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Acute Care Hospital

UPMC Williamsport

Williamsport, Pennsylvania · Lycoming County · Emergency services listed

Summary

UPMC Williamsport is an acute care hospital in Williamsport, Pennsylvania. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 46 services, specialties and programs. Medicare lists 705 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Exterior of UPMC Williamsport
Photo: Alpacaaviator, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
224Beds (hospital website)
46Services listed

Quick answers

Does UPMC Williamsport have an emergency room?
Yes. Medicare (CMS) data lists emergency services at UPMC Williamsport. In a medical emergency, call 911.
Where is UPMC Williamsport?
700 High Street, Williamsport, PA 17701, in Lycoming County, Pennsylvania.
What is the phone number of UPMC Williamsport?
(570) 321-1000, as listed by Medicare (CMS).
What is the Medicare star rating of UPMC Williamsport?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Conditions treated[9]

  • Traumatic head, chest, and abdominal injuries
  • Complex orthopaedic injuries
  • Spinal cord injuries
  • Acute appendicitis

Treatments[5][9][10]

Procedures[11]

Programs and centers[5][6][7][8]

  • Hospitalist program
  • Heart and Vascular Institute
  • Family medicine residency program
  • Safe Haven Program
  • Injury prevention programs
  • Inpatient rehab unit (28 beds)

Emergency care (hospital website)[4][6][7][8]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II
Stroke designationPrimary Stroke Center (PSC)

Visiting and practical information

ParkingFree valet parking is available at the Main Entrance, 700 High St. (stated on the Digestive Disease Center page)[12]
Patient portalMyUPMC

Doctors and clinicians (705)

705 doctors and other clinicians list UPMC Williamsport 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 (705)

And 681 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Williamsport 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 hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well82%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night52%National average: 60%
Completed surveys497Response rate: 29%

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)0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.445Better than the national benchmark
Surgical site infections after colon surgery1.052No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.33No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.312Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients14.1%
Deaths within 30 days: heart failure patients14%
Deaths within 30 days: pneumonia patients18.5%
Deaths within 30 days: COPD patients10.6%
Deaths within 30 days: stroke patients9.8%
Deaths within 30 days: coronary bypass surgery (CABG)1.8%
Serious complications (patient safety indicator PSI-90)1.38Worse than the national rate
Complications after hip or knee replacement3.8%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack13.8%
Readmitted within 30 days: heart failure20.9%
Readmitted within 30 days: pneumonia18.7%
Readmitted within 30 days: COPD19.8%
Readmitted within 30 days: coronary bypass surgery11.8%
Readmitted within 30 days: hip or knee replacement5.8%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)146 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 68 common services exactly as UPMC Williamsport 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99203 $545 $327 $59.67 – $436
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $259.96
  • Aetna — First Health: $359.70
  • Aetna — Medicare: $147.15
  • Aetna — PEBTF Custom Network: $221
  • America's Choice — PPO: $436
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $61.17
  • Cigna — Commercial: $373.32
  • Coventry/First Health — Commercial: $273.05
  • Coventry/First Health — FH-Medical Rental: $366.79
  • Geisinger — Commercial: $365.15
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99203 $545 $327 $233.48 – $490.50
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $274.68
  • Aetna — First Health: $359.70
  • Aetna — PEBTF Custom Network: $233.48
  • America's Choice — PPO: $436
  • Cigna — Commercial: $373.32
  • Coventry/First Health — Commercial: $288.31
  • Coventry/First Health — FH-Medical Rental: $366.79
  • InterGroup — PPO: $436
  • Multiplan — Auto: $425.10
  • Multiplan — PPO (Includes PHCS as a Payer): $425.10
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: CLINIC VISIT NEW 99203 W/PROC $545 $327 $59.67 – $436
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $259.96
  • Aetna — First Health: $359.70
  • Aetna — Medicare: $147.15
  • Aetna — PEBTF Custom Network: $221
  • America's Choice — PPO: $436
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $61.17
  • Cigna — Commercial: $373.32
  • Coventry/First Health — Commercial: $273.05
  • Coventry/First Health — FH-Medical Rental: $366.79
  • Geisinger — Commercial: $365.15
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99204 $702 $421.20 $99.41 – $561.60
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $334.85
  • Aetna — First Health: $463.32
  • Aetna — Medicare: $189.54
  • Aetna — PEBTF Custom Network: $284.66
  • America's Choice — PPO: $561.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $101.89
  • Cigna — Commercial: $480.87
  • Coventry/First Health — Commercial: $351.70
  • Coventry/First Health — FH-Medical Rental: $472.45
  • Geisinger — Commercial: $470.34
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99204 $702 $421.20 $300.74 – $631.80
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $353.81
  • Aetna — First Health: $463.32
  • Aetna — PEBTF Custom Network: $300.74
  • America's Choice — PPO: $561.60
  • Cigna — Commercial: $480.87
  • Coventry/First Health — Commercial: $371.36
  • Coventry/First Health — FH-Medical Rental: $472.45
  • InterGroup — PPO: $561.60
  • Multiplan — Auto: $547.56
  • Multiplan — PPO (Includes PHCS as a Payer): $547.56
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: CLINIC VISIT NEW 99204 W/PROC $702 $421.20 $99.41 – $561.60
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $334.85
  • Aetna — First Health: $463.32
  • Aetna — Medicare: $189.54
  • Aetna — PEBTF Custom Network: $284.66
  • America's Choice — PPO: $561.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $101.89
  • Cigna — Commercial: $480.87
  • Coventry/First Health — Commercial: $351.70
  • Coventry/First Health — FH-Medical Rental: $472.45
  • Geisinger — Commercial: $470.34
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99205 $983 $589.80 $129.29 – $786.40
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $468.89
  • Aetna — First Health: $648.78
  • Aetna — Medicare: $265.41
  • Aetna — PEBTF Custom Network: $398.61
  • America's Choice — PPO: $786.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $132.53
  • Cigna — Commercial: $673.36
  • Coventry/First Health — Commercial: $492.48
  • Coventry/First Health — FH-Medical Rental: $661.56
  • Geisinger — Commercial: $658.61
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT NEW 99205 $983 $589.80 $421.12 – $884.70
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $495.43
  • Aetna — First Health: $648.78
  • Aetna — PEBTF Custom Network: $421.12
  • America's Choice — PPO: $786.40
  • Cigna — Commercial: $673.36
  • Coventry/First Health — Commercial: $520.01
  • Coventry/First Health — FH-Medical Rental: $661.56
  • InterGroup — PPO: $786.40
  • Multiplan — Auto: $766.74
  • Multiplan — PPO (Includes PHCS as a Payer): $766.74
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT EST 99213 $418 $250.80 $38.50 – $334.40
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $199.39
  • Aetna — First Health: $275.88
  • Aetna — Medicare: $112.86
  • Aetna — PEBTF Custom Network: $169.50
  • America's Choice — PPO: $334.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $39.46
  • Cigna — Commercial: $286.33
  • Coventry/First Health — Commercial: $209.42
  • Coventry/First Health — FH-Medical Rental: $281.31
  • Geisinger — Commercial: $280.06
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT EST PT 99213 $418 $250.80 $38.50 – $334.40
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $199.39
  • Aetna — First Health: $275.88
  • Aetna — Medicare: $112.86
  • Aetna — PEBTF Custom Network: $169.50
  • America's Choice — PPO: $334.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $39.46
  • Cigna — Commercial: $286.33
  • Coventry/First Health — Commercial: $209.42
  • Coventry/First Health — FH-Medical Rental: $281.31
  • Geisinger — Commercial: $280.06
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT EST 99213 $418 $250.80 $179.07 – $376.20
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $210.67
  • Aetna — First Health: $275.88
  • Aetna — PEBTF Custom Network: $179.07
  • America's Choice — PPO: $334.40
  • Cigna — Commercial: $286.33
  • Coventry/First Health — Commercial: $221.12
  • Coventry/First Health — FH-Medical Rental: $281.31
  • InterGroup — PPO: $334.40
  • Multiplan — Auto: $326.04
  • Multiplan — PPO (Includes PHCS as a Payer): $326.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT EST PT 99214 $545 $327 $59.86 – $436
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $259.96
  • Aetna — First Health: $359.70
  • Aetna — Medicare: $147.15
  • Aetna — PEBTF Custom Network: $221
  • America's Choice — PPO: $436
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $61.36
  • Cigna — Commercial: $373.32
  • Coventry/First Health — Commercial: $273.05
  • Coventry/First Health — FH-Medical Rental: $366.79
  • Geisinger — Commercial: $365.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINIC VISIT EST 99214 $545 $327 $59.86 – $436
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $259.96
  • Aetna — First Health: $359.70
  • Aetna — Medicare: $147.15
  • Aetna — PEBTF Custom Network: $221
  • America's Choice — PPO: $436
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $61.36
  • Cigna — Commercial: $373.32
  • Coventry/First Health — Commercial: $273.05
  • Coventry/First Health — FH-Medical Rental: $366.79
  • Geisinger — Commercial: $365.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINIC VISIT EST PT 99214 $545 $327 $233.48 – $490.50
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $274.68
  • Aetna — First Health: $359.70
  • Aetna — PEBTF Custom Network: $233.48
  • America's Choice — PPO: $436
  • Cigna — Commercial: $373.32
  • Coventry/First Health — Commercial: $288.31
  • Coventry/First Health — FH-Medical Rental: $366.79
  • InterGroup — PPO: $436
  • Multiplan — Auto: $425.10
  • Multiplan — PPO (Includes PHCS as a Payer): $425.10
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 $192 $115.20 $25.60 – $172.80
Preventive checkup, new patient, age 18–39: 10 of 20 insurance plan rates
  • Aetna — Commercial: $91.58
  • Aetna — First Health: $126.72
  • Aetna — Medicare: $51.84
  • Aetna — PEBTF Custom Network: $77.86
  • America's Choice — PPO: $153.60
  • Cigna — Commercial: $131.52
  • Coventry/First Health — Commercial: $96.19
  • Coventry/First Health — FH-Medical Rental: $129.22
  • Geisinger — Commercial: $128.64
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $89.97
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 $192 $115.20 $82.25 – $172.80
Preventive checkup, new patient, age 18–39: 10 of 13 insurance plan rates
  • Aetna — Commercial: $96.77
  • Aetna — First Health: $126.72
  • Aetna — PEBTF Custom Network: $82.25
  • America's Choice — PPO: $153.60
  • Cigna — Commercial: $131.52
  • Coventry/First Health — Commercial: $101.57
  • Coventry/First Health — FH-Medical Rental: $129.22
  • InterGroup — PPO: $153.60
  • Multiplan — Auto: $149.76
  • Multiplan — PPO (Includes PHCS as a Payer): $149.76
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 $202 $121.20 $25.60 – $181.80
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates
  • Aetna — Commercial: $96.35
  • Aetna — First Health: $133.32
  • Aetna — Medicare: $54.54
  • Aetna — PEBTF Custom Network: $81.91
  • America's Choice — PPO: $161.60
  • Cigna — Commercial: $138.37
  • Coventry/First Health — Commercial: $101.20
  • Coventry/First Health — FH-Medical Rental: $135.95
  • Geisinger — Commercial: $135.34
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $94.66
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 $202 $121.20 $86.54 – $181.80
Preventive checkup, new patient, age 40–64: 10 of 13 insurance plan rates
  • Aetna — Commercial: $101.81
  • Aetna — First Health: $133.32
  • Aetna — PEBTF Custom Network: $86.54
  • America's Choice — PPO: $161.60
  • Cigna — Commercial: $138.37
  • Coventry/First Health — Commercial: $106.86
  • Coventry/First Health — FH-Medical Rental: $135.95
  • InterGroup — PPO: $161.60
  • Multiplan — Auto: $157.56
  • Multiplan — PPO (Includes PHCS as a Payer): $157.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACUITY LEVEL 3 $1,240 $744 $62.31 – $992
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna — Commercial: $591.48
  • Aetna — First Health: $818.40
  • Aetna — Medicare: $271.90
  • Aetna — PEBTF Custom Network: $502.82
  • America's Choice — PPO: $992
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $63.87
  • AmeriHealth Caritas — Medicare: $271.90
  • Cigna — Commercial: $849.40
  • Coventry/First Health — Commercial: $621.24
  • Coventry/First Health — FH-Medical Rental: $834.52
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ACUITY LEVEL 3 $1,240 $744 $531.22 – $1,116
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — Commercial: $624.96
  • Aetna — First Health: $818.40
  • Aetna — PEBTF Custom Network: $531.22
  • America's Choice — PPO: $992
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $967.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ER In the file: ACUITY LEVEL 3 $1,240 $744 $62.31 – $992
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — Commercial: $591.48
  • Aetna — First Health: $818.40
  • Aetna — Medicare: $334.80
  • Aetna — PEBTF Custom Network: $502.82
  • America's Choice — PPO: $992
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $63.87
  • Cigna — Commercial: $849.40
  • Coventry/First Health — Commercial: $621.24
  • Coventry/First Health — FH-Medical Rental: $834.52
  • Geisinger — Commercial: $830.80
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 – $1,658.40
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna — Commercial: $988.82
  • Aetna — First Health: $1,368.18
  • Aetna — Medicare: $418.15
  • Aetna — PEBTF Custom Network: $840.60
  • America's Choice — PPO: $1,658.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $107.48
  • AmeriHealth Caritas — Medicare: $418.15
  • Cigna — Commercial: $1,420.01
  • Coventry/First Health — Commercial: $1,038.57
  • Coventry/First Health — FH-Medical Rental: $1,395.13
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 – $1,865.70
Emergency room visit (moderately high): 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $1,616.94
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ER In the file: ACUITY LEVEL 4 $2,073 $1,243.80 $104.86 – $1,658.40
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — Commercial: $988.82
  • Aetna — First Health: $1,368.18
  • Aetna — Medicare: $559.71
  • Aetna — PEBTF Custom Network: $840.60
  • America's Choice — PPO: $1,658.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $107.48
  • Cigna — Commercial: $1,420.01
  • Coventry/First Health — Commercial: $1,038.57
  • Coventry/First Health — FH-Medical Rental: $1,395.13
  • Geisinger — Commercial: $1,388.91
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 – $1,716.80
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna — Commercial: $1,023.64
  • Aetna — First Health: $1,416.36
  • Aetna — Medicare: $602.06
  • Aetna — PEBTF Custom Network: $870.20
  • America's Choice — PPO: $1,716.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $156.43
  • AmeriHealth Caritas — Medicare: $602.06
  • Cigna — Commercial: $1,470.01
  • Coventry/First Health — Commercial: $1,075.15
  • Coventry/First Health — FH-Medical Rental: $1,444.26
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 – $1,931.40
Emergency room visit (high): 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $1,673.88
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ER In the file: ACUITY LEVEL 5 $2,146 $1,287.60 $152.61 – $1,716.80
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — Commercial: $1,023.64
  • Aetna — First Health: $1,416.36
  • Aetna — Medicare: $579.42
  • Aetna — PEBTF Custom Network: $870.20
  • America's Choice — PPO: $1,716.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $156.43
  • Cigna — Commercial: $1,470.01
  • Coventry/First Health — Commercial: $1,075.15
  • Coventry/First Health — FH-Medical Rental: $1,444.26
  • Geisinger — Commercial: $1,437.82

