Does Temple Health - Chestnut Hill Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Temple Health - Chestnut Hill Hospital. In a medical emergency, call 911.

Where is Temple Health - Chestnut Hill Hospital?

8835 Germantown Avenue, Philadelphia, PA 19118, in Philadelphia County, Pennsylvania.

What is the phone number of Temple Health - Chestnut Hill Hospital?

(215) 248-8200, as listed by Medicare (CMS).

What is the Medicare star rating of Temple Health - Chestnut Hill Hospital?

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

Temple Health - Chestnut Hill Hospital

Quick answers

Does Temple Health - Chestnut Hill Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Temple Health - Chestnut Hill Hospital. In a medical emergency, call 911.
Where is Temple Health - Chestnut Hill Hospital?: 8835 Germantown Avenue, Philadelphia, PA 19118, in Philadelphia County, Pennsylvania.
What is the phone number of Temple Health - Chestnut Hill Hospital?: (215) 248-8200, as listed by Medicare (CMS).
What is the Medicare star rating of Temple Health - Chestnut Hill Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5][12][18]

Bariatric surgery
Cancer care (oncology)
Dermatology
Emergency services
Neurology and neurosurgery
Nutrition
Orthopedic surgery and sports medicine
Physical therapy
Podiatry
Primary care
Pulmonary and thoracic services
Radiology (imaging)
Sleep medicine
Senior behavioral health
Surgery
Urology
Vascular surgery
Women's health
Orthopaedics
Pulmonology

Conditions treated^[12][18]

Arthritis
Extremity injuries
Spine disorders
Fractures
Sports concussions
Soft tissue injuries
Ligament and tendon damage
COPD
Pneumonia
Asthma
Sleep apnea
Bronchiectasis
Pulmonary hypertension
Pulmonary fibrosis
Cystic fibrosis
Asbestosis
Neurological disorders

Treatments^{[11][13][17][18]}

Gastric bypass surgery
Gastric sleeve surgery
Duodenal switch surgery
Bariatric revision surgery
Chemotherapy and infusion
CPAP therapy
Therapeutic massage
Wound care

Procedures^[13][17][18]

Laparoscopic surgery
Ultrasound
Mammography
DEXA scan
X-ray
MRI
CT scan
Pelvic health scan

Programs and centers^[13][18]

Weight loss surgery (bariatric) program
Senior Behavioral Health Program
Temple Lung Center
Temple Neurosciences Center

Emergency care (hospital website)^{[4][7][8][9][18]}

Emergency room	Yes
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Inpatient units daily 11 a.m.-8 p.m.; ICU 9 a.m.-8 p.m.; Senior Behavioral Health has separate hours^[6]
Parking	Free parking for patients and visitors, near the emergency department, outpatient entrance and Women's Center^[10]
Interpreters and languages	Medical interpreters on request, Spanish-speaking staff, ASL, and phone interpreting for 150+ languages^[16]
Patient portal	https://my.templehealth.org/mychartprd/

Recognition^[4]

Primary Stroke Center (Joint Commission)

Doctors and clinicians (460)

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

Main specialties

Doctors with a page on this site (460)

Aamir Ajmeri, MDPulmonary Disease
Abdallah A. Bukari, MDInternal Medicine
Abhijit S. Pathak, MDGeneral Surgery
Adam C. Walchak, MDPlastic and Reconstructive Surgery
Adam Haviland, MDInternal Medicine
Adam Reese, MDGeneral Surgery
Adam Reese, MDUrology
Adam Tuchinsky, DOInternal Medicine
Aditya Munshi, MDCardiovascular Disease (Cardiology)
Ahmed B. Foda, MDCardiovascular Disease (Cardiology)
Aimee Monahan, DOFamily Practice
Ajaykumar D. Rao, MDEndocrinology
Akash N. Sethi, DONephrology
Albert Mosheyev, DPMPodiatry
Alessandro Bombonati, MDPathology
Alexander Chau, MDInternal Medicine
Alexander Kutikov, MDUrology
Ali R. Ekbatani, DOAnesthesiology
Alina Shevchenko, MDDermatology
Alison Kourlesis, PAPhysician Assistant
Allison A. Aggon, DOSurgical Oncology
Alycia So, MDGeneral Surgery
Alyssa Borden, CNACertified Registered Nurse Anesthetist (CRNA)
Alyssa Goldbach, DODiagnostic Radiology

And 436 more: the button below opens the full list.

Other emergency rooms nearby

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

Roxborough Memorial Hospital3.5 mi · Philadelphia, PA · Acute Care Hospital
Jefferson Einstein Philadelphia Hospital4.5 mi · Philadelphia, PA · Acute Care Hospital
Jefferson Abington Hospital5.5 mi · Abington, PA · Acute Care Hospital
Temple University Hospital6.0 mi · Philadelphia, PA · Acute Care Hospital
Main Line Hospital Lankenau6.6 mi · Wynnewood, PA · Acute Care Hospital

Other hospitals nearby

Fairmount Behavioral Health System2.5 mi · Philadelphia, PA · Psychiatric Hospital
Brooke Glen Behavioral Hospital3.9 mi · Fort Washington, PA · Psychiatric Hospital
Haven Behavioral Hospital of Philadelphia5.0 mi · Philadelphia, PA · Psychiatric Hospital
Belmont Behavioral Hospital5.4 mi · Philadelphia, PA · Psychiatric 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

Fairview Rehab and Care Center0.4 mi · Philadelphia, PA · 1 of 5 stars
Chestnut Hill Lodge Health and Rehab Ctr0.5 mi · Wyndmoor, PA · 1 of 5 stars
Wyndmoor Hills Rehabilitation and Nursing Center0.5 mi · Wyndmoor, PA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Keystone Hospice2.9 mi · Wyndmoor, PA · 3 of 5 stars
Tender Care Hospice PA LLC2.9 mi · Wyndmoor, PA
Acts Hospice of Pennsylvania3.8 mi · Fort Washington, PA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Genuine Heart Home Care Agency LLC2.1 mi · Flourtown, PA
Ken-Care Home Health Agency2.1 mi · Philadelphia, PA
Nurturing Care Services, LLC2.1 mi · Philadelphia, PA

All home health agencies in the state →

Dialysis facilities

FKC Mount Airy0.3 mi · Philadelphia, PA · 4 of 5 stars
Concerto Wyndmoor Pennsylvania2.9 mi · Wyndmoor, PA
FKC Olney3.2 mi · Philadelphia, PA · 3 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.

Springfield Ambulatory Surgery Center2.1 mi · Flourtown, PA
Fort Washington Surgery Center LLC3.8 mi · Fort Washington, PA
Sincera Surgery Center3.8 mi · Fort Washington, 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

Covenant House Health and Dental Services1.9 mi · Philadelphia, PA · Community health center
Covenant House Medical Center1.9 mi · Philadelphia, PA · Community health center
Interim House, Inc.2.7 mi · Philadelphia, PA · Community health center

Clinics and urgent care

Jefferson Acute Care Physicians, PC2.1 mi · Flourtown, PA · Urgent care center
Merakey Total Health2.1 mi · Philadelphia, PA · Urgent care center
American Current Care P.A.2.2 mi · Philadelphia, PA · Urgent care center

Pharmacies

Reese Pharmacy LLC0.3 mi · Philadelphia, PA · Community/retail pharmacy
Acme Markets Inc2.1 mi · Flourtown, PA · Community/retail pharmacy
The Giant Company, LLC2.1 mi · Flourtown, PA · Community/retail pharmacy

Assisted living nearby

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

The Terrace at Chestnut Hill0.3 mi · Philadelphia, PA
Whitemarsh House2.1 mi · Flourtown, PA
McCallum Assisted Life2.1 mi · Philadelphia, PA
Cathedral Village2.2 mi · Philadelphia, 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 Temple Health - Chestnut Hill 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)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	1 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	52%National average: 72%
Would definitely recommend the hospital	50%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	78%National average: 86%
Room and bathroom “always” clean	52%National average: 74%
Area around the room “always” quiet at night	47%National average: 60%
Completed surveys	570Response rate: 17%

