Does UPMC Hanover have an emergency room?

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

Where is UPMC Hanover?

300 Highland Ave, Hanover, PA 17331, in York County, Pennsylvania.

What is the phone number of UPMC Hanover?

(717) 637-3711, as listed by Medicare (CMS).

What is the Medicare star rating of UPMC Hanover?

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

UPMC Hanover — Hanover, PA | US Patient Guide

Quick answers

Does UPMC Hanover have an emergency room?: Yes. Medicare (CMS) data lists emergency services at UPMC Hanover. In a medical emergency, call 911.
Where is UPMC Hanover?: 300 Highland Ave, Hanover, PA 17331, in York County, Pennsylvania.
What is the phone number of UPMC Hanover?: (717) 637-3711, as listed by Medicare (CMS).
What is the Medicare star rating of UPMC Hanover?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Anesthesia
Behavioral Health
Critical Care Medicine
Gastroenterology & Digestive Health
Heart & Vascular
Hospitalist Program
Imaging
Nutrition
Physical Therapy
Pulmonary & Sleep Medicine
Surgery
Women's Health
Cardiology
Emergency medicine

Conditions treated^[4][6][7][8]

Stroke
Mental health crisis

Treatments^{[4][8][9][10]}

Infusion center
Blood transfusions
Chemotherapy
Sleep studies
Detox

Procedures^[9]

PICC line insertion
Central line dressing change
Central line lab collection

Programs and centers^{[4][6][7][8][9]}

Stroke Center
Sleep Lab
Mammography Center
Pregnancy & Childbirth
Veteran Care
Behavioral Health Unit
Community Paramedicine Program
Medic 46 (Community Life Team)
Safe Haven Program
Outpatient Infusion Center
Hospitalist Program

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

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Certified Primary Stroke Center

Visiting and practical information

Visiting	General visiting hours 9 a.m.-9 p.m.; after 9 p.m. visitors enter through the Emergency Department^[5]
Patient portal	MyUPMC

Recognition^[4]

Accredited by The Joint Commission
The Joint Commission accreditation
Certified Primary Stroke Center

Doctors and clinicians (580)

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

Main specialties

Doctors with a page on this site (580)

Aashay N. Patel, MDInternal Medicine
Abdalnasir Limay, MDDiagnostic Radiology
Abigail Ellis, PAPhysician Assistant
Abimbola O. Orisamolu, MDRadiation Oncology
Adam Dubbs, CNACertified Registered Nurse Anesthetist (CRNA)
Adam N. Plowman, CNACertified Registered Nurse Anesthetist (CRNA)
Addi Suleiman, MDCardiovascular Disease (Cardiology)
Adefolaseyi L. Aderotoye, MDHospitalist
Adrienne R. Johnson, MDFamily Practice
Ahmad I. Al Omari, MDOtolaryngology
Ahmad R. Abrishamchian, MDCardiac Surgery
Akaysha D. Duran, MDEmergency Medicine
Aleksei Godok, MDInternal Medicine
Alex B. Garton, MDCardiovascular Disease (Cardiology)
Alexander J. Kish, MDOrthopedic Surgery
Alexander Spasic, MDFamily Practice
Alexander V. Rovner, MDNeurology
Alexis N. Shanabrook, PAPhysician Assistant
Alfredo T. Zacarias, MDHospitalist
Ali Abbas, MDGastroenterology
Ali Elsaied, DOEmergency Medicine
Ali K. Jawed, MDGeneral Surgery
Alison R. McMaster, DOFamily Practice
Allen J. Levy, MDDiagnostic Radiology

And 556 more: the button below opens the full list.

Other emergency rooms nearby

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

UPMC Memorial13 mi · York, PA · Acute Care Hospital
Gettysburg Hospital13 mi · Gettysburg, PA · Acute Care Hospital
WellSpan York Hospital17 mi · York, PA · Acute Care Hospital
Carroll Hospital Center17 mi · Westminster, MD · Acute Care Hospital
UPMC Carlisle29 mi · Carlisle, PA · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of York16 mi · York, PA · Inpatient Rehabilitation Hospital
WellSpan Surgery and Rehabilitation Hospital16 mi · York, PA · Acute Care Hospital
Oss Orthopaedic Hospital17 mi · York, PA · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Hanover Hall for Nursing and Rehabilitation0.8 mi · Hanover, PA · 2 of 5 stars
Homewood Living Plum Creek, Inc1.5 mi · Hanover, PA · 5 of 5 stars
Concordia at Spiritrust Utz Terrace4.8 mi · Hanover, PA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice Program/Vna of Hanover and Spring Grove1.2 mi · Hanover, PA · 5 of 5 stars
Amedisys Hospice of York17 mi · York, PA · 3 of 5 stars
Bridginglife, Inc.18 mi · Westminster, MD · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Reliance Healthcare Homehealth1.2 mi · Hanover, PA
VNA of Hanover and Spring Grove1.2 mi · Hanover, PA · 2 of 5 stars
Comforcare Home Care - York16 mi · York, PA

All home health agencies in the state →

Dialysis facilities

DaVita Hanover Dialysis1.2 mi · Hanover, PA · 2 of 5 stars
DaVita Heritage Lake Dialysis13 mi · Gettysburg, PA · 3 of 5 stars
DaVita Roosevelt Avenue Dialysis13 mi · York, PA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Cherry Tree Surgical, LLC1.2 mi · Hanover, PA
York Adams Pain Specialists, PC1.2 mi · Hanover, PA
Apple Hill Surgical Partners16 mi · York, PA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Hanover Center1.5 mi · Hanover, PA · Community health center
Gettysburg Center12 mi · Gettysburg, PA · Community health center
William Penn Senior High17 mi · York, PA · Community health center

Clinics and urgent care

Medexpress Urgent Care, PC - Pennsylvania1.2 mi · Hanover, PA · Urgent care center
WellSpan Medical Group1.2 mi · Hanover, PA · Urgent care center
MNR Industries LLC15 mi · Hampstead, MD · Urgent care center

Pharmacies

Hanover Apothecary Inc.1.2 mi · Hanover, PA · Community/retail pharmacy
Hanover Hospital Services1.2 mi · Hanover, PA · Community/retail pharmacy
Sam's East, Inc.1.2 mi · Hanover, PA · Community/retail pharmacy

