Capital Blue Cross — Medicare: $247.46 Cigna — Commercial: $1,976.94 Geisinger — Commercial: $2,030.39 Geisinger — Medicaid/CHIP: $302.26 Geisinger — Medicare: $252.41
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI LUMBAR SPINE W/O DYE	$7,223	$6,500.70	$1,874.37 – $2,031.11
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Geisinger — Commercial: $2,031.11 Oscar — Commercial: $1,874.37 UPMC Health Plan — Commercial: $1,974.77
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT PELVIS W/DYE	$4,592	$4,132.80	$140.09 – $3,803.09
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates Aetna — Commercial: $1,602.61 Aetna — Medical Rental: $1,579.65 Aetna — Medicare: $185.90 AmeriHealth Caritas — Medicaid: $168.11 Capital Blue Cross — Commercial: $3,803.09 Capital Blue Cross — Medicare: $182.25 Cigna — Commercial: $1,256.83 Geisinger — Commercial: $1,290.81 Geisinger — Medicaid/CHIP: $165.31 Geisinger — Medicare: $185.90
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT PELVIS W/DYE	$4,592	$4,132.80	$1,191.62 – $1,291.27
CT scan of the pelvis, with contrast: rates for 3 insurance plans Geisinger — Commercial: $1,291.27 Oscar — Commercial: $1,191.62 UPMC Health Plan — Commercial: $1,255.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI JNT OF LWR EXTRE W/O DYE	$6,438	$5,794.20	$247.46 – $2,246.86
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $2,246.86 Aetna — Medical Rental: $2,214.67 Aetna — Medicare: $252.41 Capital Blue Cross — Commercial: $1,480 Capital Blue Cross — Medicare: $247.46 Cigna — Commercial: $1,762.08 Geisinger — Commercial: $1,809.72 Geisinger — Medicare: $252.41 Highmark — Commercial/Special Care: $855.15 Highmark — Freedom Blue Medicare Advantage: $249.93
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI JNT OF LWR EXTRE W/O DYE	$6,438	$5,794.20	$1,670.66 – $1,810.37
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Geisinger — Commercial: $1,810.37 Oscar — Commercial: $1,670.66 UPMC Health Plan — Commercial: $1,760.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT ABD & PELV W/CONTRAST	$9,940	$8,946	$263.16 – $8,232.31
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates Aetna — Commercial: $3,469.06 Aetna — Medical Rental: $3,419.36 Aetna — Medicare: $372.93 AmeriHealth Caritas — Medicaid: $315.79 Capital Blue Cross — Commercial: $8,232.31 Capital Blue Cross — Medicare: $365.62 Cigna — Commercial: $2,720.58 Geisinger — Commercial: $2,794.13 Geisinger — Medicaid/CHIP: $310.53 Geisinger — Medicare: $372.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT ABD & PELV W/CONTRAST	$9,940	$8,946	$2,579.43 – $2,795.13
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Geisinger — Commercial: $2,795.13 Oscar — Commercial: $2,579.43 UPMC Health Plan — Commercial: $2,717.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US EXAM ABDOM COMPLETE	$2,221	$1,998.90	$95.27 – $1,839.43
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates Aetna — Commercial: $775.13 Aetna — Medical Rental: $764.02 Aetna — Medicare: $111.05 AmeriHealth Caritas — Medicaid: $114.32 Capital Blue Cross — Commercial: $1,839.43 Capital Blue Cross — Medicare: $108.87 Cigna — Commercial: $607.89 Geisinger — Commercial: $624.32 Geisinger — Medicaid/CHIP: $112.42 Geisinger — Medicare: $111.05
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB US EXAM ABDOM COMPLETE	$2,221	$1,998.90	$576.35 – $624.55
Ultrasound of the abdomen, complete: rates for 3 insurance plans Geisinger — Commercial: $624.55 Oscar — Commercial: $576.35 UPMC Health Plan — Commercial: $607.22
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OB US >/= 14 WKS SNGL FETUS	$2,012	$1,810.80	$77.50 – $1,666.34