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)	0.41No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.246No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.147Better 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	11.3%
Deaths within 30 days: heart failure patients	8.9%
Deaths within 30 days: pneumonia patients	15.6%
Deaths within 30 days: COPD patients	7.6%
Deaths within 30 days: stroke patients	11.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.05No different from the national rate
Complications after hip or knee replacement	4.3%

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	14.1%
Readmitted within 30 days: heart failure	22.5%
Readmitted within 30 days: pneumonia	18.3%
Readmitted within 30 days: COPD	20.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.9%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	234 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	66%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 Philadelphia Best hospitals in Philadelphia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as Temple Health - Chestnut Hill 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 →

$ 13 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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: HC OHS VISIT CHG NEW LVL 3	$440	Not listed in the file	$42.24 – $431.20
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $326.48 Aetna — First Health: $400.40 Aetna — Medicare Advantage: $120.12 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $61.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $61.60 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $73.99 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $61.60 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $287.32 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $227.17 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $42.24
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PATIENT - LEVEL 3	$218	Not listed in the file	$20.93 – $213.64
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $161.76 Aetna — First Health: $198.38 Aetna — Medicare Advantage: $59.51 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $30.52 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $30.52 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $73.99 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $30.52 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $142.35 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $112.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $20.93
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OHS VISIT CHG NEW LVL 3	$440	Not listed in the file	$400.40 – $431.20
New patient office visit (about 30–44 minutes): rates for 2 insurance plans Aetna — First Health: $400.40 Devon Health — PPO: $431.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY W/MED MGMNT NEW PT	$716	Not listed in the file	$68.74 – $1,261.26
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $195.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $120.92 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $68.74
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OHS VISIT CHG NEW LVL 4	$539	Not listed in the file	$51.74 – $528.22
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $399.94 Aetna — First Health: $490.49 Aetna — Medicare Advantage: $147.15 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $75.46 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $75.46 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $120.92 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $75.46 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $351.97 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $278.29 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $51.74
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PATIENT - LEVEL 4	$345	Not listed in the file	$33.12 – $338.10
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $255.99 Aetna — First Health: $313.95 Aetna — Medicare Advantage: $94.19 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $48.30 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $48.30 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $120.92 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $48.30 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $225.28 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $178.12 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $33.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN VISIT TYPE 2 (INIT)	$891	Not listed in the file	$85.54 – $873.18
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $661.12 Aetna — First Health: $810.81 Aetna — Medicare Advantage: $243.24 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $124.74 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $124.74 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $166.04 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $124.74 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $581.82 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $460.02 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $85.54
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OHS VISIT CHG NEW LVL 5	$891	Not listed in the file	$85.54 – $873.18
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $661.12 Aetna — First Health: $810.81 Aetna — Medicare Advantage: $243.24 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $124.74 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $124.74 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $166.04 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $124.74 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $581.82 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $460.02 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $85.54
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PATIENT - LEVEL 5	$440	Not listed in the file	$42.24 – $431.20
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $326.48 Aetna — First Health: $400.40 Aetna — Medicare Advantage: $120.12 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $61.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $61.60 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $166.04 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $61.60 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $287.32 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $227.17 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $42.24
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OHS VISIT CHG ESTAB LVL 3	$500	Not listed in the file	$35 – $490
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $371 Aetna — First Health: $455 Aetna — Medicare Advantage: $136.50 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $59.26 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $70 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $326.50 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $258.15 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $48
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESTABLISHED PATIENT - LEVEL 3	$144	Not listed in the file	$13.82 – $141.12
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $106.85 Aetna — First Health: $131.04 Aetna — Medicare Advantage: $39.31 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $20.16 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $20.16 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $59.26 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $20.16 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $94.03 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $74.35 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $13.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PRENATAL VISIT LEVEL 3	$519	Not listed in the file	$35 – $508.62
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $385.10 Aetna — First Health: $472.29 Aetna — Medicare Advantage: $141.69 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $72.66 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $72.66 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $59.26 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $72.66 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $338.91 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $267.96 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $49.82
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RE-EVALUATION	$716	Not listed in the file	$54.42 – $1,261.26
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $195.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $87.20 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $68.74
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OHS VISIT CHG ESTAB LVL 4	$539	Not listed in the file	$51.74 – $528.22
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $399.94 Aetna — First Health: $490.49 Aetna — Medicare Advantage: $147.15 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $75.46 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $75.46 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $87.20 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $75.46 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $351.97 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $278.29 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $51.74
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESTABLISHED PATIENT - LEVEL 4	$216	Not listed in the file	$20.74 – $211.68
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates Aetna — Commercial: $160.27 Aetna — First Health: $196.56 Aetna — Medicare Advantage: $58.97 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $30.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $30.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $87.20 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $30.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $141.05 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $111.52 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $20.74
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SECOND OPINION - OP CONSULT	$475	Not listed in the file	$45.60 – $465.50
Office consultation with a specialist (moderate to high): 10 of 30 insurance plan rates Aetna — Commercial: $352.45 Aetna — First Health: $432.25 Aetna — Medicare Advantage: $129.68 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $66.50 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $66.50 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $66.50 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $310.18 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $245.24 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $45.60 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $294.74
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OPT/ED TELECONSULT - 80 MINS C	$588	Not listed in the file	$56.45 – $576.24
Office consultation with a specialist (moderate to high): 10 of 30 insurance plan rates Aetna — Commercial: $436.30 Aetna — First Health: $535.08 Aetna — Medicare Advantage: $160.52 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $82.32 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $82.32 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $82.32 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $383.96 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $303.58 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $56.45 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $364.85
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SECOND OPINION - OP CONSULT	$475	Not listed in the file	$432.25 – $465.50
Office consultation with a specialist (moderate to high): rates for 2 insurance plans Aetna — First Health: $432.25 Devon Health — PPO: $465.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR PREVENTIVE VISIT,NEW,18-39	$1,484	Not listed in the file	$27.20 – $1,454.32
Preventive checkup, new patient, age 18–39: 10 of 30 insurance plan rates Aetna — Commercial: $1,101.13 Aetna — First Health: $1,350.44 Aetna — Medicare Advantage: $405.13 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $207.76 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $207.76 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $207.76 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $969.05 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $766.19 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $142.46 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $920.82
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PR PREVENTIVE VISIT,NEW,18-39	$1,484	Not listed in the file	$1,350.44 – $1,454.32
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans Aetna — First Health: $1,350.44 Devon Health — PPO: $1,454.32
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IMMIGRATION PHYSICAL	$300	Not listed in the file	$27.20 – $294
Preventive checkup, new patient, age 40–64: 10 of 30 insurance plan rates Aetna — Commercial: $222.60 Aetna — First Health: $273 Aetna — Medicare Advantage: $81.90 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $42 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $42 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $42 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $195.90 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $154.89 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $28.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $186.15
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR PREVENTIVE VISIT,NEW,40-64	$1,709	Not listed in the file	$27.20 – $1,674.82
Preventive checkup, new patient, age 40–64: 10 of 30 insurance plan rates Aetna — Commercial: $1,268.08 Aetna — First Health: $1,555.19 Aetna — Medicare Advantage: $466.56 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $239.26 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $239.26 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $239.26 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,115.98 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $882.36 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $164.06 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $1,060.43
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IMMIGRATION PHYSICAL	$300	Not listed in the file	$273 – $294
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans Aetna — First Health: $273 Devon Health — PPO: $294
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PED EMERGENCY LEVEL IIIE	$3,644	Not listed in the file	$79.31 – $3,571.12
Emergency room visit (moderate): 10 of 44 insurance plan rates Aetna — Commercial: $1,047 Aetna — First Health: $3,316.04 Aetna — Medicare Advantage: $302.89 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $280.45 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $280.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY SER LEV IIIE	$3,644	Not listed in the file	$79.31 – $3,571.12
Emergency room visit (moderate): 10 of 44 insurance plan rates Aetna — Commercial: $1,047 Aetna — First Health: $3,316.04 Aetna — Medicare Advantage: $302.89 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $280.45 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $280.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERG SER LEV IIIE SUBSEQ	$3,644	Not listed in the file	$79.31 – $3,571.12
Emergency room visit (moderate): 10 of 44 insurance plan rates Aetna — Commercial: $1,047 Aetna — First Health: $3,316.04 Aetna — Medicare Advantage: $302.89 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $280.45 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $280.45
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PED EMERGENCY LEVEL II	$5,987	Not listed in the file	$133.46 – $5,867.26
Emergency room visit (moderately high): 10 of 44 insurance plan rates Aetna — Commercial: $1,163 Aetna — First Health: $5,448.17 Aetna — Medicare Advantage: $462.97 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $428.68 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $428.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PES VISIT LEVEL I	$2,107	Not listed in the file	$133.46 – $2,064.86
Emergency room visit (moderately high): 10 of 44 insurance plan rates Aetna — Commercial: $1,163 Aetna — First Health: $1,917.37 Aetna — Medicare Advantage: $462.97 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $428.68 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $428.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY SERV LEV II (NU)	$5,987	Not listed in the file	$133.46 – $5,867.26
Emergency room visit (moderately high): 10 of 44 insurance plan rates Aetna — Commercial: $1,163 Aetna — First Health: $5,448.17 Aetna — Medicare Advantage: $462.97 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $428.68 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $428.68
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PED EMERGENCY LEVEL I	$10,731	Not listed in the file	$194.24 – $10,516.38
Emergency room visit (high): 10 of 44 insurance plan rates Aetna — Commercial: $1,396 Aetna — First Health: $9,765.21 Aetna — Medicare Advantage: $660.78 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $611.83 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $611.83
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY SERV LEV I (NU)	$10,731	Not listed in the file	$194.24 – $10,516.38
Emergency room visit (high): 10 of 44 insurance plan rates Aetna — Commercial: $1,396 Aetna — First Health: $9,765.21 Aetna — Medicare Advantage: $660.78 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $611.83 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $611.83
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERG SERV LEV I SUBSEQ	$10,731	Not listed in the file	$194.24 – $10,516.38
Emergency room visit (high): 10 of 44 insurance plan rates Aetna — Commercial: $1,396 Aetna — First Health: $9,765.21 Aetna — Medicare Advantage: $660.78 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $722 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $554 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $611.83 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $615 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $756 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $611.83