Assisted living nearby

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

Columbia Cottage Hanover, LLC1.2 mi · Hanover, PA
Concordia at Spiritrust Utz Terrace1.2 mi · Hanover, PA
Homewood Living Plum Creek, Inc1.2 mi · Hanover, PA
KHS Mental Health Services - Beaver Creek SCR1.2 mi · Hanover, 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 Hanover 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	4 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 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	73%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	78%National average: 74%
Area around the room “always” quiet at night	53%National average: 60%
Completed surveys	458Response rate: 30%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.987No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.06No different from the national benchmark
Surgical site infections after colon surgery	2.113No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	2.58No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.784No 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	12.6%
Deaths within 30 days: heart failure patients	8.9%
Deaths within 30 days: pneumonia patients	14.5%
Deaths within 30 days: COPD patients	10%
Deaths within 30 days: stroke patients	10.1%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.14No different from the national rate
Complications after hip or knee replacement	4.9%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.2%
Readmitted within 30 days: heart failure	23%
Readmitted within 30 days: pneumonia	16.7%
Readmitted within 30 days: COPD	19.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	225 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)	80%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 69 common services exactly as UPMC Hanover 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: HC DETAILED VISIT NP P/F	$196	$117.60	$37.24 – $289.24
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates Aetna — ACO: $111.33 Aetna — Commercial: $142.69 Aetna — Medicare: $69.38 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $68.90 Capital Blue Cross — CHIP: $133.20 Capital Blue Cross — Commercial: $133.20 Capital Blue Cross — Medicare Advantage: $37.24 CareFirst — Commercial: $166.60 Geisinger — Commercial: $128.34 Geisinger — Medicaid/CHIP: $79.02
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DETAILED VISIT NP P/F	$196	$117.60	$141.57 – $170.52
New patient office visit (about 30–44 minutes): rates for 4 insurance plans CareFirst — Commercial: $166.60 Geisinger — Commercial: $141.57 Multiplan — PPO (Includes PHCS and Humana as Payers): $166.60 Wellspan Population Health — Commercial: $170.52
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPR MOD VISIT NP P/F	$210	$126	$39.90 – $371.06
New patient office visit (about 45–59 minutes): 10 of 23 insurance plan rates Aetna — ACO: $119.28 Aetna — Commercial: $152.88 Aetna — Medicare: $74.34 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $114.77 Capital Blue Cross — CHIP: $142.72 Capital Blue Cross — Commercial: $142.72 Capital Blue Cross — Medicare Advantage: $39.90 CareFirst — Commercial: $178.50 Geisinger — Commercial: $137.51 Geisinger — Medicaid/CHIP: $131.63
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPR MOD VISIT NP P/F	$210	$126	$151.68 – $182.70
New patient office visit (about 45–59 minutes): rates for 4 insurance plans CareFirst — Commercial: $178.50 Geisinger — Commercial: $151.68 Multiplan — PPO (Includes PHCS and Humana as Payers): $178.50 Wellspan Population Health — Commercial: $182.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EHS F/U INTER P/F	$103	$61.80	$19.57 – $155.85
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates Aetna — ACO: $58.50 Aetna — Commercial: $74.98 Aetna — Medicare: $36.46 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $44.45 Capital Blue Cross — CHIP: $70 Capital Blue Cross — Commercial: $70 Capital Blue Cross — Medicare Advantage: $19.57 CareFirst — Commercial: $87.55 Geisinger — Commercial: $67.44 Geisinger — Medicaid/CHIP: $50.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EHS F/U INTER P/F	$103	$61.80	$74.40 – $89.61
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans CareFirst — Commercial: $87.55 Geisinger — Commercial: $74.40 Multiplan — PPO (Includes PHCS and Humana as Payers): $87.55 Wellspan Population Health — Commercial: $89.61
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EHS F/U EXT P/F	$155	$93	$29.45 – $185.08
Established patient office visit (about 30–39 minutes): 10 of 23 insurance plan rates Aetna — ACO: $88.04 Aetna — Commercial: $112.84 Aetna — Medicare: $54.87 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $69.11 Capital Blue Cross — CHIP: $105.34 Capital Blue Cross — Commercial: $105.34 Capital Blue Cross — Medicare Advantage: $29.45 CareFirst — Commercial: $131.75 Geisinger — Commercial: $101.49 Geisinger — Medicaid/CHIP: $79.27
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EHS F/U EXT P/F	$155	$93	$111.96 – $134.85
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans CareFirst — Commercial: $131.75 Geisinger — Commercial: $111.96 Multiplan — PPO (Includes PHCS and Humana as Payers): $131.75 Wellspan Population Health — Commercial: $134.85
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED VISIT IV-SAFE PROGRAM	$1,479	$887.40	$45.50 – $1,286.73
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna — ACO: $840.07 Aetna — Commercial: $1,076.71 Aetna — Medicare: $275.88 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $45.50 Capital Blue Cross — CHIP: $1,005.13 Capital Blue Cross — Commercial: $1,005.13 Capital Blue Cross — Medicare Advantage: $281.01 CareFirst — Commercial: $1,257.15 Cigna — Commercial: $1,250 Cigna — Medicare: $277.74
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 3 N/E	$1,479	$887.40	$45.50 – $1,286.73
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna — ACO: $840.07 Aetna — Commercial: $1,076.71 Aetna — Medicare: $275.88 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $45.50 Capital Blue Cross — CHIP: $1,005.13 Capital Blue Cross — Commercial: $1,005.13 Capital Blue Cross — Medicare Advantage: $281.01 CareFirst — Commercial: $1,257.15 Cigna — Commercial: $1,250 Cigna — Medicare: $277.74
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 3	$1,479	$887.40	$45.50 – $1,286.73
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna — ACO: $840.07 Aetna — Commercial: $1,076.71 Aetna — Medicare: $275.88 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $45.50 Capital Blue Cross — CHIP: $1,005.13 Capital Blue Cross — Commercial: $1,005.13 Capital Blue Cross — Medicare Advantage: $281.01 CareFirst — Commercial: $1,257.15 Cigna — Commercial: $1,250 Cigna — Medicare: $277.74
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 4 N/E	$2,200	$1,320	$65 – $1,914
Emergency room visit (moderately high): 10 of 34 insurance plan rates Aetna — ACO: $1,249.60 Aetna — Commercial: $1,601.60 Aetna — Medicare: $424.28 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $65 Capital Blue Cross — CHIP: $1,495.12 Capital Blue Cross — Commercial: $1,495.12 Capital Blue Cross — Medicare Advantage: $418 CareFirst — Commercial: $1,870 Cigna — Commercial: $1,850 Cigna — Medicare: $427.13
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 4	$2,200	$1,320	$65 – $1,914
Emergency room visit (moderately high): 10 of 34 insurance plan rates Aetna — ACO: $1,249.60 Aetna — Commercial: $1,601.60 Aetna — Medicare: $424.28 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $65 Capital Blue Cross — CHIP: $1,495.12 Capital Blue Cross — Commercial: $1,495.12 Capital Blue Cross — Medicare Advantage: $418 CareFirst — Commercial: $1,870 Cigna — Commercial: $1,850 Cigna — Medicare: $427.13
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 4 N/E	$2,200	$1,320	$1,589.06 – $1,914
Emergency room visit (moderately high): rates for 4 insurance plans CareFirst — Commercial: $1,870 Geisinger — Commercial: $1,589.06 Multiplan — PPO (Includes PHCS and Humana as Payers): $1,870 Wellspan Population Health — Commercial: $1,914
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 5 N/E	$3,048	$1,828.80	$65 – $2,651.76
Emergency room visit (high): 10 of 34 insurance plan rates Aetna — ACO: $1,731.26 Aetna — Commercial: $2,218.94 Aetna — Medicare: $610.87 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $65 Capital Blue Cross — CHIP: $2,071.42 Capital Blue Cross — Commercial: $2,071.42 Capital Blue Cross — Medicare Advantage: $579.12 CareFirst — Commercial: $2,590.80 Cigna — Commercial: $1,850 Cigna — Medicare: $614.97
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 5	$3,048	$1,828.80	$65 – $2,651.76
Emergency room visit (high): 10 of 34 insurance plan rates Aetna — ACO: $1,731.26 Aetna — Commercial: $2,218.94 Aetna — Medicare: $610.87 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $65 Capital Blue Cross — CHIP: $2,071.42 Capital Blue Cross — Commercial: $2,071.42 Capital Blue Cross — Medicare Advantage: $579.12 CareFirst — Commercial: $2,590.80 Cigna — Commercial: $1,850 Cigna — Medicare: $614.97
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC VISIT LEVEL 5 N/E	$3,048	$1,828.80	$2,201.57 – $2,651.76
Emergency room visit (high): rates for 4 insurance plans CareFirst — Commercial: $2,590.80 Geisinger — Commercial: $2,201.57 Multiplan — PPO (Includes PHCS and Humana as Payers): $2,590.80 Wellspan Population Health — Commercial: $2,651.76

