Does Warren General Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Warren General Hospital. In a medical emergency, call 911.

Where is Warren General Hospital?

2 Crescent Park West, Warren, PA 16365, in Warren County, Pennsylvania.

What is the phone number of Warren General Hospital?

(814) 723-4973, as listed by Medicare (CMS).

What is the Medicare star rating of Warren General Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Warren General Hospital — Phone, Address & ER

Quick answers

Does Warren General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Warren General Hospital. In a medical emergency, call 911.
Where is Warren General Hospital?: 2 Crescent Park West, Warren, PA 16365, in Warren County, Pennsylvania.
What is the phone number of Warren General Hospital?: (814) 723-4973, as listed by Medicare (CMS).
What is the Medicare star rating of Warren General Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[5][6][10][15][17]}

Behavioral Health
Eye Care
Orthopedics
Cancer Care
Family Medicine
General Surgery
Pediatrics
GYN/Women's Health
Urology
Sports Medicine
Emergency and Hospitalist Care
Cardiology
Emergency medicine
Eye care (ophthalmology)
Gastroenterology
Gynecology and women's health
Podiatry
Radiology
Sleep lab
Wound care

Conditions treated^[12][15][16]

Autism spectrum disorder
Cerebral palsy
Developmental delays
Sensory processing disorder
Learning disabilities
Feeding disorders
ADD/ADHD
Childhood apraxia of speech
Cleft palate
Hearing loss
Pneumonia
Fractures
Stroke
Breast disease and breast cancer
Thyroid nodules, goiters and thyroid cancer
Colon and intestinal disease and cancer
Gallbladder disease
Hernia

Treatments^{[5][6][14][15]}

Respiratory Care
Detoxification
Wound Clinic
Hospital Home Care
Swing Bed
Chemotherapy
Radiation therapy
Stereotactic radiosurgery (SRS)
Infusion therapy
Lithotripsy
Wound care

Procedures^{[5][6][13][14][15][17]}

Colonoscopy Endoscopy
Sleep Lab
Imaging
Surgical Services
Robotic surgery
Lumpectomy
Mastectomy
Lymph node biopsy
Hernia repair
Joint replacement
Hip total and reverse shoulder replacement
ACL reconstruction
Arthroscopic knee and shoulder surgery
Rotator cuff repair
Carpal tunnel release
CT scan
PET/CT
Mammography
Bone densitometry (DEXA)
Ultrasound
X-ray
Nuclear medicine
Fluoroscopy
Interventional radiology
EEG

Programs and centers^{[5][8][9][10][14]}

RehabWorks
Cardiac Rehabilitation
Pulmonary Rehabilitation
Pediatric Rehabilitation
Integrated Acute Care Program
Monthly cancer support groups
DAISY Award for nurses
BEE Award for support staff

Emergency care (hospital website)^[5][10]

Emergency room	Yes

Visiting and practical information

Visiting	Unit-specific hours; most units 10 am-8 pm; maternal child health 2-6 pm; pediatric parents unrestricted^[7]
Patient portal	https://www.wgh.org/portal

Recognition^[17]

American College of Radiology certification in CT, Mammography, MRI, Nuclear Medicine, PET/CT and Ultrasound

Other emergency rooms nearby

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

UPMC Chautauqua at Wca18 mi · Jamestown, NY · Acute Care Hospital
UPMC Kane23 mi · Kane, PA · Critical Access Hospital
Lecom Health Corry Memorial Hospital24 mi · Corry, PA · Critical Access Hospital
Titusville Area Hospital31 mi · Titusville, PA · Critical Access Hospital
Westfield Memorial Hospital, Inc31 mi · Westfield, NY · Rural Emergency Hospital

Find the closest emergency room to where you are →

Other hospitals near Warren

Warren State Hospital2.6 mi · North Warren, PA · Psychiatric Hospital

Hospitals in Warren County · Hospitals near me

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

Kinzua Nursing and Rehab0.8 mi · Warren, PA · 2 of 5 stars
Warren Manor1.2 mi · Warren, PA · 3 of 5 stars
Rouse Warren County Home7.2 mi · Youngsville, PA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Warren County0.2 mi · Warren, PA · 5 of 5 stars
Chautauqua Hospice and Palliative Care19 mi · Lakewood, NY · 5 of 5 stars
VNA of Northwest PA, LLC22 mi · Bradford, PA