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: HC BASIC METABOLIC PANEL	$1,113	Not listed in the file	$5.84 – $1,090.74
Basic metabolic panel (blood test): 10 of 44 insurance plan rates Aetna — Commercial: $825.85 Aetna — First Health: $1,012.83 Aetna — Medicare Advantage: $9.14 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $31.53 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $31.53 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.46 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $31.53 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $34.25 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $69.99 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$1,113	Not listed in the file	$1,012.83 – $1,090.74
Basic metabolic panel (blood test): rates for 2 insurance plans Aetna — First Health: $1,012.83 Devon Health — PPO: $1,090.74
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$2,537	Not listed in the file	$7.28 – $2,486.26
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates Aetna — Commercial: $1,882.45 Aetna — First Health: $2,308.67 Aetna — Medicare Advantage: $11.40 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $48.82 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $48.82 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $10.56 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $48.82 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $42.74 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $87.34 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$2,537	Not listed in the file	$2,308.67 – $2,486.26
Comprehensive metabolic panel (blood test): rates for 2 insurance plans Aetna — First Health: $2,308.67 Devon Health — PPO: $2,486.26
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PRENATAL PACKAGE	$1,293	Not listed in the file	$14.40 – $1,267.14
Obstetric blood test panel: 10 of 44 insurance plan rates Aetna — Commercial: $959.41 Aetna — First Health: $1,176.63 Aetna — Medicare Advantage: $51.63 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $50.85 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $50.85 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $47.81 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $50.85 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $78.16 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $159.73 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PRENATAL PACKAGE	$1,293	Not listed in the file	$1,176.63 – $1,267.14
Obstetric blood test panel: rates for 2 insurance plans Aetna — First Health: $1,176.63 Devon Health — PPO: $1,267.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$1,549	Not listed in the file	$9.23 – $1,518.02
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates Aetna — Commercial: $1,149.36 Aetna — First Health: $1,409.59 Aetna — Medicare Advantage: $14.46 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $50.85 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $50.85 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $13.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $50.85 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $55.62 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $113.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$1,549	Not listed in the file	$1,409.59 – $1,518.02
Cholesterol panel (lipid panel): rates for 2 insurance plans Aetna — First Health: $1,409.59 Devon Health — PPO: $1,518.02
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$1,197	Not listed in the file	$5.98 – $1,173.06
Kidney function panel: 10 of 44 insurance plan rates Aetna — Commercial: $888.17 Aetna — First Health: $1,089.27 Aetna — Medicare Advantage: $9.37 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $16.68 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $16.68 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.68 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $16.68 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $35.13 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $71.79 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$1,197	Not listed in the file	$1,089.27 – $1,173.06
Kidney function panel: rates for 2 insurance plans Aetna — First Health: $1,089.27 Devon Health — PPO: $1,173.06
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION	$755	Not listed in the file	$5.63 – $739.90
Liver function panel: 10 of 44 insurance plan rates Aetna — Commercial: $560.21 Aetna — First Health: $687.05 Aetna — Medicare Advantage: $8.82 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $23.73 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $23.73 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8.17 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $23.73 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $33.08 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $67.60 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION	$755	Not listed in the file	$687.05 – $739.90
Liver function panel: rates for 2 insurance plans Aetna — First Health: $687.05 Devon Health — PPO: $739.90
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SHRINER UA WITH MICROSCOPIC	$59	Not listed in the file	$2.18 – $57.82
Urine test (automated, with microscope): 10 of 44 insurance plan rates Aetna — Commercial: $43.78 Aetna — First Health: $53.69 Aetna — Medicare Advantage: $3.42 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $7.39 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $7.39 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.17 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $7.39 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $12.88 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $26.32 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH REFLEX TO MICROSCOPIC ANALYSIS	$59	Not listed in the file	$2.18 – $57.82
Urine test (automated, with microscope): 10 of 44 insurance plan rates Aetna — Commercial: $43.78 Aetna — First Health: $53.69 Aetna — Medicare Advantage: $3.42 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $7.39 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $7.39 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.17 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $7.39 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $12.88 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $26.32 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHG UA, AUTO, W/SCOPE	$59	Not listed in the file	$2.18 – $57.82
Urine test (automated, with microscope): 10 of 44 insurance plan rates Aetna — Commercial: $43.78 Aetna — First Health: $53.69 Aetna — Medicare Advantage: $3.42 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $7.39 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $7.39 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.17 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $7.39 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $12.88 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $26.32 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$8	Not listed in the file	$2.40 – $40
Urine test (manual, without microscope): 10 of 44 insurance plan rates Aetna — Commercial: $5.94 Aetna — First Health: $7.28 Aetna — Medicare Advantage: $3.76 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3.39 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3.39 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3.48 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3.39 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $14.64 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $29.91 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$8	Not listed in the file	$7.28 – $7.84
Urine test (manual, without microscope): rates for 2 insurance plans Aetna — First Health: $7.28 Devon Health — PPO: $7.84
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA MACROSCOPIC ONLY-AUTOMATED	$40	Not listed in the file	$1.54 – $40
Urine test (automated, without microscope): 10 of 44 insurance plan rates Aetna — Commercial: $29.68 Aetna — First Health: $36.40 Aetna — Medicare Advantage: $2.43 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $5.08 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $5.08 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $5.08 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $9.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $20.34 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHG UA AUTO W/O SCOPE	$204	Not listed in the file	$1.54 – $199.92
Urine test (automated, without microscope): 10 of 44 insurance plan rates Aetna — Commercial: $151.37 Aetna — First Health: $185.64 Aetna — Medicare Advantage: $2.43 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $5.08 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $5.08 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $5.08 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $9.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $20.34 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POINT OF CARE URINALYSIS	$372	Not listed in the file	$1.54 – $364.56
Urine test (automated, without microscope): 10 of 44 insurance plan rates Aetna — Commercial: $276.02 Aetna — First Health: $338.52 Aetna — Medicare Advantage: $2.43 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $5.08 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $5.08 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2.25 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $5.08 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $9.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $20.34 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA; TOTAL	$1,684	Not listed in the file	$12.68 – $1,650.32
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates Aetna — Commercial: $1,249.53 Aetna — First Health: $1,532.44 Aetna — Medicare Advantage: $19.86 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $83.06 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $83.06 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $18.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $83.06 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $76.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $156.14 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSAB (PROSTATIC SPECIFIC ANTIGEN)	$1,684	Not listed in the file	$12.68 – $1,650.32
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates Aetna — Commercial: $1,249.53 Aetna — First Health: $1,532.44 Aetna — Medicare Advantage: $19.86 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $83.06 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $83.06 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $18.39 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $83.06 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $76.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $156.14 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSA; TOTAL	$1,684	Not listed in the file	$1,532.44 – $1,650.32
PSA (prostate specific antigen) blood test: rates for 2 insurance plans Aetna — First Health: $1,532.44 Devon Health — PPO: $1,650.32
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$1,293	Not listed in the file	$11.59 – $1,267.14
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates Aetna — Commercial: $959.41 Aetna — First Health: $1,176.63 Aetna — Medicare Advantage: $18.14 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $84.75 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $84.75 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $16.80 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $84.75 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $76.69 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $156.74 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH	$1,293	Not listed in the file	$1,176.63 – $1,267.14
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Aetna — First Health: $1,176.63 Devon Health — PPO: $1,267.14
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W/DIFFERENTIAL	$591	Not listed in the file	$5.36 – $579.18
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates Aetna — Commercial: $438.52 Aetna — First Health: $537.81 Aetna — Medicare Advantage: $8.39 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $16.95 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $16.95 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $7.77 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $16.95 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $32.20 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $65.81 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBW W/AUTO DIFF, ADDITIONAL	$620	Not listed in the file	$5.36 – $607.60
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates Aetna — Commercial: $460.04 Aetna — First Health: $564.20 Aetna — Medicare Advantage: $8.39 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $16.95 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $16.95 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $7.77 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $16.95 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $32.20 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $65.81 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W/DIFFERENTIAL	$591	Not listed in the file	$537.81 – $579.18
Complete blood count (CBC) with differential: rates for 2 insurance plans Aetna — First Health: $537.81 Devon Health — PPO: $579.18
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE BLOOD COUNT	$457	Not listed in the file	$4.47 – $447.86
Complete blood count (CBC), automated: 10 of 44 insurance plan rates Aetna — Commercial: $339.09 Aetna — First Health: $415.87 Aetna — Medicare Advantage: $6.99 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $16.27 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $16.27 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.47 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $16.27 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $29.27 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $59.82 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC, ADDITIONAL	$457	Not listed in the file	$4.47 – $447.86
Complete blood count (CBC), automated: 10 of 44 insurance plan rates Aetna — Commercial: $339.09 Aetna — First Health: $415.87 Aetna — Medicare Advantage: $6.99 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $16.27 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $16.27 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.47 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $16.27 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $29.27 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $59.82 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE BLOOD COUNT	$457	Not listed in the file	$415.87 – $447.86
Complete blood count (CBC), automated: rates for 2 insurance plans Aetna — First Health: $415.87 Devon Health — PPO: $447.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHG PROTHROMBIN TIME	$9,493 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$2.96 – $9,303.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates Aetna — Commercial: $7,043.81 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — First Health: $8,638.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $4.63 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4.29 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $10.17 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $16.39 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $33.50 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$289	Not listed in the file	$2.96 – $283.22
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates Aetna — Commercial: $214.44 Aetna — First Health: $262.99 Aetna — Medicare Advantage: $4.63 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4.29 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $10.17 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $16.39 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $33.50 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHG PROTHROMBIN TIME	$9,493 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file	$8,638.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,303.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Aetna — First Health: $8,638.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Devon Health — PPO: $9,303.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT, PLASMA OR WHOLE BLOOD	$57	Not listed in the file	$4.15 – $56.23
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates Aetna — Commercial: $42.29 Aetna — First Health: $51.87 Aetna — Medicare Advantage: $6.49 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.01 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $10.17 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $27.52 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $56.23 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT	$425	Not listed in the file	$4.15 – $416.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates Aetna — Commercial: $315.35 Aetna — First Health: $386.75 Aetna — Medicare Advantage: $6.49 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.01 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $10.17 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $27.52 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $56.23 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACTIVATED CLOTTING TIME	$425	Not listed in the file	$4.15 – $416.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates Aetna — Commercial: $315.35 Aetna — First Health: $386.75 Aetna — Medicare Advantage: $6.49 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $10.17 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6.01 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $10.17 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $27.52 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $56.23 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $6.01

