Does UPMC Bedford Memorial have an emergency room?

Yes. Medicare (CMS) data lists emergency services at UPMC Bedford Memorial. In a medical emergency, call 911.

Where is UPMC Bedford Memorial?

10455 Lincoln Highway, Everett, PA 15537, in Bedford County, Pennsylvania.

What is the phone number of UPMC Bedford Memorial?

(814) 623-6161, as listed by Medicare (CMS).

What is the Medicare star rating of UPMC Bedford Memorial?

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

UPMC Bedford Memorial — Everett, PA

Quick answers

Does UPMC Bedford Memorial have an emergency room?: Yes. Medicare (CMS) data lists emergency services at UPMC Bedford Memorial. In a medical emergency, call 911.
Where is UPMC Bedford Memorial?: 10455 Lincoln Highway, Everett, PA 15537, in Bedford County, Pennsylvania.
What is the phone number of UPMC Bedford Memorial?: (814) 623-6161, as listed by Medicare (CMS).
What is the Medicare star rating of UPMC Bedford Memorial?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[5][8][9][11][14][15]}

Cardiology
Medical Oncology
Ear/Nose/Throat
Endocrinology
Neurosurgery
Plastic Surgery
Podiatry
Dermatology
Gastroenterology
Radiation Oncology
Allergies and Immunology
Primary Care
Family Health Services
Womancare Ob/Gyn Services
Emergency medicine
Obstetrics
Orthopaedics
Heart and vascular
Neurology
Wound healing
General surgery
Ophthalmology
Plastic and reconstructive surgery
Oral surgery
Rehabilitative medicine
Speech-language pathology

Conditions treated^[9]

Stroke

Treatments^{[5][6][8][11][12][14][15][16]}

Rehabilitative medicine
Audiology services
Speech and language services
Lithotripsy
Cardiac-pulmonary rehabilitation
Wound healing
CT scan
MRI
Physical therapy
Occupational therapy
Modified barium swallow study
Dysphagia therapy
Palliative care
Same-day surgery
Liposuction

Procedures^[5][6][13]

Same-day surgery
Gastrointestinal procedures
Imaging (CT, MRI)
Anesthesia services
Bronchoscopy
Colonoscopy
EGD
Esophageal dilation
Flexible sigmoidoscopy
Gastrostomy tube placement
Hemorrhoid banding
Paracentesis
PEG
Sclerotherapy
Thoracentesis
Transnasal esophagoscopy

Programs and centers^[5][9][10]

Stroke Telemedicine Program
Safe Haven Program
In-house hospitalist connection
Diabetes Self-Management Program
CPR training
Babysitting classes
Smoking cessation
Arthritis
Asthma
Fibromyalgia
Glaucoma screening
Lupus
Lyme disease
Prostate cancer
Sleep disorders
Bereavement

Emergency care (hospital website)^[5][6][9]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Thrombectomy-Capable Stroke Center

Visiting and practical information

Visiting	General visiting hours 1 p.m. to 8:30 p.m^[7]
Parking	Handicapped-accessible rehab entrance from the west parking lot; no general parking rules stated^[14]
Interpreters and languages	Free language interpreter services for patients and families; call nursing supervisor 814-623-4740^[16]

Doctors and clinicians (252)

252 doctors and other clinicians list UPMC Bedford Memorial as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 228 more: the button below opens the full list.

Other emergency rooms nearby

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

Fulton County Medical Center20 mi · McConnellsburg, PA · Critical Access Hospital
Conemaugh Nason Medical Center24 mi · Roaring Spring, PA · Acute Care Hospital
Chan Soon- Shiong Medical Center at Windber27 mi · Windber, PA · Acute Care Hospital
Western Maryland Regional Medical Center30 mi · Cumberland, MD · Acute Care Hospital
Valley Health War Memorial Hospital32 mi · Berkeley Springs, WV · Critical Access Hospital

Other hospitals nearby

Thomas B Finan Center30 mi · Cumberland, MD · 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

Pennknoll Village4.0 mi · Everett, PA · 1 of 5 stars
Bedford Post Acute6.4 mi · Bedford, PA · 3 of 5 stars
Fulton County Medical Center20 mi · McConnellsburg, PA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Village in Place Hospice21 mi · Martinsburg, PA

All hospice providers in the state →

Home health agencies

Team Home Health21 mi · McConnellsburg, PA · 2 of 5 stars
Village in Place Services21 mi · Martinsburg, PA
Nason Hospital Home Health Agency22 mi · Roaring Spring, PA · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

USRC Bedford0.0 mi · Everett, PA · 4 of 5 stars
Dialysis Care Center Fulton County21 mi · McConnellsburg, PA

All dialysis facilities 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

Hyndman Area Health Center (DBA Everett Family Health Center)1.2 mi · Everett, PA · Community health center
Hyndman Area Health Center-Bedford Clinic7.2 mi · Bedford, PA · Community health center
Hyndman Area Health Center9.9 mi · Bedford, PA · Community health center

Clinics and urgent care

Orchard Valley Physician Services PLLC16 mi · New Paris, PA · Rural health clinic
Conemaugh Nason Physician Group22 mi · Claysburg, PA · Rural health clinic
Rollins Ventures LLC25 mi · East Freedom, PA · Urgent care center

Pharmacies

Everett Pharmacy Inc0.0 mi · Everett, PA · Pharmacy
Wal-Mart Stores East LP0.0 mi · Everett, PA · Community/retail pharmacy
Giant Eagle, Inc.9.9 mi · Bedford, PA · Community/retail pharmacy