Lab tests

ServiceHospital chargeCash priceInsurance 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 – $248.80
Basic metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Commercial: $111.96
  • Aetna — First Health: $205.26
  • Aetna — Medicare: $8.71
  • Aetna — PEBTF Custom Network: $95.17
  • America's Choice — PPO: $248.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.55
  • AmeriHealth Caritas — Medicare: $8.71
  • Cigna — Commercial: $159.85
  • Coventry/First Health — Commercial: $117.56
  • Coventry/First Health — FH-Medical Rental: $209.30
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL PLASMA $311 $186.60 $8.36 – $248.80
Basic metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Commercial: $111.96
  • Aetna — First Health: $205.26
  • Aetna — Medicare: $8.71
  • Aetna — PEBTF Custom Network: $95.17
  • America's Choice — PPO: $248.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.55
  • AmeriHealth Caritas — Medicare: $8.71
  • Cigna — Commercial: $159.85
  • Coventry/First Health — Commercial: $117.56
  • Coventry/First Health — FH-Medical Rental: $209.30
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $311 $186.60 $133.23 – $279.90
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Commercial: $156.74
  • Aetna — First Health: $205.26
  • Aetna — PEBTF Custom Network: $133.23
  • America's Choice — PPO: $248.80
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $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 – $287.20
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Commercial: $129.24
  • Aetna — First Health: $236.94
  • Aetna — Medicare: $10.88
  • Aetna — PEBTF Custom Network: $109.85
  • America's Choice — PPO: $287.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $13.18
  • AmeriHealth Caritas — Medicare: $10.88
  • Cigna — Commercial: $184.53
  • Coventry/First Health — Commercial: $135.70
  • Coventry/First Health — FH-Medical Rental: $241.61
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE MET PN PLASMA $359 $215.40 $10.43 – $287.20
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Commercial: $129.24
  • Aetna — First Health: $236.94
  • Aetna — Medicare: $10.88
  • Aetna — PEBTF Custom Network: $109.85
  • America's Choice — PPO: $287.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $13.18
  • AmeriHealth Caritas — Medicare: $10.88
  • Cigna — Commercial: $184.53
  • Coventry/First Health — Commercial: $135.70
  • Coventry/First Health — FH-Medical Rental: $241.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $359 $215.40 $153.80 – $323.10
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Commercial: $180.94
  • Aetna — First Health: $236.94
  • Aetna — PEBTF Custom Network: $153.80
  • America's Choice — PPO: $287.20
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $280.02
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $380 $228 $13.24 – $304
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • Aetna — Commercial: $136.80
  • Aetna — First Health: $250.80
  • Aetna — Medicare: $13.79
  • Aetna — PEBTF Custom Network: $116.28
  • America's Choice — PPO: $304
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $15.79
  • AmeriHealth Caritas — Medicare: $13.79
  • Cigna — Commercial: $195.32
  • Coventry/First Health — Commercial: $143.64
  • Coventry/First Health — FH-Medical Rental: $255.74
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARD IQ LIPID PN W/REF DIR LDL $380 $228 $13.24 – $304
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • Aetna — Commercial: $136.80
  • Aetna — First Health: $250.80
  • Aetna — Medicare: $13.79
  • Aetna — PEBTF Custom Network: $116.28
  • America's Choice — PPO: $304
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $15.79
  • AmeriHealth Caritas — Medicare: $13.79
  • Cigna — Commercial: $195.32
  • Coventry/First Health — Commercial: $143.64
  • Coventry/First Health — FH-Medical Rental: $255.74
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL P4483 $380 $228 $13.24 – $304
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • Aetna — Commercial: $136.80
  • Aetna — First Health: $250.80
  • Aetna — Medicare: $13.79
  • Aetna — PEBTF Custom Network: $116.28
  • America's Choice — PPO: $304
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $15.79
  • AmeriHealth Caritas — Medicare: $13.79
  • Cigna — Commercial: $195.32
  • Coventry/First Health — Commercial: $143.64
  • Coventry/First Health — FH-Medical Rental: $255.74
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $260 $156 $8.58 – $208
Kidney function panel: 10 of 34 insurance plan rates
  • Aetna — Commercial: $93.60
  • Aetna — First Health: $171.60
  • Aetna — Medicare: $8.94
  • Aetna — PEBTF Custom Network: $79.56
  • America's Choice — PPO: $208
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.82
  • AmeriHealth Caritas — Medicare: $8.94
  • Cigna — Commercial: $133.64
  • Coventry/First Health — Commercial: $98.28
  • Coventry/First Health — FH-Medical Rental: $174.98
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $260 $156 $111.38 – $234
Kidney function panel: 10 of 13 insurance plan rates
  • Aetna — Commercial: $131.04
  • Aetna — First Health: $171.60
  • Aetna — PEBTF Custom Network: $111.38
  • America's Choice — PPO: $208
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $202.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: RENAL FUNCTION PANEL $260 $156 $8.58 – $208
Kidney function panel: 10 of 27 insurance plan rates
  • Aetna — Commercial: $93.60
  • Aetna — First Health: $171.60
  • Aetna — Medicare: $70.20
  • Aetna — PEBTF Custom Network: $79.56
  • America's Choice — PPO: $208
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.82
  • Cigna — Commercial: $133.64
  • Coventry/First Health — Commercial: $98.28
  • Coventry/First Health — FH-Medical Rental: $174.98
  • Geisinger — Commercial: $174.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $387 $232.20 $8.08 – $309.60
Liver function panel: 10 of 34 insurance plan rates
  • Aetna — Commercial: $139.32
  • Aetna — First Health: $255.42
  • Aetna — Medicare: $8.42
  • Aetna — PEBTF Custom Network: $118.42
  • America's Choice — PPO: $309.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.18
  • AmeriHealth Caritas — Medicare: $8.42
  • Cigna — Commercial: $198.92
  • Coventry/First Health — Commercial: $146.29
  • Coventry/First Health — FH-Medical Rental: $260.45
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $387 $232.20 $165.79 – $348.30
Liver function panel: 10 of 13 insurance plan rates
  • Aetna — Commercial: $195.05
  • Aetna — First Health: $255.42
  • Aetna — PEBTF Custom Network: $165.79
  • America's Choice — PPO: $309.60
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $301.86
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HEPATIC FUNCTION PANEL $387 $232.20 $8.08 – $309.60
Liver function panel: 10 of 27 insurance plan rates
  • Aetna — Commercial: $139.32
  • Aetna — First Health: $255.42
  • Aetna — Medicare: $104.49
  • Aetna — PEBTF Custom Network: $118.42
  • America's Choice — PPO: $309.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $10.18
  • Cigna — Commercial: $198.92
  • Coventry/First Health — Commercial: $146.29
  • Coventry/First Health — FH-Medical Rental: $260.45
  • Geisinger — Commercial: $259.29
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 – $93.60
Urine test (automated, with microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $42.12
  • Aetna — First Health: $77.22
  • Aetna — Medicare: $3.27
  • Aetna — PEBTF Custom Network: $35.80
  • America's Choice — PPO: $93.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.38
  • AmeriHealth Caritas — Medicare: $3.27
  • Cigna — Commercial: $60.14
  • Coventry/First Health — Commercial: $44.23
  • Coventry/First Health — FH-Medical Rental: $78.74
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 – $93.60
Urine test (automated, with microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $42.12
  • Aetna — First Health: $77.22
  • Aetna — Medicare: $3.27
  • Aetna — PEBTF Custom Network: $35.80
  • America's Choice — PPO: $93.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.38
  • AmeriHealth Caritas — Medicare: $3.27
  • Cigna — Commercial: $60.14
  • Coventry/First Health — Commercial: $44.23
  • Coventry/First Health — FH-Medical Rental: $78.74
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS R & M $117 $70.20 $50.12 – $105.30
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna — Commercial: $58.97
  • Aetna — First Health: $77.22
  • Aetna — PEBTF Custom Network: $50.12
  • America's Choice — PPO: $93.60
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $91.26
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP $85 $51 $3.44 – $68
Urine test (manual, without microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $30.60
  • Aetna — First Health: $56.10
  • Aetna — Medicare: $3.58
  • Aetna — PEBTF Custom Network: $26.01
  • America's Choice — PPO: $68
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.03
  • AmeriHealth Caritas — Medicare: $3.58
  • Cigna — Commercial: $43.69
  • Coventry/First Health — Commercial: $32.13
  • Coventry/First Health — FH-Medical Rental: $57.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINANALYSIS DIPSTICK WO MICRO $12 $7.20 $3.44 – $9.60
Urine test (manual, without microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $4.32
  • Aetna — First Health: $7.92
  • Aetna — Medicare: $3.58
  • Aetna — PEBTF Custom Network: $3.67
  • America's Choice — PPO: $9.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.03
  • AmeriHealth Caritas — Medicare: $3.58
  • Cigna — Commercial: $6.17
  • Coventry/First Health — Commercial: $4.54
  • Coventry/First Health — FH-Medical Rental: $8.08
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK W/O MICRO $85 $51 $3.44 – $68
Urine test (manual, without microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $30.60
  • Aetna — First Health: $56.10
  • Aetna — Medicare: $3.58
  • Aetna — PEBTF Custom Network: $26.01
  • America's Choice — PPO: $68
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.03
  • AmeriHealth Caritas — Medicare: $3.58
  • Cigna — Commercial: $43.69
  • Coventry/First Health — Commercial: $32.13
  • Coventry/First Health — FH-Medical Rental: $57.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE MACRO $63 $37.80 $2.22 – $50.40
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $22.68
  • Aetna — First Health: $41.58
  • Aetna — Medicare: $2.32
  • Aetna — PEBTF Custom Network: $19.28
  • America's Choice — PPO: $50.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.50
  • AmeriHealth Caritas — Medicare: $2.32