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: HC CT HEAD/BRAIN W/O	$6,129	Not listed in the file	$97.68 – $6,006.42
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates Aetna — Commercial: $4,547.72 Aetna — First Health: $5,577.39 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $858.06 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $858.06 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $858.06 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $627.15 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,322.11 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O	$6,129	Not listed in the file	$5,577.39 – $6,006.42
CT scan of the head or brain, without contrast: rates for 2 insurance plans Aetna — First Health: $5,577.39 Devon Health — PPO: $6,006.42
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI-BRAIN COMBINED	$20,881	Not listed in the file	$311.94 – $20,463.38
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates Aetna — Commercial: $15,493.70 Aetna — First Health: $19,001.71 Aetna — Medicare Advantage: $387.09 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $2,923.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $2,923.34 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $358.42 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $2,923.34 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,185.11 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $4,606.45 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $358.42
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI-BRAIN COMBINED	$20,881	Not listed in the file	$19,001.71 – $20,463.38
MRI of the brain, before and after contrast: rates for 2 insurance plans Aetna — First Health: $19,001.71 Devon Health — PPO: $20,463.38
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$1,535	Not listed in the file	$20.20 – $1,504.30
Chest X-ray, 2 views: 10 of 44 insurance plan rates Aetna — Commercial: $1,138.97 Aetna — First Health: $1,396.85 Aetna — Medicare Advantage: $96.56 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $53.04 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $53.04 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $89.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $53.04 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $96.49 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $203.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $89.41
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$1,535	Not listed in the file	$1,396.85 – $1,504.30
Chest X-ray, 2 views: rates for 2 insurance plans Aetna — First Health: $1,396.85 Devon Health — PPO: $1,504.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUMBO-SACRAL SPINE, MIN 4 V'S	$1,519	Not listed in the file	$30.60 – $1,488.62
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates Aetna — Commercial: $1,127.10 Aetna — First Health: $1,382.29 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $77.55 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $77.55 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $77.55 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $141.89 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $299.12 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LUMBO-SACRAL SPINE, MIN 4 V'S	$1,519	Not listed in the file	$1,382.29 – $1,488.62
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Aetna — First Health: $1,382.29 Devon Health — PPO: $1,488.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SP, W/O	$10,444	Not listed in the file	$179.81 – $10,235.12
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates Aetna — Commercial: $7,749.45 Aetna — First Health: $9,504.04 Aetna — Medicare Advantage: $264.74 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,462.16 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,462.16 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $245.13 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,462.16 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,347.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,841.64 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $245.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SP, W/O	$10,444	Not listed in the file	$9,504.04 – $10,235.12
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Aetna — First Health: $9,504.04 Devon Health — PPO: $10,235.12
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS, W	$6,805	Not listed in the file	$117.64 – $6,668.90
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates Aetna — Commercial: $5,049.31 Aetna — First Health: $6,192.55 Aetna — Medicare Advantage: $194.62 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $952.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $952.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $180.20 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $952.70 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $882.56 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,860.53 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $180.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS, W	$6,805	Not listed in the file	$6,192.55 – $6,668.90
CT scan of the pelvis, with contrast: rates for 2 insurance plans Aetna — First Health: $6,192.55 Devon Health — PPO: $6,668.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI L/EXTRM JT W/O	$20,881	Not listed in the file	$183.85 – $20,463.38
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates Aetna — Commercial: $15,493.70 Aetna — First Health: $19,001.71 Aetna — Medicare Advantage: $264.74 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $2,923.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $2,923.34 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $245.13 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $2,923.34 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,347.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,841.64 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $245.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI L/EXTRM JT W/O	$20,881	Not listed in the file	$19,001.71 – $20,463.38
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Aetna — First Health: $19,001.71 Devon Health — PPO: $20,463.38
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS, WITH CONT	$6,805	Not listed in the file	$262.11 – $6,668.90
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates Aetna — Commercial: $5,049.31 Aetna — First Health: $6,192.55 Aetna — Medicare Advantage: $387.09 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $952.70 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $952.70 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $358.42 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $952.70 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $899.58 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,896.42 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $358.42
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS, WITH CONT	$6,805	Not listed in the file	$6,192.55 – $6,668.90
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Aetna — First Health: $6,192.55 Devon Health — PPO: $6,668.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIMITED ULTRASOUND	$3,240	Not listed in the file	$78.20 – $3,175.20
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates Aetna — Commercial: $2,404.08 Aetna — First Health: $2,948.40 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $453.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $453.60 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $453.60 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $323.51 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $681.99 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMINAL COMPLETE	$3,240	Not listed in the file	$78.20 – $3,175.20
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates Aetna — Commercial: $2,404.08 Aetna — First Health: $2,948.40 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $453.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $453.60 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $453.60 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $323.51 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $681.99 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIMITED ULTRASOUND	$3,240	Not listed in the file	$2,948.40 – $3,175.20
Ultrasound of the abdomen, complete: rates for 2 insurance plans Aetna — First Health: $2,948.40 Devon Health — PPO: $3,175.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHO, PREG UTER, SGL GEST	$4,175	Not listed in the file	$63.24 – $4,091.50
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates Aetna — Commercial: $3,097.85 Aetna — First Health: $3,799.25 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $584.50 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $584.50 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $584.50 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $283.78 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $598.24 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHO COMP PREG B SCAN	$2,919	Not listed in the file	$63.24 – $2,860.62
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates Aetna — Commercial: $2,165.90 Aetna — First Health: $2,656.29 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $408.66 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $408.66 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $408.66 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $283.78 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $598.24 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG UTER (SING>14 WKS) E/N	$2,919	Not listed in the file	$63.24 – $2,860.62
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates Aetna — Commercial: $2,165.90 Aetna — First Health: $2,656.29 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $408.66 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $408.66 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $408.66 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $283.78 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $598.24 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$2,516	Not listed in the file	$63.24 – $2,465.68
Transvaginal ultrasound: 10 of 44 insurance plan rates Aetna — Commercial: $1,866.87 Aetna — First Health: $2,289.56 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $352.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $352.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $107.41 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $352.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $263.92 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $556.36 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $107.41
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$2,516	Not listed in the file	$2,289.56 – $2,465.68
Transvaginal ultrasound: rates for 2 insurance plans Aetna — First Health: $2,289.56 Devon Health — PPO: $2,465.68
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI	$1,081	Not listed in the file	$96.57 – $1,059.38
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna — Commercial: $802.10 Aetna — First Health: $983.71 Aetna — Medicare Advantage: $295.11 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $151.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $151.34 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $128.70 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $151.34 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $175.94 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $370.91 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $103.78
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD	$1,081	Not listed in the file	$96.57 – $1,059.38
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna — Commercial: $802.10 Aetna — First Health: $983.71 Aetna — Medicare Advantage: $295.11 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $151.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $151.34 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $128.70 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $151.34 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $175.94 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $370.91 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $103.78
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI	$1,081	Not listed in the file	$983.71 – $1,059.38
Diagnostic mammogram, one breast: rates for 2 insurance plans Aetna — First Health: $983.71 Devon Health — PPO: $1,059.38
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI	$1,346	Not listed in the file	$123.53 – $1,319.08
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates Aetna — Commercial: $998.73 Aetna — First Health: $1,224.86 Aetna — Medicare Advantage: $367.46 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $188.44 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $188.44 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $163.07 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $188.44 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $224.19 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $472.61 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $129.22
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI	$1,346	Not listed in the file	$1,224.86 – $1,319.08
Diagnostic mammogram, both breasts: rates for 2 insurance plans Aetna — First Health: $1,224.86 Devon Health — PPO: $1,319.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD	$1,197	Not listed in the file	$102.03 – $1,173.06
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna — Commercial: $888.17 Aetna — First Health: $1,089.27 Aetna — Medicare Advantage: $326.78 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $167.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $167.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $131.12 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $167.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $170.27 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $358.94 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $114.91
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD	$1,197	Not listed in the file	$1,089.27 – $1,173.06
Screening mammogram, both breasts: rates for 2 insurance plans Aetna — First Health: $1,089.27 Devon Health — PPO: $1,173.06