All hospice providers in the state →

Home health agencies

Darling's Home Care0.2 mi · Warren, PA · 4 of 5 stars
Hospital Home Care Services0.2 mi · Warren, PA · 3 of 5 stars
VNA of Northwest PA, LLC22 mi · Bradford, PA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Warren Dialysis0.2 mi · Warren, PA · 2 of 5 stars
DaVita Jamestown Dialysis Center17 mi · Jamestown, NY · 3 of 5 stars
DaVita Bradford22 mi · Bradford, PA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Community Surgery & Laser Center LLC0.2 mi · Warren, PA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Evergreen Health - Prather Ave.18 mi · Jamestown, NY · Community health center
The Chautauqua Center - Jamestown18 mi · Jamestown, NY · Community health center
The Chautauqua Center - Mobile Unit18 mi · Jamestown, NY · Community health center

Clinics and urgent care

Warren General Hospital0.2 mi · Warren, PA · Rural health clinic
Warren General Hospital0.2 mi · Warren, PA · Rural health clinic
Warren General Hospital RHC Sugar Grove12 mi · Sugar Grove, PA · Rural health clinic

Pharmacies

Gaughns Drug Store0.2 mi · Warren, PA · Community/retail pharmacy
Wal-Mart Stores East LP0.2 mi · Warren, PA · Community/retail pharmacy
Warren MS LLC0.2 mi · Warren, PA · Community/retail pharmacy

Assisted living nearby

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

Watson Memorial Home0.2 mi · Warren, PA
Rosecliff by Rouse8.5 mi · Youngsville, PA
Ruth M Smith Center13 mi · Sheffield, PA