  • Cigna — Commercial: $32.38
  • Coventry/First Health — Commercial: $23.81
  • Coventry/First Health — FH-Medical Rental: $42.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMATED $63 $37.80 $2.22 – $50.40
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $22.68
  • Aetna — First Health: $41.58
  • Aetna — Medicare: $2.32
  • Aetna — PEBTF Custom Network: $19.28
  • America's Choice — PPO: $50.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.50
  • AmeriHealth Caritas — Medicare: $2.32
  • Cigna — Commercial: $32.38
  • Coventry/First Health — Commercial: $23.81
  • Coventry/First Health — FH-Medical Rental: $42.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCPE P1635 $63 $37.80 $2.22 – $50.40
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Aetna — Commercial: $22.68
  • Aetna — First Health: $41.58
  • Aetna — Medicare: $2.32
  • Aetna — PEBTF Custom Network: $19.28
  • America's Choice — PPO: $50.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $3.50
  • AmeriHealth Caritas — Medicare: $2.32
  • Cigna — Commercial: $32.38
  • Coventry/First Health — Commercial: $23.81
  • Coventry/First Health — FH-Medical Rental: $42.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC PSA $330 $198 $18.17 – $264
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Aetna — Commercial: $118.80
  • Aetna — First Health: $217.80
  • Aetna — Medicare: $18.94
  • Aetna — PEBTF Custom Network: $100.98
  • America's Choice — PPO: $264
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $27.47
  • AmeriHealth Caritas — Medicare: $18.94
  • Cigna — Commercial: $169.62
  • Coventry/First Health — Commercial: $124.74
  • Coventry/First Health — FH-Medical Rental: $222.09
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL PSA PNL 2770 $330 $198 $18.17 – $264
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Aetna — Commercial: $118.80
  • Aetna — First Health: $217.80
  • Aetna — Medicare: $18.94
  • Aetna — PEBTF Custom Network: $100.98
  • America's Choice — PPO: $264
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $27.47
  • AmeriHealth Caritas — Medicare: $18.94
  • Cigna — Commercial: $169.62
  • Coventry/First Health — Commercial: $124.74
  • Coventry/First Health — FH-Medical Rental: $222.09
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA POST-PROSTECTOMY HAMA $330 $198 $18.17 – $264
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Aetna — Commercial: $118.80
  • Aetna — First Health: $217.80
  • Aetna — Medicare: $18.94
  • Aetna — PEBTF Custom Network: $100.98
  • America's Choice — PPO: $264
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $27.47
  • AmeriHealth Caritas — Medicare: $18.94
  • Cigna — Commercial: $169.62
  • Coventry/First Health — Commercial: $124.74
  • Coventry/First Health — FH-Medical Rental: $222.09
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE $378 $226.80 $16.60 – $302.40
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Aetna — Commercial: $136.08
  • Aetna — First Health: $249.48
  • Aetna — Medicare: $17.30
  • Aetna — PEBTF Custom Network: $115.67
  • America's Choice — PPO: $302.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $26.17
  • AmeriHealth Caritas — Medicare: $17.30
  • Cigna — Commercial: $194.29
  • Coventry/First Health — Commercial: $142.88
  • Coventry/First Health — FH-Medical Rental: $254.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH THIRD GENERATION $378 $226.80 $16.60 – $302.40
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Aetna — Commercial: $136.08
  • Aetna — First Health: $249.48
  • Aetna — Medicare: $17.30
  • Aetna — PEBTF Custom Network: $115.67
  • America's Choice — PPO: $302.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $26.17
  • AmeriHealth Caritas — Medicare: $17.30
  • Cigna — Commercial: $194.29
  • Coventry/First Health — Commercial: $142.88
  • Coventry/First Health — FH-Medical Rental: $254.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $378 $226.80 $16.60 – $302.40
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Aetna — Commercial: $136.08
  • Aetna — First Health: $249.48
  • Aetna — Medicare: $17.30
  • Aetna — PEBTF Custom Network: $115.67
  • America's Choice — PPO: $302.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $26.17
  • AmeriHealth Caritas — Medicare: $17.30
  • Cigna — Commercial: $194.29
  • Coventry/First Health — Commercial: $142.88
  • Coventry/First Health — FH-Medical Rental: $254.39
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 – $127.20
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • Aetna — Commercial: $57.24
  • Aetna — First Health: $104.94
  • Aetna — Medicare: $8
  • Aetna — PEBTF Custom Network: $48.65
  • America's Choice — PPO: $127.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.76
  • AmeriHealth Caritas — Medicare: $8
  • Cigna — Commercial: $81.73
  • Coventry/First Health — Commercial: $60.10
  • Coventry/First Health — FH-Medical Rental: $107.01
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OXLDL $159 $95.40 $6.60 – $127.20
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • Aetna — Commercial: $57.24
  • Aetna — First Health: $104.94
  • Aetna — Medicare: $8
  • Aetna — PEBTF Custom Network: $48.65
  • America's Choice — PPO: $127.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.76
  • AmeriHealth Caritas — Medicare: $8
  • Cigna — Commercial: $81.73
  • Coventry/First Health — Commercial: $60.10
  • Coventry/First Health — FH-Medical Rental: $107.01
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/DIFF & PLATELETS $159 $95.40 $6.60 – $127.20
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • Aetna — Commercial: $57.24
  • Aetna — First Health: $104.94
  • Aetna — Medicare: $8
  • Aetna — PEBTF Custom Network: $48.65
  • America's Choice — PPO: $127.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $6.76
  • AmeriHealth Caritas — Medicare: $8
  • Cigna — Commercial: $81.73
  • Coventry/First Health — Commercial: $60.10
  • Coventry/First Health — FH-Medical Rental: $107.01
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 – $107.20
Complete blood count (CBC), automated: 10 of 34 insurance plan rates
  • Aetna — Commercial: $48.24
  • Aetna — First Health: $88.44
  • Aetna — Medicare: $6.66
  • Aetna — PEBTF Custom Network: $41
  • America's Choice — PPO: $107.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $8.48
  • AmeriHealth Caritas — Medicare: $6.66
  • Cigna — Commercial: $68.88
  • Coventry/First Health — Commercial: $50.65
  • Coventry/First Health — FH-Medical Rental: $90.18
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC & PLT ONLY $134 $80.40 $57.41 – $120.60
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — Commercial: $67.54
  • Aetna — First Health: $88.44
  • Aetna — PEBTF Custom Network: $57.41
  • America's Choice — PPO: $107.20
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $104.52
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: CBC & PLT ONLY $134 $80.40 $6.39 – $107.20
Complete blood count (CBC), automated: 10 of 27 insurance plan rates
  • Aetna — Commercial: $48.24
  • Aetna — First Health: $88.44
  • Aetna — Medicare: $36.18
  • Aetna — PEBTF Custom Network: $41
  • America's Choice — PPO: $107.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $8.48
  • Cigna — Commercial: $68.88
  • Coventry/First Health — Commercial: $50.65
  • Coventry/First Health — FH-Medical Rental: $90.18
  • Geisinger — Commercial: $89.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT PROTHROMBIN TIME $129 $77.40 $4.24 – $103.20
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Commercial: $46.44
  • Aetna — First Health: $85.14
  • Aetna — Medicare: $4.42
  • Aetna — PEBTF Custom Network: $39.47
  • America's Choice — PPO: $103.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.51
  • AmeriHealth Caritas — Medicare: $4.42
  • Cigna — Commercial: $66.31
  • Coventry/First Health — Commercial: $48.76
  • Coventry/First Health — FH-Medical Rental: $86.82
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 – $103.20
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Commercial: $46.44
  • Aetna — First Health: $85.14
  • Aetna — Medicare: $4.42
  • Aetna — PEBTF Custom Network: $39.47
  • America's Choice — PPO: $103.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.51
  • AmeriHealth Caritas — Medicare: $4.42
  • Cigna — Commercial: $66.31
  • Coventry/First Health — Commercial: $48.76
  • Coventry/First Health — FH-Medical Rental: $86.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME P4160 $129 $77.40 $4.24 – $103.20
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Commercial: $46.44
  • Aetna — First Health: $85.14
  • Aetna — Medicare: $4.42
  • Aetna — PEBTF Custom Network: $39.47
  • America's Choice — PPO: $103.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $4.51
  • AmeriHealth Caritas — Medicare: $4.42
  • Cigna — Commercial: $66.31
  • Coventry/First Health — Commercial: $48.76
  • Coventry/First Health — FH-Medical Rental: $86.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ACTIVATED PTT $176 $105.60 $5.94 – $140.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Aetna — Commercial: $63.36
  • Aetna — First Health: $116.16
  • Aetna — Medicare: $6.19
  • Aetna — PEBTF Custom Network: $53.86
  • America's Choice — PPO: $140.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $8.46
  • AmeriHealth Caritas — Medicare: $6.19
  • Cigna — Commercial: $90.46
  • Coventry/First Health — Commercial: $66.53
  • Coventry/First Health — FH-Medical Rental: $118.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPL TIME PARTL(PTT)P2441 $176 $105.60 $5.94 – $140.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Aetna — Commercial: $63.36
  • Aetna — First Health: $116.16
  • Aetna — Medicare: $6.19
  • Aetna — PEBTF Custom Network: $53.86
  • America's Choice — PPO: $140.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $8.46
  • AmeriHealth Caritas — Medicare: $6.19
  • Cigna — Commercial: $90.46
  • Coventry/First Health — Commercial: $66.53
  • Coventry/First Health — FH-Medical Rental: $118.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT (BASELINE) PNL 5464 $176 $105.60 $5.94 – $140.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Aetna — Commercial: $63.36
  • Aetna — First Health: $116.16
  • Aetna — Medicare: $6.19
  • Aetna — PEBTF Custom Network: $53.86
  • America's Choice — PPO: $140.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $8.46
  • AmeriHealth Caritas — Medicare: $6.19
  • Cigna — Commercial: $90.46
  • Coventry/First Health — Commercial: $66.53
  • Coventry/First Health — FH-Medical Rental: $118.45