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: HC LEFT HEART CATH PERCUTANEOUS	$23,366	Not listed in the file	$1,055.36 – $22,898.68
Left heart catheterization (diagnostic): 10 of 43 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $21,263.06 Aetna — Medicare Advantage: $3,597.08 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,271.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,271.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,330.63 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,271.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $7,651.60 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $8,383.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3,330.63
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HEART CATH,CUTDOWN	$22,928	Not listed in the file	$1,055.36 – $22,469.44
Left heart catheterization (diagnostic): 10 of 43 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $20,864.48 Aetna — Medicare Advantage: $3,597.08 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,209.92 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,209.92 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,330.63 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,209.92 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $7,651.60 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $8,383.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3,330.63
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HEART CATH, TRANSEPTAL	$30,821	Not listed in the file	$1,055.36 – $30,204.58
Left heart catheterization (diagnostic): 10 of 43 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $28,047.11 Aetna — Medicare Advantage: $3,597.08 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $4,314.94 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $4,314.94 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,330.63 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $4,314.94 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $7,651.60 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $8,383.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3,330.63
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EVAL RA&RV,P&R,W/O INDUCT	$24,342	Not listed in the file	$787 – $25,531.21
Heart rhythm study (electrophysiology evaluation): 10 of 44 insurance plan rates Aetna — Commercial: $18,061.76 Aetna — First Health: $22,151.22 Aetna — Medicare Advantage: $8,654.10 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $3,407.88 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $3,407.88 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $8,013.06 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $3,407.88 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $8,858.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $7,460.10 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $8,013.06
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMP EVAL RA&RV,P&R,W/O INDUCT	$24,342	Not listed in the file	$22,151.22 – $23,855.16
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans Aetna — First Health: $22,151.22 Devon Health — PPO: $23,855.16
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ABLATION AFIB, W/COMP EP EVAL	$35,288	Not listed in the file	$787 – $85,559.03
Heart rhythm study with ablation for atrial fibrillation: 10 of 44 insurance plan rates Aetna — Commercial: $26,183.70 Aetna — First Health: $32,112.08 Aetna — Medicare Advantage: $29,001.24 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $4,940.32 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $4,940.32 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $26,853 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $4,940.32 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $7,651.60 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $8,383.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $26,853
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ABLATION AFIB, W/COMP EP EVAL	$35,288	Not listed in the file	$32,112.08 – $34,582.24
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans Aetna — First Health: $32,112.08 Devon Health — PPO: $34,582.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR POLYSOM 6/>YRS SLEEP 4/> AD	$83	Not listed in the file	$11.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,061
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates Aetna — Commercial: $2,012 Aetna — First Health: $75.53 Aetna — Medicare Advantage: $952.82 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $11.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $11.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $882.24 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $11.62 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $3,738.02 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $3,103.88 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $882.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAM 4-7 PARAMETERS	$9,493	Not listed in the file	$367.64 – $9,303.14
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates Aetna — Commercial: $2,012 Aetna — First Health: $8,638.63 Aetna — Medicare Advantage: $952.82 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,329.02 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,329.02 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $882.24 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,329.02 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $3,738.02 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $3,103.88 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $882.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAM>8 PARAMETERS	$11,097	Not listed in the file	$367.64 – $10,875.06
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates Aetna — Commercial: $2,012 Aetna — First Health: $10,098.27 Aetna — Medicare Advantage: $952.82 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $1,553.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $1,553.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $882.24 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $1,553.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $3,738.02 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $3,103.88 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $882.24