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$92	$55.20	$8.38 – $80.04
Basic metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — ACO: $8.46 Aetna — Commercial: $8.46 Aetna — Medicare: $8.82 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.36 Capital Blue Cross — CHIP: $62.52 Capital Blue Cross — Commercial: $62.52 Capital Blue Cross — Medicare Advantage: $17.48 CareFirst — Commercial: $78.20 Cigna — Commercial: $22 Cigna — Medicare: $8.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$92	$55.20	$66.45 – $80.04
Basic metabolic panel (blood test): rates for 4 insurance plans CareFirst — Commercial: $78.20 Geisinger — Commercial: $66.45 Multiplan — PPO (Includes PHCS and Humana as Payers): $78.20 Wellspan Population Health — Commercial: $80.04
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$114	$68.40	$10.39 – $99.18
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — ACO: $10.56 Aetna — Commercial: $10.56 Aetna — Medicare: $11.01 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $11.69 Capital Blue Cross — CHIP: $77.47 Capital Blue Cross — Commercial: $77.47 Capital Blue Cross — Medicare Advantage: $21.66 CareFirst — Commercial: $96.90 Cigna — Commercial: $27.44 Cigna — Medicare: $11.09
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$114	$68.40	$82.34 – $99.18
Comprehensive metabolic panel (blood test): rates for 4 insurance plans CareFirst — Commercial: $96.90 Geisinger — Commercial: $82.34 Multiplan — PPO (Includes PHCS and Humana as Payers): $96.90 Wellspan Population Health — Commercial: $99.18
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL WITHOUT HIV SCREEN	$518	$310.80	$12 – $450.66
Obstetric blood test panel: 10 of 34 insurance plan rates Aetna — ACO: $47.81 Aetna — Commercial: $47.81 Aetna — Medicare: $49.87 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $12 Capital Blue Cross — CHIP: $352.03 Capital Blue Cross — Commercial: $352.03 Capital Blue Cross — Medicare Advantage: $98.42 CareFirst — Commercial: $440.30 Cigna — Commercial: $124.32 Cigna — Medicare: $50.20
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL WITHOUT HIV SCREEN	$518	$310.80	$374.15 – $450.66
Obstetric blood test panel: rates for 4 insurance plans CareFirst — Commercial: $440.30 Geisinger — Commercial: $374.15 Multiplan — PPO (Includes PHCS and Humana as Payers): $440.30 Wellspan Population Health — Commercial: $450.66
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$146	$87.60	$13.26 – $127.02
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — ACO: $13.39 Aetna — Commercial: $13.39 Aetna — Medicare: $13.97 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14 Capital Blue Cross — CHIP: $99.22 Capital Blue Cross — Commercial: $99.22 Capital Blue Cross — Medicare Advantage: $27.74 CareFirst — Commercial: $124.10 Cigna — Commercial: $34.80 Cigna — Medicare: $14.06
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ADV LIPID PN INFLAM, CARDIO IQ - A	$146	$87.60	$13.26 – $127.02
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — ACO: $13.39 Aetna — Commercial: $13.39 Aetna — Medicare: $13.97 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14 Capital Blue Cross — CHIP: $99.22 Capital Blue Cross — Commercial: $99.22 Capital Blue Cross — Medicare Advantage: $27.74 CareFirst — Commercial: $124.10 Cigna — Commercial: $34.80 Cigna — Medicare: $14.06
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ A	$146	$87.60	$13.26 – $127.02
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — ACO: $13.39 Aetna — Commercial: $13.39 Aetna — Medicare: $13.97 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $14 Capital Blue Cross — CHIP: $99.22 Capital Blue Cross — Commercial: $99.22 Capital Blue Cross — Medicare Advantage: $27.74 CareFirst — Commercial: $124.10 Cigna — Commercial: $34.80 Cigna — Medicare: $14.06
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$94	$56.40	$8.59 – $81.78
Kidney function panel: 10 of 34 insurance plan rates Aetna — ACO: $8.68 Aetna — Commercial: $8.68 Aetna — Medicare: $9.05 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.60 Capital Blue Cross — CHIP: $63.88 Capital Blue Cross — Commercial: $63.88 Capital Blue Cross — Medicare Advantage: $17.86 CareFirst — Commercial: $79.90 Cigna — Commercial: $22.56 Cigna — Medicare: $9.11
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$94	$56.40	$67.90 – $81.78
Kidney function panel: rates for 4 insurance plans CareFirst — Commercial: $79.90 Geisinger — Commercial: $67.90 Multiplan — PPO (Includes PHCS and Humana as Payers): $79.90 Wellspan Population Health — Commercial: $81.78
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$90	$54	$8.09 – $78.30
Liver function panel: 10 of 34 insurance plan rates Aetna — ACO: $8.17 Aetna — Commercial: $8.17 Aetna — Medicare: $8.52 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.03 Capital Blue Cross — CHIP: $61.16 Capital Blue Cross — Commercial: $61.16 Capital Blue Cross — Medicare Advantage: $17.10 CareFirst — Commercial: $76.50 Cigna — Commercial: $21.24 Cigna — Medicare: $8.58
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$90	$54	$65.01 – $78.30
Liver function panel: rates for 4 insurance plans CareFirst — Commercial: $76.50 Geisinger — Commercial: $65.01 Multiplan — PPO (Includes PHCS and Humana as Payers): $76.50 Wellspan Population Health — Commercial: $78.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICRO	$39	$23.40	$3 – $33.93
Urine test (automated, with microscope): 10 of 34 insurance plan rates Aetna — ACO: $3.17 Aetna — Commercial: $3.17 Aetna — Medicare: $3.31 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3 Capital Blue Cross — CHIP: $26.50 Capital Blue Cross — Commercial: $26.50 Capital Blue Cross — Medicare Advantage: $7.41 CareFirst — Commercial: $33.15 Cigna — Commercial: $8.24 Cigna — Medicare: $3.33
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICRO	$39	$23.40	$28.17 – $33.93
Urine test (automated, with microscope): rates for 4 insurance plans CareFirst — Commercial: $33.15 Geisinger — Commercial: $28.17 Multiplan — PPO (Includes PHCS and Humana as Payers): $33.15 Wellspan Population Health — Commercial: $33.93
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PH URINE	$42	$25.20	$3.45 – $36.54
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — ACO: $3.48 Aetna — Commercial: $3.48 Aetna — Medicare: $3.63 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.57 Capital Blue Cross — CHIP: $28.54 Capital Blue Cross — Commercial: $28.54 Capital Blue Cross — Medicare Advantage: $7.98 CareFirst — Commercial: $35.70 Cigna — Commercial: $9.04 Cigna — Medicare: $3.65
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMOGLOBIN URINE	$42	$25.20	$3.45 – $36.54
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — ACO: $3.48 Aetna — Commercial: $3.48 Aetna — Medicare: $3.63 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.57 Capital Blue Cross — CHIP: $28.54 Capital Blue Cross — Commercial: $28.54 Capital Blue Cross — Medicare Advantage: $7.98 CareFirst — Commercial: $35.70 Cigna — Commercial: $9.04 Cigna — Medicare: $3.65
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PH URINE	$42	$25.20	$30.34 – $36.54
Urine test (manual, without microscope): rates for 4 insurance plans CareFirst — Commercial: $35.70 Geisinger — Commercial: $30.34 Multiplan — PPO (Includes PHCS and Humana as Payers): $35.70 Wellspan Population Health — Commercial: $36.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE DIP W/RFX TO MICROSCOPIC IF IND	$29	$17.40	$2.23 – $25.23
Urine test (automated, without microscope): 10 of 34 insurance plan rates Aetna — ACO: $2.25 Aetna — Commercial: $2.25 Aetna — Medicare: $2.35 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.10 Capital Blue Cross — CHIP: $19.71 Capital Blue Cross — Commercial: $19.71 Capital Blue Cross — Medicare Advantage: $5.51 CareFirst — Commercial: $24.65 Cigna — Commercial: $5.84 Cigna — Medicare: $2.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPEC GRAV URINE	$29	$17.40	$2.23 – $25.23
Urine test (automated, without microscope): 10 of 34 insurance plan rates Aetna — ACO: $2.25 Aetna — Commercial: $2.25 Aetna — Medicare: $2.35 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.10 Capital Blue Cross — CHIP: $19.71 Capital Blue Cross — Commercial: $19.71 Capital Blue Cross — Medicare Advantage: $5.51 CareFirst — Commercial: $24.65 Cigna — Commercial: $5.84 Cigna — Medicare: $2.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O MICRO	$29	$17.40	$2.23 – $25.23
Urine test (automated, without microscope): 10 of 34 insurance plan rates Aetna — ACO: $2.25 Aetna — Commercial: $2.25 Aetna — Medicare: $2.35 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.10 Capital Blue Cross — CHIP: $19.71 Capital Blue Cross — Commercial: $19.71 Capital Blue Cross — Medicare Advantage: $5.51 CareFirst — Commercial: $24.65 Cigna — Commercial: $5.84 Cigna — Medicare: $2.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN	$183	$109.80	$18.21 – $159.21
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — ACO: $18.39 Aetna — Commercial: $18.39 Aetna — Medicare: $19.18 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $24.36 Capital Blue Cross — CHIP: $124.37 Capital Blue Cross — Commercial: $124.37 Capital Blue Cross — Medicare Advantage: $34.77 CareFirst — Commercial: $155.55 Cigna — Commercial: $47.80 Cigna — Medicare: $19.31
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA % FREE & TOTAL - A	$183	$109.80	$18.21 – $159.21
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — ACO: $18.39 Aetna — Commercial: $18.39 Aetna — Medicare: $19.18 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $24.36 Capital Blue Cross — CHIP: $124.37 Capital Blue Cross — Commercial: $124.37 Capital Blue Cross — Medicare Advantage: $34.77 CareFirst — Commercial: $155.55 Cigna — Commercial: $47.80 Cigna — Medicare: $19.31
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE HEALTH INDEX (PHI) W/REF, SERUM	$183	$109.80	$18.21 – $159.21
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — ACO: $18.39 Aetna — Commercial: $18.39 Aetna — Medicare: $19.18 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $24.36 Capital Blue Cross — CHIP: $124.37 Capital Blue Cross — Commercial: $124.37 Capital Blue Cross — Medicare Advantage: $34.77 CareFirst — Commercial: $155.55 Cigna — Commercial: $47.80 Cigna — Medicare: $19.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH T/F	$143	$85.80	$16.63 – $124.41
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Aetna — ACO: $16.80 Aetna — Commercial: $16.80 Aetna — Medicare: $17.52 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $23.21 Capital Blue Cross — CHIP: $97.18 Capital Blue Cross — Commercial: $97.18 Capital Blue Cross — Medicare Advantage: $27.17 CareFirst — Commercial: $121.55 Cigna — Commercial: $43.68 Cigna — Medicare: $17.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH T/F	$143	$85.80	$103.29 – $124.41
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans CareFirst — Commercial: $121.55 Geisinger — Commercial: $103.29 Multiplan — PPO (Includes PHCS and Humana as Payers): $121.55 Wellspan Population Health — Commercial: $124.41
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC & AUTO DIFFERENTIAL	$67	$40.20	$3.52 – $58.29
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates Aetna — ACO: $7.77 Aetna — Commercial: $7.77 Aetna — Medicare: $8.10 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6 Capital Blue Cross — CHIP: $45.53 Capital Blue Cross — Commercial: $45.53 Capital Blue Cross — Medicare Advantage: $12.73 CareFirst — Commercial: $56.95 Cigna — Commercial: $20.20 Cigna — Medicare: $8.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC & AUTO DIFFERENTIAL	$67	$40.20	$48.39 – $58.29
Complete blood count (CBC) with differential: rates for 4 insurance plans CareFirst — Commercial: $56.95 Geisinger — Commercial: $48.39 Multiplan — PPO (Includes PHCS and Humana as Payers): $56.95 Wellspan Population Health — Commercial: $58.29
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC (HEMOGRAM)	$54	$32.40	$6.41 – $46.98
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — ACO: $6.47 Aetna — Commercial: $6.47 Aetna — Medicare: $6.75 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $7.52 Capital Blue Cross — CHIP: $36.70 Capital Blue Cross — Commercial: $36.70 Capital Blue Cross — Medicare Advantage: $10.26 CareFirst — Commercial: $45.90 Cigna — Commercial: $16.84 Cigna — Medicare: $6.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC AND BUFFY COAT DIFF A	$54	$32.40	$6.41 – $46.98
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — ACO: $6.47 Aetna — Commercial: $6.47 Aetna — Medicare: $6.75 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $7.52 Capital Blue Cross — CHIP: $36.70 Capital Blue Cross — Commercial: $36.70 Capital Blue Cross — Medicare Advantage: $10.26 CareFirst — Commercial: $45.90 Cigna — Commercial: $16.84 Cigna — Medicare: $6.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC AND MANUAL DIFF A	$54	$32.40	$6.41 – $46.98
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — ACO: $6.47 Aetna — Commercial: $6.47 Aetna — Medicare: $6.75 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $7.52 Capital Blue Cross — CHIP: $36.70 Capital Blue Cross — Commercial: $36.70 Capital Blue Cross — Medicare Advantage: $10.26 CareFirst — Commercial: $45.90 Cigna — Commercial: $16.84 Cigna — Medicare: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$37	$22.20	$4 – $32.19
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — ACO: $4.29 Aetna — Commercial: $4.29 Aetna — Medicare: $4.47 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4 Capital Blue Cross — CHIP: $25.15 Capital Blue Cross — Commercial: $25.15 Capital Blue Cross — Medicare Advantage: $7.03 CareFirst — Commercial: $31.45 Cigna — Commercial: $11.16 Cigna — Medicare: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS ANTICOAG SCRN PROFILE A	$37	$22.20	$4 – $32.19
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — ACO: $4.29 Aetna — Commercial: $4.29 Aetna — Medicare: $4.47 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4 Capital Blue Cross — CHIP: $25.15 Capital Blue Cross — Commercial: $25.15 Capital Blue Cross — Medicare Advantage: $7.03 CareFirst — Commercial: $31.45 Cigna — Commercial: $11.16 Cigna — Medicare: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ISTAT PT INR POC	$37	$22.20	$4 – $32.19
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — ACO: $4.29 Aetna — Commercial: $4.29 Aetna — Medicare: $4.47 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4 Capital Blue Cross — CHIP: $25.15 Capital Blue Cross — Commercial: $25.15 Capital Blue Cross — Medicare Advantage: $7.03 CareFirst — Commercial: $31.45 Cigna — Commercial: $11.16 Cigna — Medicare: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT	$51	$30.60	$5.95 – $44.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — ACO: $6.01 Aetna — Commercial: $6.01 Aetna — Medicare: $6.27 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $7.50 Capital Blue Cross — CHIP: $34.66 Capital Blue Cross — Commercial: $34.66 Capital Blue Cross — Medicare Advantage: $9.69 CareFirst — Commercial: $43.35 Cigna — Commercial: $15.64 Cigna — Medicare: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VON WILLEBRAND'S PANEL - D	$51	$30.60	$5.95 – $44.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — ACO: $6.01 Aetna — Commercial: $6.01 Aetna — Medicare: $6.27 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $7.50 Capital Blue Cross — CHIP: $34.66 Capital Blue Cross — Commercial: $34.66 Capital Blue Cross — Medicare Advantage: $9.69 CareFirst — Commercial: $43.35 Cigna — Commercial: $15.64 Cigna — Medicare: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS ANTICOAG SCRN PROFILE D	$51	$30.60	$5.95 – $44.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — ACO: $6.01 Aetna — Commercial: $6.01 Aetna — Medicare: $6.27 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $7.50 Capital Blue Cross — CHIP: $34.66 Capital Blue Cross — Commercial: $34.66 Capital Blue Cross — Medicare Advantage: $9.69 CareFirst — Commercial: $43.35 Cigna — Commercial: $15.64 Cigna — Medicare: $6.31