Assisted living nearby

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

Homewood Living Spring House Inc0.0 mi · Everett, PA
Rebecca's at Everett0.0 mi · Everett, PA
Colonial Courtyard at Bedford9.9 mi · Bedford, 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 UPMC Bedford Memorial reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	64%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	53%National average: 60%
Completed surveys	282Response rate: 33%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	10.1%
Deaths within 30 days: pneumonia patients	12.9%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	10.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Too few cases to report
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21%
Readmitted within 30 days: pneumonia	18.3%
Readmitted within 30 days: COPD	18.5%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	142 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	78%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Pennsylvania Best hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 62 common services exactly as UPMC Bedford Memorial lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99203	$382	$229.20	$36.08 – $343.80
New patient office visit (about 30–44 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $152.80 Aetna — EBR FI: $236.84 Aetna — Home Depot Employer Group: $243.33 Aetna — Medicaid: $67.81 Aetna — Medicare: $95.50 Aetna — NBR ASO/FI: $248.30 Aetna — Neighborhood Network: $236.84 Aetna of PA — Medicare: $36.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $84.69 Cigna — Commercial: $63.91
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99203	$382	$229.20	$152.80 – $343.80
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates Aetna — EBR ASO: $152.80 Aetna — EBR FI: $187.18 Aetna — Home Depot Employer Group: $250.97 Aetna — NBR ASO/FI: $255.94 Aetna — Neighborhood Network: $244.48 Cigna — Commercial: $152.80 Cigna — EBR: $152.80 Cigna — NBR ASO/FI: $255.94 Cigna — New Business ASO: $255.94 Coventry/First Health — Commercial: $267.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99204	$479	$287.40	$36.08 – $431.10
New patient office visit (about 45–59 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $191.60 Aetna — EBR FI: $296.98 Aetna — Home Depot Employer Group: $305.12 Aetna — Medicaid: $112.96 Aetna — Medicare: $119.75 Aetna — NBR ASO/FI: $311.35 Aetna — Neighborhood Network: $296.98 Aetna of PA — Medicare: $36.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $141.08 Cigna — Commercial: $63.91
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99204	$479	$287.40	$191.60 – $431.10
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates Aetna — EBR ASO: $191.60 Aetna — EBR FI: $234.71 Aetna — Home Depot Employer Group: $314.70 Aetna — NBR ASO/FI: $320.93 Aetna — Neighborhood Network: $306.56 Cigna — Commercial: $191.60 Cigna — EBR: $191.60 Cigna — NBR ASO/FI: $320.93 Cigna — New Business ASO: $320.93 Coventry/First Health — Commercial: $335.30
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99205	$593	$355.80	$36.08 – $533.70
New patient office visit (about 60–74 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $237.20 Aetna — EBR FI: $367.66 Aetna — Home Depot Employer Group: $377.74 Aetna — Medicaid: $146.93 Aetna — Medicare: $148.25 Aetna — NBR ASO/FI: $385.45 Aetna — Neighborhood Network: $367.66 Aetna of PA — Medicare: $36.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $183.49 Cigna — Commercial: $63.91
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99205	$593	$355.80	$237.20 – $533.70
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates Aetna — EBR ASO: $237.20 Aetna — EBR FI: $290.57 Aetna — Home Depot Employer Group: $389.60 Aetna — NBR ASO/FI: $397.31 Aetna — Neighborhood Network: $379.52 Cigna — Commercial: $237.20 Cigna — EBR: $237.20 Cigna — NBR ASO/FI: $397.31 Cigna — New Business ASO: $397.31 Coventry/First Health — Commercial: $415.10
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT EST PT 99213	$202	$121.20	$36.08 – $181.80
Established patient office visit (about 20–29 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $80.80 Aetna — EBR FI: $125.24 Aetna — Home Depot Employer Group: $128.67 Aetna — Medicaid: $43.75 Aetna — Medicare: $50.50 Aetna — NBR ASO/FI: $131.30 Aetna — Neighborhood Network: $125.24 Aetna of PA — Medicare: $36.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $54.64 Cigna — Commercial: $63.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT EST 99213	$202	$121.20	$36.08 – $181.80
Established patient office visit (about 20–29 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $80.80 Aetna — EBR FI: $125.24 Aetna — Home Depot Employer Group: $128.67 Aetna — Medicaid: $43.75 Aetna — Medicare: $50.50 Aetna — NBR ASO/FI: $131.30 Aetna — Neighborhood Network: $125.24 Aetna of PA — Medicare: $36.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $54.64 Cigna — Commercial: $63.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT EST PT 99213	$202	$121.20	$80.80 – $181.80
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates Aetna — EBR ASO: $80.80 Aetna — EBR FI: $98.98 Aetna — Home Depot Employer Group: $132.71 Aetna — NBR ASO/FI: $135.34 Aetna — Neighborhood Network: $129.28 Cigna — Commercial: $80.80 Cigna — EBR: $80.80 Cigna — NBR ASO/FI: $135.34 Cigna — New Business ASO: $135.34 Coventry/First Health — Commercial: $141.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT EST 99214	$237	$142.20	$36.08 – $213.30
Established patient office visit (about 30–39 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $94.80 Aetna — EBR FI: $146.94 Aetna — Home Depot Employer Group: $150.97 Aetna — Medicaid: $68.03 Aetna — Medicare: $59.25 Aetna — NBR ASO/FI: $154.05 Aetna — Neighborhood Network: $146.94 Aetna of PA — Medicare: $36.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $84.96 Cigna — Commercial: $63.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT EST 99214	$237	$142.20	$94.80 – $213.30
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates Aetna — EBR ASO: $94.80 Aetna — EBR FI: $116.13 Aetna — Home Depot Employer Group: $155.71 Aetna — NBR ASO/FI: $158.79 Aetna — Neighborhood Network: $151.68 Cigna — Commercial: $94.80 Cigna — EBR: $94.80 Cigna — NBR ASO/FI: $158.79 Cigna — New Business ASO: $158.79 Coventry/First Health — Commercial: $165.90
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACUITY LEVEL 3	$716	$429.60	$59.48 – $644.40
Emergency room visit (moderate): 10 of 42 insurance plan rates Aetna — EBR ASO: $286.40 Aetna — EBR FI: $443.92 Aetna — Home Depot Employer Group: $456.09 Aetna — Medicaid: $70.81 Aetna — Medicare: $271.90 Aetna — NBR ASO/FI: $465.40 Aetna — Neighborhood Network: $443.92 Aetna of PA — Medicare: $95.24 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $88.44 AmeriHealth Caritas — Medicare: $285.10
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ACUITY LEVEL 3	$716	$429.60	$286.40 – $644.40
Emergency room visit (moderate): 10 of 18 insurance plan rates Aetna — EBR ASO: $286.40 Aetna — EBR FI: $350.84 Aetna — Home Depot Employer Group: $470.41 Aetna — NBR ASO/FI: $479.72 Aetna — Neighborhood Network: $458.24 Cigna — Commercial: $286.40 Cigna — EBR: $286.40 Cigna — NBR ASO/FI: $479.72 Cigna — New Business ASO: $479.72 Coventry/First Health — Commercial: $501.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACUITY LEVEL 4	$1,076	$645.60	$100.10 – $968.40
Emergency room visit (moderately high): 10 of 42 insurance plan rates Aetna — EBR ASO: $430.40 Aetna — EBR FI: $667.12 Aetna — Home Depot Employer Group: $685.41 Aetna — Medicaid: $119.16 Aetna — Medicare: $418.15 Aetna — NBR ASO/FI: $699.40 Aetna — Neighborhood Network: $667.12 Aetna of PA — Medicare: $146.47 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $148.82 AmeriHealth Caritas — Medicare: $438.45
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ACUITY LEVEL 4	$1,076	$645.60	$430.40 – $968.40
Emergency room visit (moderately high): 10 of 18 insurance plan rates Aetna — EBR ASO: $430.40 Aetna — EBR FI: $527.24 Aetna — Home Depot Employer Group: $706.93 Aetna — NBR ASO/FI: $720.92 Aetna — Neighborhood Network: $688.64 Cigna — Commercial: $430.40 Cigna — EBR: $430.40 Cigna — NBR ASO/FI: $720.92 Cigna — New Business ASO: $720.92 Coventry/First Health — Commercial: $753.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACUITY LEVEL 5	$1,506	$903.60	$145.68 – $1,355.40
Emergency room visit (high): 10 of 42 insurance plan rates Aetna — EBR ASO: $602.40 Aetna — EBR FI: $933.72 Aetna — Home Depot Employer Group: $959.32 Aetna — Medicaid: $173.43 Aetna — Medicare: $602.06 Aetna — NBR ASO/FI: $978.90 Aetna — Neighborhood Network: $933.72 Aetna of PA — Medicare: $210.89 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $216.59 AmeriHealth Caritas — Medicare: $631.28
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ACUITY LEVEL 5	$1,506	$903.60	$602.40 – $1,355.40
Emergency room visit (high): 10 of 18 insurance plan rates Aetna — EBR ASO: $602.40 Aetna — EBR FI: $737.94 Aetna — Home Depot Employer Group: $989.44 Aetna — NBR ASO/FI: $1,009.02 Aetna — Neighborhood Network: $963.84 Cigna — Commercial: $602.40 Cigna — EBR: $602.40 Cigna — NBR ASO/FI: $1,009.02 Cigna — New Business ASO: $1,009.02 Coventry/First Health — Commercial: $1,054.20