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Warren General Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, readmissions, emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Pennsylvania Best hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as Warren General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 74 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Level 3-PRO	$225	$225	$78.75 – $216.38
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $135 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $123.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $153 ROUSE HOME — ROUSE HOME: $78.75 SELF-PAY — SELF-PAY: $112.50 TRICARE — TRICARE: $191.25 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $168.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $112.50 UPMC — UPMC: $216.38 WARREN CO JAIL — WARREN CO JAIL: $78.75
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Level 3-TC	$300	$300	$105 – $255
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $180 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $165 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $204 ROUSE HOME — ROUSE HOME: $105 SELF-PAY — SELF-PAY: $150 TRICARE — TRICARE: $255 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $225 Univera Medicare PPO — UNIVERA MEDICARE PPO: $150 UPMC — UPMC: $216.38 WARREN CO JAIL — WARREN CO JAIL: $105
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpt New Level 3	$225	$225	$78.75 – $216.38
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $135 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $123.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $153 ROUSE HOME — ROUSE HOME: $78.75 SELF-PAY — SELF-PAY: $112.50 TRICARE — TRICARE: $191.25 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $168.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $112.50 UPMC — UPMC: $216.38 WARREN CO JAIL — WARREN CO JAIL: $78.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Level 4-PRO	$341	$341	$119.35 – $289.85
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $204.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $187.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $231.88 ROUSE HOME — ROUSE HOME: $119.35 SELF-PAY — SELF-PAY: $170.50 TRICARE — TRICARE: $289.85 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $255.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $170.50 UPMC — UPMC: $277.59 WARREN CO JAIL — WARREN CO JAIL: $119.35
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Level 4-TC	$300	$300	$105 – $277.59
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $180 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $165 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $204 ROUSE HOME — ROUSE HOME: $105 SELF-PAY — SELF-PAY: $150 TRICARE — TRICARE: $255 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $225 Univera Medicare PPO — UNIVERA MEDICARE PPO: $150 UPMC — UPMC: $277.59 WARREN CO JAIL — WARREN CO JAIL: $105
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpt New Level 4	$341	$341	$119.35 – $289.85
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $204.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $187.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $231.88 ROUSE HOME — ROUSE HOME: $119.35 SELF-PAY — SELF-PAY: $170.50 TRICARE — TRICARE: $289.85 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $255.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $170.50 UPMC — UPMC: $277.59 WARREN CO JAIL — WARREN CO JAIL: $119.35
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Level 5-PRO	$455	$455	$159.25 – $386.75
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $273 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $250.25 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $309.40 ROUSE HOME — ROUSE HOME: $159.25 SELF-PAY — SELF-PAY: $227.50 TRICARE — TRICARE: $386.75 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $341.25 Univera Medicare PPO — UNIVERA MEDICARE PPO: $227.50 UPMC — UPMC: $338.67 WARREN CO JAIL — WARREN CO JAIL: $159.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Pt Level 5-TC	$300	$300	$105 – $338.67
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $180 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $165 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $204 ROUSE HOME — ROUSE HOME: $105 SELF-PAY — SELF-PAY: $150 TRICARE — TRICARE: $255 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $225 Univera Medicare PPO — UNIVERA MEDICARE PPO: $150 UPMC — UPMC: $338.67 WARREN CO JAIL — WARREN CO JAIL: $105
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpt New Level 5	$455	$455	$159.25 – $386.75
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $273 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $250.25 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $309.40 ROUSE HOME — ROUSE HOME: $159.25 SELF-PAY — SELF-PAY: $227.50 TRICARE — TRICARE: $386.75 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $341.25 Univera Medicare PPO — UNIVERA MEDICARE PPO: $227.50 UPMC — UPMC: $338.67 WARREN CO JAIL — WARREN CO JAIL: $159.25
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt Level 3-PRO	$183	$183	$64.05 – $155.55
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $109.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $100.65 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $124.44 ROUSE HOME — ROUSE HOME: $64.05 SELF-PAY — SELF-PAY: $91.50 TRICARE — TRICARE: $155.55 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $137.25 Univera Medicare PPO — UNIVERA MEDICARE PPO: $91.50 UPMC — UPMC: $116.59 WARREN CO JAIL — WARREN CO JAIL: $64.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt Level 3-TC	$300	$300	$105 – $255
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $180 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $165 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $204 ROUSE HOME — ROUSE HOME: $105 SELF-PAY — SELF-PAY: $150 TRICARE — TRICARE: $255 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $225 Univera Medicare PPO — UNIVERA MEDICARE PPO: $150 UPMC — UPMC: $116.59 WARREN CO JAIL — WARREN CO JAIL: $105
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpt Est Level 3	$183	$183	$64.05 – $155.55
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $109.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $100.65 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $124.44 ROUSE HOME — ROUSE HOME: $64.05 SELF-PAY — SELF-PAY: $91.50 TRICARE — TRICARE: $155.55 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $137.25 Univera Medicare PPO — UNIVERA MEDICARE PPO: $91.50 UPMC — UPMC: $116.59 WARREN CO JAIL — WARREN CO JAIL: $64.05
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt Level 4-PRO	$260	$260	$91 – $221