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT BRAIN W/O CONTRAST	$1,328	$796.80	$100.57 – $2,349
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates Aetna — ACO: $1,833 Aetna — Commercial: $2,349 Aetna — Medicare: $105.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $148.27 Capital Blue Cross — CHIP: $902.51 Capital Blue Cross — Commercial: $902.51 Capital Blue Cross — Medicare Advantage: $252.32 CareFirst — Commercial: $1,128.80 Cigna — Commercial: $589.04 Cigna — Medicare: $106.67
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT BRAIN W/O CONTRAST	$1,328	$796.80	$959.21 – $1,155.36
CT scan of the head or brain, without contrast: rates for 4 insurance plans CareFirst — Commercial: $1,128.80 Geisinger — Commercial: $959.21 Multiplan — PPO (Includes PHCS and Humana as Payers): $1,128.80 Wellspan Population Health — Commercial: $1,155.36
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain W/Wo Contrast	$4,758	$2,854.80	$337.76 – $4,139.46
MRI of the brain, before and after contrast: 10 of 36 insurance plan rates Aetna — ACO: $2,504 Aetna — Commercial: $3,211 Aetna — Medicare: $355.84 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $430.53 Capital Blue Cross — CHIP: $3,233.54 Capital Blue Cross — Commercial: $3,233.54 Capital Blue Cross — Medicare Advantage: $904.02 CareFirst — Commercial: $4,044.30 Cigna — Commercial: $2,006.79 Cigna — Medicare: $358.23
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Brain W/Wo Contrast	$4,758	$2,854.80	$3,436.70 – $4,139.46
MRI of the brain, before and after contrast: rates for 4 insurance plans CareFirst — Commercial: $4,044.30 Geisinger — Commercial: $3,436.70 Multiplan — PPO (Includes PHCS and Humana as Payers): $4,044.30 Wellspan Population Health — Commercial: $4,139.46
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$314	$188.40	$19.45 – $419.44
Chest X-ray, 2 views: 10 of 35 insurance plan rates Aetna — ACO: $178.35 Aetna — Commercial: $228.59 Aetna — Medicare: $87.73 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $30.02 Capital Blue Cross — CHIP: $213.39 Capital Blue Cross — Commercial: $213.39 Capital Blue Cross — Medicare Advantage: $59.66 CareFirst — Commercial: $266.90 Cigna — Commercial: $419.44 Cigna — Medicare: $88.32
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XRAY CHEST 2 VIEWS MD	$39	$23.40	$7.41 – $419.44
Chest X-ray, 2 views: 10 of 35 insurance plan rates Aetna — ACO: $22.15 Aetna — Commercial: $28.39 Aetna — Medicare: $87.73 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $30.02 Capital Blue Cross — CHIP: $26.50 Capital Blue Cross — Commercial: $26.50 Capital Blue Cross — Medicare Advantage: $7.41 CareFirst — Commercial: $33.15 Cigna — Commercial: $419.44 Cigna — Medicare: $88.32
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$314	$188.40	$226.80 – $273.18
Chest X-ray, 2 views: rates for 4 insurance plans CareFirst — Commercial: $266.90 Geisinger — Commercial: $226.80 Multiplan — PPO (Includes PHCS and Humana as Payers): $266.90 Wellspan Population Health — Commercial: $273.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUMBAR SPINE MIN 4 VIEWS	$438	$262.80	$29.48 – $589.04
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates Aetna — ACO: $248.78 Aetna — Commercial: $318.86 Aetna — Medicare: $105.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $46.51 Capital Blue Cross — CHIP: $297.66 Capital Blue Cross — Commercial: $297.66 Capital Blue Cross — Medicare Advantage: $83.22 CareFirst — Commercial: $372.30 Cigna — Commercial: $589.04 Cigna — Medicare: $106.67
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LUMBAR SPINE MIN 4 VIEWS	$438	$262.80	$316.37 – $381.06
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans CareFirst — Commercial: $372.30 Geisinger — Commercial: $316.37 Multiplan — PPO (Includes PHCS and Humana as Payers): $372.30 Wellspan Population Health — Commercial: $381.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Lumbar W/O Contrast	$2,760	$1,656	$228.61 – $3,211
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates Aetna — ACO: $2,504 Aetna — Commercial: $3,211 Aetna — Medicare: $240.85 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $325.31 Capital Blue Cross — CHIP: $1,875.70 Capital Blue Cross — Commercial: $1,875.70 Capital Blue Cross — Medicare Advantage: $524.40 CareFirst — Commercial: $2,346 Cigna — Commercial: $1,224.77 Cigna — Medicare: $242.47
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI Lumbar W/O Contrast	$2,760	$1,656	$1,993.55 – $2,401.20
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans CareFirst — Commercial: $2,346 Geisinger — Commercial: $1,993.55 Multiplan — PPO (Includes PHCS and Humana as Payers): $2,346 Wellspan Population Health — Commercial: $2,401.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,374	$1,424.40	$113.31 – $2,065.38
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates Aetna — ACO: $1,348.43 Aetna — Commercial: $1,728.27 Aetna — Medicare: $177.37 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $177.91 Capital Blue Cross — CHIP: $1,613.37 Capital Blue Cross — Commercial: $1,613.37 Capital Blue Cross — Medicare Advantage: $451.06 CareFirst — Commercial: $2,017.90 Cigna — Commercial: $957.68 Cigna — Medicare: $178.56
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,374	$1,424.40	$1,714.74 – $2,065.38
CT scan of the pelvis, with contrast: rates for 4 insurance plans CareFirst — Commercial: $2,017.90 Geisinger — Commercial: $1,714.74 Multiplan — PPO (Includes PHCS and Humana as Payers): $2,017.90 Wellspan Population Health — Commercial: $2,065.38
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: HC MRI LOW EXT JT W/O CNTRST - RT	$2,760	$1,656	$352.39 – $3,211
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — ACO: $2,504 Aetna — Commercial: $3,211 Aetna — Medicare: $977.04 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $420.87 Capital Blue Cross — CHIP: $1,875.70 Capital Blue Cross — Commercial: $1,875.70 Capital Blue Cross — Medicare Advantage: $524.40 CareFirst — Commercial: $2,346 Cigna — Commercial: $1,224.77 Geisinger — Commercial: $1,807.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MRI LOW EXT JT W/O CNTRST - LT	$2,760	$1,656	$352.39 – $3,211
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — ACO: $2,504 Aetna — Commercial: $3,211 Aetna — Medicare: $977.04 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $420.87 Capital Blue Cross — CHIP: $1,875.70 Capital Blue Cross — Commercial: $1,875.70 Capital Blue Cross — Medicare Advantage: $524.40 CareFirst — Commercial: $2,346 Cigna — Commercial: $1,224.77 Geisinger — Commercial: $1,807.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: HC MRI LOW EXT JT W/O CNTRST - RT	$2,760	$1,656	$1,993.55 – $2,401.20
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans CareFirst — Commercial: $2,346 Geisinger — Commercial: $1,993.55 Multiplan — PPO (Includes PHCS and Humana as Payers): $2,346 Wellspan Population Health — Commercial: $2,401.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN / PELVIS W/CNTRST	$4,976	$2,985.60	$252.48 – $4,329.12
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates Aetna — ACO: $1,833 Aetna — Commercial: $2,349 Aetna — Medicare: $355.84 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $334.21 Capital Blue Cross — CHIP: $3,381.69 Capital Blue Cross — Commercial: $3,381.69 Capital Blue Cross — Medicare Advantage: $945.44 CareFirst — Commercial: $4,229.60 Cigna — Commercial: $2,006.79 Cigna — Medicare: $358.23
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN / PELVIS W/CNTRST	$4,976	$2,985.60	$3,594.16 – $4,329.12
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans CareFirst — Commercial: $4,229.60 Geisinger — Commercial: $3,594.16 Multiplan — PPO (Includes PHCS and Humana as Payers): $4,229.60 Wellspan Population Health — Commercial: $4,329.12
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$657	$394.20	$75.33 – $589.04
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates Aetna — ACO: $373.18 Aetna — Commercial: $478.30 Aetna — Medicare: $105.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $120.99 Capital Blue Cross — CHIP: $446.50 Capital Blue Cross — Commercial: $446.50 Capital Blue Cross — Medicare Advantage: $124.83 CareFirst — Commercial: $558.45 Cigna — Commercial: $589.04 Cigna — Medicare: $106.67
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE MD	$306	$183.60	$58.14 – $589.04
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates Aetna — ACO: $173.81 Aetna — Commercial: $222.77 Aetna — Medicare: $105.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $120.99 Capital Blue Cross — CHIP: $207.96 Capital Blue Cross — Commercial: $207.96 Capital Blue Cross — Medicare Advantage: $58.14 CareFirst — Commercial: $260.10 Cigna — Commercial: $589.04 Cigna — Medicare: $106.67
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$657	$394.20	$474.55 – $571.59
Ultrasound of the abdomen, complete: rates for 4 insurance plans CareFirst — Commercial: $558.45 Geisinger — Commercial: $474.55 Multiplan — PPO (Includes PHCS and Humana as Payers): $558.45 Wellspan Population Health — Commercial: $571.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB >/=14 WKS SINGLE FETUS	$657	$394.20	$60.91 – $589.04
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates Aetna — ACO: $373.18 Aetna — Commercial: $478.30 Aetna — Medicare: $105.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $98.42 Capital Blue Cross — CHIP: $446.50 Capital Blue Cross — Commercial: $446.50 Capital Blue Cross — Medicare Advantage: $124.83 CareFirst — Commercial: $558.45 Cigna — Commercial: $589.04 Cigna — Medicare: $106.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB >/=14 WKS SINGLE FETUS	$657	$394.20	$474.55 – $571.59
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans CareFirst — Commercial: $558.45 Geisinger — Commercial: $474.55 Multiplan — PPO (Includes PHCS and Humana as Payers): $558.45 Wellspan Population Health — Commercial: $571.59
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$657	$394.20	$60.91 – $589.04
Transvaginal ultrasound: 10 of 35 insurance plan rates Aetna — ACO: $373.18 Aetna — Commercial: $478.30 Aetna — Medicare: $105.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $97.16 Capital Blue Cross — CHIP: $446.50 Capital Blue Cross — Commercial: $446.50 Capital Blue Cross — Medicare Advantage: $124.83 CareFirst — Commercial: $558.45 Cigna — Commercial: $589.04 Cigna — Medicare: $106.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL MD	$123	$73.80	$23.37 – $589.04
Transvaginal ultrasound: 10 of 35 insurance plan rates Aetna — ACO: $69.86 Aetna — Commercial: $89.54 Aetna — Medicare: $105.96 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $97.16 Capital Blue Cross — CHIP: $83.59 Capital Blue Cross — Commercial: $83.59 Capital Blue Cross — Medicare Advantage: $23.37 CareFirst — Commercial: $104.55 Cigna — Commercial: $589.04 Cigna — Medicare: $106.67
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$657	$394.20	$474.55 – $571.59
Transvaginal ultrasound: rates for 4 insurance plans CareFirst — Commercial: $558.45 Geisinger — Commercial: $474.55 Multiplan — PPO (Includes PHCS and Humana as Payers): $558.45 Wellspan Population Health — Commercial: $571.59
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPH DIG MD	$142	$85.20	$26.98 – $479.38
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates Aetna — ACO: $80.66 Aetna — Commercial: $103.38 Aetna — Medicare: $50.27 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $130.06 Capital Blue Cross — CHIP: $96.50 Capital Blue Cross — Commercial: $96.50 Capital Blue Cross — Medicare Advantage: $26.98 CareFirst — Commercial: $120.70 Cigna — Commercial: $479.38 Geisinger — Commercial: $92.98
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPH DIG MD	$142	$85.20	$102.57 – $123.54
Diagnostic mammogram, one breast: rates for 4 insurance plans CareFirst — Commercial: $120.70 Geisinger — Commercial: $102.57 Multiplan — PPO (Includes PHCS and Humana as Payers): $120.70 Wellspan Population Health — Commercial: $123.54
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC DIGITAL MAMMO - LT	$406	$243.60	$77.14 – $479.38
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates Aetna — ACO: $230.61 Aetna — Commercial: $295.57 Aetna — Medicare: $143.72 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $130.06 Capital Blue Cross — CHIP: $275.92 Capital Blue Cross — Commercial: $275.92 Capital Blue Cross — Medicare Advantage: $77.14 CareFirst — Commercial: $345.10 Cigna — Commercial: $479.38 Geisinger — Commercial: $265.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BILAT DIGITAL MAMMOGRAPHY	$517	$310.20	$98.23 – $675.02
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates Aetna — ACO: $293.66 Aetna — Commercial: $376.38 Aetna — Medicare: $183.02 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $164.91 Capital Blue Cross — CHIP: $351.35 Capital Blue Cross — Commercial: $351.35 Capital Blue Cross — Medicare Advantage: $98.23 CareFirst — Commercial: $439.45 Cigna — Commercial: $611.06 Geisinger — Commercial: $338.53
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BI DIAG MAMMO BILAT W/CAD	$517	$310.20	$98.23 – $675.02
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates Aetna — ACO: $293.66 Aetna — Commercial: $376.38 Aetna — Medicare: $183.02 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $164.91 Capital Blue Cross — CHIP: $351.35 Capital Blue Cross — Commercial: $351.35 Capital Blue Cross — Medicare Advantage: $98.23 CareFirst — Commercial: $439.45 Cigna — Commercial: $611.06 Geisinger — Commercial: $338.53
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BILAT DIGITAL MAMMOGRAPHY	$517	$310.20	$373.43 – $449.79
Diagnostic mammogram, both breasts: rates for 4 insurance plans CareFirst — Commercial: $439.45 Geisinger — Commercial: $373.43 Multiplan — PPO (Includes PHCS and Humana as Payers): $439.45 Wellspan Population Health — Commercial: $449.79
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING DIG MAMMOGRAPHY	$429	$257.40	$81.51 – $551.43
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — ACO: $243.67 Aetna — Commercial: $312.31 Aetna — Medicare: $151.87 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $132.97 Capital Blue Cross — CHIP: $291.55 Capital Blue Cross — Commercial: $291.55 Capital Blue Cross — Medicare Advantage: $81.51 CareFirst — Commercial: $364.65 Cigna — Commercial: $506.81 Geisinger — Commercial: $280.91
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING DIGITAL MAMMO W/IMPL	$429	$257.40	$81.51 – $551.43
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — ACO: $243.67 Aetna — Commercial: $312.31 Aetna — Medicare: $151.87 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $132.97 Capital Blue Cross — CHIP: $291.55 Capital Blue Cross — Commercial: $291.55 Capital Blue Cross — Medicare Advantage: $81.51 CareFirst — Commercial: $364.65 Cigna — Commercial: $506.81 Geisinger — Commercial: $280.91
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BI SCRN MAMMO LEFT W/CAD	$429	$257.40	$81.51 – $551.43
Screening mammogram, both breasts: 10 of 24 insurance plan rates Aetna — ACO: $243.67 Aetna — Commercial: $312.31 Aetna — Medicare: $151.87 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $132.97 Capital Blue Cross — CHIP: $291.55 Capital Blue Cross — Commercial: $291.55 Capital Blue Cross — Medicare Advantage: $81.51 CareFirst — Commercial: $364.65 Cigna — Commercial: $506.81 Geisinger — Commercial: $280.91