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: BASIC METABOLIC PANEL	$98	$58.80	$3.05 – $88.20
Basic metabolic panel (blood test): 10 of 42 insurance plan rates Aetna — EBR ASO: $39.20 Aetna — EBR FI: $60.76 Aetna — Home Depot Employer Group: $62.43 Aetna — Medicaid: $11.70 Aetna — Medicare: $8.71 Aetna — NBR ASO/FI: $63.70 Aetna — Neighborhood Network: $60.76 Aetna of PA — Medicare: $3.05 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.61 AmeriHealth Caritas — Medicare: $9.14
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL PLASMA	$98	$58.80	$3.05 – $88.20
Basic metabolic panel (blood test): 10 of 42 insurance plan rates Aetna — EBR ASO: $39.20 Aetna — EBR FI: $60.76 Aetna — Home Depot Employer Group: $62.43 Aetna — Medicaid: $11.70 Aetna — Medicare: $8.71 Aetna — NBR ASO/FI: $63.70 Aetna — Neighborhood Network: $60.76 Aetna of PA — Medicare: $3.05 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.61 AmeriHealth Caritas — Medicare: $9.14
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$98	$58.80	$39.20 – $88.20
Basic metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — EBR ASO: $39.20 Aetna — EBR FI: $48.02 Aetna — Home Depot Employer Group: $64.39 Aetna — NBR ASO/FI: $65.66 Aetna — Neighborhood Network: $62.72 Cigna — Commercial: $39.20 Cigna — EBR: $39.20 Cigna — NBR ASO/FI: $65.66 Cigna — New Business ASO: $65.66 Coventry/First Health — Commercial: $68.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$111	$66.60	$3.81 – $99.90
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates Aetna — EBR ASO: $44.40 Aetna — EBR FI: $68.82 Aetna — Home Depot Employer Group: $70.71 Aetna — Medicaid: $14.61 Aetna — Medicare: $10.88 Aetna — NBR ASO/FI: $72.15 Aetna — Neighborhood Network: $68.82 Aetna of PA — Medicare: $3.81 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $18.25 AmeriHealth Caritas — Medicare: $11.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE MET PN PLASMA	$111	$66.60	$3.81 – $99.90
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates Aetna — EBR ASO: $44.40 Aetna — EBR FI: $68.82 Aetna — Home Depot Employer Group: $70.71 Aetna — Medicaid: $14.61 Aetna — Medicare: $10.88 Aetna — NBR ASO/FI: $72.15 Aetna — Neighborhood Network: $68.82 Aetna of PA — Medicare: $3.81 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $18.25 AmeriHealth Caritas — Medicare: $11.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$111	$66.60	$44.40 – $99.90
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — EBR ASO: $44.40 Aetna — EBR FI: $54.39 Aetna — Home Depot Employer Group: $72.93 Aetna — NBR ASO/FI: $74.37 Aetna — Neighborhood Network: $71.04 Cigna — Commercial: $44.40 Cigna — EBR: $44.40 Cigna — NBR ASO/FI: $74.37 Cigna — New Business ASO: $74.37 Coventry/First Health — Commercial: $77.70
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICS PANEL	$277	$166.20	$12 – $249.30
Obstetric blood test panel: 10 of 42 insurance plan rates Aetna — EBR ASO: $110.80 Aetna — EBR FI: $171.74 Aetna — Home Depot Employer Group: $176.45 Aetna — Medicaid: $15 Aetna — Medicare: $49.24 Aetna — NBR ASO/FI: $180.05 Aetna — Neighborhood Network: $171.74 Aetna of PA — Medicare: $17.25 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $18.73 AmeriHealth Caritas — Medicare: $51.63
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRICS PANEL	$277	$166.20	$110.80 – $249.30
Obstetric blood test panel: 10 of 18 insurance plan rates Aetna — EBR ASO: $110.80 Aetna — EBR FI: $135.73 Aetna — Home Depot Employer Group: $181.99 Aetna — NBR ASO/FI: $185.59 Aetna — Neighborhood Network: $177.28 Cigna — Commercial: $110.80 Cigna — EBR: $110.80 Cigna — NBR ASO/FI: $185.59 Cigna — New Business ASO: $185.59 Coventry/First Health — Commercial: $193.90
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	$111	$66.60	$4.83 – $99.90
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Aetna — EBR ASO: $44.40 Aetna — EBR FI: $68.82 Aetna — Home Depot Employer Group: $70.71 Aetna — Medicaid: $17.50 Aetna — Medicare: $13.79 Aetna — NBR ASO/FI: $72.15 Aetna — Neighborhood Network: $68.82 Aetna of PA — Medicare: $4.83 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $21.86 AmeriHealth Caritas — Medicare: $14.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIO IQ LIPID PANEL	$111	$66.60	$4.83 – $99.90
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Aetna — EBR ASO: $44.40 Aetna — EBR FI: $68.82 Aetna — Home Depot Employer Group: $70.71 Aetna — Medicaid: $17.50 Aetna — Medicare: $13.79 Aetna — NBR ASO/FI: $72.15 Aetna — Neighborhood Network: $68.82 Aetna of PA — Medicare: $4.83 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $21.86 AmeriHealth Caritas — Medicare: $14.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL P4483	$111	$66.60	$4.83 – $99.90
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates Aetna — EBR ASO: $44.40 Aetna — EBR FI: $68.82 Aetna — Home Depot Employer Group: $70.71 Aetna — Medicaid: $17.50 Aetna — Medicare: $13.79 Aetna — NBR ASO/FI: $72.15 Aetna — Neighborhood Network: $68.82 Aetna of PA — Medicare: $4.83 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $21.86 AmeriHealth Caritas — Medicare: $14.46
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$98	$58.80	$3.13 – $88.20
Kidney function panel: 10 of 42 insurance plan rates Aetna — EBR ASO: $39.20 Aetna — EBR FI: $60.76 Aetna — Home Depot Employer Group: $62.43 Aetna — Medicaid: $12 Aetna — Medicare: $8.94 Aetna — NBR ASO/FI: $63.70 Aetna — Neighborhood Network: $60.76 Aetna of PA — Medicare: $3.13 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.99 AmeriHealth Caritas — Medicare: $9.37
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$98	$58.80	$39.20 – $88.20
Kidney function panel: 10 of 18 insurance plan rates Aetna — EBR ASO: $39.20 Aetna — EBR FI: $48.02 Aetna — Home Depot Employer Group: $64.39 Aetna — NBR ASO/FI: $65.66 Aetna — Neighborhood Network: $62.72 Cigna — Commercial: $39.20 Cigna — EBR: $39.20 Cigna — NBR ASO/FI: $65.66 Cigna — New Business ASO: $65.66 Coventry/First Health — Commercial: $68.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$125	$75	$2.95 – $112.50
Liver function panel: 10 of 42 insurance plan rates Aetna — EBR ASO: $50 Aetna — EBR FI: $77.50 Aetna — Home Depot Employer Group: $79.62 Aetna — Medicaid: $11.29 Aetna — Medicare: $8.42 Aetna — NBR ASO/FI: $81.25 Aetna — Neighborhood Network: $77.50 Aetna of PA — Medicare: $2.95 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14.10 AmeriHealth Caritas — Medicare: $8.82
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$125	$75	$50 – $112.50
Liver function panel: 10 of 18 insurance plan rates Aetna — EBR ASO: $50 Aetna — EBR FI: $61.25 Aetna — Home Depot Employer Group: $82.12 Aetna — NBR ASO/FI: $83.75 Aetna — Neighborhood Network: $80 Cigna — Commercial: $50 Cigna — EBR: $50 Cigna — NBR ASO/FI: $83.75 Cigna — New Business ASO: $83.75 Coventry/First Health — Commercial: $87.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS R & M	$55	$33	$1.14 – $49.50
Urine test (automated, with microscope): 10 of 42 insurance plan rates Aetna — EBR ASO: $22 Aetna — EBR FI: $34.10 Aetna — Home Depot Employer Group: $35.03 Aetna — Medicaid: $3.75 Aetna — Medicare: $3.27 Aetna — NBR ASO/FI: $35.75 Aetna — Neighborhood Network: $34.10 Aetna of PA — Medicare: $1.14 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.68 AmeriHealth Caritas — Medicare: $3.42
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UR COMPL W/REFLEX TO CULTURE	$55	$33	$1.14 – $49.50
Urine test (automated, with microscope): 10 of 42 insurance plan rates Aetna — EBR ASO: $22 Aetna — EBR FI: $34.10 Aetna — Home Depot Employer Group: $35.03 Aetna — Medicaid: $3.75 Aetna — Medicare: $3.27 Aetna — NBR ASO/FI: $35.75 Aetna — Neighborhood Network: $34.10 Aetna of PA — Medicare: $1.14 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.68 AmeriHealth Caritas — Medicare: $3.42
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS R & M	$55	$33	$22 – $49.50
Urine test (automated, with microscope): 10 of 18 insurance plan rates Aetna — EBR ASO: $22 Aetna — EBR FI: $26.95 Aetna — Home Depot Employer Group: $36.13 Aetna — NBR ASO/FI: $36.85 Aetna — Neighborhood Network: $35.20 Cigna — Commercial: $22 Cigna — EBR: $22 Cigna — NBR ASO/FI: $36.85 Cigna — New Business ASO: $36.85 Coventry/First Health — Commercial: $38.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON AUTOMATED W/O MICRO P3632	$62	$37.20	$1.26 – $55.80
Urine test (manual, without microscope): 10 of 42 insurance plan rates Aetna — EBR ASO: $24.80 Aetna — EBR FI: $38.44 Aetna — Home Depot Employer Group: $39.49 Aetna — Medicaid: $4.46 Aetna — Medicare: $3.58 Aetna — NBR ASO/FI: $40.30 Aetna — Neighborhood Network: $38.44 Aetna of PA — Medicare: $1.26 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $5.57 AmeriHealth Caritas — Medicare: $3.76
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK	$62	$37.20	$1.26 – $55.80
Urine test (manual, without microscope): 10 of 42 insurance plan rates Aetna — EBR ASO: $24.80 Aetna — EBR FI: $38.44 Aetna — Home Depot Employer Group: $39.49 Aetna — Medicaid: $4.46 Aetna — Medicare: $3.58 Aetna — NBR ASO/FI: $40.30 Aetna — Neighborhood Network: $38.44 Aetna of PA — Medicare: $1.26 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $5.57 AmeriHealth Caritas — Medicare: $3.76
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NON AUTOMATED W/O MICRO P3632	$62	$37.20	$24.80 – $55.80
Urine test (manual, without microscope): 10 of 18 insurance plan rates Aetna — EBR ASO: $24.80 Aetna — EBR FI: $30.38 Aetna — Home Depot Employer Group: $40.73 Aetna — NBR ASO/FI: $41.54 Aetna — Neighborhood Network: $39.68 Cigna — Commercial: $24.80 Cigna — EBR: $24.80 Cigna — NBR ASO/FI: $41.54 Cigna — New Business ASO: $41.54 Coventry/First Health — Commercial: $43.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE MACRO	$32	$19.20	$0.81 – $28.80