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $156 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $143 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $176.80 ROUSE HOME — ROUSE HOME: $91 SELF-PAY — SELF-PAY: $130 TRICARE — TRICARE: $221 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $195 Univera Medicare PPO — UNIVERA MEDICARE PPO: $130 UPMC — UPMC: $138.46 WARREN CO JAIL — WARREN CO JAIL: $91
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt Level 4-TC	$300	$300	$105 – $255
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $180 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $165 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $204 ROUSE HOME — ROUSE HOME: $105 SELF-PAY — SELF-PAY: $150 TRICARE — TRICARE: $255 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $225 Univera Medicare PPO — UNIVERA MEDICARE PPO: $150 UPMC — UPMC: $138.46 WARREN CO JAIL — WARREN CO JAIL: $105
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpt Est Level 4	$260	$260	$91 – $221
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Cigna — CIGNA: $156 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $143 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $176.80 ROUSE HOME — ROUSE HOME: $91 SELF-PAY — SELF-PAY: $130 TRICARE — TRICARE: $221 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $195 Univera Medicare PPO — UNIVERA MEDICARE PPO: $130 UPMC — UPMC: $138.46 WARREN CO JAIL — WARREN CO JAIL: $91
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consult Level 3	$405	$405	$141.75 – $344.25
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates Cigna — CIGNA: $243 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $222.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $275.40 ROUSE HOME — ROUSE HOME: $141.75 SELF-PAY — SELF-PAY: $202.50 TRICARE — TRICARE: $344.25 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $303.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $202.50 UPMC — UPMC: $189.91 WARREN CO JAIL — WARREN CO JAIL: $141.75
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP OFFICE CONSULT-LEVEL 3	$214	$214	$74.90 – $189.91
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates Cigna — CIGNA: $128.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $117.70 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $145.52 ROUSE HOME — ROUSE HOME: $74.90 SELF-PAY — SELF-PAY: $107 TRICARE — TRICARE: $181.90 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $160.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $107 UPMC — UPMC: $189.91 WARREN CO JAIL — WARREN CO JAIL: $74.90
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT EXPANDED 30 MIN	$214	$214	$74.90 – $189.91
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates Cigna — CIGNA: $128.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $117.70 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $145.52 ROUSE HOME — ROUSE HOME: $74.90 SELF-PAY — SELF-PAY: $107 TRICARE — TRICARE: $181.90 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $160.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $107 UPMC — UPMC: $189.91 WARREN CO JAIL — WARREN CO JAIL: $74.90
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consult Level 4	$590	$590	$206.50 – $501.50
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates Cigna — CIGNA: $354 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $324.50 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $401.20 ROUSE HOME — ROUSE HOME: $206.50 SELF-PAY — SELF-PAY: $295 TRICARE — TRICARE: $501.50 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $442.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $295 UPMC — UPMC: $319.36 WARREN CO JAIL — WARREN CO JAIL: $206.50
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP OFFICE CONSULT-LEVEL 4	$318	$318	$111.30 – $319.36
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates Cigna — CIGNA: $190.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $174.90 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $216.24 ROUSE HOME — ROUSE HOME: $111.30 SELF-PAY — SELF-PAY: $159 TRICARE — TRICARE: $270.30 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $238.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $159 UPMC — UPMC: $319.36 WARREN CO JAIL — WARREN CO JAIL: $111.30
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULT COMPREHE 60 MIN	$318	$318	$111.30 – $319.36
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates Cigna — CIGNA: $190.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $174.90 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $216.24 ROUSE HOME — ROUSE HOME: $111.30 SELF-PAY — SELF-PAY: $159 TRICARE — TRICARE: $270.30 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $238.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $159 UPMC — UPMC: $319.36 WARREN CO JAIL — WARREN CO JAIL: $111.30
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 1st Prev Med New Pt 18-39 yrs	$146	$146	$51.10 – $128.49
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Cigna — CIGNA: $87.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $80.30 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $99.28 ROUSE HOME — ROUSE HOME: $51.10 SELF-PAY — SELF-PAY: $73 TRICARE — TRICARE: $68.68 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $109.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $73 UPMC — UPMC: $128.49 WARREN CO JAIL — WARREN CO JAIL: $51.10
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 1st Prev Med New Pt 18-39 yrs	$146	$146	$51.10 – $99.28
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans Cigna — CIGNA: $87.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $80.30 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $99.28 ROUSE HOME — ROUSE HOME: $51.10 SELF-PAY — SELF-PAY: $73 WARREN CO JAIL — WARREN CO JAIL: $51.10 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $73
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: 1st Prev Med New Pt 18-39 yrs	$188	$188	$65.80 – $141
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Cigna — CIGNA: $112.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $103.40 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $127.84 ROUSE HOME — ROUSE HOME: $65.80 SELF-PAY — SELF-PAY: $94 TRICARE — TRICARE: $68.68 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $141 Univera Medicare PPO — UNIVERA MEDICARE PPO: $94 UPMC — UPMC: $128.49 WARREN CO JAIL — WARREN CO JAIL: $65.80
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 1st Prev Med New Pt 40-64 yrs	$166	$166	$58.10 – $127.78