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COR ANGIO OR LHC	$8,734	$5,240.40	$1,016.56 – $17,298
Left heart catheterization (diagnostic): 10 of 30 insurance plan rates Aetna — Medicare: $3,204.76 Capital Blue Cross — CHIP: $5,935.63 Capital Blue Cross — Commercial: $5,935.63 Capital Blue Cross — Medicare Advantage: $1,659.46 CareFirst — Commercial: $7,423.90 Cigna — Commercial: $17,298 Cigna — Medicare: $3,226.27 Geisinger — Commercial: $5,719.02 Geisinger — Medicaid/CHIP: $4,803.70 Geisinger — Medicare: $3,226.27
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COR ANGIO OR LHC	$8,734	$5,240.40	$6,308.57 – $7,598.58
Left heart catheterization (diagnostic): rates for 4 insurance plans CareFirst — Commercial: $7,423.90 Geisinger — Commercial: $6,308.57 Multiplan — PPO (Includes PHCS and Humana as Payers): $7,423.90 Wellspan Population Health — Commercial: $7,598.58
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TX ATRIAL FIB PULM VEIN ISOL	$51,625	$30,975	$1,016.56 – $83,360.82
Heart rhythm study with ablation for atrial fibrillation: 10 of 30 insurance plan rates Aetna — ACO: $29,323 Aetna — Commercial: $37,583 Aetna — Medicare: $24,443.45 Capital Blue Cross — CHIP: $35,084.35 Capital Blue Cross — Commercial: $35,084.35 Capital Blue Cross — Medicare Advantage: $9,808.75 CareFirst — Commercial: $43,881.25 Cigna — Commercial: $17,298 Cigna — Medicare: $24,607.50 Geisinger — Commercial: $33,804.05
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TX ATRIAL FIB PULM VEIN ISOL	$51,625	$30,975	$37,288.74 – $44,913.75
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans CareFirst — Commercial: $43,881.25 Geisinger — Commercial: $37,288.74 Multiplan — PPO (Includes PHCS and Humana as Payers): $43,881.25 Wellspan Population Health — Commercial: $44,913.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ALL NIGHT SLEEP	$7,132	$4,279.20	$354.12 – $6,204.84
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Aetna — ACO: $4,050.98 Aetna — Commercial: $5,192.10 Aetna — Medicare: $1,013.70 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $440.13 Capital Blue Cross — CHIP: $4,846.91 Capital Blue Cross — Commercial: $4,846.91 Capital Blue Cross — Medicare Advantage: $1,355.08 CareFirst — Commercial: $6,062.20 Cigna — Commercial: $5,562.96 Cigna — Medicare: $1,020.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCON SLEEP STUDY - NON DIAG	$6,259	$3,755.40	$354.12 – $5,445.33
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Aetna — ACO: $3,555.11 Aetna — Commercial: $4,556.55 Aetna — Medicare: $1,013.70 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $440.13 Capital Blue Cross — CHIP: $4,253.62 Capital Blue Cross — Commercial: $4,253.62 Capital Blue Cross — Medicare Advantage: $1,189.21 CareFirst — Commercial: $5,320.15 Cigna — Commercial: $4,882.02 Cigna — Medicare: $1,020.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PEDIATRIC SLEEP STUDY AGE 6-20	$7,132	$4,279.20	$354.12 – $6,204.84
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Aetna — ACO: $4,050.98 Aetna — Commercial: $5,192.10 Aetna — Medicare: $1,013.70 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $440.13 Capital Blue Cross — CHIP: $4,846.91 Capital Blue Cross — Commercial: $4,846.91 Capital Blue Cross — Medicare Advantage: $1,355.08 CareFirst — Commercial: $6,062.20 Cigna — Commercial: $5,562.96 Cigna — Medicare: $1,020.51