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates Aetna — Commercial: $702.19 Aetna — Medical Rental: $692.13 Aetna — Medicare: $111.05 AmeriHealth Caritas — Medicaid: $93 Capital Blue Cross — Commercial: $1,666.34 Capital Blue Cross — Medicare: $108.87 Cigna — Commercial: $550.68 Geisinger — Commercial: $565.57 Geisinger — Medicaid/CHIP: $91.45 Geisinger — Medicare: $111.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OB US >/= 14 WKS SNGL FETUS	$2,012	$1,810.80	$522.11 – $565.77
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Geisinger — Commercial: $565.77 Oscar — Commercial: $522.11 UPMC Health Plan — Commercial: $550.08
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TRANSVAGINAL US NON-OB	$952	$856.80	$76.50 – $788.45
Transvaginal ultrasound: 10 of 28 insurance plan rates Aetna — Commercial: $332.25 Aetna — Medical Rental: $327.49 Aetna — Medicare: $111.05 AmeriHealth Caritas — Medicaid: $91.80 Capital Blue Cross — Commercial: $788.45 Capital Blue Cross — Medicare: $108.87 Cigna — Commercial: $260.56 Geisinger — Commercial: $267.61 Geisinger — Medicaid/CHIP: $90.27 Geisinger — Medicare: $111.05
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB TRANSVAGINAL US NON-OB	$952	$856.80	$247.04 – $267.70
Transvaginal ultrasound: rates for 3 insurance plans Geisinger — Commercial: $267.70 Oscar — Commercial: $247.04 UPMC Health Plan — Commercial: $260.28
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB DX MAMMO INCL CAD UNI	$1,176	$1,058.40	$102.41 – $973.96
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates Aetna — Commercial: $410.42 Aetna — Medical Rental: $404.54 Aetna — Medicare: $129.40 AmeriHealth Caritas — Medicaid: $122.89 Capital Blue Cross — Commercial: $973.96 Cigna — Commercial: $321.87 Geisinger — Commercial: $330.57 Geisinger — Medicaid/CHIP: $120.84 Highmark Wholecare — Medicaid: $122.89 Independence Blue Cross — HMO: $160.43
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB DX MAMMO INCL CAD UNI	$1,176	$1,058.40	$305.17 – $330.69
Diagnostic mammogram, one breast: rates for 3 insurance plans Geisinger — Commercial: $330.69 Oscar — Commercial: $305.17 UPMC Health Plan — Commercial: $321.52
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB DX MAMMO INCL CAD BI	$1,434	$1,290.60	$129.85 – $1,187.64
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates Aetna — Commercial: $500.47 Aetna — Medical Rental: $493.30 Aetna — Medicare: $163.51 AmeriHealth Caritas — Medicaid: $155.82 Capital Blue Cross — Commercial: $1,187.64 Cigna — Commercial: $392.49 Geisinger — Commercial: $403.10 Geisinger — Medicaid/CHIP: $153.22 Highmark Wholecare — Medicaid: $155.82 Independence Blue Cross — HMO: $204.41
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB DX MAMMO INCL CAD BI	$1,434	$1,290.60	$372.12 – $403.24
Diagnostic mammogram, both breasts: rates for 3 insurance plans Geisinger — Commercial: $403.24 Oscar — Commercial: $372.12 UPMC Health Plan — Commercial: $392.06
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB SCR MAMMO BI INCL CAD	$777	$699.30	$74.59 – $643.51
Screening mammogram, both breasts: 10 of 19 insurance plan rates Aetna — Commercial: $271.17 Aetna — Medical Rental: $267.29 Aetna — Medicare: $131.94 AmeriHealth Caritas — Medicaid: $125.64 Capital Blue Cross — Commercial: $643.51 Cigna — Commercial: $212.66 Geisinger — Commercial: $218.41 Geisinger — Medicaid/CHIP: $123.55 Highmark Wholecare — Medicaid: $125.64 Independence Blue Cross — HMO: $155.25
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB SCR MAMMO BI INCL CAD	$777	$699.30	$201.63 – $218.49
Screening mammogram, both breasts: rates for 3 insurance plans Geisinger — Commercial: $218.49 Oscar — Commercial: $201.63 UPMC Health Plan — Commercial: $212.43

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LEFT HRT CATH W/VENTRCLGRPHY	$27,968	$25,171.20	$3,292.83 – $23,163.10