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: HC PT THER EX/ROM	$697	Not listed in the file	$8.38 – $683.06
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $517.17 Aetna — First Health: $634.27 Aetna — Medicare Advantage: $190.28 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $97.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $97.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $29.96 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $97.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $120.97 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $100.68 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $66.91
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT SUCTIONING	$697	Not listed in the file	$8.38 – $683.06
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $517.17 Aetna — First Health: $634.27 Aetna — Medicare Advantage: $190.28 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $97.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $97.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $29.96 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $97.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $120.97 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $100.68 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $66.91
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT DRESSING CHANGE	$697	Not listed in the file	$8.38 – $683.06
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $517.17 Aetna — First Health: $634.27 Aetna — Medicare Advantage: $190.28 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $97.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $97.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $29.96 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $97.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $120.97 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $100.68 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $66.91
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN	$2,781	Not listed in the file	$86.51 – $2,725.38
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates Aetna — Commercial: $2,063.50 Aetna — First Health: $2,530.71 Aetna — Medicare Advantage: $759.21 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $389.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $389.34 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $100.74 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $389.34 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $161.30 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $134.24 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $266.98
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX 20 MIN	$2,781	Not listed in the file	$2,530.71 – $2,725.38
Physical therapy evaluation (low complexity): rates for 2 insurance plans Aetna — First Health: $2,530.71 Devon Health — PPO: $2,725.38
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX 30 MIN	$700	Not listed in the file	$34.45 – $686
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates Aetna — Commercial: $519.40 Aetna — First Health: $637 Aetna — Medicare Advantage: $191.10 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $98 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $98 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $100.74 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $98 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $201.62 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $167.79 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $67.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX 30 MIN	$700	Not listed in the file	$637 – $686
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Aetna — First Health: $637 Devon Health — PPO: $686
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$2,781	Not listed in the file	$86.51 – $2,725.38
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates Aetna — Commercial: $2,063.50 Aetna — First Health: $2,530.71 Aetna — Medicare Advantage: $759.21 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $389.34 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $389.34 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $100.74 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $389.34 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $241.94 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $201.35 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $266.98
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$2,781	Not listed in the file	$2,530.71 – $2,725.38
Physical therapy evaluation (high complexity): rates for 2 insurance plans Aetna — First Health: $2,530.71 Devon Health — PPO: $2,725.38
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY	$716	Not listed in the file	$31.20 – $1,261.26
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX PT&/FAMILY 30 MINUTES OP	$700	Not listed in the file	$31.20 – $1,261.26
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $519.40 Aetna — First Health: $637 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $98 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $98 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $98 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $457.10 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $361.41 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX PT&/FAMILY 30 MINUTES IP	$866	Not listed in the file	$31.20 – $1,261.26
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $642.57 Aetna — First Health: $788.06 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $121.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $121.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $121.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $565.50 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $447.12 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY MODERATE	$716	Not listed in the file	$46.80 – $1,261.26
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX PT&/FAMILY 45 MIN OP	$700	Not listed in the file	$46.80 – $1,261.26
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $519.40 Aetna — First Health: $637 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $98 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $98 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $98 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $457.10 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $361.41 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX PT&/FAMILY 45 MIN IP	$1,294	Not listed in the file	$46.80 – $1,268.12
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $960.15 Aetna — First Health: $1,177.54 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $181.16 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $181.16 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $181.16 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $844.98 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $668.09 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY COMPLEX	$716	Not listed in the file	$62.40 – $1,261.26
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX PT&/FAMILY 60 MINUTES	$1,958	Not listed in the file	$62.40 – $1,918.84
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $1,452.84 Aetna — First Health: $1,781.78 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $274.12 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $274.12 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $274.12 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,278.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,010.92 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR PSYCH W/PT 60 MINUTES	$1,958	Not listed in the file	$62.40 – $1,918.84
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates Aetna — Commercial: $1,452.84 Aetna — First Health: $1,781.78 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $274.12 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $274.12 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $274.12 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,278.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,010.92 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY (W/O PT)	$716	Not listed in the file	$17.68 – $1,261.26
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH-FAMILY THERAPY	$3,728	Not listed in the file	$17.68 – $3,653.44
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Aetna — Commercial: $2,766.18 Aetna — First Health: $3,392.48 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $521.92 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $521.92 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $521.92 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,434.38 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,924.77 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR FAMILY PSYC W/O PATIENT 50	$3,728	Not listed in the file	$17.68 – $3,653.44
Family psychotherapy, without the patient: 10 of 44 insurance plan rates Aetna — Commercial: $2,766.18 Aetna — First Health: $3,392.48 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $521.92 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $521.92 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $521.92 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,434.38 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,924.77 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY	$716	Not listed in the file	$17.68 – $1,261.26
Family psychotherapy, with the patient: 10 of 44 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR FAMILY PSYCH W/PATIENT 50 M	$1,958	Not listed in the file	$17.68 – $1,918.84
Family psychotherapy, with the patient: 10 of 42 insurance plan rates Aetna — Commercial: $1,452.84 Aetna — First Health: $1,781.78 Aetna — Medicare Advantage: $196.94 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $274.12 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $274.12 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $182.35 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $274.12 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,278.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,010.92 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $182.35
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PR FAMILY PSYCH W/PATIENT 50 M	$1,958	Not listed in the file	$1,781.78 – $1,918.84
Family psychotherapy, with the patient: rates for 2 insurance plans Aetna — First Health: $1,781.78 Devon Health — PPO: $1,918.84
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY	$716	Not listed in the file	$40.80 – $1,261.26
Group psychotherapy: 10 of 44 insurance plan rates Aetna — Commercial: $531.27 Aetna — First Health: $651.56 Aetna — Medicare Advantage: $112.72 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $100.24 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $104.37 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $100.24 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $467.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $369.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $104.37
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$442	Not listed in the file	$40.80 – $433.16
Group psychotherapy: 10 of 42 insurance plan rates Aetna — Commercial: $327.96 Aetna — First Health: $402.22 Aetna — Medicare Advantage: $112.72 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $61.88 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $61.88 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $104.37 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $61.88 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $288.63 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $228.20 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $104.37
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$442	Not listed in the file	$402.22 – $433.16
Group psychotherapy: rates for 2 insurance plans Aetna — First Health: $402.22 Devon Health — PPO: $433.16