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: HC EXERCISE PT 15 MIN	$74	$44.40	$10.64 – $387
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates Aetna — ACO: $42.03 Aetna — Commercial: $53.87 Aetna — Medicare: $26.20 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.64 Capital Blue Cross — CHIP: $50.29 Capital Blue Cross — Commercial: $50.29 Capital Blue Cross — Medicare Advantage: $14.06 CareFirst — Commercial: $62.90 Cigna — Commercial: $387 Geisinger — Commercial: $48.46
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC THERAP EXER OT 15 MIN	$123	$73.80	$10.64 – $387
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates Aetna — ACO: $69.86 Aetna — Commercial: $89.54 Aetna — Medicare: $43.54 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.64 Capital Blue Cross — CHIP: $83.59 Capital Blue Cross — Commercial: $83.59 Capital Blue Cross — Medicare Advantage: $23.37 CareFirst — Commercial: $104.55 Cigna — Commercial: $387 Geisinger — Commercial: $80.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GN In the file: HC THERAP EXER ST 15 MIN	$133	$79.80	$10.64 – $591
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates Aetna — ACO: $75.54 Aetna — Commercial: $96.82 Aetna — Medicare: $47.08 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.64 Capital Blue Cross — CHIP: $90.39 Capital Blue Cross — Commercial: $90.39 Capital Blue Cross — Medicare Advantage: $25.27 CareFirst — Commercial: $113.05 Cigna — Commercial: $387 Geisinger — Commercial: $87.09
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC NEW PT EVAL: LOW COMPLEXITY	$378	$226.80	$71.82 – $387
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates Aetna — ACO: $214.70 Aetna — Commercial: $275.18 Aetna — Medicare: $133.81 Capital Blue Cross — CHIP: $256.89 Capital Blue Cross — Commercial: $256.89 Capital Blue Cross — Medicare Advantage: $71.82 CareFirst — Commercial: $321.30 Cigna — Commercial: $387 Geisinger — Commercial: $247.51 Geisinger — Medicaid/CHIP: $207.90
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: TELEHLTH NEW PT EVAL: LOW COMPLEXITY	$328	$196.80	$62.32 – $387
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates Aetna — ACO: $186.30 Aetna — Commercial: $238.78 Aetna — Medicare: $116.11 Capital Blue Cross — CHIP: $222.91 Capital Blue Cross — Commercial: $222.91 Capital Blue Cross — Medicare Advantage: $62.32 CareFirst — Commercial: $278.80 Cigna — Commercial: $387 Geisinger — Commercial: $214.77 Geisinger — Medicaid/CHIP: $180.40
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC NEW PT EVAL: LOW COMPLEXITY	$378	$226.80	$273.03 – $328.86
Physical therapy evaluation (low complexity): rates for 4 insurance plans CareFirst — Commercial: $321.30 Geisinger — Commercial: $273.03 Multiplan — PPO (Includes PHCS and Humana as Payers): $321.30 Wellspan Population Health — Commercial: $328.86
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC NEW PT EVAL: MODERATE COMPLEXITY	$506	$303.60	$33.18 – $440.22
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates Aetna — ACO: $287.41 Aetna — Commercial: $368.37 Aetna — Medicare: $179.12 Capital Blue Cross — CHIP: $343.88 Capital Blue Cross — Commercial: $343.88 Capital Blue Cross — Medicare Advantage: $96.14 CareFirst — Commercial: $430.10 Cigna — Commercial: $387 Geisinger — Commercial: $331.33 Geisinger — Medicaid/CHIP: $278.30
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: TELEHLTH NEW PT EVAL: MODERATE COMPLEXITY	$481	$288.60	$33.18 – $418.47
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates Aetna — ACO: $273.21 Aetna — Commercial: $350.17 Aetna — Medicare: $170.27 Capital Blue Cross — CHIP: $326.89 Capital Blue Cross — Commercial: $326.89 Capital Blue Cross — Medicare Advantage: $91.39 CareFirst — Commercial: $408.85 Cigna — Commercial: $387 Geisinger — Commercial: $314.96 Geisinger — Medicaid/CHIP: $264.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC NEW PT EVAL: MODERATE COMPLEXITY	$506	$303.60	$365.48 – $440.22
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans CareFirst — Commercial: $430.10 Geisinger — Commercial: $365.48 Multiplan — PPO (Includes PHCS and Humana as Payers): $430.10 Wellspan Population Health — Commercial: $440.22
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC NEW PT EVAL: HIGH COMPLEXITY	$605	$363	$83.33 – $526.35
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Aetna — ACO: $343.64 Aetna — Commercial: $440.44 Aetna — Medicare: $214.17 Capital Blue Cross — CHIP: $411.16 Capital Blue Cross — Commercial: $411.16 Capital Blue Cross — Medicare Advantage: $114.95 CareFirst — Commercial: $514.25 Cigna — Commercial: $387 Geisinger — Commercial: $396.15 Geisinger — Medicaid/CHIP: $332.75
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: TELEHLTH NEW PT EVAL: HIGH COMPLEXITY	$577	$346.20	$83.33 – $501.99
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Aetna — ACO: $327.74 Aetna — Commercial: $420.06 Aetna — Medicare: $204.26 Capital Blue Cross — CHIP: $392.13 Capital Blue Cross — Commercial: $392.13 Capital Blue Cross — Medicare Advantage: $109.63 CareFirst — Commercial: $490.45 Cigna — Commercial: $387 Geisinger — Commercial: $377.82 Geisinger — Medicaid/CHIP: $317.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC NEW PT EVAL: HIGH COMPLEXITY	$605	$363	$436.99 – $526.35
Physical therapy evaluation (high complexity): rates for 4 insurance plans CareFirst — Commercial: $514.25 Geisinger — Commercial: $436.99 Multiplan — PPO (Includes PHCS and Humana as Payers): $514.25 Wellspan Population Health — Commercial: $526.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVID PSYCHO 60MIN MD	$504	$302.40	$66.04 – $545.96
Psychotherapy, 60 minutes: 10 of 32 insurance plan rates Aetna — ACO: $286.27 Aetna — Commercial: $366.91 Aetna — Medicare: $160.09 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $66.04 Capital Blue Cross — CHIP: $342.52 Capital Blue Cross — Commercial: $342.52 Capital Blue Cross — Medicare Advantage: $95.76 CareFirst — Commercial: $428.40 Cigna — Commercial: $393.12 Cigna — Medicare: $161.16
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INDIVID PSYCHO 60MIN MD	$504	$302.40	$364.04 – $438.48
Psychotherapy, 60 minutes: rates for 4 insurance plans CareFirst — Commercial: $428.40 Geisinger — Commercial: $364.04 Multiplan — PPO (Includes PHCS and Humana as Payers): $428.40 Wellspan Population Health — Commercial: $438.48