Urine test (automated, without microscope): 10 of 42 insurance plan rates Aetna — EBR ASO: $12.80 Aetna — EBR FI: $19.84 Aetna — Home Depot Employer Group: $20.38 Aetna — Medicaid: $3.88 Aetna — Medicare: $2.32 Aetna — NBR ASO/FI: $20.80 Aetna — Neighborhood Network: $19.84 Aetna of PA — Medicare: $0.81 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.84 AmeriHealth Caritas — Medicare: $2.43
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMATED	$32	$19.20	$0.81 – $28.80
Urine test (automated, without microscope): 10 of 42 insurance plan rates Aetna — EBR ASO: $12.80 Aetna — EBR FI: $19.84 Aetna — Home Depot Employer Group: $20.38 Aetna — Medicaid: $3.88 Aetna — Medicare: $2.32 Aetna — NBR ASO/FI: $20.80 Aetna — Neighborhood Network: $19.84 Aetna of PA — Medicare: $0.81 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.84 AmeriHealth Caritas — Medicare: $2.43
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE MACRO	$32	$19.20	$12.80 – $28.80
Urine test (automated, without microscope): 10 of 18 insurance plan rates Aetna — EBR ASO: $12.80 Aetna — EBR FI: $15.68 Aetna — Home Depot Employer Group: $21.02 Aetna — NBR ASO/FI: $21.44 Aetna — Neighborhood Network: $20.48 Cigna — Commercial: $12.80 Cigna — EBR: $12.80 Cigna — NBR ASO/FI: $21.44 Cigna — New Business ASO: $21.44 Coventry/First Health — Commercial: $22.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC PSA	$193	$115.80	$6.64 – $173.70
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — EBR ASO: $77.20 Aetna — EBR FI: $119.66 Aetna — Home Depot Employer Group: $122.94 Aetna — Medicaid: $30.45 Aetna — Medicare: $18.94 Aetna — NBR ASO/FI: $125.45 Aetna — Neighborhood Network: $119.66 Aetna of PA — Medicare: $6.64 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $38.03 AmeriHealth Caritas — Medicare: $19.86
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL PSA PNL 2770	$193	$115.80	$6.64 – $173.70
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — EBR ASO: $77.20 Aetna — EBR FI: $119.66 Aetna — Home Depot Employer Group: $122.94 Aetna — Medicaid: $30.45 Aetna — Medicare: $18.94 Aetna — NBR ASO/FI: $125.45 Aetna — Neighborhood Network: $119.66 Aetna of PA — Medicare: $6.64 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $38.03 AmeriHealth Caritas — Medicare: $19.86
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA ULTRA-SENSITIVE	$193	$115.80	$6.64 – $173.70
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates Aetna — EBR ASO: $77.20 Aetna — EBR FI: $119.66 Aetna — Home Depot Employer Group: $122.94 Aetna — Medicaid: $30.45 Aetna — Medicare: $18.94 Aetna — NBR ASO/FI: $125.45 Aetna — Neighborhood Network: $119.66 Aetna of PA — Medicare: $6.64 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $38.03 AmeriHealth Caritas — Medicare: $19.86
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$152	$91.20	$6.06 – $136.80
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Aetna — EBR ASO: $60.80 Aetna — EBR FI: $94.24 Aetna — Home Depot Employer Group: $96.82 Aetna — Medicaid: $29.01 Aetna — Medicare: $17.30 Aetna — NBR ASO/FI: $98.80 Aetna — Neighborhood Network: $94.24 Aetna of PA — Medicare: $6.06 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $36.23 AmeriHealth Caritas — Medicare: $18.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH THIRD GENERATION	$152	$91.20	$6.06 – $136.80
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Aetna — EBR ASO: $60.80 Aetna — EBR FI: $94.24 Aetna — Home Depot Employer Group: $96.82 Aetna — Medicaid: $29.01 Aetna — Medicare: $17.30 Aetna — NBR ASO/FI: $98.80 Aetna — Neighborhood Network: $94.24 Aetna of PA — Medicare: $6.06 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $36.23 AmeriHealth Caritas — Medicare: $18.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH W/FREE T4 RFX	$152	$91.20	$6.06 – $136.80
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates Aetna — EBR ASO: $60.80 Aetna — EBR FI: $94.24 Aetna — Home Depot Employer Group: $96.82 Aetna — Medicaid: $29.01 Aetna — Medicare: $17.30 Aetna — NBR ASO/FI: $98.80 Aetna — Neighborhood Network: $94.24 Aetna of PA — Medicare: $6.06 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $36.23 AmeriHealth Caritas — Medicare: $18.14
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OXLDL	$83	$49.80	$2.80 – $74.70
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates Aetna — EBR ASO: $33.20 Aetna — EBR FI: $51.46 Aetna — Home Depot Employer Group: $52.87 Aetna — Medicaid: $7.50 Aetna — Medicare: $8 Aetna — NBR ASO/FI: $53.95 Aetna — Neighborhood Network: $51.46 Aetna of PA — Medicare: $2.80 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.37 AmeriHealth Caritas — Medicare: $8.39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLT & AUTO COMP DIFF	$83	$49.80	$2.80 – $74.70
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates Aetna — EBR ASO: $33.20 Aetna — EBR FI: $51.46 Aetna — Home Depot Employer Group: $52.87 Aetna — Medicaid: $7.50 Aetna — Medicare: $8 Aetna — NBR ASO/FI: $53.95 Aetna — Neighborhood Network: $51.46 Aetna of PA — Medicare: $2.80 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.37 AmeriHealth Caritas — Medicare: $8.39
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OXLDL	$83	$49.80	$33.20 – $74.70
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates Aetna — EBR ASO: $33.20 Aetna — EBR FI: $40.67 Aetna — Home Depot Employer Group: $54.53 Aetna — NBR ASO/FI: $55.61 Aetna — Neighborhood Network: $53.12 Cigna — Commercial: $33.20 Cigna — EBR: $33.20 Cigna — NBR ASO/FI: $55.61 Cigna — New Business ASO: $55.61 Coventry/First Health — Commercial: $58.10
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED CBC NO DIFF	$126	$75.60	$2.33 – $113.40
Complete blood count (CBC), automated: 10 of 42 insurance plan rates Aetna — EBR ASO: $50.40 Aetna — EBR FI: $78.12 Aetna — Home Depot Employer Group: $80.26 Aetna — Medicaid: $9.40 Aetna — Medicare: $6.66 Aetna — NBR ASO/FI: $81.90 Aetna — Neighborhood Network: $78.12 Aetna of PA — Medicare: $2.33 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.74 AmeriHealth Caritas — Medicare: $6.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLT ONLY	$126	$75.60	$2.33 – $113.40
Complete blood count (CBC), automated: 10 of 42 insurance plan rates Aetna — EBR ASO: $50.40 Aetna — EBR FI: $78.12 Aetna — Home Depot Employer Group: $80.26 Aetna — Medicaid: $9.40 Aetna — Medicare: $6.66 Aetna — NBR ASO/FI: $81.90 Aetna — Neighborhood Network: $78.12 Aetna of PA — Medicare: $2.33 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.74 AmeriHealth Caritas — Medicare: $6.99
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOMATED CBC NO DIFF	$126	$75.60	$50.40 – $113.40
Complete blood count (CBC), automated: 10 of 18 insurance plan rates Aetna — EBR ASO: $50.40 Aetna — EBR FI: $61.74 Aetna — Home Depot Employer Group: $82.78 Aetna — NBR ASO/FI: $84.42 Aetna — Neighborhood Network: $80.64 Cigna — Commercial: $50.40 Cigna — EBR: $50.40 Cigna — NBR ASO/FI: $84.42 Cigna — New Business ASO: $84.42 Coventry/First Health — Commercial: $88.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT PROTHROMBIN TIME	$50	$30	$1.55 – $45
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates Aetna — EBR ASO: $20 Aetna — EBR FI: $31 Aetna — Home Depot Employer Group: $31.85 Aetna — Medicaid: $5 Aetna — Medicare: $4.42 Aetna — NBR ASO/FI: $32.50 Aetna — Neighborhood Network: $31 Aetna of PA — Medicare: $1.55 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.24 AmeriHealth Caritas — Medicare: $4.63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME P2680	$50	$30	$1.55 – $45
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates Aetna — EBR ASO: $20 Aetna — EBR FI: $31 Aetna — Home Depot Employer Group: $31.85 Aetna — Medicaid: $5 Aetna — Medicare: $4.42 Aetna — NBR ASO/FI: $32.50 Aetna — Neighborhood Network: $31 Aetna of PA — Medicare: $1.55 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.24 AmeriHealth Caritas — Medicare: $4.63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME P4160	$50	$30	$1.55 – $45
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates Aetna — EBR ASO: $20 Aetna — EBR FI: $31 Aetna — Home Depot Employer Group: $31.85 Aetna — Medicaid: $5 Aetna — Medicare: $4.42 Aetna — NBR ASO/FI: $32.50 Aetna — Neighborhood Network: $31 Aetna of PA — Medicare: $1.55 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.24 AmeriHealth Caritas — Medicare: $4.63
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACTIVATED PTT	$69	$41.40	$2.17 – $62.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates Aetna — EBR ASO: $27.60 Aetna — EBR FI: $42.78 Aetna — Home Depot Employer Group: $43.95 Aetna — Medicaid: $9.38 Aetna — Medicare: $6.19 Aetna — NBR ASO/FI: $44.85 Aetna — Neighborhood Network: $42.78 Aetna of PA — Medicare: $2.17 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.71 AmeriHealth Caritas — Medicare: $6.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT (BASELINE) PNL 5464	$69	$41.40	$2.17 – $62.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates Aetna — EBR ASO: $27.60 Aetna — EBR FI: $42.78 Aetna — Home Depot Employer Group: $43.95 Aetna — Medicaid: $9.38 Aetna — Medicare: $6.19 Aetna — NBR ASO/FI: $44.85 Aetna — Neighborhood Network: $42.78 Aetna of PA — Medicare: $2.17 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.71 AmeriHealth Caritas — Medicare: $6.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPL TIME PARTL(PTT)P2441	$69	$41.40	$2.17 – $62.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates Aetna — EBR ASO: $27.60 Aetna — EBR FI: $42.78 Aetna — Home Depot Employer Group: $43.95 Aetna — Medicaid: $9.38 Aetna — Medicare: $6.19 Aetna — NBR ASO/FI: $44.85 Aetna — Neighborhood Network: $42.78 Aetna of PA — Medicare: $2.17 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.71 AmeriHealth Caritas — Medicare: $6.49

