Does UPMC Muncy have an emergency room?

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

215 East Water Street, Muncy, PA 17756, in Lycoming County, Pennsylvania.

What is the phone number of UPMC Muncy?

(570) 546-8282, as listed by Medicare (CMS).

What is the Medicare star rating of UPMC Muncy?

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

UPMC Muncy — Muncy, PA | US Patient Guide

Quick answers

Does UPMC Muncy have an emergency room?: Yes. Medicare (CMS) data lists emergency services at UPMC Muncy. In a medical emergency, call 911.
Where is UPMC Muncy?: 215 East Water Street, Muncy, PA 17756, in Lycoming County, Pennsylvania.
What is the phone number of UPMC Muncy?: (570) 546-8282, as listed by Medicare (CMS).
What is the Medicare star rating of UPMC Muncy?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][10]

Treatments^[8]

Blood flow restriction training
Concussion therapy
Custom splints
Hand therapy
Manual therapy
Occupational therapy
Physical therapy
Return-to-sports testing
Vestibular therapy

Procedures^[6]

Minimally invasive surgery

Emergency care (hospital website)^[4][5][7][9]

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

Visiting and practical information

Patient portal	MyUPMC

Recognition^[4]

Critical access hospital

Doctors and clinicians (149)

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

Main specialties

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

Other emergency rooms nearby

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

UPMC Williamsport13 mi · Williamsport, PA · Acute Care Hospital
Geisinger Behavioral Health Center Danville17 mi · Danville, PA · Psychiatric Hospital
WellSpan Evangelical Community Hospital17 mi · Lewisburg, PA · Acute Care Hospital
Geisinger Medical Center19 mi · Danville, PA · Acute Care Hospital
Geisinger-Bloomsburg Hospital22 mi · Bloomsburg, PA · Acute Care Hospital

Other hospitals nearby

Geisinger Encompass Health Rehabilitation Hospital19 mi · Danville, PA · Inpatient Rehabilitation Hospital
Danville State Hospital20 mi · Danville, PA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Muncy Place0.0 mi · Muncy, PA · 4 of 5 stars
Watsontown Rehabilitation and Nursing Center9.2 mi · Watsontown, PA · 2 of 5 stars
Valley View Rehab and Nursing Center9.2 mi · Montoursville, PA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Family Hospice10 mi · Williamsport, PA · 4 of 5 stars
Geisinger Hospice17 mi · Danville, PA · 3 of 5 stars
WellSpan Hospice Services18 mi · Lewisburg, PA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Interim Healthcare of Central PA2.4 mi · Muncy, PA
A+ Healthcare Services10 mi · Williamsport, PA
Aveanna Healthcare10 mi · Williamsport, PA

All home health agencies in the state →

Dialysis facilities

Kidney Center Home Therapies9.2 mi · Montoursville, PA
NCPDC Williamsport Dialysis Clinic9.2 mi · Montoursville, PA · 2 of 5 stars
DaVita Justin Drive Dialysis17 mi · Danville, PA · 1 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.

Geisinger Endoscopy Montoursville9.2 mi · Montoursville, PA
The Surgery Center of Central PA16 mi · Allenwood, PA
Lewisburg Plastic Surgery and Laser Center18 mi · Lewisburg, 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

River Valley Health - Express and Specialty Care12 mi · Williamsport, PA · Community health center
River Valley Health - Williamsport Medical and Dental12 mi · Williamsport, PA · Community health center
River Valley Health - Mobile Dental Unit15 mi · Williamsport, PA · Community health center

Clinics and urgent care

Medexpress Urgent Care, PC - Pennsylvania10 mi · Williamsport, PA · Urgent care center
Evangelical Medical Services Organization18 mi · Lewisburg, PA · Urgent care center
WellSpan Medical Group18 mi · Lewisburg, PA · Urgent care center

Pharmacies

Geisinger Pharmacy, LLC2.4 mi · Muncy, PA · Community/retail pharmacy
Harter's Drug Store2.4 mi · Muncy, PA · Pharmacy
Sam's East Inc2.4 mi · Muncy, PA · Community/retail pharmacy

Assisted living nearby

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

Heritage Springs Memory Care2.4 mi · Muncy, PA
Wolf Run Village7.2 mi · Hughesville, PA
Warrior Run Heritage House7.4 mi · Watsontown, PA
Celebration Villa of Loyalsock9.2 mi · Montoursville, 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 Muncy reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	86%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	90%National average: 80%
Doctors “always” communicated well	85%National average: 80%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	82%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	106Response rate: 33%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0.674No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	1.98No 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	Not reported to Medicare
Deaths within 30 days: heart failure patients	12.7%
Deaths within 30 days: pneumonia patients	18.5%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	22.2%
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	115 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)	88%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 47 common services exactly as UPMC Muncy 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACUITY LEVEL 3	$1,240	$744	$62.31 – $1,178
Emergency room visit (moderate): 10 of 33 insurance plan rates Aetna — Commercial: $591.48 Aetna — First Health: $818.40 Aetna — PEBTF Custom Network: $502.82 America's Choice — PPO: $992 AmeriHealth Caritas — Community HealthChoices (CHC): $63.87 AmeriHealth Caritas — Medicaid: $63.87 AmeriHealth Caritas — Medicare: $191.58 Cigna — Commercial: $849.40 Cigna — Medicare: $195.30 Coventry/First Health — Commercial: $621.24
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ACUITY LEVEL 3	$1,240	$744	$531.22 – $2,315.52
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $624.96 Aetna — First Health: $818.40 Aetna — PEBTF Custom Network: $531.22 America's Choice — PPO: $992 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $849.40 Coventry/First Health — Commercial: $655.96 Coventry/First Health — FH-Medical Rental: $834.52 InterGroup — PPO: $992 Multiplan — Auto: $967.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACUITY LEVEL 4	$2,073	$1,243.80	$104.86 – $1,969.35
Emergency room visit (moderately high): 10 of 33 insurance plan rates Aetna — Commercial: $988.82 Aetna — First Health: $1,368.18 Aetna — PEBTF Custom Network: $840.60 America's Choice — PPO: $1,658.40 AmeriHealth Caritas — Community HealthChoices (CHC): $107.48 AmeriHealth Caritas — Medicaid: $107.48 AmeriHealth Caritas — Medicare: $320.28 Cigna — Commercial: $1,420.01 Cigna — Medicare: $326.50 Coventry/First Health — Commercial: $1,038.57
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ACUITY LEVEL 4	$2,073	$1,243.80	$888.07 – $2,315.52
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Commercial: $1,044.79 Aetna — First Health: $1,368.18 Aetna — PEBTF Custom Network: $888.07 America's Choice — PPO: $1,658.40 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $1,420.01 Coventry/First Health — Commercial: $1,096.62 Coventry/First Health — FH-Medical Rental: $1,395.13 InterGroup — PPO: $1,658.40 Multiplan — Auto: $1,616.94
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACUITY LEVEL 5	$2,146	$1,287.60	$152.61 – $2,038.70
Emergency room visit (high): 10 of 33 insurance plan rates Aetna — Commercial: $1,023.64 Aetna — First Health: $1,416.36 Aetna — PEBTF Custom Network: $870.20 America's Choice — PPO: $1,716.80 AmeriHealth Caritas — Community HealthChoices (CHC): $156.43 AmeriHealth Caritas — Medicaid: $156.43 AmeriHealth Caritas — Medicare: $331.56 Cigna — Commercial: $1,470.01 Cigna — Medicare: $338 Coventry/First Health — Commercial: $1,075.15
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ACUITY LEVEL 5	$2,146	$1,287.60	$919.35 – $2,315.52
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Commercial: $1,081.58 Aetna — First Health: $1,416.36 Aetna — PEBTF Custom Network: $919.35 America's Choice — PPO: $1,716.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $1,470.01 Coventry/First Health — Commercial: $1,135.23 Coventry/First Health — FH-Medical Rental: $1,444.26 InterGroup — PPO: $1,716.80 Multiplan — Auto: $1,673.88