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: HC OPEN EXCISE BREAST LESION	$4,341	Not listed in the file	$242.20 – $12,816.68
Removal of breast growth (open surgery): 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $3,950.31 Aetna — Medicare Advantage: $4,344.36 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $607.74 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $607.74 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4,022.56 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $607.74 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,987.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,724.74 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $4,022.56
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OPEN EXCISE BREAST LESION	$4,341	Not listed in the file	$3,950.31 – $4,254.18
Removal of breast growth (open surgery): rates for 2 insurance plans Aetna — First Health: $3,950.31 Devon Health — PPO: $4,254.18
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	$242.20 – $12,816.68
Removal of breast growth (open surgery): 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $4,344.36 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $4,022.56 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,987.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,724.74 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $4,022.56 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,837.97 Cigna — Commercial: $2,466 Cigna — Medicare HMO: $4,183.46 Cigna — Medicare PPO: $4,183.46
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	$1,645 – $42,025.82
Total hip replacement: 10 of 36 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $14,245.15 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $13,189.95 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $19,652 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $19,652 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $13,189.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $18,670 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $13,717.55 Cigna — Medicare PPO: $13,717.55
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	$1,645 – $42,025.82
Total knee replacement: 10 of 36 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $14,245.15 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $13,189.95 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $19,652 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $19,652 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $13,189.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $18,670 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $13,717.55 Cigna — Medicare PPO: $13,717.55
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	$154.38 – $5,350
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Commercial: $5,350 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $154.38 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $4,825.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $4,401.49 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $4,584.40 Cigna — Commercial: $2,466 Geisinger — CHIP/Medicaid: $2,050 Health Partners Plans — CHIP/Medicaid: $2,208 Keystone First — Community HealthChoices: $1,342 Pennsylvania Health and Wellness — Community HealthChoices: $2,000
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	$760.90 – $10,710.48
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $3,630.44 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,361.52 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $4,825.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $4,401.49 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3,361.52 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $4,584.40 Cigna — Commercial: $3,289 Cigna — Medicare HMO: $3,495.98 Cigna — Medicare PPO: $3,495.98
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODEN	$3,937	Not listed in the file	$175.31 – $5,350
Upper GI endoscopy (diagnostic): 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $3,582.67 Aetna — Medicare Advantage: $1,006.34 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $551.18 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $551.18 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $931.80 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $551.18 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,378.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,257.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $931.80
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODEN	$3,937	Not listed in the file	$3,582.67 – $3,858.26
Upper GI endoscopy (diagnostic): rates for 2 insurance plans Aetna — First Health: $3,582.67 Devon Health — PPO: $3,858.26
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	$175.31 – $5,350
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $1,006.34 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $931.80 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,378.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,257.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $931.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $1,309.83 Cigna — Commercial: $1,313 Cigna — Medicare HMO: $969.07 Cigna — Medicare PPO: $969.07
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD BIOP/SPEC CYTOLOGY	$6,328	Not listed in the file	$208.01 – $6,201.44
Upper GI endoscopy with biopsy: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $5,758.48 Aetna — Medicare Advantage: $1,006.34 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $885.92 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $885.92 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $931.80 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $885.92 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $931.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GASTRIC MUCOSAL BIOPSY	$6,328	Not listed in the file	$208.01 – $6,201.44
Upper GI endoscopy with biopsy: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $5,758.48 Aetna — Medicare Advantage: $1,006.34 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $885.92 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $885.92 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $931.80 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $885.92 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $931.80
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD BIOP/SPEC CYTOLOGY	$6,328	Not listed in the file	$5,758.48 – $6,201.44
Upper GI endoscopy with biopsy: rates for 2 insurance plans Aetna — First Health: $5,758.48 Devon Health — PPO: $6,201.44
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY RT ASCEND	$4,197	Not listed in the file	$252.70 – $5,350
Colonoscopy (diagnostic): 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $3,819.27 Aetna — Medicare Advantage: $1,031.83 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $587.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $587.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $955.40 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $587.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $955.40
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY RT ASCEND	$4,197	Not listed in the file	$3,819.27 – $4,113.06
Colonoscopy (diagnostic): rates for 2 insurance plans Aetna — First Health: $3,819.27 Devon Health — PPO: $4,113.06
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	$252.70 – $5,350
Colonoscopy (diagnostic): 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $1,031.83 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $955.40 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $955.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,401.36 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $993.62 Cigna — Medicare PPO: $993.62
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOS BIOP/SPEC B/W	$6,996	Not listed in the file	$315.59 – $6,856.08
Colonoscopy with biopsy: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $6,366.36 Aetna — Medicare Advantage: $1,327.73 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $979.44 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $979.44 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,229.38 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $979.44 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $1,229.38
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOS BIOP/SPEC B/W	$6,996	Not listed in the file	$6,366.36 – $6,856.08
Colonoscopy with biopsy: rates for 2 insurance plans Aetna — First Health: $6,366.36 Devon Health — PPO: $6,856.08
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	$315.59 – $5,350
Colonoscopy with biopsy: 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $1,327.73 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,229.38 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $1,229.38 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,401.36 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $1,278.56 Cigna — Medicare PPO: $1,278.56
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOS REM POLY LES	$6,691	Not listed in the file	$375.31 – $6,557.18
Colonoscopy with removal of polyps (snare): 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $6,088.81 Aetna — Medicare Advantage: $1,327.73 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $936.74 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $936.74 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,229.38 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $936.74 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $1,229.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOS REM POLY LES	$6,691	Not listed in the file	$6,088.81 – $6,557.18
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans Aetna — First Health: $6,088.81 Devon Health — PPO: $6,557.18
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	$375.31 – $5,350
Colonoscopy with removal of polyps (snare): 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $1,327.73 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,229.38 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $1,229.38 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,401.36 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $1,278.56 Cigna — Medicare PPO: $1,278.56
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON W/ENDO US EXAM	$3,619	Not listed in the file	$307.01 – $5,350
Ultrasound of the lower bowel by endoscope: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $3,293.29 Aetna — Medicare Advantage: $1,327.73 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $506.66 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $506.66 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $1,229.38 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $506.66 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $1,229.38
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON W/ENDO US EXAM	$3,619	Not listed in the file	$3,293.29 – $3,546.62
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans Aetna — First Health: $3,293.29 Devon Health — PPO: $3,546.62
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLO-REC SCR/COLON NOT HIGH RK	$6,073	Not listed in the file	$788.20 – $5,951.54
Screening colonoscopy (not high risk): 10 of 43 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $5,526.43 Aetna — Medicare Advantage: $1,031.83 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $850.22 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $850.22 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $955.40 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $850.22 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $955.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLO-REC SCR/COLON NOT HIGH RK	$6,073	Not listed in the file	$5,526.43 – $5,951.54
Screening colonoscopy (not high risk): rates for 2 insurance plans Aetna — First Health: $5,526.43 Devon Health — PPO: $5,951.54
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	$788.20 – $5,350
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $1,031.83 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $955.40 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,527.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,305.55 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $955.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,401.36 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $993.62 Cigna — Medicare PPO: $993.62
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	$1,342 – $19,789.27
Gallbladder removal by laparoscope: 10 of 36 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $6,707.80 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $6,210.93 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $9,181.92 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $10,060.56 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $6,210.93 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $8,722.32 Cigna — Commercial: $5,097 Cigna — Medicare HMO: $6,459.37 Cigna — Medicare PPO: $6,459.37
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	$444.50 – $11,719.99
Groin (inguinal) hernia repair, age 5 or older: 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $3,972.63 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,678.36 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $4,366.20 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $3,982.30 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3,678.36 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $4,147.80 Cigna — Commercial: $3,289 Cigna — Medicare HMO: $3,825.49 Cigna — Medicare PPO: $3,825.49
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BX PROSTATE NDL/PUNCH ANY METH	$3,574	Not listed in the file	$89.50 – $5,350
Prostate biopsy: 10 of 32 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $3,252.34 Aetna — Medicare Advantage: $975.70 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $500.36 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $500.36 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $500.36 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,333.82 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,845.26 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $343.10 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,217.67
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE	$4,224	Not listed in the file	$89.50 – $5,350
Prostate biopsy: 10 of 32 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $3,843.84 Aetna — Medicare Advantage: $1,153.15 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $591.36 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $591.36 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $591.36 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,758.27 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,180.85 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $405.50 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,620.99
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BX PROSTATE NDL/PUNCH ANY METH	$3,574	Not listed in the file	$3,252.34 – $3,502.52
Prostate biopsy: rates for 2 insurance plans Aetna — First Health: $3,252.34 Devon Health — PPO: $3,502.52
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED	Not listed in the file	Not listed in the file	$1,342 – $34,795.44
Prostate removal by laparoscope (radical prostatectomy): 10 of 36 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $11,794.32 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $10,920.67 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $3,676.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $3,353.52 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $10,920.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $3,492.88 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $11,357.50 Cigna — Medicare PPO: $11,357.50
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	$1,342 – $10,596.31
Hysteroscopy with biopsy of the uterus lining: 10 of 36 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $3,591.75 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $3,325.69 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,987.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,724.74 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $3,325.69 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,837.97 Cigna — Commercial: $2,466 Cigna — Medicare HMO: $3,458.72 Cigna — Medicare PPO: $3,458.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ DIA//THE SUB L/S W/IMAGING	$4,490	Not listed in the file	$113.85 – $5,350
Spinal injection, lower back (epidural), with imaging guidance: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $4,085.90 Aetna — Medicare Advantage: $783.21 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $628.60 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $628.60 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $725.19 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $628.60 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,378.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,257.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $725.19
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ DIA//THE SUB L/S W/IMAGING	$4,490	Not listed in the file	$4,085.90 – $4,400.20
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans Aetna — First Health: $4,085.90 Devon Health — PPO: $4,400.20
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	$113.85 – $5,350
Spinal injection, lower back (epidural), with imaging guidance: 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $783.21 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $725.19 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,378.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,257.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $725.19 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $1,309.83 Cigna — Commercial: $1,313 Cigna — Medicare HMO: $754.20 Cigna — Medicare PPO: $754.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUMBAR OR SACRAL SINGLE	$6,397	Not listed in the file	$133.06 – $6,269.06
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $5,821.27 Aetna — Medicare Advantage: $981.36 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $895.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $895.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $908.67 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $895.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,378.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,257.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $908.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ ANS AGT TRN/EPID;L/S SG LV	$6,397	Not listed in the file	$133.06 – $6,269.06
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $5,821.27 Aetna — Medicare Advantage: $981.36 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $895.58 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $895.58 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $908.67 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $895.58 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,378.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,257.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $908.67
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ SPINE UNI/BI W/IMAGE 1 LVL	$5,642	Not listed in the file	$133.06 – $5,529.16
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates Aetna — Commercial: $5,350 Aetna — First Health: $5,134.22 Aetna — Medicare Advantage: $981.36 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $789.88 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $789.88 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $908.67 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $789.88 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $1,378.80 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $1,257.57 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $908.67
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	$420 – $6,392
Carpal tunnel release: 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $2,166.64 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2,006.15 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $2,987.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $2,724.74 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $2,006.15 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $2,837.97 Cigna — Commercial: $1,645 Cigna — Medicare HMO: $2,086.40 Cigna — Medicare PPO: $2,086.40
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGA	Not listed in the file	Not listed in the file	$843.54 – $7,554.38
Cataract removal with lens implant: 10 of 38 insurance plan rates Aetna — Commercial: $5,350 Aetna — Medicare Advantage: $2,560.65 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $2,370.97 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $6,434.40 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $5,868.66 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $2,370.97 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $6,112.54 Cigna — Commercial: $4,438 Cigna — Medicare HMO: $2,465.81 Cigna — Medicare PPO: $2,465.81