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Cigna — CIGNA: $99.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $91.30 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $112.88 ROUSE HOME — ROUSE HOME: $58.10 SELF-PAY — SELF-PAY: $83 TRICARE — TRICARE: $83.47 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $124.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $83 UPMC — UPMC: $127.78 WARREN CO JAIL — WARREN CO JAIL: $58.10
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 1st Prev Med New Pt 40-64 yrs	$166	$166	$58.10 – $112.88
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans Cigna — CIGNA: $99.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $91.30 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $112.88 ROUSE HOME — ROUSE HOME: $58.10 SELF-PAY — SELF-PAY: $83 WARREN CO JAIL — WARREN CO JAIL: $58.10 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $83
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: 1st Prev Med New Pt 40-64 yrs	$227	$227	$79.45 – $170.25
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Cigna — CIGNA: $136.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $124.85 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $154.36 ROUSE HOME — ROUSE HOME: $79.45 SELF-PAY — SELF-PAY: $113.50 TRICARE — TRICARE: $83.47 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $170.25 Univera Medicare PPO — UNIVERA MEDICARE PPO: $113.50 UPMC — UPMC: $127.78 WARREN CO JAIL — WARREN CO JAIL: $79.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG RM-III	$541	$541	$189.35 – $405.75
Emergency room visit (moderate): 10 of 22 insurance plan rates AETNA — AETNA: $340.83 APOSTROPHE — APOSTROPHE: $804.07 BCBS HIGHMARK — BCBS HIGHMARK: $560.01 Cigna — CIGNA: $324.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $423.97 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $297.55 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $248.53 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $292.39 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $367.88 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $292.39
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emer Dept Moderate Severity	$189	$189	$66.15 – $265.65
Emergency room visit (moderate): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $804.07 BCBS HIGHMARK — BCBS HIGHMARK: $560.01 Cigna — CIGNA: $113.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $423.97 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $103.95 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $248.53 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $292.39 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $128.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $292.39 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $295.31
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emer Dept Moderate Severity	$189	$189	$66.15 – $128.52
Emergency room visit (moderate): rates for 7 insurance plans Cigna — CIGNA: $113.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $103.95 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $128.52 ROUSE HOME — ROUSE HOME: $66.15 SELF-PAY — SELF-PAY: $94.50 WARREN CO JAIL — WARREN CO JAIL: $66.15 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $94.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG RM-IV	$635	$635	$222.25 – $476.25
Emergency room visit (moderately high): 10 of 22 insurance plan rates AETNA — AETNA: $400.05 APOSTROPHE — APOSTROPHE: $1,229.09 BCBS HIGHMARK — BCBS HIGHMARK: $856.02 Cigna — CIGNA: $381 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $648.06 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $349.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $379.90 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $446.94 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $431.80 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $446.94
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emer Dept Hi Severity&urgent E	$244	$244	$85.40 – $335.53
Emergency room visit (moderately high): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $1,229.09 BCBS HIGHMARK — BCBS HIGHMARK: $856.02 Cigna — CIGNA: $146.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $648.06 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $134.20 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $379.90 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $446.94 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $165.92 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $446.94 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $451.41
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emer Dept Hi Severity&urgent E	$244	$244	$85.40 – $165.92
Emergency room visit (moderately high): rates for 7 insurance plans Cigna — CIGNA: $146.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $134.20 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $165.92 ROUSE HOME — ROUSE HOME: $85.40 SELF-PAY — SELF-PAY: $122 WARREN CO JAIL — WARREN CO JAIL: $85.40 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $122
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG RM-V	$818	$818	$286.30 – $613.50
Emergency room visit (high): 10 of 22 insurance plan rates AETNA — AETNA: $515.34 APOSTROPHE — APOSTROPHE: $1,754.20 BCBS HIGHMARK — BCBS HIGHMARK: $1,221.75 Cigna — CIGNA: $490.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $924.94 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $449.90 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $542.21 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $637.89 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $556.24 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $637.89
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emer Dept High Severity&threat	$271	$271	$94.85 – $409.22
Emergency room visit (high): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $1,754.20 BCBS HIGHMARK — BCBS HIGHMARK: $1,221.75 Cigna — CIGNA: $162.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $924.94 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $149.05 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $542.21 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $637.89 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $184.28 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $637.89 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $644.27
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emer Dept High Severity&threat	$271	$271	$94.85 – $184.28
Emergency room visit (high): rates for 7 insurance plans Cigna — CIGNA: $162.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $149.05 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $184.28 ROUSE HOME — ROUSE HOME: $94.85 SELF-PAY — SELF-PAY: $135.50 WARREN CO JAIL — WARREN CO JAIL: $94.85 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $135.50