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

ServiceHospital chargeCash priceInsurance 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 – $2,136.80
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 — Medicare: $104.42
  • Aetna — PEBTF Custom Network: $1,083.09
  • America's Choice — PPO: $2,136.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $131.64
  • AmeriHealth Caritas — Medicare: $104.42
  • Cigna — Commercial: $1,829.63
  • Coventry/First Health — Commercial: $1,338.17
  • Coventry/First Health — FH-Medical Rental: $1,797.58
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 – $2,403.90
CT scan of the head or brain, without contrast: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $2,083.38
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: CT HEAD WO CONTRAST $2,671 $1,602.60 $99.20 – $2,136.80
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates
  • Aetna — Commercial: $1,274.07
  • Aetna — First Health: $1,762.86
  • Aetna — Medicare: $721.17
  • Aetna — PEBTF Custom Network: $1,083.09
  • America's Choice — PPO: $2,136.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $131.64
  • Cigna — Commercial: $1,829.63
  • Coventry/First Health — Commercial: $1,338.17
  • Coventry/First Health — FH-Medical Rental: $1,797.58
  • Geisinger — Commercial: $1,789.57
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W WO CON $6,340 $3,804 $343.82 – $5,072
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 — Medicare: $350.69
  • Aetna — PEBTF Custom Network: $2,570.87
  • America's Choice — PPO: $5,072
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $382.22
  • AmeriHealth Caritas — Medicare: $350.69
  • Cigna — Commercial: $4,342.90
  • Coventry/First Health — Commercial: $3,176.34
  • Coventry/First Health — FH-Medical Rental: $4,266.82
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN W WO CON $6,340 $3,804 $2,716.06 – $5,706
MRI of the brain, before and after contrast: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $4,945.20
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 – $5,072
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates
  • Aetna — Commercial: $3,024.18
  • Aetna — First Health: $4,184.40
  • Aetna — Medicare: $1,711.80
  • Aetna — PEBTF Custom Network: $2,570.87
  • America's Choice — PPO: $5,072
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $382.22
  • Cigna — Commercial: $4,342.90
  • Coventry/First Health — Commercial: $3,176.34
  • Coventry/First Health — FH-Medical Rental: $4,266.82
  • Geisinger — Commercial: $4,247.80
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 – $773.60
Chest X-ray, 2 views: 10 of 33 insurance plan rates
  • Aetna — Commercial: $461.26
  • Aetna — First Health: $638.22
  • Aetna — Medicare: $86.47
  • Aetna — PEBTF Custom Network: $392.12
  • America's Choice — PPO: $773.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $26.65
  • AmeriHealth Caritas — Medicare: $86.47
  • Cigna — Commercial: $662.39
  • Coventry/First Health — Commercial: $484.47
  • Coventry/First Health — FH-Medical Rental: $650.79
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $967 $580.20 $414.26 – $870.30
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • Aetna — Commercial: $487.37
  • Aetna — First Health: $638.22
  • Aetna — PEBTF Custom Network: $414.26
  • America's Choice — PPO: $773.60
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $754.26
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: CHEST 2 VIEWS $967 $580.20 $19.01 – $773.60
Chest X-ray, 2 views: 10 of 27 insurance plan rates
  • Aetna — Commercial: $461.26
  • Aetna — First Health: $638.22
  • Aetna — Medicare: $261.09
  • Aetna — PEBTF Custom Network: $392.12
  • America's Choice — PPO: $773.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $26.65
  • Cigna — Commercial: $662.39
  • Coventry/First Health — Commercial: $484.47
  • Coventry/First Health — FH-Medical Rental: $650.79
  • Geisinger — Commercial: $647.89
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 – $947.20
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 — Medicare: $104.42
  • Aetna — PEBTF Custom Network: $480.11
  • America's Choice — PPO: $947.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $41.29
  • AmeriHealth Caritas — Medicare: $104.42
  • Cigna — Commercial: $811.04
  • Coventry/First Health — Commercial: $593.18
  • Coventry/First Health — FH-Medical Rental: $796.83
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 – $1,065.60
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • Aetna — Commercial: $596.74
  • Aetna — First Health: $781.44
  • Aetna — PEBTF Custom Network: $507.23
  • America's Choice — PPO: $947.20
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $923.52
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: SPINE LUMBOSAC MIN 4 VWS $1,184 $710.40 $28.80 – $947.20
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates
  • Aetna — Commercial: $564.77
  • Aetna — First Health: $781.44
  • Aetna — Medicare: $319.68
  • Aetna — PEBTF Custom Network: $480.11
  • America's Choice — PPO: $947.20
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $41.29
  • Cigna — Commercial: $811.04
  • Coventry/First Health — Commercial: $593.18
  • Coventry/First Health — FH-Medical Rental: $796.83
  • Geisinger — Commercial: $793.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR SP CANAL LUMBAR WO $4,190 $2,514 $232.71 – $3,352
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 — Medicare: $237.36
  • Aetna — PEBTF Custom Network: $1,699.05
  • America's Choice — PPO: $3,352
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $288.81
  • AmeriHealth Caritas — Medicare: $237.36
  • Cigna — Commercial: $2,870.15
  • Coventry/First Health — Commercial: $2,099.19
  • Coventry/First Health — FH-Medical Rental: $2,819.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR SP CANAL LUMBAR WO $4,190 $2,514 $1,795 – $3,771
MRI of the lower back (lumbar spine), without contrast: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $3,268.20
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 – $3,352
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates
  • Aetna — Commercial: $1,998.63
  • Aetna — First Health: $2,765.40
  • Aetna — Medicare: $1,131.30
  • Aetna — PEBTF Custom Network: $1,699.05
  • America's Choice — PPO: $3,352
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $288.81
  • Cigna — Commercial: $2,870.15
  • Coventry/First Health — Commercial: $2,099.19
  • Coventry/First Health — FH-Medical Rental: $2,819.87
  • Geisinger — Commercial: $2,807.30
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 – $2,536
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 — Medicare: $174.81
  • Aetna — PEBTF Custom Network: $1,285.43
  • America's Choice — PPO: $2,536
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $157.95
  • AmeriHealth Caritas — Medicare: $174.81
  • Cigna — Commercial: $2,171.45
  • Coventry/First Health — Commercial: $1,588.17
  • Coventry/First Health — FH-Medical Rental: $2,133.41
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 – $2,853
CT scan of the pelvis, with contrast: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $2,472.60
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: CT PELVIS W CON $3,170 $1,902 $110.72 – $2,536
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates
  • Aetna — Commercial: $1,512.09
  • Aetna — First Health: $2,092.20
  • Aetna — Medicare: $855.90
  • Aetna — PEBTF Custom Network: $1,285.43
  • America's Choice — PPO: $2,536
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $157.95
  • Cigna — Commercial: $2,171.45
  • Coventry/First Health — Commercial: $1,588.17
  • Coventry/First Health — FH-Medical Rental: $2,133.41
  • Geisinger — Commercial: $2,123.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LOW EXTREM ANY JNT WO $4,190 $2,514 $232.71 – $3,352
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
  • Aetna — Commercial: $1,998.63
  • Aetna — First Health: $2,765.40
  • Aetna — Medicare: $237.36
  • Aetna — PEBTF Custom Network: $1,699.05
  • America's Choice — PPO: $3,352
  • AmeriHealth Caritas — Medicare: $237.36
  • Cigna — Commercial: $2,870.15
  • 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 In the file: MR LOW EXTREM ANY JNT WO $4,190 $2,514 $1,795 – $3,771
MRI of a leg joint (such as the knee), without contrast: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $3,268.20
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 – $3,352
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — Commercial: $1,998.63
  • Aetna — First Health: $2,765.40
  • Aetna — Medicare: $1,131.30
  • Aetna — PEBTF Custom Network: $1,699.05
  • America's Choice — PPO: $3,352
  • Cigna — Commercial: $2,870.15
  • Coventry/First Health — Commercial: $2,099.19
  • Coventry/First Health — FH-Medical Rental: $2,819.87
  • Geisinger — Commercial: $2,807.30
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $1,963.43
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 – $5,937.60
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 — Medicare: $350.69
  • Aetna — PEBTF Custom Network: $3,009.62
  • America's Choice — PPO: $5,937.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $296.71
  • AmeriHealth Caritas — Medicare: $350.69
  • Cigna — Commercial: $5,084.07
  • Coventry/First Health — Commercial: $3,718.42
  • Coventry/First Health — FH-Medical Rental: $4,995.01
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 $3,179.58 – $6,679.80
CT scan of the abdomen and pelvis, with contrast: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $5,789.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: CT ABD & PLVS W CONTRAST $7,422 $4,453.20 $246.69 – $5,937.60
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates
  • Aetna — Commercial: $3,540.29
  • Aetna — First Health: $4,898.52
  • Aetna — Medicare: $2,003.94
  • Aetna — PEBTF Custom Network: $3,009.62
  • America's Choice — PPO: $5,937.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $296.71
  • Cigna — Commercial: $5,084.07
  • Coventry/First Health — Commercial: $3,718.42
  • Coventry/First Health — FH-Medical Rental: $4,995.01
  • Geisinger — Commercial: $4,972.74
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 – $1,222.40
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates
  • Aetna — Commercial: $728.86
  • Aetna — First Health: $1,008.48
  • Aetna — Medicare: $104.42
  • Aetna — PEBTF Custom Network: $619.60
  • America's Choice — PPO: $1,222.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $107.42
  • AmeriHealth Caritas — Medicare: $104.42
  • Cigna — Commercial: $1,046.68
  • Coventry/First Health — Commercial: $765.53
  • Coventry/First Health — FH-Medical Rental: $1,028.34
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 – $1,375.20
Ultrasound of the abdomen, complete: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $1,191.84
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: US ABDOMINAL COMPLETE $1,528 $916.80 $73.60 – $1,222.40
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • Aetna — Commercial: $728.86
  • Aetna — First Health: $1,008.48
  • Aetna — Medicare: $412.56
  • Aetna — PEBTF Custom Network: $619.60
  • America's Choice — PPO: $1,222.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $107.42
  • Cigna — Commercial: $1,046.68
  • Coventry/First Health — Commercial: $765.53
  • Coventry/First Health — FH-Medical Rental: $1,028.34
  • Geisinger — Commercial: $1,023.76
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 – $920.80
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates
  • Aetna — Commercial: $549.03
  • Aetna — First Health: $759.66
  • Aetna — Medicare: $104.42
  • Aetna — PEBTF Custom Network: $466.73
  • America's Choice — PPO: $920.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $87.38
  • AmeriHealth Caritas — Medicare: $104.42
  • Cigna — Commercial: $788.43
  • Coventry/First Health — Commercial: $576.65
  • Coventry/First Health — FH-Medical Rental: $774.62
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 – $1,035.90
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — Commercial: $580.10
  • Aetna — First Health: $759.66
  • Aetna — PEBTF Custom Network: $493.09
  • America's Choice — PPO: $920.80
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $897.78
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: US PREGNANT UTERUS>14WKS $1,151 $690.60 $59.52 – $920.80
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • Aetna — Commercial: $549.03
  • Aetna — First Health: $759.66
  • Aetna — Medicare: $310.77
  • Aetna — PEBTF Custom Network: $466.73
  • America's Choice — PPO: $920.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $87.38
  • Cigna — Commercial: $788.43
  • Coventry/First Health — Commercial: $576.65
  • Coventry/First Health — FH-Medical Rental: $774.62
  • Geisinger — Commercial: $771.17
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,131 $678.60 $59.52 – $904.80
Transvaginal ultrasound: 10 of 33 insurance plan rates
  • Aetna — Commercial: $539.49
  • Aetna — First Health: $746.46
  • Aetna — Medicare: $104.42
  • Aetna — PEBTF Custom Network: $458.62
  • America's Choice — PPO: $904.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $86.25
  • AmeriHealth Caritas — Medicare: $104.42
  • Cigna — Commercial: $774.74
  • Coventry/First Health — Commercial: $566.63
  • Coventry/First Health — FH-Medical Rental: $761.16
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,131 $678.60 $484.52 – $1,017.90
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Aetna — Commercial: $570.02
  • Aetna — First Health: $746.46
  • Aetna — PEBTF Custom Network: $484.52
  • America's Choice — PPO: $904.80
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $882.18
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: US TRANSVAGINAL $1,131 $678.60 $59.52 – $904.80
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • Aetna — Commercial: $539.49
  • Aetna — First Health: $746.46
  • Aetna — Medicare: $305.37
  • Aetna — PEBTF Custom Network: $458.62
  • America's Choice — PPO: $904.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $86.25
  • Cigna — Commercial: $774.74
  • Coventry/First Health — Commercial: $566.63
  • Coventry/First Health — FH-Medical Rental: $761.16
  • Geisinger — Commercial: $757.77
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 $90.89 – $475.20
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $251.86
  • Aetna — First Health: $348.48
  • Aetna — Medicare: $142.56
  • Aetna — PEBTF Custom Network: $214.10
  • America's Choice — PPO: $422.40
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $115.47
  • Cigna — Commercial: $361.68
  • Coventry/First Health — Commercial: $264.53
  • Coventry/First Health — FH-Medical Rental: $355.34
  • Geisinger — Commercial: $353.76
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 – $475.20
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $266.11
  • Aetna — First Health: $348.48
  • Aetna — PEBTF Custom Network: $226.20
  • America's Choice — PPO: $422.40
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $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 – $724.50
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $383.99
  • Aetna — First Health: $531.30
  • Aetna — Medicare: $217.35
  • Aetna — PEBTF Custom Network: $326.43
  • America's Choice — PPO: $644
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $146.41
  • Cigna — Commercial: $551.42
  • Coventry/First Health — Commercial: $403.31
  • Coventry/First Health — FH-Medical Rental: $541.76
  • Geisinger — Commercial: $539.35
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 – $724.50
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $405.72
  • Aetna — First Health: $531.30
  • Aetna — PEBTF Custom Network: $344.86
  • America's Choice — PPO: $644
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $627.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIGI SCR BILAT WWO CAD $342 $205.20 $92.34 – $307.80
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $163.13
  • Aetna — First Health: $225.72
  • Aetna — Medicare: $92.34
  • Aetna — PEBTF Custom Network: $138.68
  • America's Choice — PPO: $273.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $118.05
  • Cigna — Commercial: $234.27
  • Coventry/First Health — Commercial: $171.34
  • Coventry/First Health — FH-Medical Rental: $230.17
  • Geisinger — Commercial: $229.14
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIGI SCR BILAT WWO CAD $342 $205.20 $146.51 – $307.80
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $172.37
  • Aetna — First Health: $225.72
  • Aetna — PEBTF Custom Network: $146.51
  • America's Choice — PPO: $273.60
  • Cigna — Commercial: $234.27
  • Coventry/First Health — Commercial: $180.92
  • Coventry/First Health — FH-Medical Rental: $230.17
  • InterGroup — PPO: $273.60
  • Multiplan — Auto: $266.76
  • Multiplan — PPO (Includes PHCS as a Payer): $266.76
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: MAMMO DIG SCR BILAT WWO CAD $342 $205.20 $92.34 – $307.80
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $163.13
  • Aetna — First Health: $225.72
  • Aetna — Medicare: $92.34
  • Aetna — PEBTF Custom Network: $138.68
  • America's Choice — PPO: $273.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $118.05
  • Cigna — Commercial: $234.27
  • Coventry/First Health — Commercial: $171.34
  • Coventry/First Health — FH-Medical Rental: $230.17
  • Geisinger — Commercial: $229.14