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$311	$186.60	$8.36 – $295.45
Basic metabolic panel (blood test): 10 of 33 insurance plan rates Aetna — Commercial: $111.96 Aetna — First Health: $205.26 Aetna — PEBTF Custom Network: $95.17 America's Choice — PPO: $248.80 AmeriHealth Caritas — Community HealthChoices (CHC): $10.55 AmeriHealth Caritas — Medicaid: $10.55 AmeriHealth Caritas — Medicare: $48.05 Cigna — Commercial: $159.85 Cigna — Medicare: $48.98 Coventry/First Health — Commercial: $117.56
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$311	$186.60	$133.23 – $2,315.52
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $156.74 Aetna — First Health: $205.26 Aetna — PEBTF Custom Network: $133.23 America's Choice — PPO: $248.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $213.03 Coventry/First Health — Commercial: $164.52 Coventry/First Health — FH-Medical Rental: $209.30 InterGroup — PPO: $248.80 Multiplan — Auto: $242.58
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$359	$215.40	$10.43 – $341.05
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates Aetna — Commercial: $129.24 Aetna — First Health: $236.94 Aetna — PEBTF Custom Network: $109.85 America's Choice — PPO: $287.20 AmeriHealth Caritas — Community HealthChoices (CHC): $13.18 AmeriHealth Caritas — Medicaid: $13.18 AmeriHealth Caritas — Medicare: $55.47 Cigna — Commercial: $184.53 Cigna — Medicare: $56.54 Coventry/First Health — Commercial: $135.70
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$359	$215.40	$153.80 – $2,315.52
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Commercial: $180.94 Aetna — First Health: $236.94 Aetna — PEBTF Custom Network: $153.80 America's Choice — PPO: $287.20 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $245.91 Coventry/First Health — Commercial: $189.91 Coventry/First Health — FH-Medical Rental: $241.61 InterGroup — PPO: $287.20 Multiplan — Auto: $280.02
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICS PANEL	$380	$228	$13.20 – $361
Obstetric blood test panel: 10 of 33 insurance plan rates Aetna — Commercial: $136.80 Aetna — First Health: $250.80 Aetna — PEBTF Custom Network: $116.28 America's Choice — PPO: $304 AmeriHealth Caritas — Community HealthChoices (CHC): $13.53 AmeriHealth Caritas — Medicaid: $13.53 AmeriHealth Caritas — Medicare: $58.71 Cigna — Commercial: $195.32 Cigna — Medicare: $59.85 Coventry/First Health — Commercial: $143.64
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRICS PANEL	$380	$228	$162.79 – $2,315.52
Obstetric blood test panel: 10 of 16 insurance plan rates Aetna — Commercial: $191.52 Aetna — First Health: $250.80 Aetna — PEBTF Custom Network: $162.79 America's Choice — PPO: $304 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $260.30 Coventry/First Health — Commercial: $201.02 Coventry/First Health — FH-Medical Rental: $255.74 InterGroup — PPO: $304 Multiplan — Auto: $296.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL P4483	$380	$228	$13.24 – $361
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates Aetna — Commercial: $136.80 Aetna — First Health: $250.80 Aetna — PEBTF Custom Network: $116.28 America's Choice — PPO: $304 AmeriHealth Caritas — Community HealthChoices (CHC): $15.79 AmeriHealth Caritas — Medicaid: $15.79 AmeriHealth Caritas — Medicare: $58.71 Cigna — Commercial: $195.32 Cigna — Medicare: $59.85 Coventry/First Health — Commercial: $143.64
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	$380	$228	$13.24 – $361
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates Aetna — Commercial: $136.80 Aetna — First Health: $250.80 Aetna — PEBTF Custom Network: $116.28 America's Choice — PPO: $304 AmeriHealth Caritas — Community HealthChoices (CHC): $15.79 AmeriHealth Caritas — Medicaid: $15.79 AmeriHealth Caritas — Medicare: $58.71 Cigna — Commercial: $195.32 Cigna — Medicare: $59.85 Coventry/First Health — Commercial: $143.64
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL P4483	$380	$228	$162.79 – $2,315.52
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Commercial: $191.52 Aetna — First Health: $250.80 Aetna — PEBTF Custom Network: $162.79 America's Choice — PPO: $304 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $260.30 Coventry/First Health — Commercial: $201.02 Coventry/First Health — FH-Medical Rental: $255.74 InterGroup — PPO: $304 Multiplan — Auto: $296.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$260	$156	$8.58 – $247
Kidney function panel: 10 of 33 insurance plan rates Aetna — Commercial: $93.60 Aetna — First Health: $171.60 Aetna — PEBTF Custom Network: $79.56 America's Choice — PPO: $208 AmeriHealth Caritas — Community HealthChoices (CHC): $10.82 AmeriHealth Caritas — Medicaid: $10.82 AmeriHealth Caritas — Medicare: $40.17 Cigna — Commercial: $133.64 Cigna — Medicare: $40.95 Coventry/First Health — Commercial: $98.28
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$260	$156	$111.38 – $2,315.52
Kidney function panel: 10 of 16 insurance plan rates Aetna — Commercial: $131.04 Aetna — First Health: $171.60 Aetna — PEBTF Custom Network: $111.38 America's Choice — PPO: $208 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $178.10 Coventry/First Health — Commercial: $137.54 Coventry/First Health — FH-Medical Rental: $174.98 InterGroup — PPO: $208 Multiplan — Auto: $202.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$387	$232.20	$8.08 – $367.65
Liver function panel: 10 of 33 insurance plan rates Aetna — Commercial: $139.32 Aetna — First Health: $255.42 Aetna — PEBTF Custom Network: $118.42 America's Choice — PPO: $309.60 AmeriHealth Caritas — Community HealthChoices (CHC): $10.18 AmeriHealth Caritas — Medicaid: $10.18 AmeriHealth Caritas — Medicare: $59.79 Cigna — Commercial: $198.92 Cigna — Medicare: $60.95 Coventry/First Health — Commercial: $146.29
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$387	$232.20	$165.79 – $2,315.52
Liver function panel: 10 of 16 insurance plan rates Aetna — Commercial: $195.05 Aetna — First Health: $255.42 Aetna — PEBTF Custom Network: $165.79 America's Choice — PPO: $309.60 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $265.10 Coventry/First Health — Commercial: $204.72 Coventry/First Health — FH-Medical Rental: $260.45 InterGroup — PPO: $309.60 Multiplan — Auto: $301.86
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UR COMPL W/REFLEX TO CULTURE	$117	$70.20	$3.13 – $111.15
Urine test (automated, with microscope): 10 of 33 insurance plan rates Aetna — Commercial: $42.12 Aetna — First Health: $77.22 Aetna — PEBTF Custom Network: $35.80 America's Choice — PPO: $93.60 AmeriHealth Caritas — Community HealthChoices (CHC): $3.38 AmeriHealth Caritas — Medicaid: $3.38 AmeriHealth Caritas — Medicare: $18.08 Cigna — Commercial: $60.14 Cigna — Medicare: $18.43 Coventry/First Health — Commercial: $44.23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS R & M	$117	$70.20	$3.13 – $111.15
Urine test (automated, with microscope): 10 of 33 insurance plan rates Aetna — Commercial: $42.12 Aetna — First Health: $77.22 Aetna — PEBTF Custom Network: $35.80 America's Choice — PPO: $93.60 AmeriHealth Caritas — Community HealthChoices (CHC): $3.38 AmeriHealth Caritas — Medicaid: $3.38 AmeriHealth Caritas — Medicare: $18.08 Cigna — Commercial: $60.14 Cigna — Medicare: $18.43 Coventry/First Health — Commercial: $44.23
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UR COMPL W/REFLEX TO CULTURE	$117	$70.20	$50.12 – $2,315.52
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — Commercial: $58.97 Aetna — First Health: $77.22 Aetna — PEBTF Custom Network: $50.12 America's Choice — PPO: $93.60 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $80.14 Coventry/First Health — Commercial: $61.89 Coventry/First Health — FH-Medical Rental: $78.74 InterGroup — PPO: $93.60 Multiplan — Auto: $91.26
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK	$85	$51	$3.44 – $80.75
Urine test (manual, without microscope): 10 of 33 insurance plan rates Aetna — Commercial: $30.60 Aetna — First Health: $56.10 Aetna — PEBTF Custom Network: $26.01 America's Choice — PPO: $68 AmeriHealth Caritas — Community HealthChoices (CHC): $4.03 AmeriHealth Caritas — Medicaid: $4.03 AmeriHealth Caritas — Medicare: $13.13 Cigna — Commercial: $43.69 Cigna — Medicare: $13.39 Coventry/First Health — Commercial: $32.13
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK	$85	$51	$36.41 – $2,315.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $42.84 Aetna — First Health: $56.10 Aetna — PEBTF Custom Network: $36.41 America's Choice — PPO: $68 AmeriHealth Caritas — Medicare: $2,208.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Commercial: $58.23 Coventry/First Health — Commercial: $44.97 Coventry/First Health — FH-Medical Rental: $57.20 InterGroup — PPO: $68 Multiplan — Auto: $66.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMATED	$63	$37.80	$2.22 – $59.85
Urine test (automated, without microscope): 10 of 33 insurance plan rates Aetna — Commercial: $22.68 Aetna — First Health: $41.58 Aetna — PEBTF Custom Network: $19.28 America's Choice — PPO: $50.40 AmeriHealth Caritas — Community HealthChoices (CHC): $3.50 AmeriHealth Caritas — Medicaid: $3.50 AmeriHealth Caritas — Medicare: $9.73 Cigna — Commercial: $32.38 Cigna — Medicare: $9.92 Coventry/First Health — Commercial: $23.81
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE MACRO	$63	$37.80	$2.22 – $59.85