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: CT HEAD WO CONTRAST	$1,235	$741	$36.58 – $1,111.50
CT scan of the head or brain, without contrast: 10 of 42 insurance plan rates Aetna — EBR ASO: $494 Aetna — EBR FI: $765.70 Aetna — Home Depot Employer Group: $786.70 Aetna — Medicaid: $145.94 Aetna — Medicare: $104.42 Aetna — NBR ASO/FI: $802.75 Aetna — Neighborhood Network: $765.70 Aetna of PA — Medicare: $36.58 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $182.26 AmeriHealth Caritas — Medicare: $109.49
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$1,235	$741	$494 – $1,111.50
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates Aetna — EBR ASO: $494 Aetna — EBR FI: $605.15 Aetna — Home Depot Employer Group: $811.39 Aetna — NBR ASO/FI: $827.45 Aetna — Neighborhood Network: $790.40 Cigna — Commercial: $494 Cigna — EBR: $494 Cigna — NBR ASO/FI: $827.45 Cigna — New Business ASO: $827.45 Coventry/First Health — Commercial: $864.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W WO CON	$4,807	$2,884.20	$122.85 – $4,326.30
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates Aetna — EBR ASO: $1,922.80 Aetna — EBR FI: $2,980.34 Aetna — Home Depot Employer Group: $3,062.06 Aetna — Medicaid: $423.75 Aetna — Medicare: $350.69 Aetna — NBR ASO/FI: $3,124.55 Aetna — Neighborhood Network: $2,980.34 Aetna of PA — Medicare: $122.85 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $529.21 AmeriHealth Caritas — Medicare: $367.72
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN W WO CON	$4,807	$2,884.20	$1,922.80 – $4,326.30
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates Aetna — EBR ASO: $1,922.80 Aetna — EBR FI: $2,355.43 Aetna — Home Depot Employer Group: $3,158.20 Aetna — NBR ASO/FI: $3,220.69 Aetna — Neighborhood Network: $3,076.48 Cigna — Commercial: $1,922.80 Cigna — EBR: $1,922.80 Cigna — NBR ASO/FI: $3,220.69 Cigna — New Business ASO: $3,220.69 Coventry/First Health — Commercial: $3,364.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$193	$115.80	$24.82 – $173.70
Chest X-ray, 2 views: 10 of 42 insurance plan rates Aetna — EBR ASO: $77.20 Aetna — EBR FI: $119.66 Aetna — Home Depot Employer Group: $122.94 Aetna — Medicaid: $29.55 Aetna — Medicare: $86.47 Aetna — NBR ASO/FI: $125.45 Aetna — Neighborhood Network: $119.66 Aetna of PA — Medicare: $30.29 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $36.90 AmeriHealth Caritas — Medicare: $90.67
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$193	$115.80	$77.20 – $173.70
Chest X-ray, 2 views: 10 of 18 insurance plan rates Aetna — EBR ASO: $77.20 Aetna — EBR FI: $94.57 Aetna — Home Depot Employer Group: $126.80 Aetna — NBR ASO/FI: $129.31 Aetna — Neighborhood Network: $123.52 Cigna — Commercial: $77.20 Cigna — EBR: $77.20 Cigna — NBR ASO/FI: $129.31 Cigna — New Business ASO: $129.31 Coventry/First Health — Commercial: $135.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBOSAC MIN 4 VWS	$317	$190.20	$36.58 – $285.30
X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates Aetna — EBR ASO: $126.80 Aetna — EBR FI: $196.54 Aetna — Home Depot Employer Group: $201.93 Aetna — Medicaid: $45.77 Aetna — Medicare: $104.42 Aetna — NBR ASO/FI: $206.05 Aetna — Neighborhood Network: $196.54 Aetna of PA — Medicare: $36.58 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $57.17 AmeriHealth Caritas — Medicare: $109.49
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LUMBOSAC MIN 4 VWS	$317	$190.20	$126.80 – $285.30
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — EBR ASO: $126.80 Aetna — EBR FI: $155.33 Aetna — Home Depot Employer Group: $208.27 Aetna — NBR ASO/FI: $212.39 Aetna — Neighborhood Network: $202.88 Cigna — Commercial: $126.80 Cigna — EBR: $126.80 Cigna — NBR ASO/FI: $212.39 Cigna — New Business ASO: $212.39 Coventry/First Health — Commercial: $221.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR SP CANAL LUMBAR WO	$2,842	$1,705.20	$83.15 – $2,557.80
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates Aetna — EBR ASO: $1,136.80 Aetna — EBR FI: $1,762.04 Aetna — Home Depot Employer Group: $1,810.35 Aetna — Medicaid: $320.19 Aetna — Medicare: $237.36 Aetna — NBR ASO/FI: $1,847.30 Aetna — Neighborhood Network: $1,762.04 Aetna of PA — Medicare: $83.15 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $399.88 AmeriHealth Caritas — Medicare: $248.89
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR SP CANAL LUMBAR WO	$2,842	$1,705.20	$1,136.80 – $2,557.80
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates Aetna — EBR ASO: $1,136.80 Aetna — EBR FI: $1,392.58 Aetna — Home Depot Employer Group: $1,867.19 Aetna — NBR ASO/FI: $1,904.14 Aetna — Neighborhood Network: $1,818.88 Cigna — Commercial: $1,136.80 Cigna — EBR: $1,136.80 Cigna — NBR ASO/FI: $1,904.14 Cigna — New Business ASO: $1,904.14 Coventry/First Health — Commercial: $1,989.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CON	$1,596	$957.60	$61.23 – $1,436.40
CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates Aetna — EBR ASO: $638.40 Aetna — EBR FI: $989.52 Aetna — Home Depot Employer Group: $1,016.65 Aetna — Medicaid: $175.11 Aetna — Medicare: $174.81 Aetna — NBR ASO/FI: $1,037.40 Aetna — Neighborhood Network: $989.52 Aetna of PA — Medicare: $61.23 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $218.69 AmeriHealth Caritas — Medicare: $183.30
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CON	$1,596	$957.60	$638.40 – $1,436.40
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Aetna — EBR ASO: $638.40 Aetna — EBR FI: $782.04 Aetna — Home Depot Employer Group: $1,048.57 Aetna — NBR ASO/FI: $1,069.32 Aetna — Neighborhood Network: $1,021.44 Cigna — Commercial: $638.40 Cigna — EBR: $638.40 Cigna — NBR ASO/FI: $1,069.32 Cigna — New Business ASO: $1,069.32 Coventry/First Health — Commercial: $1,117.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LOW EXTREM ANY JNT WO	$2,842	$1,705.20	$83.15 – $2,557.80
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates Aetna — EBR ASO: $1,136.80 Aetna — EBR FI: $1,762.04 Aetna — Home Depot Employer Group: $1,810.35 Aetna — Medicare: $237.36 Aetna — NBR ASO/FI: $1,847.30 Aetna — Neighborhood Network: $1,762.04 Aetna of PA — Medicare: $83.15 AmeriHealth Caritas — Medicare: $248.89 Cigna — Commercial: $1,136.80 Cigna — EBR: $1,136.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR LOW EXTREM ANY JNT WO	$2,842	$1,705.20	$1,136.80 – $2,557.80
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates Aetna — EBR ASO: $1,136.80 Aetna — EBR FI: $1,392.58 Aetna — Home Depot Employer Group: $1,867.19 Aetna — NBR ASO/FI: $1,904.14 Aetna — Neighborhood Network: $1,818.88 Cigna — Commercial: $1,136.80 Cigna — EBR: $1,136.80 Cigna — NBR ASO/FI: $1,904.14 Cigna — New Business ASO: $1,904.14 Coventry/First Health — Commercial: $1,989.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PLVS W CONTRAST	$3,192	$1,915.20	$122.85 – $3,952.42
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates Aetna — EBR ASO: $1,276.80 Aetna — EBR FI: $1,979.04 Aetna — Home Depot Employer Group: $2,033.30 Aetna — Medicaid: $328.95 Aetna — Medicare: $350.69 Aetna — NBR ASO/FI: $2,074.80 Aetna — Neighborhood Network: $1,979.04 Aetna of PA — Medicare: $122.85 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $410.82 AmeriHealth Caritas — Medicare: $367.72
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PLVS W CONTRAST	$3,192	$1,915.20	$1,276.80 – $2,872.80
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates Aetna — EBR ASO: $1,276.80 Aetna — EBR FI: $1,564.08 Aetna — Home Depot Employer Group: $2,097.14 Aetna — NBR ASO/FI: $2,138.64 Aetna — Neighborhood Network: $2,042.88 Cigna — Commercial: $1,276.80 Cigna — EBR: $1,276.80 Cigna — NBR ASO/FI: $2,138.64 Cigna — New Business ASO: $2,138.64 Coventry/First Health — Commercial: $2,234.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$1,097	$658.20	$36.58 – $987.30
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates Aetna — EBR ASO: $438.80 Aetna — EBR FI: $680.14 Aetna — Home Depot Employer Group: $698.79 Aetna — Medicaid: $119.09 Aetna — Medicare: $104.42 Aetna — NBR ASO/FI: $713.05 Aetna — Neighborhood Network: $680.14 Aetna of PA — Medicare: $36.58 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $148.73 AmeriHealth Caritas — Medicare: $109.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$1,097	$658.20	$438.80 – $987.30
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — EBR ASO: $438.80 Aetna — EBR FI: $537.53 Aetna — Home Depot Employer Group: $720.73 Aetna — NBR ASO/FI: $734.99 Aetna — Neighborhood Network: $702.08 Cigna — Commercial: $438.80 Cigna — EBR: $438.80 Cigna — NBR ASO/FI: $734.99 Cigna — New Business ASO: $734.99 Coventry/First Health — Commercial: $767.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREGNANT UTERUS>14WKS	$694	$416.40	$36.58 – $624.60
Pregnancy ultrasound (after the first trimester): 10 of 42 insurance plan rates Aetna — EBR ASO: $277.60 Aetna — EBR FI: $430.28 Aetna — Home Depot Employer Group: $442.08 Aetna — Medicaid: $96.88 Aetna — Medicare: $104.42 Aetna — NBR ASO/FI: $451.10 Aetna — Neighborhood Network: $430.28 Aetna of PA — Medicare: $36.58 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $120.99 AmeriHealth Caritas — Medicare: $109.49
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PREGNANT UTERUS>14WKS	$694	$416.40	$277.60 – $624.60
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — EBR ASO: $277.60 Aetna — EBR FI: $340.06 Aetna — Home Depot Employer Group: $455.96 Aetna — NBR ASO/FI: $464.98 Aetna — Neighborhood Network: $444.16 Cigna — Commercial: $277.60 Cigna — EBR: $277.60 Cigna — NBR ASO/FI: $464.98 Cigna — New Business ASO: $464.98 Coventry/First Health — Commercial: $485.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$499	$299.40	$36.58 – $449.10
Transvaginal ultrasound: 10 of 42 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $309.38 Aetna — Home Depot Employer Group: $317.86 Aetna — Medicaid: $95.62 Aetna — Medicare: $104.42 Aetna — NBR ASO/FI: $324.35 Aetna — Neighborhood Network: $309.38 Aetna of PA — Medicare: $36.58 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $119.42 AmeriHealth Caritas — Medicare: $109.49
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$499	$299.40	$199.60 – $449.10
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $244.51 Aetna — Home Depot Employer Group: $327.84 Aetna — NBR ASO/FI: $334.33 Aetna — Neighborhood Network: $319.36 Cigna — Commercial: $199.60 Cigna — EBR: $199.60 Cigna — NBR ASO/FI: $334.33 Cigna — New Business ASO: $334.33 Coventry/First Health — Commercial: $349.30
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX UNI WWO CAD	$837	$502.20	$107.53 – $753.30
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna — EBR ASO: $334.80 Aetna — EBR FI: $518.94 Aetna — Home Depot Employer Group: $533.17 Aetna — Medicaid: $128.01 Aetna — Medicare: $209.25 Aetna — NBR ASO/FI: $544.05 Aetna — Neighborhood Network: $518.94 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $159.87 Cigna — Commercial: $334.80 Cigna — EBR: $334.80
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX UNI WWO CAD	$837	$502.20	$334.80 – $753.30
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates Aetna — EBR ASO: $334.80 Aetna — EBR FI: $410.13 Aetna — Home Depot Employer Group: $549.91 Aetna — NBR ASO/FI: $560.79 Aetna — Neighborhood Network: $535.68 Cigna — Commercial: $334.80 Cigna — EBR: $334.80 Cigna — NBR ASO/FI: $560.79 Cigna — New Business ASO: $560.79 Coventry/First Health — Commercial: $585.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX BILAT WWO CAD	$1,015	$609	$136.34 – $913.50
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates Aetna — EBR ASO: $406 Aetna — EBR FI: $629.30 Aetna — Home Depot Employer Group: $646.55 Aetna — Medicaid: $162.31 Aetna — Medicare: $253.75 Aetna — NBR ASO/FI: $659.75 Aetna — Neighborhood Network: $629.30 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $202.71 Cigna — Commercial: $406 Cigna — EBR: $406
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX BILAT WWO CAD	$1,015	$609	$406 – $913.50
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates Aetna — EBR ASO: $406 Aetna — EBR FI: $497.35 Aetna — Home Depot Employer Group: $666.86 Aetna — NBR ASO/FI: $680.05 Aetna — Neighborhood Network: $649.60 Cigna — Commercial: $406 Cigna — EBR: $406 Cigna — NBR ASO/FI: $680.05 Cigna — New Business ASO: $680.05 Coventry/First Health — Commercial: $710.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIGI SCR BILAT WWO CAD	$342	$205.20	$85.50 – $551.43
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna — EBR ASO: $136.80 Aetna — EBR FI: $212.04 Aetna — Home Depot Employer Group: $217.85 Aetna — Medicaid: $130.88 Aetna — Medicare: $85.50 Aetna — NBR ASO/FI: $222.30 Aetna — Neighborhood Network: $212.04 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $163.45 Cigna — Commercial: $136.80 Cigna — EBR: $136.80
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIGI SCR BILAT WWO CAD	$342	$205.20	$136.80 – $307.80
Screening mammogram, both breasts: 10 of 18 insurance plan rates Aetna — EBR ASO: $136.80 Aetna — EBR FI: $167.58 Aetna — Home Depot Employer Group: $224.69 Aetna — NBR ASO/FI: $229.14 Aetna — Neighborhood Network: $218.88 Cigna — Commercial: $136.80 Cigna — EBR: $136.80 Cigna — NBR ASO/FI: $229.14 Cigna — New Business ASO: $229.14 Coventry/First Health — Commercial: $239.40