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W VENTRCLGRPHY $6,593 $3,955.80 $993.28 – $5,274.40
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates
  • Aetna — Commercial: $3,144.86
  • Aetna — First Health: $4,351.38
  • Aetna — Medicare: $3,158.45
  • Aetna — PEBTF Custom Network: $2,673.46
  • America's Choice — PPO: $5,274.40
  • AmeriHealth Caritas — Medicare: $3,158.45
  • Cigna — Commercial: $4,516.20
  • Coventry/First Health — Commercial: $3,303.09
  • Coventry/First Health — FH-Medical Rental: $4,437.09
  • Geisinger — Commercial: $4,417.31
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HRT CATH W VENTRCLGRPHY $6,593 $3,955.80 $2,824.44 – $5,933.70
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,322.87
  • Aetna — First Health: $4,351.38
  • Aetna — PEBTF Custom Network: $2,824.44
  • America's Choice — PPO: $5,274.40
  • Cigna — Commercial: $4,516.20
  • Coventry/First Health — Commercial: $3,487.70
  • Coventry/First Health — FH-Medical Rental: $4,437.09
  • InterGroup — PPO: $5,274.40
  • Multiplan — Auto: $5,142.54
  • Multiplan — PPO (Includes PHCS as a Payer): $5,142.54
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL WO INDUCTION $7,616 $4,569.60 $993.28 – $7,813.09
Heart rhythm study (electrophysiology evaluation): 10 of 28 insurance plan rates
  • Aetna — Commercial: $3,632.83
  • Aetna — First Health: $5,026.56
  • Aetna — Medicare: $7,451.37
  • Aetna — PEBTF Custom Network: $3,088.29
  • America's Choice — PPO: $6,092.80
  • AmeriHealth Caritas — Medicare: $7,451.37
  • Cigna — Commercial: $5,216.96
  • Coventry/First Health — Commercial: $3,815.62
  • Coventry/First Health — FH-Medical Rental: $5,125.57
  • Geisinger — Commercial: $5,102.72
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPRE EP EVAL WO INDUCTION $7,616 $4,569.60 $3,262.69 – $6,854.40
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,838.46
  • Aetna — First Health: $5,026.56
  • Aetna — PEBTF Custom Network: $3,262.69
  • America's Choice — PPO: $6,092.80
  • Cigna — Commercial: $5,216.96
  • Coventry/First Health — Commercial: $4,028.86
  • Coventry/First Health — FH-Medical Rental: $5,125.57
  • InterGroup — PPO: $6,092.80
  • Multiplan — Auto: $5,940.48
  • Multiplan — PPO (Includes PHCS as a Payer): $5,940.48
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEN ISOL $32,190 $19,314 $993.28 – $25,752
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates
  • Aetna — Commercial: $15,354.63
  • Aetna — First Health: $21,245.40
  • Aetna — Medicare: $24,090.26
  • Aetna — PEBTF Custom Network: $13,053.05
  • America's Choice — PPO: $25,752
  • AmeriHealth Caritas — Medicare: $24,090.26
  • Cigna — Commercial: $22,050.15
  • Coventry/First Health — Commercial: $16,127.19
  • Coventry/First Health — FH-Medical Rental: $21,663.87
  • Geisinger — Commercial: $21,567.30
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEN ISOL $32,190 $19,314 $13,790.20 – $28,971
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates
  • Aetna — Commercial: $16,223.76
  • Aetna — First Health: $21,245.40
  • Aetna — PEBTF Custom Network: $13,790.20
  • America's Choice — PPO: $25,752
  • Cigna — Commercial: $22,050.15
  • Coventry/First Health — Commercial: $17,028.51
  • Coventry/First Health — FH-Medical Rental: $21,663.87
  • InterGroup — PPO: $25,752
  • Multiplan — Auto: $25,108.20
  • Multiplan — PPO (Includes PHCS as a Payer): $25,108.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 9+PARAM ATTENDED $9,111 $5,466.60 $346.01 – $7,288.80
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates
  • Aetna — Commercial: $4,345.95
  • Aetna — First Health: $6,013.26
  • Aetna — Medicare: $999.06
  • Aetna — PEBTF Custom Network: $3,694.51
  • America's Choice — PPO: $7,288.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $390.75
  • AmeriHealth Caritas — Medicare: $999.06
  • Cigna — Commercial: $6,241.03
  • Coventry/First Health — Commercial: $4,564.61
  • Coventry/First Health — FH-Medical Rental: $6,131.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 9+PARAM ATTENDED $9,111 $5,466.60 $3,903.15 – $8,199.90
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,591.94
  • Aetna — First Health: $6,013.26
  • Aetna — PEBTF Custom Network: $3,903.15
  • America's Choice — PPO: $7,288.80
  • Cigna — Commercial: $6,241.03
  • Coventry/First Health — Commercial: $4,819.72
  • Coventry/First Health — FH-Medical Rental: $6,131.70
  • InterGroup — PPO: $7,288.80
  • Multiplan — Auto: $7,106.58
  • Multiplan — PPO (Includes PHCS as a Payer): $7,106.58
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: PSG 9+PARAM ATTENDED <6 HRS $9,111 $5,466.60 $346.01 – $7,288.80
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates
  • Aetna — Commercial: $4,345.95
  • Aetna — First Health: $6,013.26
  • Aetna — Medicare: $2,459.97
  • Aetna — PEBTF Custom Network: $3,694.51
  • America's Choice — PPO: $7,288.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $390.75
  • Cigna — Commercial: $6,241.03
  • Coventry/First Health — Commercial: $4,564.61
  • Coventry/First Health — FH-Medical Rental: $6,131.70
  • Geisinger — Commercial: $6,104.37

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISE P/15M $217 $130.20 $9.22 – $173.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $103.51
  • Aetna — First Health: $143.22
  • Aetna — Medicare: $58.59
  • Aetna — PEBTF Custom Network: $87.99
  • America's Choice — PPO: $173.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.45
  • Cigna — Commercial: $148.65
  • Coventry/First Health — Commercial: $108.72
  • Coventry/First Health — FH-Medical Rental: $146.04
  • Geisinger — Commercial: $145.39
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 – $173.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $103.51
  • Aetna — First Health: $143.22
  • Aetna — Medicare: $58.59
  • Aetna — PEBTF Custom Network: $87.99
  • America's Choice — PPO: $173.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.45
  • Cigna — Commercial: $148.65
  • Coventry/First Health — Commercial: $108.72
  • Coventry/First Health — FH-Medical Rental: $146.04
  • Geisinger — Commercial: $145.39
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 – $173.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • Aetna — Commercial: $103.51
  • Aetna — First Health: $143.22
  • Aetna — Medicare: $58.59
  • Aetna — PEBTF Custom Network: $87.99
  • America's Choice — PPO: $173.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $9.45
  • Cigna — Commercial: $148.65
  • Coventry/First Health — Commercial: $108.72
  • Coventry/First Health — FH-Medical Rental: $146.04
  • Geisinger — Commercial: $145.39
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 $81.42 – $263.20
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — Commercial: $156.93
  • Aetna — First Health: $217.14
  • Aetna — Medicare: $88.83
  • Aetna — PEBTF Custom Network: $133.41
  • America's Choice — PPO: $263.20
  • Cigna — Commercial: $225.37
  • Coventry/First Health — Commercial: $164.83
  • Coventry/First Health — FH-Medical Rental: $221.42
  • Geisinger — Commercial: $220.43
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $154.17
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX $329 $197.40 $140.94 – $296.10
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $165.82
  • Aetna — First Health: $217.14
  • Aetna — PEBTF Custom Network: $140.94
  • America's Choice — PPO: $263.20
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $256.62
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 – $263.20
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — Commercial: $156.93
  • Aetna — First Health: $217.14
  • Aetna — Medicare: $88.83
  • Aetna — PEBTF Custom Network: $133.41
  • America's Choice — PPO: $263.20
  • Cigna — Commercial: $225.37
  • Coventry/First Health — Commercial: $164.83
  • Coventry/First Health — FH-Medical Rental: $221.42
  • Geisinger — Commercial: $220.43
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $154.17
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX $329 $197.40 $140.94 – $296.10
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $165.82
  • Aetna — First Health: $217.14
  • Aetna — PEBTF Custom Network: $140.94
  • America's Choice — PPO: $263.20
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $256.62
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 $81.42 – $263.20
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — Commercial: $156.93
  • Aetna — First Health: $217.14
  • Aetna — Medicare: $88.83
  • Aetna — PEBTF Custom Network: $133.41
  • America's Choice — PPO: $263.20
  • Cigna — Commercial: $225.37
  • Coventry/First Health — Commercial: $164.83
  • Coventry/First Health — FH-Medical Rental: $221.42
  • Geisinger — Commercial: $220.43
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $154.17
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX $329 $197.40 $140.94 – $296.10
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $165.82
  • Aetna — First Health: $217.14
  • Aetna — PEBTF Custom Network: $140.94
  • America's Choice — PPO: $263.20
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $256.62
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MINUTES $176 $105.60 $42.90 – $165.43
Psychotherapy, 45 minutes: 10 of 31 insurance plan rates
  • Aetna — Commercial: $83.95
  • Aetna — First Health: $116.16
  • Aetna — Medicare: $157.78
  • Aetna — PEBTF Custom Network: $71.37
  • America's Choice — PPO: $140.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $43.97
  • AmeriHealth Caritas — Medicare: $157.78
  • Cigna — Commercial: $120.56
  • Coventry/First Health — Commercial: $88.18
  • Coventry/First Health — FH-Medical Rental: $118.45
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MINUTES $176 $105.60 $75.40 – $158.40
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates
  • Aetna — Commercial: $88.70
  • Aetna — First Health: $116.16
  • Aetna — PEBTF Custom Network: $75.40
  • America's Choice — PPO: $140.80
  • Cigna — Commercial: $120.56
  • Coventry/First Health — Commercial: $93.10
  • Coventry/First Health — FH-Medical Rental: $118.45
  • InterGroup — PPO: $140.80
  • Multiplan — Auto: $137.28
  • Multiplan — PPO (Includes PHCS as a Payer): $137.28
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP GROUP THERAPY $1,238 $742.80 $38.40 – $990.40
Group psychotherapy: 10 of 26 insurance plan rates
  • Aetna — Commercial: $590.53
  • Aetna — First Health: $817.08
  • Aetna — Medicare: $90.84
  • Aetna — PEBTF Custom Network: $502.01
  • America's Choice — PPO: $990.40
  • AmeriHealth Caritas — Medicare: $90.84
  • Cigna — Commercial: $848.03
  • Coventry/First Health — Commercial: $620.24
  • Coventry/First Health — FH-Medical Rental: $833.17
  • Geisinger — Commercial: $829.46
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FACILITY FEE GROUP PSY NON-FAM $1,238 $742.80 $38.40 – $990.40
Group psychotherapy: 10 of 26 insurance plan rates
  • Aetna — Commercial: $590.53
  • Aetna — First Health: $817.08
  • Aetna — Medicare: $90.84
  • Aetna — PEBTF Custom Network: $502.01
  • America's Choice — PPO: $990.40
  • AmeriHealth Caritas — Medicare: $90.84
  • Cigna — Commercial: $848.03
  • Coventry/First Health — Commercial: $620.24
  • Coventry/First Health — FH-Medical Rental: $833.17
  • Geisinger — Commercial: $829.46
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP GROUP THERAPY $1,238 $742.80 $530.36 – $1,114.20
Group psychotherapy: 10 of 12 insurance plan rates
  • Aetna — Commercial: $623.95
  • Aetna — First Health: $817.08
  • Aetna — PEBTF Custom Network: $530.36
  • America's Choice — PPO: $990.40
  • Cigna — Commercial: $848.03
  • Coventry/First Health — Commercial: $654.90
  • Coventry/First Health — FH-Medical Rental: $833.17
  • InterGroup — PPO: $990.40
  • Multiplan — Auto: $965.64
  • Multiplan — PPO (Includes PHCS as a Payer): $965.64