Urine test (automated, without microscope): 10 of 33 insurance plan rates Aetna — Commercial: $22.68 Aetna — First Health: $41.58 Aetna — PEBTF Custom Network: $19.28 America's Choice — PPO: $50.40 AmeriHealth Caritas — Community HealthChoices (CHC): $3.50 AmeriHealth Caritas — Medicaid: $3.50 AmeriHealth Caritas — Medicare: $9.73 Cigna — Commercial: $32.38 Cigna — Medicare: $9.92 Coventry/First Health — Commercial: $23.81
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMATED	$63	$37.80	$26.99 – $2,315.52
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Commercial: $31.75 Aetna — First Health: $41.58 Aetna — PEBTF Custom Network: $26.99 America's Choice — PPO: $50.40 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $43.16 Coventry/First Health — Commercial: $33.33 Coventry/First Health — FH-Medical Rental: $42.40 InterGroup — PPO: $50.40 Multiplan — Auto: $49.14
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC PSA	$347	$208.20	$18.17 – $329.65
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates Aetna — Commercial: $124.92 Aetna — First Health: $229.02 Aetna — PEBTF Custom Network: $106.18 America's Choice — PPO: $277.60 AmeriHealth Caritas — Community HealthChoices (CHC): $27.47 AmeriHealth Caritas — Medicaid: $27.47 AmeriHealth Caritas — Medicare: $53.61 Cigna — Commercial: $178.36 Cigna — Medicare: $54.65 Coventry/First Health — Commercial: $131.17
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC	$347	$208.20	$18.17 – $329.65
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates Aetna — Commercial: $124.92 Aetna — First Health: $229.02 Aetna — PEBTF Custom Network: $106.18 America's Choice — PPO: $277.60 AmeriHealth Caritas — Community HealthChoices (CHC): $27.47 AmeriHealth Caritas — Medicaid: $27.47 AmeriHealth Caritas — Medicare: $53.61 Cigna — Commercial: $178.36 Cigna — Medicare: $54.65 Coventry/First Health — Commercial: $131.17
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA POST-PROSTECTOMY HAMA	$347	$208.20	$18.17 – $329.65
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates Aetna — Commercial: $124.92 Aetna — First Health: $229.02 Aetna — PEBTF Custom Network: $106.18 America's Choice — PPO: $277.60 AmeriHealth Caritas — Community HealthChoices (CHC): $27.47 AmeriHealth Caritas — Medicaid: $27.47 AmeriHealth Caritas — Medicare: $53.61 Cigna — Commercial: $178.36 Cigna — Medicare: $54.65 Coventry/First Health — Commercial: $131.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID FUNCTION CASCADE SERUM	$748	$448.80	$16.60 – $710.60
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates Aetna — Commercial: $269.28 Aetna — First Health: $493.68 Aetna — PEBTF Custom Network: $228.89 America's Choice — PPO: $598.40 AmeriHealth Caritas — Community HealthChoices (CHC): $26.17 AmeriHealth Caritas — Medicaid: $26.17 AmeriHealth Caritas — Medicare: $115.57 Cigna — Commercial: $384.47 Cigna — Medicare: $117.81 Coventry/First Health — Commercial: $282.74
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$748	$448.80	$16.60 – $710.60
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates Aetna — Commercial: $269.28 Aetna — First Health: $493.68 Aetna — PEBTF Custom Network: $228.89 America's Choice — PPO: $598.40 AmeriHealth Caritas — Community HealthChoices (CHC): $26.17 AmeriHealth Caritas — Medicaid: $26.17 AmeriHealth Caritas — Medicare: $115.57 Cigna — Commercial: $384.47 Cigna — Medicare: $117.81 Coventry/First Health — Commercial: $282.74
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$748	$448.80	$16.60 – $710.60
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates Aetna — Commercial: $269.28 Aetna — First Health: $493.68 Aetna — PEBTF Custom Network: $228.89 America's Choice — PPO: $598.40 AmeriHealth Caritas — Community HealthChoices (CHC): $26.17 AmeriHealth Caritas — Medicaid: $26.17 AmeriHealth Caritas — Medicare: $115.57 Cigna — Commercial: $384.47 Cigna — Medicare: $117.81 Coventry/First Health — Commercial: $282.74
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLT & AUTO COMP DIFF	$159	$95.40	$6.60 – $151.05
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates Aetna — Commercial: $57.24 Aetna — First Health: $104.94 Aetna — PEBTF Custom Network: $48.65 America's Choice — PPO: $127.20 AmeriHealth Caritas — Community HealthChoices (CHC): $6.76 AmeriHealth Caritas — Medicaid: $6.76 AmeriHealth Caritas — Medicare: $24.57 Cigna — Commercial: $81.73 Cigna — Medicare: $25.04 Coventry/First Health — Commercial: $60.10
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OXLDL	$159	$95.40	$6.60 – $151.05
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates Aetna — Commercial: $57.24 Aetna — First Health: $104.94 Aetna — PEBTF Custom Network: $48.65 America's Choice — PPO: $127.20 AmeriHealth Caritas — Community HealthChoices (CHC): $6.76 AmeriHealth Caritas — Medicaid: $6.76 AmeriHealth Caritas — Medicare: $24.57 Cigna — Commercial: $81.73 Cigna — Medicare: $25.04 Coventry/First Health — Commercial: $60.10
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC & PLT & AUTO COMP DIFF	$159	$95.40	$68.12 – $2,315.52
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Commercial: $80.14 Aetna — First Health: $104.94 Aetna — PEBTF Custom Network: $68.12 America's Choice — PPO: $127.20 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $108.92 Coventry/First Health — Commercial: $84.11 Coventry/First Health — FH-Medical Rental: $107.01 InterGroup — PPO: $127.20 Multiplan — Auto: $124.02
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLT ONLY	$134	$80.40	$6.39 – $127.30
Complete blood count (CBC), automated: 10 of 33 insurance plan rates Aetna — Commercial: $48.24 Aetna — First Health: $88.44 Aetna — PEBTF Custom Network: $41 America's Choice — PPO: $107.20 AmeriHealth Caritas — Community HealthChoices (CHC): $8.48 AmeriHealth Caritas — Medicaid: $8.48 AmeriHealth Caritas — Medicare: $20.70 Cigna — Commercial: $68.88 Cigna — Medicare: $21.11 Coventry/First Health — Commercial: $50.65
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC & PLT ONLY	$134	$80.40	$57.41 – $2,315.52
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Commercial: $67.54 Aetna — First Health: $88.44 Aetna — PEBTF Custom Network: $57.41 America's Choice — PPO: $107.20 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $91.79 Coventry/First Health — Commercial: $70.89 Coventry/First Health — FH-Medical Rental: $90.18 InterGroup — PPO: $107.20 Multiplan — Auto: $104.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME P P7021	$129	$77.40	$4.24 – $122.55
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates Aetna — Commercial: $46.44 Aetna — First Health: $85.14 Aetna — PEBTF Custom Network: $39.47 America's Choice — PPO: $103.20 AmeriHealth Caritas — Community HealthChoices (CHC): $4.51 AmeriHealth Caritas — Medicaid: $4.51 AmeriHealth Caritas — Medicare: $19.93 Cigna — Commercial: $66.31 Cigna — Medicare: $20.32 Coventry/First Health — Commercial: $48.76
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME P2672	$129	$77.40	$4.24 – $122.55
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates Aetna — Commercial: $46.44 Aetna — First Health: $85.14 Aetna — PEBTF Custom Network: $39.47 America's Choice — PPO: $103.20 AmeriHealth Caritas — Community HealthChoices (CHC): $4.51 AmeriHealth Caritas — Medicaid: $4.51 AmeriHealth Caritas — Medicare: $19.93 Cigna — Commercial: $66.31 Cigna — Medicare: $20.32 Coventry/First Health — Commercial: $48.76
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME P2680	$129	$77.40	$4.24 – $122.55
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates Aetna — Commercial: $46.44 Aetna — First Health: $85.14 Aetna — PEBTF Custom Network: $39.47 America's Choice — PPO: $103.20 AmeriHealth Caritas — Community HealthChoices (CHC): $4.51 AmeriHealth Caritas — Medicaid: $4.51 AmeriHealth Caritas — Medicare: $19.93 Cigna — Commercial: $66.31 Cigna — Medicare: $20.32 Coventry/First Health — Commercial: $48.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACT PART THROMBOP TIME P P7021	$176	$105.60	$5.94 – $167.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates Aetna — Commercial: $63.36 Aetna — First Health: $116.16 Aetna — PEBTF Custom Network: $53.86 America's Choice — PPO: $140.80 AmeriHealth Caritas — Community HealthChoices (CHC): $8.46 AmeriHealth Caritas — Medicaid: $8.46 AmeriHealth Caritas — Medicare: $27.19 Cigna — Commercial: $90.46 Cigna — Medicare: $27.72 Coventry/First Health — Commercial: $66.53
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACTIVATED PTT	$705	$423	$5.94 – $669.75
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates Aetna — Commercial: $253.80 Aetna — First Health: $465.30 Aetna — PEBTF Custom Network: $215.73 America's Choice — PPO: $564 AmeriHealth Caritas — Community HealthChoices (CHC): $8.46 AmeriHealth Caritas — Medicaid: $8.46 AmeriHealth Caritas — Medicare: $108.92 Cigna — Commercial: $362.37 Cigna — Medicare: $111.04 Coventry/First Health — Commercial: $266.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT (BASELINE) PNL 5464	$705	$423	$5.94 – $669.75
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates Aetna — Commercial: $253.80 Aetna — First Health: $465.30 Aetna — PEBTF Custom Network: $215.73 America's Choice — PPO: $564 AmeriHealth Caritas — Community HealthChoices (CHC): $8.46 AmeriHealth Caritas — Medicaid: $8.46 AmeriHealth Caritas — Medicare: $108.92 Cigna — Commercial: $362.37 Cigna — Medicare: $111.04 Coventry/First Health — Commercial: $266.49