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates Aetna — Commercial: $9,760.83 Aetna — Medical Rental: $9,620.99 Aetna — Medicare: $3,358.69 Capital Blue Cross — Commercial: $23,163.10 Capital Blue Cross — Medicare: $3,292.83 Cigna — Commercial: $7,654.84 Geisinger — Commercial: $7,861.80 Geisinger — Medicare: $3,358.69 Highmark — Commercial/Special Care: $11,379.03 Highmark — Freedom Blue Medicare Advantage: $3,325.76
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB LEFT HRT CATH W/VENTRCLGRPHY	$27,968	$25,171.20	$7,257.70 – $7,864.60
Left heart catheterization (diagnostic): rates for 3 insurance plans Geisinger — Commercial: $7,864.60 Oscar — Commercial: $7,257.70 UPMC Health Plan — Commercial: $7,646.45
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB POLYSOM 6/> YRS 4/> PARAM	$15,686	$14,117.40	$346.56 – $12,991.15
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates Aetna — Commercial: $5,474.41 Aetna — Medical Rental: $5,395.98 Aetna — Medicare: $1,062.39 AmeriHealth Caritas — Medicaid: $415.87 Capital Blue Cross — Commercial: $12,991.15 Capital Blue Cross — Medicare: $1,041.56 Cigna — Commercial: $4,293.26 Geisinger — Commercial: $4,409.33 Geisinger — Medicaid/CHIP: $408.94 Geisinger — Medicare: $1,062.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB POLYSOM 6/> YRS 4/> PARAM	$15,686	$14,117.40	$4,070.52 – $4,410.90
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Geisinger — Commercial: $4,410.90 Oscar — Commercial: $4,070.52 UPMC Health Plan — Commercial: $4,288.55

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB THERAPEUTIC EXERCISES	$341	$306.90	$8.38 – $282.42
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates Aetna — Commercial: $119.01 Aetna — Medical Rental: $117.30 Aetna — Medicare: $19.75 AmeriHealth Caritas — Medicaid: $10.06 Capital Blue Cross — Commercial: $282.42 Cigna — Commercial: $93.33 Geisinger — Commercial: $95.86 Geisinger — Medicaid/CHIP: $9.89 Highmark Wholecare — Medicaid: $10.06 Independence Blue Cross — HMO: $108.67
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB THERAPEUTIC EXERCISES	$341	$306.90	$88.49 – $95.89
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Geisinger — Commercial: $95.89 Oscar — Commercial: $88.49 UPMC Health Plan — Commercial: $93.23
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL LOW COMPLEX 20 MIN	$650	$585	$62.40 – $538.33
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates Aetna — Commercial: $226.85 Aetna — Medical Rental: $223.60 Aetna — Medicare: $67.18 Capital Blue Cross — Commercial: $538.33 Cigna — Commercial: $177.91 Geisinger — Commercial: $182.72 Highmark Wholecare — Medicaid: $110.50 Independence Blue Cross — HMO: $144.90 Independence Blue Cross — Indemnity: $144.90 Independence Blue Cross — Medicare Advantage: $62.40
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL LOW COMPLEX 20 MIN	$650	$585	$168.68 – $182.78
Physical therapy evaluation (low complexity): rates for 3 insurance plans Geisinger — Commercial: $182.78 Oscar — Commercial: $168.68 UPMC Health Plan — Commercial: $177.71
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL MOD COMPLEX 30 MIN	$682	$613.80	$65.47 – $564.83
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates Aetna — Commercial: $238.02 Aetna — Medical Rental: $234.61 Aetna — Medicare: $67.18 Capital Blue Cross — Commercial: $564.83 Cigna — Commercial: $186.66 Geisinger — Commercial: $191.71 Highmark Wholecare — Medicaid: $115.94 Independence Blue Cross — HMO: $181.12 Independence Blue Cross — Indemnity: $181.12 Independence Blue Cross — Medicare Advantage: $65.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL MOD COMPLEX 30 MIN	$682	$613.80	$176.98 – $191.78
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Geisinger — Commercial: $191.78 Oscar — Commercial: $176.98 UPMC Health Plan — Commercial: $186.46
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL HIGH COMPLEX 45 MIN	$716	$644.40	$67.18 – $592.99