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $993.28 – $13,248.33
Total knee replacement: 10 of 11 insurance plan rates
  • Aetna — Medicare: $12,634.98
  • AmeriHealth Caritas — Medicare: $12,634.98
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $12,387.19
  • Highmark Wholecare (prev Gateway) — Medicare: $13,247.10
  • Multiplan — Worker's Compensation: $6,579.60
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $13,248.33
  • Three Rivers Provider Network — All: $6,371.83
  • United Healthcare — Medicare: $13,125.66
  • United Healthcare Community Plan for Families — PA Medicaid: $993.28
  • UPMC Health Plan — Managed Medicare: $12,512.31
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 $695.68 – $2,719.83
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • Multiplan — Worker's Compensation: $2,719.83
  • Three Rivers Provider Network — All: $2,633.94
  • United Healthcare Community Plan for Families — PA Medicaid: $695.68
  • UPMC Work Partners — Workers Comp: $2,462.16
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 $597.85 – $3,340.82
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates
  • Aetna — Medicare: $3,186.15
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $612.80
  • AmeriHealth Caritas — Medicare: $3,186.15
  • Geisinger — Medicaid/CHIP: $597.85
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $3,123.66
  • Highmark Wholecare (prev Gateway) — Medicaid: $763.62
  • Highmark Wholecare (prev Gateway) — Medicare: $3,340.51
  • Multiplan — Worker's Compensation: $2,255.71
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $3,340.82
  • PA Health & Wellness — PA Medicaid HMO: $926.23
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 – $4,701.60
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
  • Aetna — Commercial: $2,803.33
  • Aetna — First Health: $3,878.82
  • Aetna — Medicare: $920.67
  • Aetna — PEBTF Custom Network: $2,383.12
  • America's Choice — PPO: $4,701.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $141.19
  • AmeriHealth Caritas — Medicare: $920.67
  • Cigna — Commercial: $4,025.74
  • Coventry/First Health — Commercial: $2,944.38
  • Coventry/First Health — FH-Medical Rental: $3,955.22
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/WO BRUSHINGS $5,877 $3,526.20 $2,517.71 – $5,289.30
Upper GI endoscopy (diagnostic): 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $4,584.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: EGD W/WO BRUSHINGS $5,877 $3,526.20 $137.74 – $4,701.60
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates
  • Aetna — Commercial: $2,803.33
  • Aetna — First Health: $3,878.82
  • Aetna — Medicare: $1,586.79
  • Aetna — PEBTF Custom Network: $2,383.12
  • America's Choice — PPO: $4,701.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $141.19
  • Cigna — Commercial: $4,025.74
  • Coventry/First Health — Commercial: $2,944.38
  • Coventry/First Health — FH-Medical Rental: $3,955.22
  • Geisinger — Commercial: $3,937.59
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 – $4,701.60
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — Commercial: $2,803.33
  • Aetna — First Health: $3,878.82
  • Aetna — Medicare: $920.67
  • Aetna — PEBTF Custom Network: $2,383.12
  • America's Choice — PPO: $4,701.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $167.52
  • AmeriHealth Caritas — Medicare: $920.67
  • Cigna — Commercial: $4,025.74
  • Coventry/First Health — Commercial: $2,944.38
  • Coventry/First Health — FH-Medical Rental: $3,955.22
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 $2,517.71 – $5,289.30
Upper GI endoscopy with biopsy: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $4,584.06
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: EGD W/BIOPSY SINGLE/MULT $5,877 $3,526.20 $163.44 – $4,701.60
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates
  • Aetna — Commercial: $2,803.33
  • Aetna — First Health: $3,878.82
  • Aetna — Medicare: $1,586.79
  • Aetna — PEBTF Custom Network: $2,383.12
  • America's Choice — PPO: $4,701.60
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $167.52
  • Cigna — Commercial: $4,025.74
  • Coventry/First Health — Commercial: $2,944.38
  • Coventry/First Health — FH-Medical Rental: $3,955.22
  • Geisinger — Commercial: $3,937.59
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG W/WO BRUSHING $2,500 $1,500 $198.55 – $2,000
Colonoscopy (diagnostic): 10 of 33 insurance plan rates
  • Aetna — Commercial: $1,192.50
  • Aetna — First Health: $1,650
  • Aetna — Medicare: $895.29
  • Aetna — PEBTF Custom Network: $1,013.75
  • America's Choice — PPO: $2,000
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $203.51
  • AmeriHealth Caritas — Medicare: $895.29
  • Cigna — Commercial: $1,712.50
  • Coventry/First Health — Commercial: $1,252.50
  • Coventry/First Health — FH-Medical Rental: $1,682.50
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAG W/WO BRUSHING $2,500 $1,500 $1,071 – $2,250
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,260
  • Aetna — First Health: $1,650
  • Aetna — PEBTF Custom Network: $1,071
  • America's Choice — PPO: $2,000
  • Cigna — Commercial: $1,712.50
  • Coventry/First Health — Commercial: $1,322.50
  • Coventry/First Health — FH-Medical Rental: $1,682.50
  • InterGroup — PPO: $2,000
  • Multiplan — Auto: $1,950
  • Multiplan — PPO (Includes PHCS as a Payer): $1,950
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: COLONOSCOPY DIAG W/WO BRUSHING $2,500 $1,500 $198.55 – $2,000
Colonoscopy (diagnostic): 10 of 27 insurance plan rates
  • Aetna — Commercial: $1,192.50
  • Aetna — First Health: $1,650
  • Aetna — Medicare: $675
  • Aetna — PEBTF Custom Network: $1,013.75
  • America's Choice — PPO: $2,000
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $203.51
  • Cigna — Commercial: $1,712.50
  • Coventry/First Health — Commercial: $1,252.50
  • Coventry/First Health — FH-Medical Rental: $1,682.50
  • Geisinger — Commercial: $1,675
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 – $4,336.80
Colonoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — Commercial: $2,585.82
  • Aetna — First Health: $3,577.86
  • Aetna — Medicare: $1,157.83
  • Aetna — PEBTF Custom Network: $2,198.22
  • America's Choice — PPO: $4,336.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $254.16
  • AmeriHealth Caritas — Medicare: $1,157.83
  • Cigna — Commercial: $3,713.39
  • Coventry/First Health — Commercial: $2,715.92
  • Coventry/First Health — FH-Medical Rental: $3,648.33
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX SINGLE/MULT $5,421 $3,252.60 $2,322.36 – $4,878.90
Colonoscopy with biopsy: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $4,228.38
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: COLONOSCOPY W/BX SINGLE/MULT $5,421 $3,252.60 $247.96 – $4,336.80
Colonoscopy with biopsy: 10 of 27 insurance plan rates
  • Aetna — Commercial: $2,585.82
  • Aetna — First Health: $3,577.86
  • Aetna — Medicare: $1,463.67
  • Aetna — PEBTF Custom Network: $2,198.22
  • America's Choice — PPO: $4,336.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $254.16
  • Cigna — Commercial: $3,713.39
  • Coventry/First Health — Commercial: $2,715.92
  • Coventry/First Health — FH-Medical Rental: $3,648.33
  • Geisinger — Commercial: $3,632.07
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 – $4,336.80
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • Aetna — Commercial: $2,585.82
  • Aetna — First Health: $3,577.86
  • Aetna — Medicare: $1,157.83
  • Aetna — PEBTF Custom Network: $2,198.22
  • America's Choice — PPO: $4,336.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $302.26
  • AmeriHealth Caritas — Medicare: $1,157.83
  • Cigna — Commercial: $3,713.39
  • Coventry/First Health — Commercial: $2,715.92
  • Coventry/First Health — FH-Medical Rental: $3,648.33
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 $2,322.36 – $4,878.90
Colonoscopy with removal of polyps (snare): 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $4,228.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: COLONOSCOPY W/SNARE TECHNIQUE $5,421 $3,252.60 $294.89 – $4,336.80