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,671	$1,602.60	$99.20 – $2,537.45
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna — Commercial: $1,274.07 Aetna — First Health: $1,762.86 Aetna — PEBTF Custom Network: $1,083.09 America's Choice — PPO: $2,136.80 AmeriHealth Caritas — Community HealthChoices (CHC): $131.64 AmeriHealth Caritas — Medicaid: $131.64 AmeriHealth Caritas — Medicare: $412.67 Cigna — Commercial: $1,829.63 Cigna — Medicare: $420.68 Coventry/First Health — Commercial: $1,338.17
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,671	$1,602.60	$1,144.26 – $2,537.45
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,346.18 Aetna — First Health: $1,762.86 Aetna — PEBTF Custom Network: $1,144.26 America's Choice — PPO: $2,136.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $1,829.63 Coventry/First Health — Commercial: $1,412.96 Coventry/First Health — FH-Medical Rental: $1,797.58 InterGroup — PPO: $2,136.80 Multiplan — Auto: $2,083.38
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: MR BRAIN W WO CON	$6,340	$3,804	$344.32 – $6,023
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates Aetna — Commercial: $3,024.18 Aetna — First Health: $4,184.40 Aetna — PEBTF Custom Network: $2,570.87 America's Choice — PPO: $5,072 AmeriHealth Caritas — Community HealthChoices (CHC): $382.22 AmeriHealth Caritas — Medicaid: $382.22 AmeriHealth Caritas — Medicare: $979.53 Cigna — Commercial: $4,342.90 Cigna — Medicare: $998.55 Coventry/First Health — Commercial: $3,176.34
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee · modifier PN In the file: MR BRAIN W WO CON	$6,340	$3,804	$2,208.32 – $6,023
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $3,195.36 Aetna — First Health: $4,184.40 Aetna — PEBTF Custom Network: $2,716.06 America's Choice — PPO: $5,072 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $4,342.90 Coventry/First Health — Commercial: $3,353.86 Coventry/First Health — FH-Medical Rental: $4,266.82 InterGroup — PPO: $5,072 Multiplan — Auto: $4,945.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$967	$580.20	$19.01 – $918.65
Chest X-ray, 2 views: 10 of 33 insurance plan rates Aetna — Commercial: $461.26 Aetna — First Health: $638.22 Aetna — PEBTF Custom Network: $392.12 America's Choice — PPO: $773.60 AmeriHealth Caritas — Community HealthChoices (CHC): $26.65 AmeriHealth Caritas — Medicaid: $26.65 AmeriHealth Caritas — Medicare: $149.40 Cigna — Commercial: $662.39 Cigna — Medicare: $152.30 Coventry/First Health — Commercial: $484.47
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$967	$580.20	$414.26 – $2,315.52
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Commercial: $487.37 Aetna — First Health: $638.22 Aetna — PEBTF Custom Network: $414.26 America's Choice — PPO: $773.60 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $662.39 Coventry/First Health — Commercial: $511.54 Coventry/First Health — FH-Medical Rental: $650.79 InterGroup — PPO: $773.60 Multiplan — Auto: $754.26
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBOSAC MIN 4 VWS	$1,184	$710.40	$28.80 – $1,124.80
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates Aetna — Commercial: $564.77 Aetna — First Health: $781.44 Aetna — PEBTF Custom Network: $480.11 America's Choice — PPO: $947.20 AmeriHealth Caritas — Community HealthChoices (CHC): $41.29 AmeriHealth Caritas — Medicaid: $41.29 AmeriHealth Caritas — Medicare: $182.93 Cigna — Commercial: $811.04 Cigna — Medicare: $186.48 Coventry/First Health — Commercial: $593.18
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LUMBOSAC MIN 4 VWS	$1,184	$710.40	$507.23 – $2,315.52
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Commercial: $596.74 Aetna — First Health: $781.44 Aetna — PEBTF Custom Network: $507.23 America's Choice — PPO: $947.20 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $811.04 Coventry/First Health — Commercial: $626.34 Coventry/First Health — FH-Medical Rental: $796.83 InterGroup — PPO: $947.20 Multiplan — Auto: $923.52
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: MR SP CANAL LUMBAR WO	$4,190	$2,514	$239.62 – $3,980.50
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna — Commercial: $1,998.63 Aetna — First Health: $2,765.40 Aetna — PEBTF Custom Network: $1,699.05 America's Choice — PPO: $3,352 AmeriHealth Caritas — Community HealthChoices (CHC): $288.81 AmeriHealth Caritas — Medicaid: $288.81 AmeriHealth Caritas — Medicare: $647.36 Cigna — Commercial: $2,870.15 Cigna — Medicare: $659.92 Coventry/First Health — Commercial: $2,099.19
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee · modifier PN In the file: MR SP CANAL LUMBAR WO	$4,190	$2,514	$1,795 – $3,980.50
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,111.76 Aetna — First Health: $2,765.40 Aetna — PEBTF Custom Network: $1,795 America's Choice — PPO: $3,352 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $2,870.15 Coventry/First Health — Commercial: $2,216.51 Coventry/First Health — FH-Medical Rental: $2,819.87 InterGroup — PPO: $3,352 Multiplan — Auto: $3,268.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CON	$3,170	$1,902	$110.72 – $3,011.50
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Commercial: $1,512.09 Aetna — First Health: $2,092.20 Aetna — PEBTF Custom Network: $1,285.43 America's Choice — PPO: $2,536 AmeriHealth Caritas — Community HealthChoices (CHC): $157.95 AmeriHealth Caritas — Medicaid: $157.95 AmeriHealth Caritas — Medicare: $489.76 Cigna — Commercial: $2,171.45 Cigna — Medicare: $499.27 Coventry/First Health — Commercial: $1,588.17
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CON	$3,170	$1,902	$1,358.03 – $3,011.50
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,597.68 Aetna — First Health: $2,092.20 Aetna — PEBTF Custom Network: $1,358.03 America's Choice — PPO: $2,536 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $2,171.45 Coventry/First Health — Commercial: $1,676.93 Coventry/First Health — FH-Medical Rental: $2,133.41 InterGroup — PPO: $2,536 Multiplan — Auto: $2,472.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: MR LOW EXTREM ANY JNT WO	$4,190	$2,514	$344.32 – $3,980.50
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — Commercial: $1,998.63 Aetna — First Health: $2,765.40 Aetna — PEBTF Custom Network: $1,699.05 America's Choice — PPO: $3,352 AmeriHealth Caritas — Medicare: $647.36 Cigna — Commercial: $2,870.15 Cigna — Medicare: $659.92 Coventry/First Health — Commercial: $2,099.19 Coventry/First Health — FH-Medical Rental: $2,819.87 Geisinger — Commercial: $2,807.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier PN In the file: MR LOW EXTREM ANY JNT WO	$4,190	$2,514	$1,795 – $3,980.50
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $2,111.76 Aetna — First Health: $2,765.40 Aetna — PEBTF Custom Network: $1,795 America's Choice — PPO: $3,352 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $2,870.15 Coventry/First Health — Commercial: $2,216.51 Coventry/First Health — FH-Medical Rental: $2,819.87 InterGroup — PPO: $3,352 Multiplan — Auto: $3,268.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PLVS W CONTRAST	$7,422	$4,453.20	$246.69 – $7,050.90