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 9+PARAM ATTENDED	$5,272	$3,163.20	$349.96 – $4,744.80
Sleep study (overnight, in a sleep lab): 10 of 42 insurance plan rates Aetna — EBR ASO: $2,108.80 Aetna — EBR FI: $3,268.64 Aetna — Home Depot Employer Group: $3,358.26 Aetna — Medicaid: $433.20 Aetna — Medicare: $999.06 Aetna — NBR ASO/FI: $3,426.80 Aetna — Neighborhood Network: $3,268.64 Aetna of PA — Medicare: $349.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $541.01 AmeriHealth Caritas — Medicare: $1,047.56
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 9+PARAM ATTENDED	$5,272	$3,163.20	$2,108.80 – $4,744.80
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates Aetna — EBR ASO: $2,108.80 Aetna — EBR FI: $2,583.28 Aetna — Home Depot Employer Group: $3,463.70 Aetna — NBR ASO/FI: $3,532.24 Aetna — Neighborhood Network: $3,374.08 Cigna — Commercial: $2,108.80 Cigna — EBR: $2,108.80 Cigna — NBR ASO/FI: $3,532.24 Cigna — New Business ASO: $3,532.24 Coventry/First Health — Commercial: $3,690.40

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 · modifier GP In the file: THERAPEUTIC EXERCISE P/15M	$125	$75	$8.80 – $112.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $50 Aetna — EBR FI: $77.50 Aetna — Home Depot Employer Group: $79.62 Aetna — Medicaid: $10.47 Aetna — Medicare: $31.25 Aetna — NBR ASO/FI: $81.25 Aetna — Neighborhood Network: $77.50 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $13.08 Cigna — Commercial: $50 Cigna — EBR: $50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ THERAPEUTIC EXERCISE P/15M	$125	$75	$8.80 – $112.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $50 Aetna — EBR FI: $77.50 Aetna — Home Depot Employer Group: $79.62 Aetna — Medicaid: $10.47 Aetna — Medicare: $31.25 Aetna — NBR ASO/FI: $81.25 Aetna — Neighborhood Network: $77.50 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $13.08 Cigna — Commercial: $50 Cigna — EBR: $50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISE P/15M	$125	$75	$8.80 – $112.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Aetna — EBR ASO: $50 Aetna — EBR FI: $77.50 Aetna — Home Depot Employer Group: $79.62 Aetna — Medicaid: $10.47 Aetna — Medicare: $31.25 Aetna — NBR ASO/FI: $81.25 Aetna — Neighborhood Network: $77.50 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $13.08 Cigna — Commercial: $50 Cigna — EBR: $50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX	$499	$299.40	$124.75 – $449.10
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $309.38 Aetna — Home Depot Employer Group: $317.86 Aetna — Medicare: $124.75 Aetna — NBR ASO/FI: $324.35 Aetna — Neighborhood Network: $309.38 Cigna — Commercial: $199.60 Cigna — EBR: $199.60 Cigna — NBR ASO/FI: $324.35 Cigna — New Business ASO: $324.35
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX	$499	$299.40	$199.60 – $449.10
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $244.51 Aetna — Home Depot Employer Group: $327.84 Aetna — NBR ASO/FI: $334.33 Aetna — Neighborhood Network: $319.36 Cigna — Commercial: $199.60 Cigna — EBR: $199.60 Cigna — NBR ASO/FI: $334.33 Cigna — New Business ASO: $334.33 Coventry/First Health — Commercial: $349.30
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX	$499	$299.40	$124.75 – $449.10
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $309.38 Aetna — Home Depot Employer Group: $317.86 Aetna — Medicare: $124.75 Aetna — NBR ASO/FI: $324.35 Aetna — Neighborhood Network: $309.38 Cigna — Commercial: $199.60 Cigna — EBR: $199.60 Cigna — NBR ASO/FI: $324.35 Cigna — New Business ASO: $324.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX	$499	$299.40	$199.60 – $449.10
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $244.51 Aetna — Home Depot Employer Group: $327.84 Aetna — NBR ASO/FI: $334.33 Aetna — Neighborhood Network: $319.36 Cigna — Commercial: $199.60 Cigna — EBR: $199.60 Cigna — NBR ASO/FI: $334.33 Cigna — New Business ASO: $334.33 Coventry/First Health — Commercial: $349.30
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX	$499	$299.40	$124.75 – $449.10
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $309.38 Aetna — Home Depot Employer Group: $317.86 Aetna — Medicare: $124.75 Aetna — NBR ASO/FI: $324.35 Aetna — Neighborhood Network: $309.38 Cigna — Commercial: $199.60 Cigna — EBR: $199.60 Cigna — NBR ASO/FI: $324.35 Cigna — New Business ASO: $324.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX	$499	$299.40	$199.60 – $449.10
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates Aetna — EBR ASO: $199.60 Aetna — EBR FI: $244.51 Aetna — Home Depot Employer Group: $327.84 Aetna — NBR ASO/FI: $334.33 Aetna — Neighborhood Network: $319.36 Cigna — Commercial: $199.60 Cigna — EBR: $199.60 Cigna — NBR ASO/FI: $334.33 Cigna — New Business ASO: $334.33 Coventry/First Health — Commercial: $349.30