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates Aetna — Commercial: $249.88 Aetna — Medical Rental: $246.30 Aetna — Medicare: $67.18 Capital Blue Cross — Commercial: $592.99 Cigna — Commercial: $195.97 Geisinger — Commercial: $201.27 Highmark Wholecare — Medicaid: $121.72 Independence Blue Cross — HMO: $217.35 Independence Blue Cross — Indemnity: $217.35 Independence Blue Cross — Medicare Advantage: $68.74
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL HIGH COMPLEX 45 MIN	$716	$644.40	$185.80 – $201.34
Physical therapy evaluation (high complexity): rates for 3 insurance plans Geisinger — Commercial: $201.34 Oscar — Commercial: $185.80 UPMC Health Plan — Commercial: $195.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19	Not listed in the file	Not listed in the file	$198.95 – $13,547.24
Removal of breast growth (open surgery): 10 of 20 insurance plan rates Aetna — Medicare: $3,998.67 AmeriHealth Caritas — Medicaid: $207.60 Capital Blue Cross — Medicare: $3,920.26 Geisinger — Medicaid/CHIP: $204.14 Geisinger — Medicare: $3,998.67 Highmark — Commercial/Special Care: $13,547.24 Highmark — Freedom Blue Medicare Advantage: $3,959.46 Highmark — Medicare Advantage: $3,920.26 Highmark Wholecare — Medicaid: $207.60 Horizon BCBS NJ — Medicare: $3,920.26
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT	Not listed in the file	Not listed in the file	$13,172.54 – $45,520.35
Total hip replacement: 10 of 14 insurance plan rates Aetna — Medicare: $13,435.99 Capital Blue Cross — Medicare: $13,172.54 Geisinger — Medicare: $13,435.99 Highmark — Commercial/Special Care: $45,520.35 Highmark — Freedom Blue Medicare Advantage: $13,304.27 Highmark — Medicare Advantage: $13,172.54 Horizon BCBS NJ — Medicare: $13,172.54 Humana — Medicare: $13,699.44 Independence Blue Cross — HMO: $18,630 Independence Blue Cross — Indemnity: $18,630
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)	Not listed in the file	Not listed in the file	$13,172.54 – $45,520.35
Total knee replacement: 10 of 14 insurance plan rates Aetna — Medicare: $13,435.99 Capital Blue Cross — Medicare: $13,172.54 Geisinger — Medicare: $13,435.99 Highmark — Commercial/Special Care: $45,520.35 Highmark — Freedom Blue Medicare Advantage: $13,304.27 Highmark — Medicare Advantage: $13,172.54 Horizon BCBS NJ — Medicare: $13,172.54 Humana — Medicare: $13,699.44 Independence Blue Cross — HMO: $18,630 Independence Blue Cross — Indemnity: $18,630
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE	Not listed in the file	Not listed in the file	$181.42 – $5,825.61
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans Aetna — Medicare: $181.42 Capital Blue Cross — Commercial: $4,764 Independence Blue Cross — HMO: $5,729.53 Independence Blue Cross — Indemnity: $5,825.61 Independence Blue Cross — PPO: $5,729.53
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA	Not listed in the file	Not listed in the file	$625.02 – $11,478.80
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates Aetna — Medicare: $3,388.13 AmeriHealth Caritas — Medicaid: $652.20 Capital Blue Cross — Commercial: $3,259 Capital Blue Cross — Medicare: $3,321.70 Geisinger — Medicaid/CHIP: $641.33 Geisinger — Medicare: $3,388.13 Highmark — Commercial/Special Care: $11,478.80 Highmark — Freedom Blue Medicare Advantage: $3,354.92 Highmark — Medicare Advantage: $3,321.70 Highmark Wholecare — Medicaid: $652.20
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12	Not listed in the file	Not listed in the file	$2,550 – $20,928.48
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Aetna — Medicare: $6,177.34 Capital Blue Cross — Commercial: $2,550 Capital Blue Cross — Medicare: $6,056.22 Geisinger — Medicare: $6,177.34 Highmark — Commercial/Special Care: $20,928.48 Highmark — Freedom Blue Medicare Advantage: $6,116.78 Highmark — Medicare Advantage: $6,056.22 Horizon BCBS NJ — Medicare: $6,056.22 Humana — Medicare: $6,298.47 Independence Blue Cross — HMO: $5,183.86