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	$219.71 – $13,011.90
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Aetna — Medicare: $3,815.41 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $233.55 Cigna — Commercial: $6,413 Cigna — Medicare: $3,841.02 Geisinger — Medicaid/CHIP: $251.99 Geisinger — Medicare: $3,841.02 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $235.63 Highmark BCBS of PA — Commercial: $13,011.90 Highmark BCBS of PA — Medicaid: $12,135.41 Highmark BCBS of PA — Medicare: $3,621.53
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT	Not listed in the file	Not listed in the file	$1,016.56 – $43,721.47
Total hip replacement: 10 of 17 insurance plan rates Aetna — Medicare: $12,820.21 Cigna — Commercial: $25,000 Cigna — Medicare: $12,906.25 Geisinger — Medicare: $12,906.25 Highmark BCBS of PA — Commercial: $43,721.47 Highmark BCBS of PA — Medicaid: $40,776.39 Highmark BCBS of PA — Medicare: $12,168.75 Humana — Medicare: $12,291.67 Keystone Autism Services — ACAP: $19,666.67 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $13,275
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)	Not listed in the file	Not listed in the file	$1,016.56 – $43,721.47
Total knee replacement: 10 of 18 insurance plan rates Aetna — Medicare: $12,820.21 Cigna — Commercial: $25,000 Cigna — Medicare: $12,906.25 Geisinger — Medicare: $12,906.25 Highmark BCBS of PA — Commercial: $43,721.47 Highmark BCBS of PA — Medicaid: $40,776.39 Highmark BCBS of PA — Medicare: $12,168.75 Humana — Medicare: $12,291.67 Keystone Autism Services — ACAP: $19,666.67 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $13,275
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE	Not listed in the file	Not listed in the file	$711.99 – $6,413
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Cigna — Commercial: $6,413 United Healthcare Community Plan for Families — PA Medicaid: $711.99 UPMC Health Plan — CHIP: $2,655.58 UPMC Work Partners — Workers Comp: $2,489.52 Aetna — ACO: 56.8% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 72.8% (a percentage in the contract, not a dollar amount) United Healthcare — Commercial: 76.9% (a percentage in the contract, not a dollar amount)
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	$690.25 – $11,025.21
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Aetna — Medicare: $3,232.86 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $733.73 Cigna — Commercial: $6,971 Cigna — Medicare: $3,254.56 Geisinger — Medicaid/CHIP: $791.66 Geisinger — Medicare: $3,254.56 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $740.25 Highmark BCBS of PA — Commercial: $11,025.21 Highmark BCBS of PA — Medicaid: $10,282.55 Highmark BCBS of PA — Medicare: $3,068.58
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	$673.02 – $20,101.43
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates Aetna — Medicare: $5,894.23 Cigna — Commercial: $6,413 Cigna — Medicare: $5,933.79 Geisinger — Medicare: $5,933.79 Highmark BCBS of PA — Commercial: $20,101.43 Highmark BCBS of PA — Medicaid: $18,747.39 Highmark BCBS of PA — Medicare: $5,594.72 Humana — Medicare: $5,651.23 Keystone Autism Services — ACAP: $9,041.97 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $6,103.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UPPER GI ENDOSCOPY EGD/EGJ	$2,515	$1,509	$159.03 – $3,185.83
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates Aetna — ACO: $1,428.52 Aetna — Commercial: $1,830.92 Aetna — Medicare: $934.16 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $159.03 Capital Blue Cross — CHIP: $1,709.19 Capital Blue Cross — Commercial: $1,709.19 Capital Blue Cross — Medicare Advantage: $477.85 CareFirst — Commercial: $2,137.75 Cigna — Commercial: $1,961.70 Cigna — Medicare: $940.43
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UPPER GI ENDOSCOPY EGD/EGJ	$2,515	$1,509	$1,816.58 – $2,188.05
Upper GI endoscopy (diagnostic): rates for 4 insurance plans CareFirst — Commercial: $2,137.75 Geisinger — Commercial: $1,816.58 Multiplan — PPO (Includes PHCS and Humana as Payers): $2,137.75 Wellspan Population Health — Commercial: $2,188.05
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP	Not listed in the file	Not listed in the file	$159.03 – $3,397
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — Medicare: $934.16 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $169.05 Cigna — Commercial: $3,397 Cigna — Medicare: $940.43 Geisinger — Medicaid/CHIP: $182.40 Geisinger — Medicare: $940.43 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $170.55 Highmark BCBS of PA — Commercial: $3,185.83 Highmark BCBS of PA — Medicaid: $2,971.23 Highmark BCBS of PA — Medicare: $886.69
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UPPER GI ENDOSCOPY W/BIOPSY	$3,366	$2,019.60	$188.70 – $3,185.83
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates Aetna — ACO: $1,911.89 Aetna — Commercial: $2,450.45 Aetna — Medicare: $934.16 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $188.70 Capital Blue Cross — CHIP: $2,287.53 Capital Blue Cross — Commercial: $2,287.53 Capital Blue Cross — Medicare Advantage: $639.54 CareFirst — Commercial: $2,861.10 Cigna — Commercial: $2,625.48 Cigna — Medicare: $940.43
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UPPER GI ENDOSCOPY W/BIOPSY	$3,366	$2,019.60	$2,431.26 – $2,928.42
Upper GI endoscopy with biopsy: rates for 4 insurance plans CareFirst — Commercial: $2,861.10 Geisinger — Commercial: $2,431.26 Multiplan — PPO (Includes PHCS and Humana as Payers): $2,861.10 Wellspan Population Health — Commercial: $2,928.42
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$188.70 – $5,035
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Aetna — Medicare: $934.16 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $200.58 Cigna — Commercial: $5,035 Cigna — Medicare: $940.43 Geisinger — Medicaid/CHIP: $216.42 Geisinger — Medicare: $940.43 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $202.37 Highmark BCBS of PA — Commercial: $3,185.83 Highmark BCBS of PA — Medicaid: $2,971.23 Highmark BCBS of PA — Medicare: $886.69
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	$229.24 – $5,035
Colonoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — Medicare: $908.41 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $243.68 Cigna — Commercial: $5,035 Cigna — Medicare: $914.51 Geisinger — Medicaid/CHIP: $262.92 Geisinger — Medicare: $914.51 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $245.84 Highmark BCBS of PA — Commercial: $3,098 Highmark BCBS of PA — Medicaid: $2,889.32 Highmark BCBS of PA — Medicare: $862.25
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$286.28 – $5,035
Colonoscopy with biopsy: 10 of 23 insurance plan rates Aetna — Medicare: $1,174.81 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $304.32 Cigna — Commercial: $5,035 Cigna — Medicare: $1,182.70 Geisinger — Medicaid/CHIP: $328.35 Geisinger — Medicare: $1,182.70 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $307.02 Highmark BCBS of PA — Commercial: $4,006.53 Highmark BCBS of PA — Medicaid: $3,736.65 Highmark BCBS of PA — Medicare: $1,115.12
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE	Not listed in the file	Not listed in the file	$340.46 – $5,035
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates Aetna — Medicare: $1,174.81 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $361.91 Cigna — Commercial: $5,035 Cigna — Medicare: $1,182.70 Geisinger — Medicaid/CHIP: $390.49 Geisinger — Medicare: $1,182.70 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $365.12 Highmark BCBS of PA — Commercial: $4,006.53 Highmark BCBS of PA — Medicaid: $3,736.65 Highmark BCBS of PA — Medicare: $1,115.12
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	Not listed in the file	Not listed in the file	$664.08 – $5,035
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Medicare: $908.41 Cigna — Commercial: $5,035 Cigna — Medicare: $914.51 Geisinger — Medicare: $914.51 Highmark BCBS of PA — Commercial: $3,098 Highmark BCBS of PA — Medicaid: $2,889.32 Highmark BCBS of PA — Medicare: $862.25 Humana — Medicare: $870.96 Keystone Autism Services — ACAP: $1,393.54 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $940.64
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	$1,016.56 – $19,825.15
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates Aetna — Medicare: $5,813.22 Cigna — Commercial: $16,693 Cigna — Medicare: $5,852.24 Geisinger — Medicare: $5,852.24 Highmark BCBS of PA — Commercial: $19,825.15 Highmark BCBS of PA — Medicaid: $18,489.73 Highmark BCBS of PA — Medicare: $5,517.82 Humana — Medicare: $5,573.56 Keystone Autism Services — ACAP: $8,917.70 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $6,019.44
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	$403.23 – $11,991.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Aetna — Medicare: $3,516.28 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $428.62 Cigna — Commercial: $6,971 Cigna — Medicare: $3,539.88 Geisinger — Medicaid/CHIP: $462.47 Geisinger — Medicare: $3,539.88 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $432.44 Highmark BCBS of PA — Commercial: $11,991.75 Highmark BCBS of PA — Medicaid: $11,183.98 Highmark BCBS of PA — Medicare: $3,337.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEEDLE BX PROSTATE	$5,493	$3,295.80	$113.67 – $6,960.84
Prostate biopsy: 10 of 34 insurance plan rates Aetna — Medicare: $2,041.09 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $120.83 Capital Blue Cross — CHIP: $3,733.04 Capital Blue Cross — Commercial: $3,733.04 Capital Blue Cross — Medicare Advantage: $1,043.67 CareFirst — Commercial: $4,669.05 Cigna — Commercial: $5,035 Cigna — Medicare: $2,054.79 Geisinger — Commercial: $3,596.82 Geisinger — Medicaid/CHIP: $130.37
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEEDLE BX PROSTATE	$5,493	$3,295.80	$3,967.59 – $4,778.91
Prostate biopsy: rates for 4 insurance plans CareFirst — Commercial: $4,669.05 Geisinger — Commercial: $3,967.59 Multiplan — PPO (Includes PHCS and Humana as Payers): $4,669.05 Wellspan Population Health — Commercial: $4,778.91
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	$113.67 – $6,960.84
Prostate biopsy: 10 of 23 insurance plan rates Aetna — Medicare: $2,041.09 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $120.83 Cigna — Commercial: $5,035 Cigna — Medicare: $2,054.79 Geisinger — Medicaid/CHIP: $130.37 Geisinger — Medicare: $2,054.79 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $121.90 Highmark BCBS of PA — Commercial: $6,960.84 Highmark BCBS of PA — Medicaid: $6,491.95 Highmark BCBS of PA — Medicare: $1,937.37
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	$604.75 – $10,804.07
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates Aetna — Medicare: $3,168.02 Cigna — Commercial: $6,413 Cigna — Medicare: $3,189.28 Geisinger — Medicare: $3,189.28 Highmark BCBS of PA — Commercial: $10,804.07 Highmark BCBS of PA — Medicaid: $10,076.30 Highmark BCBS of PA — Medicare: $3,007.04 Humana — Medicare: $3,037.41 Keystone Autism Services — ACAP: $4,859.86 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $3,280.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX INTERLUML LMBR/SAC W/IMG INJ	$3,414	$2,048.40	$103.28 – $2,970.18
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates Aetna — ACO: $1,939.15 Aetna — Commercial: $2,485.39 Aetna — Medicare: $690.01 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $103.28 Capital Blue Cross — CHIP: $2,320.15 Capital Blue Cross — Commercial: $2,320.15 Capital Blue Cross — Medicare Advantage: $648.66 CareFirst — Commercial: $2,901.90 Cigna — Commercial: $2,662.92 Cigna — Medicare: $694.64
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX INTERLUML LMBR/SAC W/IMG INJ	$3,414	$2,048.40	$2,465.93 – $2,970.18
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans CareFirst — Commercial: $2,901.90 Geisinger — Commercial: $2,465.93 Multiplan — PPO (Includes PHCS and Humana as Payers): $2,901.90 Wellspan Population Health — Commercial: $2,970.18
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ EPIDURAL L/S SINGLE	$4,412	$2,647.20	$120.70 – $3,838.44
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna — Medicare: $887.06 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $128.30 Capital Blue Cross — CHIP: $2,998.40 Capital Blue Cross — Commercial: $2,998.40 Capital Blue Cross — Medicare Advantage: $838.28 CareFirst — Commercial: $3,750.20 Cigna — Commercial: $3,397 Cigna — Medicare: $893.01 Geisinger — Commercial: $2,888.98 Geisinger — Medicaid/CHIP: $138.44
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ EPIDURAL L/S SINGLE	$4,412	$2,647.20	$3,186.79 – $3,838.44
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans CareFirst — Commercial: $3,750.20 Geisinger — Commercial: $3,186.79 Multiplan — PPO (Includes PHCS and Humana as Payers): $3,750.20 Wellspan Population Health — Commercial: $3,838.44
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	$381 – $6,635.51
Carpal tunnel release: 10 of 23 insurance plan rates Aetna — Medicare: $1,945.70 AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $405 Cigna — Commercial: $5,035 Cigna — Medicare: $1,958.75 Geisinger — Medicaid/CHIP: $436.98 Geisinger — Medicare: $1,958.75 Health Partners Plans (Jefferson Health Plan) — Medicaid/CHIP: $408.60 Highmark BCBS of PA — Commercial: $6,635.51 Highmark BCBS of PA — Medicaid: $6,188.54 Highmark BCBS of PA — Medicare: $1,846.83