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19	Not listed in the file	Not listed in the file	$181.65 – $3,942.82
Removal of breast growth (open surgery): 10 of 24 insurance plan rates Aetna — Medicaid: $216.25 Aetna — Medicare: $3,760.28 Aetna of PA — Medicare: $1,317.19 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $270.07 AmeriHealth Caritas — Medicare: $3,942.82 Cigna — Medicare: $3,942.82 Geisinger — Medicaid/CHIP: $240.45 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $260.88 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $2,859.26 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $2,321.01
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	$570.67 – $3,522.02
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates Aetna — Medicaid: $679.38 Aetna — Medicare: $3,186.15 Aetna of PA — Medicare: $1,116.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $848.46 AmeriHealth Caritas — Medicare: $3,340.82 Cigna — Medicare: $3,340.82 Geisinger — Medicaid/CHIP: $755.41 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $819.60 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $3,522.02 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $2,859
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12	Not listed in the file	Not listed in the file	$635.33 – $6,091.06
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Aetna — Medicare: $5,809.07 Aetna of PA — Medicare: $2,034.87 AmeriHealth Caritas — Medicare: $6,091.06 Cigna — Medicare: $6,091.06 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $5,573.36 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $4,524.18 Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $5,639.87 Highmark Wholecare (prev Gateway) — Medicare: $6,090.50 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $6,091.06 United Healthcare — Medicare: $6,034.66
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/WO BRUSHINGS	$2,024	$1,214.40	$131.48 – $1,861.98
Upper GI endoscopy (diagnostic): 10 of 42 insurance plan rates Aetna — EBR ASO: $809.60 Aetna — EBR FI: $1,254.88 Aetna — Home Depot Employer Group: $1,289.29 Aetna — Medicaid: $156.53 Aetna — Medicare: $920.67 Aetna — NBR ASO/FI: $1,315.60 Aetna — Neighborhood Network: $1,254.88 Aetna of PA — Medicare: $322.50 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $195.48 AmeriHealth Caritas — Medicare: $965.36
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/WO BRUSHINGS	$2,024	$1,214.40	$809.60 – $1,821.60
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — EBR ASO: $809.60 Aetna — EBR FI: $991.76 Aetna — Home Depot Employer Group: $1,329.77 Aetna — NBR ASO/FI: $1,356.08 Aetna — Neighborhood Network: $1,295.36 Cigna — Commercial: $809.60 Cigna — EBR: $809.60 Cigna — NBR ASO/FI: $1,356.08 Cigna — New Business ASO: $1,356.08 Coventry/First Health — Commercial: $1,416.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/BIOPSY SINGLE/MULT	$2,761	$1,656.60	$156.01 – $2,493.18
Upper GI endoscopy with biopsy: 10 of 42 insurance plan rates Aetna — EBR ASO: $1,104.40 Aetna — EBR FI: $1,711.82 Aetna — Home Depot Employer Group: $1,758.76 Aetna — Medicaid: $185.72 Aetna — Medicare: $920.67 Aetna — NBR ASO/FI: $1,794.65 Aetna — Neighborhood Network: $1,711.82 Aetna of PA — Medicare: $322.50 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $231.95 AmeriHealth Caritas — Medicare: $965.36
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/BIOPSY SINGLE/MULT	$2,761	$1,656.60	$1,104.40 – $2,484.90
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna — EBR ASO: $1,104.40 Aetna — EBR FI: $1,352.89 Aetna — Home Depot Employer Group: $1,813.98 Aetna — NBR ASO/FI: $1,849.87 Aetna — Neighborhood Network: $1,767.04 Cigna — Commercial: $1,104.40 Cigna — EBR: $1,104.40 Cigna — NBR ASO/FI: $1,849.87 Cigna — New Business ASO: $1,849.87 Coventry/First Health — Commercial: $1,932.70
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG W/WO BRUSHING	$2,500	$1,500	$189.53 – $2,493.18
Colonoscopy (diagnostic): 10 of 42 insurance plan rates Aetna — EBR ASO: $1,000 Aetna — EBR FI: $1,550 Aetna — Home Depot Employer Group: $1,592.50 Aetna — Medicaid: $225.62 Aetna — Medicare: $895.29 Aetna — NBR ASO/FI: $1,625 Aetna — Neighborhood Network: $1,550 Aetna of PA — Medicare: $313.61 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $281.78 AmeriHealth Caritas — Medicare: $938.75
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG W/WO BRUSHING	$2,500	$1,500	$1,000 – $2,250
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — EBR ASO: $1,000 Aetna — EBR FI: $1,225 Aetna — Home Depot Employer Group: $1,642.50 Aetna — NBR ASO/FI: $1,675 Aetna — Neighborhood Network: $1,600 Cigna — Commercial: $1,000 Cigna — EBR: $1,000 Cigna — NBR ASO/FI: $1,675 Cigna — New Business ASO: $1,675 Coventry/First Health — Commercial: $1,750
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	$189.53 – $2,493.18
Colonoscopy (diagnostic): 10 of 24 insurance plan rates Aetna — Medicaid: $225.62 Aetna — Medicare: $895.29 Aetna of PA — Medicare: $313.61 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $281.78 AmeriHealth Caritas — Medicare: $938.75 Cigna — Medicare: $938.75 Geisinger — Medicaid/CHIP: $250.88 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $272.19 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $2,493.18 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $2,023.84
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX SINGLE/MULT	$2,761	$1,656.60	$236.69 – $2,493.18
Colonoscopy with biopsy: 10 of 42 insurance plan rates Aetna — EBR ASO: $1,104.40 Aetna — EBR FI: $1,711.82 Aetna — Home Depot Employer Group: $1,758.76 Aetna — Medicaid: $281.77 Aetna — Medicare: $1,157.83 Aetna — NBR ASO/FI: $1,794.65 Aetna — Neighborhood Network: $1,711.82 Aetna of PA — Medicare: $405.58 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $351.90 AmeriHealth Caritas — Medicare: $1,214.04
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX SINGLE/MULT	$2,761	$1,656.60	$1,104.40 – $2,484.90
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna — EBR ASO: $1,104.40 Aetna — EBR FI: $1,352.89 Aetna — Home Depot Employer Group: $1,813.98 Aetna — NBR ASO/FI: $1,849.87 Aetna — Neighborhood Network: $1,767.04 Cigna — Commercial: $1,104.40 Cigna — EBR: $1,104.40 Cigna — NBR ASO/FI: $1,849.87 Cigna — New Business ASO: $1,849.87 Coventry/First Health — Commercial: $1,932.70
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/SNARE TECHNIQUE	$2,635	$1,581	$281.48 – $2,493.18
Colonoscopy with removal of polyps (snare): 10 of 42 insurance plan rates Aetna — EBR ASO: $1,054 Aetna — EBR FI: $1,633.70 Aetna — Home Depot Employer Group: $1,678.49 Aetna — Medicaid: $335.10 Aetna — Medicare: $1,157.83 Aetna — NBR ASO/FI: $1,712.75 Aetna — Neighborhood Network: $1,633.70 Aetna of PA — Medicare: $405.58 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $418.50 AmeriHealth Caritas — Medicare: $1,214.04
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/SNARE TECHNIQUE	$2,635	$1,581	$1,054 – $2,371.50
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna — EBR ASO: $1,054 Aetna — EBR FI: $1,291.15 Aetna — Home Depot Employer Group: $1,731.19 Aetna — NBR ASO/FI: $1,765.45 Aetna — Neighborhood Network: $1,686.40 Cigna — Commercial: $1,054 Cigna — EBR: $1,054 Cigna — NBR ASO/FI: $1,765.45 Cigna — New Business ASO: $1,765.45 Coventry/First Health — Commercial: $1,844.50
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY SCREEN AVG RISK	$2,400	$1,440	$313.61 – $2,644.19
Screening colonoscopy (not high risk): 10 of 34 insurance plan rates Aetna — EBR ASO: $960 Aetna — EBR FI: $1,488 Aetna — Home Depot Employer Group: $1,528.80 Aetna — Medicare: $895.29 Aetna — NBR ASO/FI: $1,560 Aetna — Neighborhood Network: $1,488 Aetna of PA — Medicare: $313.61 AmeriHealth Caritas — Medicare: $938.75 Cigna — Commercial: $960 Cigna — EBR: $960
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY SCREEN AVG RISK	$2,400	$1,440	$960 – $2,160
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates Aetna — EBR ASO: $960 Aetna — EBR FI: $1,176 Aetna — Home Depot Employer Group: $1,576.80 Aetna — NBR ASO/FI: $1,608 Aetna — Neighborhood Network: $1,536 Cigna — Commercial: $960 Cigna — EBR: $960 Cigna — NBR ASO/FI: $1,608 Cigna — New Business ASO: $1,608 Coventry/First Health — Commercial: $1,680
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	$1,414.39 – $6,007.35
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates Aetna — Medicare: $5,729.23 Aetna of PA — Medicare: $2,006.90 AmeriHealth Caritas — Medicare: $6,007.35 Cigna — Medicare: $6,007.35 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $5,573.36 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $4,524.18 Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $5,562.36 Highmark Wholecare (prev Gateway) — Medicare: $6,006.79 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $6,007.35 United Healthcare — Medicare: $5,951.73
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	$333.38 – $3,633.70
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates Aetna — Medicaid: $396.88 Aetna — Medicare: $3,465.48 Aetna of PA — Medicare: $1,213.93 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $495.65 AmeriHealth Caritas — Medicare: $3,633.70 Cigna — Medicare: $3,633.70 Geisinger — Medicaid/CHIP: $441.29 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $478.79 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $3,522.02 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $2,859
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH	Not listed in the file	Not listed in the file	$93.97 – $2,493.18
Prostate biopsy: 10 of 24 insurance plan rates Aetna — Medicaid: $111.88 Aetna — Medicare: $2,011.60 Aetna of PA — Medicare: $704.65 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $139.72 AmeriHealth Caritas — Medicare: $2,109.25 Cigna — Medicare: $2,109.25 Geisinger — Medicaid/CHIP: $124.40 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $134.97 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $2,493.18 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $2,023.84
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	$577.87 – $3,273.80
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Aetna — Medicare: $3,122.24 Aetna of PA — Medicare: $1,093.69 AmeriHealth Caritas — Medicare: $3,273.80 Cigna — Medicare: $3,273.80 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $3,067.03 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $2,489.67 Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $3,031.30 Highmark Wholecare (prev Gateway) — Medicare: $3,273.50 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $3,273.80 United Healthcare — Medicare: $3,243.49
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	$315 – $2,493.18
Carpal tunnel release: 10 of 24 insurance plan rates Aetna — Medicaid: $375 Aetna — Medicare: $1,917.58 Aetna of PA — Medicare: $671.71 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $468.33 AmeriHealth Caritas — Medicare: $2,010.67 Cigna — Medicare: $2,010.67 Geisinger — Medicaid/CHIP: $416.97 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $452.40 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $2,493.18 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $2,023.84
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	$632.66 – $5,156.09
Cataract removal with lens implant: 10 of 24 insurance plan rates Aetna — Medicaid: $753.16 Aetna — Medicare: $2,239.63 Aetna of PA — Medicare: $784.52 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $940.61 AmeriHealth Caritas — Medicare: $2,348.35 Cigna — Medicare: $2,348.35 Geisinger — Medicaid/CHIP: $837.46 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $908.62 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $4,934.09 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $4,005.25