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Commercial: $3,540.29 Aetna — First Health: $4,898.52 Aetna — PEBTF Custom Network: $3,009.62 America's Choice — PPO: $5,937.60 AmeriHealth Caritas — Community HealthChoices (CHC): $296.71 AmeriHealth Caritas — Medicaid: $296.71 AmeriHealth Caritas — Medicare: $1,146.70 Cigna — Commercial: $5,084.07 Cigna — Medicare: $1,168.96 Coventry/First Health — Commercial: $3,718.42
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PLVS W CONTRAST	$7,422	$4,453.20	$2,208.32 – $7,050.90
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $3,740.69 Aetna — First Health: $4,898.52 Aetna — PEBTF Custom Network: $3,179.58 America's Choice — PPO: $5,937.60 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $5,084.07 Coventry/First Health — Commercial: $3,926.24 Coventry/First Health — FH-Medical Rental: $4,995.01 InterGroup — PPO: $5,937.60 Multiplan — Auto: $5,789.16
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$1,528	$916.80	$73.60 – $1,451.60
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna — Commercial: $728.86 Aetna — First Health: $1,008.48 Aetna — PEBTF Custom Network: $619.60 America's Choice — PPO: $1,222.40 AmeriHealth Caritas — Community HealthChoices (CHC): $107.42 AmeriHealth Caritas — Medicaid: $107.42 AmeriHealth Caritas — Medicare: $236.08 Cigna — Commercial: $1,046.68 Cigna — Medicare: $240.66 Coventry/First Health — Commercial: $765.53
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$1,528	$916.80	$654.60 – $2,315.52
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Commercial: $770.11 Aetna — First Health: $1,008.48 Aetna — PEBTF Custom Network: $654.60 America's Choice — PPO: $1,222.40 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $1,046.68 Coventry/First Health — Commercial: $808.31 Coventry/First Health — FH-Medical Rental: $1,028.34 InterGroup — PPO: $1,222.40 Multiplan — Auto: $1,191.84
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREGNANT UTERUS>14WKS	$1,151	$690.60	$59.52 – $1,093.45
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna — Commercial: $549.03 Aetna — First Health: $759.66 Aetna — PEBTF Custom Network: $466.73 America's Choice — PPO: $920.80 AmeriHealth Caritas — Community HealthChoices (CHC): $87.38 AmeriHealth Caritas — Medicaid: $87.38 AmeriHealth Caritas — Medicare: $177.83 Cigna — Commercial: $788.43 Cigna — Medicare: $181.28 Coventry/First Health — Commercial: $576.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PREGNANT UTERUS>14WKS	$1,151	$690.60	$493.09 – $2,315.52
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Aetna — Commercial: $580.10 Aetna — First Health: $759.66 Aetna — PEBTF Custom Network: $493.09 America's Choice — PPO: $920.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $788.43 Coventry/First Health — Commercial: $608.88 Coventry/First Health — FH-Medical Rental: $774.62 InterGroup — PPO: $920.80 Multiplan — Auto: $897.78
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$1,131	$678.60	$59.52 – $1,074.45
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna — Commercial: $539.49 Aetna — First Health: $746.46 Aetna — PEBTF Custom Network: $458.62 America's Choice — PPO: $904.80 AmeriHealth Caritas — Community HealthChoices (CHC): $86.25 AmeriHealth Caritas — Medicaid: $86.25 AmeriHealth Caritas — Medicare: $174.74 Cigna — Commercial: $774.74 Cigna — Medicare: $178.13 Coventry/First Health — Commercial: $566.63
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$1,131	$678.60	$484.52 – $2,315.52
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Commercial: $570.02 Aetna — First Health: $746.46 Aetna — PEBTF Custom Network: $484.52 America's Choice — PPO: $904.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $774.74 Coventry/First Health — Commercial: $598.30 Coventry/First Health — FH-Medical Rental: $761.16 InterGroup — PPO: $904.80 Multiplan — Auto: $882.18
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX UNI WWO CAD	$528	$316.80	$79.20 – $501.60
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — Commercial: $251.86 Aetna — First Health: $348.48 Aetna — PEBTF Custom Network: $214.10 America's Choice — PPO: $422.40 AmeriHealth Caritas — Community HealthChoices (CHC): $115.47 AmeriHealth Caritas — Medicaid: $115.47 AmeriHealth Caritas — Medicare: $81.58 Cigna — Commercial: $361.68 Cigna — Medicare: $83.16 Coventry/First Health — Commercial: $264.53
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX UNI WWO CAD	$528	$316.80	$226.20 – $2,315.52
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Commercial: $266.11 Aetna — First Health: $348.48 Aetna — PEBTF Custom Network: $226.20 America's Choice — PPO: $422.40 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $361.68 Coventry/First Health — Commercial: $279.31 Coventry/First Health — FH-Medical Rental: $355.34 InterGroup — PPO: $422.40 Multiplan — Auto: $411.84
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX BILAT WWO CAD	$805	$483	$116.26 – $764.75
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial: $383.99 Aetna — First Health: $531.30 Aetna — PEBTF Custom Network: $326.43 America's Choice — PPO: $644 AmeriHealth Caritas — Community HealthChoices (CHC): $146.41 AmeriHealth Caritas — Medicaid: $146.41 AmeriHealth Caritas — Medicare: $124.37 Cigna — Commercial: $551.42 Cigna — Medicare: $126.79 Coventry/First Health — Commercial: $403.31
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIGITAL DX BILAT WWO CAD	$805	$483	$344.86 – $2,315.52
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Commercial: $405.72 Aetna — First Health: $531.30 Aetna — PEBTF Custom Network: $344.86 America's Choice — PPO: $644 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $551.42 Coventry/First Health — Commercial: $425.85 Coventry/First Health — FH-Medical Rental: $541.76 InterGroup — PPO: $644 Multiplan — Auto: $627.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIGI SCR BILAT WWO CAD	$396	$237.60	$59.40 – $376.20
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Commercial: $188.89 Aetna — First Health: $261.36 Aetna — PEBTF Custom Network: $160.58 America's Choice — PPO: $316.80 AmeriHealth Caritas — Community HealthChoices (CHC): $118.05 AmeriHealth Caritas — Medicaid: $118.05 AmeriHealth Caritas — Medicare: $61.18 Cigna — Commercial: $271.26 Cigna — Medicare: $62.37 Coventry/First Health — Commercial: $198.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIGI SCR BILAT WWO CAD	$396	$237.60	$169.65 – $2,315.52
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Commercial: $199.58 Aetna — First Health: $261.36 Aetna — PEBTF Custom Network: $169.65 America's Choice — PPO: $316.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $271.26 Coventry/First Health — Commercial: $209.48 Coventry/First Health — FH-Medical Rental: $266.51 InterGroup — PPO: $316.80 Multiplan — Auto: $308.88