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC C/SECTION	$16,724	$10,034.40	$471 – $14,549.88
Cesarean delivery (C-section), with care before and after: 10 of 21 insurance plan rates Aetna — ACO: $9,499.23 Aetna — Commercial: $12,175.07 Aetna — Medicare: $5,920.30 Capital Blue Cross — CHIP: $11,365.63 Capital Blue Cross — Commercial: $11,365.63 Capital Blue Cross — Medicare Advantage: $3,177.56 CareFirst — Commercial: $14,215.40 Cigna — Commercial: $13,044.72 Geisinger — Commercial: $10,950.88 Geisinger — Medicaid/CHIP: $9,198.20
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC C/SECTION	$16,724	$10,034.40	$12,079.75 – $14,549.88
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans CareFirst — Commercial: $14,215.40 Geisinger — Commercial: $12,079.75 Multiplan — PPO (Includes PHCS and Humana as Payers): $14,215.40 Wellspan Population Health — Commercial: $14,549.88

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	$66,349.10 – $229,895.80
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates Aetna — Medicare: $69,901.12 Capital Blue Cross — CHIP: $226,975 Capital Blue Cross — Commercial: $226,975 Capital Blue Cross — Medicare Advantage: $67,019.29 Cigna — Commercial: $229,895.80 Cigna — Medicare: $70,370.25 Geisinger — Medicare: $70,370.25 Highmark BCBS of PA — Commercial: $117,248.02 Highmark BCBS of PA — Medicaid: $109,352.25 Highmark BCBS of PA — Medicare: $66,349.10
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	$20,274.73
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan UPMC Work Partners — Workers Comp: $20,274.73
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	$9,655.69
Spinal fusion (not neck), without major complications: rates for 1 insurance plan UPMC Work Partners — Workers Comp: $9,655.69
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	$13,082.23 – $54,371
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates Aetna — ACO: $42,410 Aetna — Commercial: $54,371 Aetna — Medicare: $13,782.59 Capital Blue Cross — CHIP: $51,897 Capital Blue Cross — Commercial: $51,897 Capital Blue Cross — Medicare Advantage: $13,214.37 Cigna — Commercial: $45,329.15 Cigna — Medicare: $13,875.09 Geisinger — Medicare: $13,875.09 Highmark BCBS of PA — Commercial: $30,580.72
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	$16,557.43 – $57,370.55
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates Aetna — Medicare: $17,443.84 Capital Blue Cross — CHIP: $51,227 Capital Blue Cross — Commercial: $51,227 Capital Blue Cross — Medicare Advantage: $16,724.68 Cigna — Commercial: $57,370.55 Cigna — Medicare: $17,560.91 Geisinger — Medicare: $17,560.91 Highmark BCBS of PA — Commercial: $38,893.44 Highmark BCBS of PA — Medicaid: $36,274.26 Highmark BCBS of PA — Medicare: $16,557.43
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	$34,796.31
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan UPMC Work Partners — Workers Comp: $34,796.31
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$8,414.69 – $29,156.45
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates Aetna — Medicare: $8,865.18 Capital Blue Cross — CHIP: $20,560 Capital Blue Cross — Commercial: $20,560 Capital Blue Cross — Medicare Advantage: $8,499.69 Cigna — Commercial: $29,156.45 Cigna — Medicare: $8,924.67 Geisinger — Medicare: $8,924.67 Highmark BCBS of PA — Commercial: $21,285.59 Highmark BCBS of PA — Medicaid: $19,852.17 Highmark BCBS of PA — Medicare: $8,414.69

Source: UPMC Hanover’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	300 Highland Ave, Hanover, PA 17331
County	York County
State	Pennsylvania
Phone	(717) 637‑3711
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	390233
Name in Medicare records	UPMC HANOVER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(717) 316‑3711^[4]
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 Geocoder — map position used for distances

From the hospital’s website

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

UPMC Hanover — upmc.com
UPMC Hanover visitor information — upmc.com
Emergency Room at UPMC Hanover - Hanover, PA — upmc.com
Community Life Team | UPMC Hanover — upmc.com
Behavioral Health | UPMC Hanover — upmc.com
Infusion Center | UPMC Hanover — upmc.com
Sleep Lab | UPMC Hanover — upmc.com

UPMC Hanover

Summary

Profile from official sources

At a glance