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP	Not listed in the file	Not listed in the file	$125.22 – $3,316.92
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates Aetna — Medicare: $979.04 AmeriHealth Caritas — Medicaid: $150.26 Capital Blue Cross — Commercial: $1,247 Capital Blue Cross — Medicare: $959.84 Geisinger — Medicaid/CHIP: $147.76 Geisinger — Medicare: $979.04 Highmark — Commercial/Special Care: $3,316.92 Highmark — Freedom Blue Medicare Advantage: $969.44 Highmark — Medicare Advantage: $959.84 Highmark Wholecare — Medicaid: $150.26
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$148.58 – $3,316.92
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates Aetna — Medicare: $979.04 AmeriHealth Caritas — Medicaid: $178.30 Capital Blue Cross — Commercial: $1,247 Capital Blue Cross — Medicare: $959.84 Geisinger — Medicaid/CHIP: $175.32 Geisinger — Medicare: $979.04 Highmark — Commercial/Special Care: $3,316.92 Highmark — Freedom Blue Medicare Advantage: $969.44 Highmark — Medicare Advantage: $959.84 Highmark Wholecare — Medicaid: $178.30
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)	Not listed in the file	Not listed in the file	$180.50 – $3,225.45
Colonoscopy (diagnostic): 10 of 21 insurance plan rates Aetna — Medicare: $952.04 AmeriHealth Caritas — Medicaid: $216.60 Capital Blue Cross — Commercial: $1,247 Capital Blue Cross — Medicare: $933.37 Geisinger — Medicaid/CHIP: $212.99 Geisinger — Medicare: $952.04 Highmark — Commercial/Special Care: $3,225.45 Highmark — Freedom Blue Medicare Advantage: $942.70 Highmark — Medicare Advantage: $933.37 Highmark Wholecare — Medicaid: $216.60
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$225.42 – $4,171.34
Colonoscopy with biopsy: 10 of 21 insurance plan rates Aetna — Medicare: $1,231.23 AmeriHealth Caritas — Medicaid: $270.50 Capital Blue Cross — Commercial: $1,247 Capital Blue Cross — Medicare: $1,207.09 Geisinger — Medicaid/CHIP: $266 Geisinger — Medicare: $1,231.23 Highmark — Commercial/Special Care: $4,171.34 Highmark — Freedom Blue Medicare Advantage: $1,219.16 Highmark — Medicare Advantage: $1,207.09 Highmark Wholecare — Medicaid: $270.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE	Not listed in the file	Not listed in the file	$268.08 – $4,171.34
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates Aetna — Medicare: $1,231.23 AmeriHealth Caritas — Medicaid: $321.70 Capital Blue Cross — Commercial: $1,247 Capital Blue Cross — Medicare: $1,207.09 Geisinger — Medicaid/CHIP: $316.33 Geisinger — Medicare: $1,231.23 Highmark — Commercial/Special Care: $4,171.34 Highmark — Freedom Blue Medicare Advantage: $1,219.16 Highmark — Medicare Advantage: $1,207.09 Highmark Wholecare — Medicaid: $321.70
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	Not listed in the file	Not listed in the file	$933.37 – $3,225.45
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates Aetna — Medicare: $952.04 Capital Blue Cross — Medicare: $933.37 Geisinger — Medicare: $952.04 Highmark — Commercial/Special Care: $3,225.45 Highmark — Freedom Blue Medicare Advantage: $942.70 Highmark — Medicare Advantage: $933.37 Horizon BCBS NJ — Medicare: $933.37 Humana — Medicare: $970.70 Independence Blue Cross — HMO: $3,001.18 Independence Blue Cross — Indemnity: $3,051.51
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,972.98 – $20,640.83
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates Aetna — Medicare: $6,092.44 Capital Blue Cross — Medicare: $5,972.98 Geisinger — Medicare: $6,092.44 Highmark — Commercial/Special Care: $20,640.83 Highmark — Freedom Blue Medicare Advantage: $6,032.71 Highmark — Medicare Advantage: $5,972.98 Horizon BCBS NJ — Medicare: $5,972.98 Humana — Medicare: $6,211.90 Independence Blue Cross — HMO: $9,706.32 Independence Blue Cross — Indemnity: $9,869.28
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE	Not listed in the file	Not listed in the file	$365.12 – $12,485.13