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 GO,CO In the file: CO THERAPEUTIC EXERCISE P/15M	$217	$130.20	$9.22 – $206.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $103.51 Aetna — First Health: $143.22 Aetna — PEBTF Custom Network: $87.99 America's Choice — PPO: $173.60 AmeriHealth Caritas — Community HealthChoices (CHC): $9.45 AmeriHealth Caritas — Medicaid: $9.45 AmeriHealth Caritas — Medicare: $33.53 Cigna — Commercial: $148.65 Cigna — Medicare: $34.18 Coventry/First Health — Commercial: $108.72
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ THERAPEUTIC EXERCISE P/15M	$217	$130.20	$9.22 – $206.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $103.51 Aetna — First Health: $143.22 Aetna — PEBTF Custom Network: $87.99 America's Choice — PPO: $173.60 AmeriHealth Caritas — Community HealthChoices (CHC): $9.45 AmeriHealth Caritas — Medicaid: $9.45 AmeriHealth Caritas — Medicare: $33.53 Cigna — Commercial: $148.65 Cigna — Medicare: $34.18 Coventry/First Health — Commercial: $108.72
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISE P/15M	$217	$130.20	$9.22 – $206.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Commercial: $103.51 Aetna — First Health: $143.22 Aetna — PEBTF Custom Network: $87.99 America's Choice — PPO: $173.60 AmeriHealth Caritas — Community HealthChoices (CHC): $9.45 AmeriHealth Caritas — Medicaid: $9.45 AmeriHealth Caritas — Medicare: $33.53 Cigna — Commercial: $148.65 Cigna — Medicare: $34.18 Coventry/First Health — Commercial: $108.72
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ PT EVAL LOW COMPLEX	$329	$197.40	$49.35 – $312.55
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — Commercial: $156.93 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $133.41 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $50.83 Cigna — Commercial: $225.37 Cigna — Medicare: $51.82 Coventry/First Health — Commercial: $164.83 Coventry/First Health — FH-Medical Rental: $221.42 Geisinger — Commercial: $220.43
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX	$329	$197.40	$49.35 – $312.55
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — Commercial: $156.93 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $133.41 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $50.83 Cigna — Commercial: $225.37 Cigna — Medicare: $51.82 Coventry/First Health — Commercial: $164.83 Coventry/First Health — FH-Medical Rental: $221.42 Geisinger — Commercial: $220.43
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ PT EVAL LOW COMPLEX	$329	$197.40	$140.94 – $2,315.52
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Commercial: $165.82 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $140.94 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $225.37 Coventry/First Health — Commercial: $174.04 Coventry/First Health — FH-Medical Rental: $221.42 InterGroup — PPO: $263.20 Multiplan — Auto: $256.62
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ PT EVAL MOD COMPLEX	$329	$197.40	$32.42 – $312.55
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — Commercial: $156.93 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $133.41 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $50.83 Cigna — Commercial: $225.37 Cigna — Medicare: $51.82 Coventry/First Health — Commercial: $164.83 Coventry/First Health — FH-Medical Rental: $221.42 Geisinger — Commercial: $220.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX	$329	$197.40	$32.42 – $312.55
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — Commercial: $156.93 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $133.41 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $50.83 Cigna — Commercial: $225.37 Cigna — Medicare: $51.82 Coventry/First Health — Commercial: $164.83 Coventry/First Health — FH-Medical Rental: $221.42 Geisinger — Commercial: $220.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ PT EVAL MOD COMPLEX	$329	$197.40	$140.94 – $2,315.52
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Commercial: $165.82 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $140.94 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $225.37 Coventry/First Health — Commercial: $174.04 Coventry/First Health — FH-Medical Rental: $221.42 InterGroup — PPO: $263.20 Multiplan — Auto: $256.62
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ PT EVAL HIGH COMPLEX	$329	$197.40	$49.35 – $312.55
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Commercial: $156.93 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $133.41 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $50.83 Cigna — Commercial: $225.37 Cigna — Medicare: $51.82 Coventry/First Health — Commercial: $164.83 Coventry/First Health — FH-Medical Rental: $221.42 Geisinger — Commercial: $220.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX	$329	$197.40	$49.35 – $312.55
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — Commercial: $156.93 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $133.41 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $50.83 Cigna — Commercial: $225.37 Cigna — Medicare: $51.82 Coventry/First Health — Commercial: $164.83 Coventry/First Health — FH-Medical Rental: $221.42 Geisinger — Commercial: $220.43
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP,CQ In the file: CQ PT EVAL HIGH COMPLEX	$329	$197.40	$140.94 – $2,315.52
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Commercial: $165.82 Aetna — First Health: $217.14 Aetna — PEBTF Custom Network: $140.94 America's Choice — PPO: $263.20 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $225.37 Coventry/First Health — Commercial: $174.04 Coventry/First Health — FH-Medical Rental: $221.42 InterGroup — PPO: $263.20 Multiplan — Auto: $256.62