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates
  • Aetna — Commercial: $2,585.82
  • Aetna — First Health: $3,577.86
  • Aetna — Medicare: $1,463.67
  • Aetna — PEBTF Custom Network: $2,198.22
  • America's Choice — PPO: $4,336.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $302.26
  • Cigna — Commercial: $3,713.39
  • Coventry/First Health — Commercial: $2,715.92
  • Coventry/First Health — FH-Medical Rental: $3,648.33
  • Geisinger — Commercial: $3,632.07
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH USN $5,421 $3,252.60 $241.22 – $4,336.80
Ultrasound of the lower bowel by endoscope: 10 of 33 insurance plan rates
  • Aetna — Commercial: $2,585.82
  • Aetna — First Health: $3,577.86
  • Aetna — Medicare: $1,157.83
  • Aetna — PEBTF Custom Network: $2,198.22
  • America's Choice — PPO: $4,336.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $247.25
  • AmeriHealth Caritas — Medicare: $1,157.83
  • Cigna — Commercial: $3,713.39
  • Coventry/First Health — Commercial: $2,715.92
  • Coventry/First Health — FH-Medical Rental: $3,648.33
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH USN $5,421 $3,252.60 $2,322.36 – $4,878.90
Ultrasound of the lower bowel by endoscope: 10 of 13 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
  • 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
  • Multiplan — PPO (Includes PHCS as a Payer): $4,228.38
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: COLONOSCOPY WITH USN $5,421 $3,252.60 $241.22 – $4,336.80
Ultrasound of the lower bowel by endoscope: 10 of 27 insurance plan rates
  • Aetna — Commercial: $2,585.82
  • Aetna — First Health: $3,577.86
  • Aetna — Medicare: $1,463.67
  • Aetna — PEBTF Custom Network: $2,198.22
  • America's Choice — PPO: $4,336.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $247.25
  • Cigna — Commercial: $3,713.39
  • Coventry/First Health — Commercial: $2,715.92
  • Coventry/First Health — FH-Medical Rental: $3,648.33
  • Geisinger — Commercial: $3,632.07
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 $993.28 – $6,007.35
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • Aetna — Medicare: $5,729.23
  • AmeriHealth Caritas — Medicare: $5,729.23
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $5,616.87
  • Highmark Wholecare (prev Gateway) — Medicare: $6,006.79
  • Multiplan — Worker's Compensation: $1,562.41
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $6,007.35
  • Three Rivers Provider Network — All: $1,513.07
  • United Healthcare — Medicare: $5,951.73
  • United Healthcare Community Plan for Families — PA Medicaid: $993.28
  • UPMC Health Plan — Managed Medicare: $5,673.61
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 $349.25 – $3,633.70
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates
  • Aetna — Medicare: $3,465.48
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $357.98
  • AmeriHealth Caritas — Medicare: $3,465.48
  • Geisinger — Medicaid/CHIP: $349.25
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $3,397.51
  • Highmark Wholecare (prev Gateway) — Medicaid: $446.09
  • Highmark Wholecare (prev Gateway) — Medicare: $3,633.37
  • Multiplan — Worker's Compensation: $1,260.93
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $3,633.70
  • PA Health & Wellness — PA Medicaid HMO: $541.08
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C Not listed in the file Not listed in the file $577.87 – $3,273.80
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
  • Aetna — Medicare: $3,122.24
  • AmeriHealth Caritas — Medicare: $3,122.24
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $3,061.01
  • Highmark Wholecare (prev Gateway) — Medicare: $3,273.50
  • Multiplan — Worker's Compensation: $638.34
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $3,273.80
  • Three Rivers Provider Network — All: $618.18
  • United Healthcare — Medicare: $3,243.49
  • United Healthcare Community Plan for Families — PA Medicaid: $993.28
  • UPMC Health Plan — Managed Medicare: $3,091.93
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTRLMNR LUM/SAC W/IMG GDE $3,491 $2,094.60 $89.45 – $2,792.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates
  • Aetna — Commercial: $1,665.21
  • Aetna — First Health: $2,304.06
  • Aetna — Medicare: $680.04
  • Aetna — PEBTF Custom Network: $1,415.60
  • America's Choice — PPO: $2,792.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $91.69
  • AmeriHealth Caritas — Medicare: $680.04
  • Cigna — Commercial: $2,391.34
  • Coventry/First Health — Commercial: $1,748.99
  • Coventry/First Health — FH-Medical Rental: $2,349.44
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NJX INTRLMNR LUM/SAC W/IMG GDE $3,491 $2,094.60 $1,495.54 – $3,141.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,759.46
  • Aetna — First Health: $2,304.06
  • Aetna — PEBTF Custom Network: $1,495.54
  • America's Choice — PPO: $2,792.80
  • Cigna — Commercial: $2,391.34
  • Coventry/First Health — Commercial: $1,846.74
  • Coventry/First Health — FH-Medical Rental: $2,349.44
  • InterGroup — PPO: $2,792.80
  • Multiplan — Auto: $2,722.98
  • Multiplan — PPO (Includes PHCS as a Payer): $2,722.98
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ EPIDURAL LUMB PLEX SINGLE $2,435 $1,461 $104.54 – $1,948
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates
  • Aetna — Commercial: $1,161.49
  • Aetna — First Health: $1,607.10
  • Aetna — Medicare: $874.24
  • Aetna — PEBTF Custom Network: $987.39
  • America's Choice — PPO: $1,948
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $107.16
  • AmeriHealth Caritas — Medicare: $874.24
  • Cigna — Commercial: $1,667.97
  • Coventry/First Health — Commercial: $1,219.93
  • Coventry/First Health — FH-Medical Rental: $1,638.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSFORAM EPID LUMB/SAC SNGL $2,435 $1,461 $104.54 – $1,948
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates
  • Aetna — Commercial: $1,161.49
  • Aetna — First Health: $1,607.10
  • Aetna — Medicare: $874.24
  • Aetna — PEBTF Custom Network: $987.39
  • America's Choice — PPO: $1,948
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $107.16
  • AmeriHealth Caritas — Medicare: $874.24
  • Cigna — Commercial: $1,667.97
  • Coventry/First Health — Commercial: $1,219.93
  • Coventry/First Health — FH-Medical Rental: $1,638.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ EPIDURAL LUMB PLEX SINGLE $2,435 $1,461 $1,043.15 – $2,191.50
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,227.24
  • Aetna — First Health: $1,607.10
  • Aetna — PEBTF Custom Network: $1,043.15
  • America's Choice — PPO: $1,948
  • Cigna — Commercial: $1,667.97
  • Coventry/First Health — Commercial: $1,288.12
  • Coventry/First Health — FH-Medical Rental: $1,638.76
  • InterGroup — PPO: $1,948
  • Multiplan — Auto: $1,899.30
  • Multiplan — PPO (Includes PHCS as a Payer): $1,899.30
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY CARPAL TUNNEL $7,551 $4,530.60 $330 – $6,040.80
Carpal tunnel release: 10 of 33 insurance plan rates
  • Aetna — Commercial: $3,601.83
  • Aetna — First Health: $4,983.66
  • Aetna — Medicare: $1,917.58
  • Aetna — PEBTF Custom Network: $3,061.93
  • America's Choice — PPO: $6,040.80
  • AmeriHealth Caritas — Community HealthChoices (CHC)/Medicaid: $338.25
  • AmeriHealth Caritas — Medicare: $1,917.58
  • Cigna — Commercial: $5,172.44
  • Coventry/First Health — Commercial: $3,783.05
  • Coventry/First Health — FH-Medical Rental: $5,081.82
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEUROPLASTY CARPAL TUNNEL $7,551 $4,530.60 $3,234.85 – $6,795.90
Carpal tunnel release: 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,805.70
  • Aetna — First Health: $4,983.66
  • Aetna — PEBTF Custom Network: $3,234.85
  • America's Choice — PPO: $6,040.80
  • Cigna — Commercial: $5,172.44
  • Coventry/First Health — Commercial: $3,994.48
  • Coventry/First Health — FH-Medical Rental: $5,081.82
  • InterGroup — PPO: $6,040.80
  • Multiplan — Auto: $5,889.78
  • Multiplan — PPO (Includes PHCS as a Payer): $5,889.78