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates Aetna — Medicare: $3,685.17 AmeriHealth Caritas — Medicaid: $381 Capital Blue Cross — Commercial: $3,259 Capital Blue Cross — Medicare: $3,612.91 Geisinger — Medicaid/CHIP: $374.65 Geisinger — Medicare: $3,685.17 Highmark — Commercial/Special Care: $12,485.13 Highmark — Freedom Blue Medicare Advantage: $3,649.04 Highmark — Medicare Advantage: $3,612.91 Highmark Wholecare — Medicaid: $381
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB BIOPSY OF PROSTATE	$13,045	$11,740.50	$89.50 – $7,247.22
Prostate biopsy: 10 of 28 insurance plan rates Aetna — Commercial: $4,552.70 Aetna — Medical Rental: $4,487.48 Aetna — Medicare: $2,139.12 AmeriHealth Caritas — Medicaid: $107.40 Capital Blue Cross — Commercial: $2,119 Capital Blue Cross — Medicare: $2,097.18 Cigna — Commercial: $3,570.42 Geisinger — Commercial: $3,666.95 Geisinger — Medicaid/CHIP: $105.61 Geisinger — Medicare: $2,139.12
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB BIOPSY OF PROSTATE	$13,045	$11,740.50	$3,385.18 – $3,668.25
Prostate biopsy: rates for 3 insurance plans Geisinger — Commercial: $3,668.25 Oscar — Commercial: $3,385.18 UPMC Health Plan — Commercial: $3,566.50
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH	Not listed in the file	Not listed in the file	$102.92 – $7,247.22
Prostate biopsy: 10 of 21 insurance plan rates Aetna — Medicare: $2,139.12 AmeriHealth Caritas — Medicaid: $107.40 Capital Blue Cross — Commercial: $2,119 Capital Blue Cross — Medicare: $2,097.18 Geisinger — Medicaid/CHIP: $105.61 Geisinger — Medicare: $2,139.12 Highmark — Commercial/Special Care: $7,247.22 Highmark — Freedom Blue Medicare Advantage: $2,118.15 Highmark — Medicare Advantage: $2,097.18 Highmark Wholecare — Medicaid: $107.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C	Not listed in the file	Not listed in the file	$3,255.08 – $11,248.58
Hysteroscopy with biopsy of the uterus lining: 10 of 14 insurance plan rates Aetna — Medicare: $3,320.18 Capital Blue Cross — Medicare: $3,255.08 Geisinger — Medicare: $3,320.18 Highmark — Commercial/Special Care: $11,248.58 Highmark — Freedom Blue Medicare Advantage: $3,287.63 Highmark — Medicare Advantage: $3,255.08 Horizon BCBS NJ — Medicare: $3,255.08 Humana — Medicare: $3,385.28 Independence Blue Cross — HMO: $3,546.86 Independence Blue Cross — Indemnity: $3,606.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB NJX INTERLAMINAR LMBR/SAC	$4,271	$3,843.90	$81.32 – $3,537.24
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates Aetna — Commercial: $1,490.58 Aetna — Medical Rental: $1,469.22 Aetna — Medicare: $723.15 AmeriHealth Caritas — Medicaid: $97.58 Capital Blue Cross — Commercial: $3,537.24 Capital Blue Cross — Medicare: $708.97 Cigna — Commercial: $1,168.97 Geisinger — Commercial: $1,200.58 Geisinger — Medicaid/CHIP: $95.96 Geisinger — Medicare: $723.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB NJX INTERLAMINAR LMBR/SAC	$4,271	$3,843.90	$1,108.32 – $1,201.01
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Geisinger — Commercial: $1,201.01 Oscar — Commercial: $1,108.32 UPMC Health Plan — Commercial: $1,167.69
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUR	Not listed in the file	Not listed in the file	$93.52 – $2,449.99
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates Aetna — Medicare: $723.15 AmeriHealth Caritas — Medicaid: $97.58 Capital Blue Cross — Medicare: $708.97 Geisinger — Medicaid/CHIP: $95.96 Geisinger — Medicare: $723.15 Highmark — Commercial/Special Care: $2,449.99 Highmark — Freedom Blue Medicare Advantage: $716.06 Highmark — Medicare Advantage: $708.97 Highmark Wholecare — Medicaid: $97.58 Horizon BCBS NJ — Medicare: $708.97
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJ FORAMEN EPIDURAL L/S	$1,185	$1,066.50	$95.04 – $3,149.66