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/WO BRUSHINGS	$5,877	$3,526.20	$137.74 – $5,583.15
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates Aetna — Commercial: $2,803.33 Aetna — First Health: $3,878.82 Aetna — PEBTF Custom Network: $2,383.12 America's Choice — PPO: $4,701.60 AmeriHealth Caritas — Community HealthChoices (CHC): $141.19 AmeriHealth Caritas — Medicaid: $141.19 AmeriHealth Caritas — Medicare: $908 Cigna — Commercial: $4,025.74 Cigna — Medicare: $925.63 Coventry/First Health — Commercial: $2,944.38
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/WO BRUSHINGS	$5,877	$3,526.20	$2,208.32 – $5,583.15
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $2,962.01 Aetna — First Health: $3,878.82 Aetna — PEBTF Custom Network: $2,517.71 America's Choice — PPO: $4,701.60 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $4,025.74 Coventry/First Health — Commercial: $3,108.93 Coventry/First Health — FH-Medical Rental: $3,955.22 InterGroup — PPO: $4,701.60 Multiplan — Auto: $4,584.06
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/BIOPSY SINGLE/MULT	$5,877	$3,526.20	$163.44 – $5,583.15
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates Aetna — Commercial: $2,803.33 Aetna — First Health: $3,878.82 Aetna — PEBTF Custom Network: $2,383.12 America's Choice — PPO: $4,701.60 AmeriHealth Caritas — Community HealthChoices (CHC): $167.52 AmeriHealth Caritas — Medicaid: $167.52 AmeriHealth Caritas — Medicare: $908 Cigna — Commercial: $4,025.74 Cigna — Medicare: $925.63 Coventry/First Health — Commercial: $2,944.38
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/BIOPSY SINGLE/MULT	$5,877	$3,526.20	$2,208.32 – $5,583.15
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Commercial: $2,962.01 Aetna — First Health: $3,878.82 Aetna — PEBTF Custom Network: $2,517.71 America's Choice — PPO: $4,701.60 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $4,025.74 Coventry/First Health — Commercial: $3,108.93 Coventry/First Health — FH-Medical Rental: $3,955.22 InterGroup — PPO: $4,701.60 Multiplan — Auto: $4,584.06
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG W/WO BRUSHING	$2,756	$1,653.60	$198.55 – $2,618.20
Colonoscopy (diagnostic): 10 of 33 insurance plan rates Aetna — Commercial: $1,314.61 Aetna — First Health: $1,818.96 Aetna — PEBTF Custom Network: $1,117.56 America's Choice — PPO: $2,204.80 AmeriHealth Caritas — Community HealthChoices (CHC): $203.51 AmeriHealth Caritas — Medicaid: $203.51 AmeriHealth Caritas — Medicare: $425.80 Cigna — Commercial: $1,887.86 Cigna — Medicare: $434.07 Coventry/First Health — Commercial: $1,380.76
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG W/WO BRUSHING	$2,756	$1,653.60	$1,180.67 – $2,618.20
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Commercial: $1,389.02 Aetna — First Health: $1,818.96 Aetna — PEBTF Custom Network: $1,180.67 America's Choice — PPO: $2,204.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $1,887.86 Coventry/First Health — Commercial: $1,457.92 Coventry/First Health — FH-Medical Rental: $1,854.79 InterGroup — PPO: $2,204.80 Multiplan — Auto: $2,149.68
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX SINGLE/MULT	$5,421	$3,252.60	$247.96 – $5,149.95
Colonoscopy with biopsy: 10 of 33 insurance plan rates Aetna — Commercial: $2,585.82 Aetna — First Health: $3,577.86 Aetna — PEBTF Custom Network: $2,198.22 America's Choice — PPO: $4,336.80 AmeriHealth Caritas — Community HealthChoices (CHC): $254.16 AmeriHealth Caritas — Medicaid: $254.16 AmeriHealth Caritas — Medicare: $837.54 Cigna — Commercial: $3,713.39 Cigna — Medicare: $853.81 Coventry/First Health — Commercial: $2,715.92
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX SINGLE/MULT	$5,421	$3,252.60	$2,208.32 – $5,149.95
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Commercial: $2,732.18 Aetna — First Health: $3,577.86 Aetna — PEBTF Custom Network: $2,322.36 America's Choice — PPO: $4,336.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $3,713.39 Coventry/First Health — Commercial: $2,867.71 Coventry/First Health — FH-Medical Rental: $3,648.33 InterGroup — PPO: $4,336.80 Multiplan — Auto: $4,228.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/SNARE TECHNIQUE	$5,421	$3,252.60	$294.89 – $5,149.95
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates Aetna — Commercial: $2,585.82 Aetna — First Health: $3,577.86 Aetna — PEBTF Custom Network: $2,198.22 America's Choice — PPO: $4,336.80 AmeriHealth Caritas — Community HealthChoices (CHC): $302.26 AmeriHealth Caritas — Medicaid: $302.26 AmeriHealth Caritas — Medicare: $837.54 Cigna — Commercial: $3,713.39 Cigna — Medicare: $853.81 Coventry/First Health — Commercial: $2,715.92
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/SNARE TECHNIQUE	$5,421	$3,252.60	$2,208.32 – $5,149.95
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Commercial: $2,732.18 Aetna — First Health: $3,577.86 Aetna — PEBTF Custom Network: $2,322.36 America's Choice — PPO: $4,336.80 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $3,713.39 Coventry/First Health — Commercial: $2,867.71 Coventry/First Health — FH-Medical Rental: $3,648.33 InterGroup — PPO: $4,336.80 Multiplan — Auto: $4,228.38
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY SCREEN AVG RISK	$2,520	$1,512	$378 – $2,394
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates Aetna — Commercial: $1,202.04 Aetna — First Health: $1,663.20 Aetna — PEBTF Custom Network: $1,021.86 America's Choice — PPO: $2,016 AmeriHealth Caritas — Medicare: $389.34 Cigna — Commercial: $1,726.20 Cigna — Medicare: $396.90 Coventry/First Health — Commercial: $1,262.52 Coventry/First Health — FH-Medical Rental: $1,695.96 Geisinger — Commercial: $1,688.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY SCREEN AVG RISK	$2,520	$1,512	$1,079.57 – $2,394
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Commercial: $1,270.08 Aetna — First Health: $1,663.20 Aetna — PEBTF Custom Network: $1,079.57 America's Choice — PPO: $2,016 AmeriHealth Caritas — Medicare: $2,208.32 Cigna — Commercial: $1,726.20 Coventry/First Health — Commercial: $1,333.08 Coventry/First Health — FH-Medical Rental: $1,695.96 InterGroup — PPO: $2,016 Multiplan — Auto: $1,965.60