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $73,774.70 – $178,054.25
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates
  • Aetna — Medicare: $75,250.48
  • AmeriHealth Caritas — Medicare: $75,250.48
  • Geisinger — Commercial: $166,954.15
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $178,054.25
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $73,774.70
  • Highmark BCBS of PA — Managed Care - Social Mission: $151,346.12
  • Highmark Wholecare (prev Gateway) — Medicare: $78,896.11
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $78,903.42
  • United Healthcare — Medicare: $78,172.83
  • UPMC Health Plan — Commercial: $147,611.10
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 $19,160.64 – $21,165.81
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans
  • Multiplan — Worker's Compensation: $21,165.81
  • UPMC Work Partners — Workers Comp: $19,160.64
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 $9,125.11 – $10,080.06
Spinal fusion (not neck), without major complications: rates for 2 insurance plans
  • Multiplan — Worker's Compensation: $10,080.06
  • UPMC Work Partners — Workers Comp: $9,125.11
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $14,905.13 – $32,918.78
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
  • Aetna — Medicare: $15,203.29
  • AmeriHealth Caritas — Medicare: $15,203.29
  • Geisinger — Commercial: $32,918.78
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $32,496.47
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $14,905.13
  • Highmark BCBS of PA — Managed Care - Social Mission: $27,621.99
  • Highmark Wholecare (prev Gateway) — Medicare: $15,939.84
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $15,941.32
  • United Healthcare — Medicare: $15,793.71
  • 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 $18,745.89 – $41,819.66
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates
  • Aetna — Medicare: $19,120.88
  • AmeriHealth Caritas — Medicare: $19,120.88
  • Geisinger — Commercial: $41,663.45
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $41,819.66
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $18,745.89
  • Highmark BCBS of PA — Managed Care - Social Mission: $35,546.71
  • Highmark Wholecare (prev Gateway) — Medicare: $20,047.22
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $20,049.08
  • United Healthcare — Medicare: $19,863.44
  • UPMC Health Plan — Commercial: $36,836.39
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 $32,884.26 – $36,325.63
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans
  • Multiplan — Worker's Compensation: $36,325.63
  • UPMC Work Partners — Workers Comp: $32,884.26
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $9,746.68 – $23,523.56
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates
  • Aetna — Medicare: $9,941.65
  • AmeriHealth Caritas — Medicare: $9,941.65
  • Geisinger — Commercial: $21,173.90
  • Highmark BCBS of PA — Bluecare HMO/FPLIC PPO/Traditional Products: $23,523.56
  • Highmark BCBS of PA — Community Blue Medicare Advantage/Complete Blue Medicare Adv: $9,746.68
  • Highmark BCBS of PA — Managed Care - Social Mission: $19,995.03
  • Highmark Wholecare (prev Gateway) — Medicare: $10,423.29
  • PA Health & Wellness — Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell : $10,424.26
  • United Healthcare — Medicare: $10,327.74
  • UPMC Health Plan — Commercial: $18,720.72

Source: UPMC Williamsport’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 typeAcute Care Hospital
Address700 High Street, Williamsport, PA 17701
CountyLycoming County
StatePennsylvania
Phone(570) 321‑1000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number390045
Name in Medicare recordsUPMC WILLIAMSPORT
Profile levelMedicare data + hospital website
Official websiteupmc.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. UPMC Williamsport — upmc.com
  2. UPMC Williamsport Services — upmc.com
  3. About UPMC Williamsport — upmc.com
  4. Emergency Department | UPMC Williamsport | Williamsport, Pa — upmc.com
  5. Trauma Level II Services | UPMC Williamsport — upmc.com
  6. Acute Care Surgery | UPMC Williamsport — upmc.com
  7. General Surgery | UPMC Williamsport | Williamsport, Pa — upmc.com
  8. UPMC Imaging Services | UPMC Williamsport — upmc.com
  9. Digestive Disease Center | UPMC Williamsport — upmc.com