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: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$88,264.67 – $192,281.57
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 33 insurance plan rates Aetna — Commercial: $89,541.97 Aetna — Medicare Advantage: $95,325.84 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $182,405.79 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $182,405.79 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $88,264.67 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $182,405.79 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $130,137.43 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $149,193.77 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $88,264.67 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $115,953.30
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$17,610.07 – $37,565.34
Hip or knee replacement (major joint of the leg), without major complications: 10 of 33 insurance plan rates Aetna — Commercial: $17,655.22 Aetna — Medicare Advantage: $19,018.88 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $35,635.95 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $35,635.95 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $17,610.07 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $35,635.95 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $25,964.29 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $29,766.30 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $17,610.07 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $23,134.35
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$22,219.70 – $47,166.37
Neck (cervical) spinal fusion, without complications: 10 of 33 insurance plan rates Aetna — Commercial: $22,345.22 Aetna — Medicare Advantage: $23,997.28 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $44,743.86 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $44,743.86 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $22,219.70 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $44,743.86 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $32,760.73 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $37,557.96 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $22,219.70 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $29,190.02
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,356.13 – $23,882.04
Uterus and ovary surgery (not for cancer), without complications: 10 of 33 insurance plan rates Aetna — Commercial: $11,356.13 Aetna — Medicare Advantage: $12,332.47 Blue Cross Blue Shield of New Jersey (Horizon) — Indemnity: $22,655.43 Blue Cross Blue Shield of New Jersey (Horizon) — Managed Care: $22,655.43 Blue Cross Blue Shield of New Jersey (Horizon) — Medicare Advantage: $11,418.95 Blue Cross Blue Shield of New Jersey (Horizon) — PPO: $22,655.43 Blue Cross Blue Shield of Pennsylvania (Independence) — HMO/PPO: $16,836.10 Blue Cross Blue Shield of Pennsylvania (Independence) — Indemnity: $19,301.45 Blue Cross Blue Shield of Pennsylvania (Independence) — Medicare Advantage HMO/Medicare Advantage PPO: $11,418.95 Blue Cross Blue Shield of Pennsylvania (Independence) — Tiered PPACA: $15,001.07

Source: Temple Health - Chestnut Hill Hospital’s standard charges file (templehealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 8, 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	8835 Germantown Avenue, Philadelphia, PA 19118
County	Philadelphia County
State	Pennsylvania
Phone	(215) 248‑8200
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
CMS Certification Number	390026
Name in Medicare records	TEMPLE HEALTH - CHESTNUT HILL HOSPITAL
Profile level	Medicare data + hospital website
Official website	templehealth.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 Geocoder — map position used for distances

From the hospital’s website

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

Temple Health - Chestnut Hill Hospital — templehealth.org
Chestnut Hill Hospital services — templehealth.org
Visitor information — templehealth.org
Temple Health - Chestnut Hill Hospital | Temple Health — templehealth.org
Emergency Care at Chestnut Hill Hospital | Temple Health — templehealth.org
Emergency Department Visit Frequently Asked Questions | Temple Health — templehealth.org
Directions & Parking | Temple Health — templehealth.org
Important Phone Numbers | Temple Health — templehealth.org
Orthopaedics at Chestnut Hill Hospital | Temple Health — templehealth.org
Weight Loss Surgery at Chestnut Hill Hospital | Temple Health — templehealth.org
Patient Resources | Temple Health — templehealth.org
Women's Health at Chestnut Hill Hospital | Temple Health — templehealth.org
Services at Chestnut Hill Hospital | Temple Health — templehealth.org