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	$2,208.32 – $171,215.18
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 6 insurance plans AmeriHealth Caritas — Medicare: $2,208.32 Geisinger — Commercial: $166,954.15 Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $171,215.18 Highmark BCBS of PA — Managed Care - Social Mission: $145,532.93 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $2,315.52 UPMC Health Plan — Commercial: $147,611.10
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$2,208.32 – $2,315.52
Spinal fusion (not neck), without major complications: rates for 2 insurance plans AmeriHealth Caritas — Medicare: $2,208.32 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $2,315.52
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	$2,208.32 – $32,918.78
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans AmeriHealth Caritas — Medicare: $2,208.32 Geisinger — Commercial: $32,918.78 Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $30,108.71 Highmark BCBS of PA — Managed Care - Social Mission: $25,592.41 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $2,315.52 UPMC Health Plan — Commercial: $29,104.86
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	$2,208.32 – $41,663.45
Neck (cervical) spinal fusion, without complications: rates for 6 insurance plans AmeriHealth Caritas — Medicare: $2,208.32 Geisinger — Commercial: $41,663.45 Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $38,746.86 Highmark BCBS of PA — Managed Care - Social Mission: $32,934.84 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $2,315.52 UPMC Health Plan — Commercial: $36,836.39
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	$2,208.32 – $21,795.11
Uterus and ovary surgery (not for cancer), without complications: rates for 6 insurance plans AmeriHealth Caritas — Medicare: $2,208.32 Geisinger — Commercial: $21,173.90 Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $21,795.11 Highmark BCBS of PA — Managed Care - Social Mission: $18,525.85 PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $2,315.52 UPMC Health Plan — Commercial: $18,720.72

Source: UPMC Muncy’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	Critical Access Hospital
Address	215 East Water Street, Muncy, PA 17756
County	Lycoming County
State	Pennsylvania
Phone	(570) 546‑8282
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	391301
Name in Medicare records	UPMC MUNCY
Profile level	Medicare data + hospital website
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 Muncy — upmc.com
UPMC Muncy Emergency Department — upmc.com
General Surgery | UPMC Muncy | Muncy, Pa — upmc.com
Our Emergency Department Locations | UPMC | North Central Pa — upmc.com
Rehabilitation Services | UPMC Muncy | Muncy, Pa — upmc.com
Patient and Visitor Resources at UPMC Muncy | Muncy, Pa — upmc.com
Clinical Services | UPMC Muncy — upmc.com

UPMC Muncy

Summary

Profile from official sources

At a glance