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates Aetna — Commercial: $413.56 Aetna — Medical Rental: $407.64 Aetna — Medicare: $929.67 AmeriHealth Caritas — Medicaid: $114.05 Capital Blue Cross — Commercial: $778 Capital Blue Cross — Medicare: $911.44 Cigna — Commercial: $324.33 Geisinger — Commercial: $333.10 Geisinger — Medicaid/CHIP: $112.15 Geisinger — Medicare: $929.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB INJ FORAMEN EPIDURAL L/S	$1,185	$1,066.50	$307.51 – $333.22
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Geisinger — Commercial: $333.22 Oscar — Commercial: $307.51 UPMC Health Plan — Commercial: $323.98
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SING	Not listed in the file	Not listed in the file	$109.30 – $3,149.66
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates Aetna — Medicare: $929.67 AmeriHealth Caritas — Medicaid: $114.05 Capital Blue Cross — Commercial: $778 Capital Blue Cross — Medicare: $911.44 Geisinger — Medicaid/CHIP: $112.15 Geisinger — Medicare: $929.67 Highmark — Commercial/Special Care: $3,149.66 Highmark — Freedom Blue Medicare Advantage: $920.55 Highmark — Medicare Advantage: $911.44 Highmark Wholecare — Medicaid: $114.05
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL	Not listed in the file	Not listed in the file	$345 – $6,908.53
Carpal tunnel release: 10 of 21 insurance plan rates Aetna — Medicare: $2,039.15 AmeriHealth Caritas — Medicaid: $360 Capital Blue Cross — Commercial: $3,259 Capital Blue Cross — Medicare: $1,999.17 Geisinger — Medicaid/CHIP: $354 Geisinger — Medicare: $2,039.15 Highmark — Commercial/Special Care: $6,908.53 Highmark — Freedom Blue Medicare Advantage: $2,019.16 Highmark — Medicare Advantage: $1,999.17 Highmark Wholecare — Medicaid: $360

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ROUTINE OBSTETRIC CARE INCLUDING ANTEPARTUM CARE, CESAREAN DELIVERY, AND POSTPARTUM CARE	Not listed in the file	Not listed in the file	$2,576.06
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Aetna — Medicare: $2,576.06

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) · Hospital (facility) fee In the file: MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$14,265 – $161,473.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 15 insurance plan rates Aetna — Commercial: $161,473.23 Aetna — Medical Rental: $161,473.23 Aetna — Medicare: $78,371.78 Capital Blue Cross — Commercial: $14,265 Capital Blue Cross — Medicare: $76,835.08 Cigna — Commercial: $148,101.81 Geisinger — Medicare: $78,371.78 Highmark — Freedom Blue Medicare Advantage: $77,603.43 Highmark — Medicare Advantage: $76,835.08 Horizon BCBS NJ — Medicare: $76,835.08
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 & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC	Not listed in the file	Not listed in the file	$14,265 – $161,473.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans Capital Blue Cross — Commercial: $14,265 Independence Blue Cross — HMO: $123,306.80 Independence Blue Cross — PPO: $123,306.80
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: MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$14,265 – $161,473.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans Capital Blue Cross — Commercial: $14,265 Highmark — Commercial/Special Care: $122,648.47
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL W/O MCC	Not listed in the file	Not listed in the file	$14,265 – $52,522.95
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Capital Blue Cross — Commercial: $14,265 Independence Blue Cross — HMO: $52,522.95 Independence Blue Cross — PPO: $52,522.95
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG v36: 460 - SPINAL FUSION EXCEPT CERVICAL W/O MCC	Not listed in the file	Not listed in the file	$14,265 – $52,522.95
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Capital Blue Cross — Commercial: $14,265