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	$68,868.23 – $123,148.21
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates Aetna — Medicare: $70,934.28 Aetna of PA — Medicare: $72,311.64 AmeriHealth Caritas — Medicare: $74,377.69 Cigna — Medicare: $74,377.69 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $123,148.21 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $99,884.71 Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $68,868.23 Highmark Wholecare (prev Gateway) — Medicare: $74,370.80 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $74,377.69 United Healthcare — Medicare: $73,689.01
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: DRG Grouper 12 (10/1/1994): DRG 216: BIOPSIES OF MUSCULOSKELETAL SYSTEM	Not listed in the file	Not listed in the file	$9,223.57
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan UPMC Work Partners — Workers Comp: $9,223.57
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DRG Grouper 12 (10/1/1994): DRG 460: NON-EXTENSIVE BURNS W/O O.R.	Not listed in the file	Not listed in the file	$9,223.57
Spinal fusion (not neck), without major complications: rates for 1 insurance plan UPMC Work Partners — Workers Comp: $9,223.57
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	$14,105.21 – $21,655.99
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates Aetna — Medicare: $14,528.37 Aetna of PA — Medicare: $14,810.47 AmeriHealth Caritas — Medicare: $15,233.63 Cigna — Medicare: $15,233.63 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $21,655.99 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $17,565.03 Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $14,105.21 Highmark Wholecare (prev Gateway) — Medicare: $15,232.22 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $15,233.63 United Healthcare — Medicare: $15,092.57
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DRG Grouper 12 (10/1/1994): DRG 470: **UNGROUPABLE	Not listed in the file	Not listed in the file	$9,223.57
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan UPMC Work Partners — Workers Comp: $9,223.57
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	$17,678.03 – $27,869.06
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates Aetna — Medicare: $18,208.37 Aetna of PA — Medicare: $18,561.93 AmeriHealth Caritas — Medicare: $19,092.27 Cigna — Medicare: $19,092.27 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $27,869.06 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $22,604.41 Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $17,678.03 Highmark Wholecare (prev Gateway) — Medicare: $19,090.50 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $19,092.27 United Healthcare — Medicare: $18,915.49
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DRG Grouper 12 (10/1/1994): DRG 473: ACUTE LEUKEMIA W/O MAJOR O.R.	Not listed in the file	Not listed in the file	$9,223.57
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan UPMC Work Partners — Workers Comp: $9,223.57
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	$9,306.58 – $15,676.35
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates Aetna — Medicare: $9,585.78 Aetna of PA — Medicare: $9,771.91 AmeriHealth Caritas — Medicare: $10,051.11 Cigna — Medicare: $10,051.11 Highmark BCBS of PA — Commercial - Indemnity/Managed Care: $15,676.35 Highmark BCBS of PA — Commercial - Social Mission Indemnity/Managed Care - Social : $12,714.98 Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $9,306.58 Highmark Wholecare (prev Gateway) — Medicare: $10,050.18 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $10,051.11 United Healthcare — Medicare: $9,958.04

Source: UPMC Bedford Memorial’s standard charges file (dam.upmc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 6, 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	10455 Lincoln Highway, Everett, PA 15537
County	Bedford County
State	Pennsylvania
Phone	(814) 623‑6161
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	390117
Name in Medicare records	UPMC BEDFORD MEMORIAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	UPMC Bedford
Official website	upmc.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Our Services and Specialties — upmc.com
About UPMC Bedford — upmc.com
Patients & Visitors — upmc.com
UPMC Bedford | Everett, Pa — upmc.com
Emergency Department | UPMC Bedford | Everett, Pa — upmc.com
Community Awareness Programs | UPMC Bedford — upmc.com
Inpatient Services at UPMC Bedford — upmc.com
Same Day Surgery at UPMC Bedford — upmc.com
UPMC Bedford Gastrointestinal (GI) Procedures Center — upmc.com
Rehabilitative Medicine at UPMC Bedford — upmc.com
Speech & Language Services at UPMC Bedford — upmc.com
What to Expect During Your Stay at UPMC Bedford — upmc.com

UPMC Bedford Memorial

Summary

Profile from official sources

At a glance