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$14,265 – $31,838.10
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates Aetna — Commercial: $31,838.10 Aetna — Medical Rental: $31,838.10 Aetna — Medicare: $15,799.26 Capital Blue Cross — Commercial: $14,265 Capital Blue Cross — Medicare: $15,489.47 Cigna — Commercial: $29,201.62 Geisinger — Medicare: $15,799.26 Highmark — Freedom Blue Medicare Advantage: $15,644.36 Highmark — Medicare Advantage: $15,489.47 Horizon BCBS NJ — Medicare: $15,489.47
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 W/O MCC	Not listed in the file	Not listed in the file	$14,265 – $31,838.10
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans Capital Blue Cross — Commercial: $14,265 Independence Blue Cross — HMO: $27,220.04 Independence Blue Cross — PPO: $27,220.04
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$14,265 – $31,838.10
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans Capital Blue Cross — Commercial: $14,265 Highmark — Commercial/Special Care: $23,131.72
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,265 – $40,295.68
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates Aetna — Commercial: $40,295.68 Aetna — Medical Rental: $40,295.68 Aetna — Medicare: $19,881.58 Capital Blue Cross — Commercial: $14,265 Capital Blue Cross — Medicare: $19,491.75 Cigna — Commercial: $36,958.84 Geisinger — Medicare: $19,881.58 Highmark — Freedom Blue Medicare Advantage: $19,686.67 Highmark — Medicare Advantage: $19,491.75 Horizon BCBS NJ — Medicare: $19,491.75
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION W/O CC/MCC	Not listed in the file	Not listed in the file	$14,265 – $40,295.68
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans Capital Blue Cross — Commercial: $14,265 Independence Blue Cross — HMO: $30,282.57 Independence Blue Cross — PPO: $30,282.57
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,265 – $40,295.68
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans Capital Blue Cross — Commercial: $14,265 Highmark — Commercial/Special Care: $29,768.18
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$10,114.05 – $20,478.78
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates Aetna — Commercial: $20,478.78 Aetna — Medical Rental: $20,478.78 Aetna — Medicare: $10,316.33 Capital Blue Cross — Commercial: $14,265 Capital Blue Cross — Medicare: $10,114.05 Cigna — Commercial: $18,782.96 Geisinger — Medicare: $10,316.33 Highmark — Freedom Blue Medicare Advantage: $10,215.19 Highmark — Medicare Advantage: $10,114.05 Horizon BCBS NJ — Medicare: $10,114.05
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC	Not listed in the file	Not listed in the file	$10,114.05 – $20,478.78
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans Capital Blue Cross — Commercial: $14,265 Independence Blue Cross — HMO: $14,575.05 Independence Blue Cross — PPO: $14,575.05
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$10,114.05 – $20,478.78
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans Capital Blue Cross — Commercial: $14,265 Highmark — Commercial/Special Care: $16,744.60

Source: St Luke's Hospital - Upper Bucks Campus’s standard charges file (slhn.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 26, 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	3000 St. Luke's Drive, Quakertown, PA 18951
County	Bucks County
State	Pennsylvania
Phone	(267) 985‑1000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	390035
Name in Medicare records	ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS
Profile level	Medicare data + hospital website
Official website	slhn.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Hospital in Quakertown, PA - Upper Bucks Campus — slhn.org
Emergency Room in Quakertown, PA | ER | Trauma Center — slhn.org
Cancer Center in Quakertown, PA | Oncology — slhn.org