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$48	$48	$6.67 – $41.10
Basic metabolic panel (blood test): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $23.27 BCBS HIGHMARK — BCBS HIGHMARK: $16.20 Cigna — CIGNA: $28.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $12.27 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $26.40 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $7.19 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $8.46 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $32.64 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $8.46 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $8.54
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$48	$48	$16.80 – $32.64
Basic metabolic panel (blood test): rates for 7 insurance plans Cigna — CIGNA: $28.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $26.40 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $32.64 ROUSE HOME — ROUSE HOME: $16.80 SELF-PAY — SELF-PAY: $24 WARREN CO JAIL — WARREN CO JAIL: $16.80 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $24
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEM 25	$81	$81	$8.33 – $60.75
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $29.04 BCBS HIGHMARK — BCBS HIGHMARK: $20.23 Cigna — CIGNA: $48.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $15.31 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $44.55 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $8.98 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $10.56 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $55.08 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $10.56 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $10.67
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$68	$68	$8.33 – $53.92
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $29.04 BCBS HIGHMARK — BCBS HIGHMARK: $20.23 Cigna — CIGNA: $40.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $15.31 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $37.40 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $8.98 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $10.56 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $46.24 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $10.56 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $10.67
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEM 25	$81	$81	$28.35 – $55.08
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Cigna — CIGNA: $48.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $44.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $55.08 ROUSE HOME — ROUSE HOME: $28.35 SELF-PAY — SELF-PAY: $40.50 WARREN CO JAIL — WARREN CO JAIL: $28.35 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $40.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	$68	$68	$10.57 – $52.66
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $36.82 BCBS HIGHMARK — BCBS HIGHMARK: $25.65 Cigna — CIGNA: $40.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $19.42 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $37.40 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $11.38 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $13.39 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $46.24 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $13.39 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $13.52
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDUSTRIAL SCREEN	$63	$63	$10.57 – $52.66
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $36.82 BCBS HIGHMARK — BCBS HIGHMARK: $25.65 Cigna — CIGNA: $37.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $19.42 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $34.65 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $11.38 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $13.39 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $42.84 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $13.39 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $13.52
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WOMENS HEALTH SCREEN	$55	$55	$10.57 – $52.66
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $36.82 BCBS HIGHMARK — BCBS HIGHMARK: $25.65 Cigna — CIGNA: $33 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $19.42 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $30.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $11.38 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $13.39 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $37.40 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $13.39 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $13.52
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$55	$55	$6.85 – $55.09
Kidney function panel: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $23.87 BCBS HIGHMARK — BCBS HIGHMARK: $16.62 Cigna — CIGNA: $33 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $12.59 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $30.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $7.38 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $8.68 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $37.40 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $8.68 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $8.77
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$55	$55	$19.25 – $37.40
Kidney function panel: rates for 7 insurance plans Cigna — CIGNA: $33 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $30.25 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $37.40 ROUSE HOME — ROUSE HOME: $19.25 SELF-PAY — SELF-PAY: $27.50 WARREN CO JAIL — WARREN CO JAIL: $19.25 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $27.50
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$45	$45	$6.44 – $41.01
Liver function panel: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $22.47 BCBS HIGHMARK — BCBS HIGHMARK: $15.65 Cigna — CIGNA: $27 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $11.85 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $24.75 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $6.94 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $8.17 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $30.60 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $8.17 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $8.25
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$45	$45	$15.75 – $30.60
Liver function panel: rates for 7 insurance plans Cigna — CIGNA: $27 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $24.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $30.60 ROUSE HOME — ROUSE HOME: $15.75 SELF-PAY — SELF-PAY: $22.50 WARREN CO JAIL — WARREN CO JAIL: $15.75 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $22.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NON-AUTOMATED-MCR	$15	$15	$2.75 – $19.65
Urine test (manual, without microscope): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $9.57 BCBS HIGHMARK — BCBS HIGHMARK: $6.67 Cigna — CIGNA: $9 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $5.05 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $8.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $2.96 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $3.48 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $10.20 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $3.48 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $3.51
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urnls Dip Stick/Tablet Rgnt No	$10	$10	$2.75 – $19.65
Urine test (manual, without microscope): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $9.57 BCBS HIGHMARK — BCBS HIGHMARK: $6.67 Cigna — CIGNA: $6 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $5.05 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $5.50 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $2.96 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $3.48 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $6.80 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $3.48 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $3.51
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE W/OUT MICRO	$16	$16	$2.75 – $19.65
Urine test (manual, without microscope): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $9.57 BCBS HIGHMARK — BCBS HIGHMARK: $6.67 Cigna — CIGNA: $9.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $5.05 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $8.80 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $2.96 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $3.48 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $10.88 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $3.48 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $3.51
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMTD W/O MIC-MCR	$14	$14	$1.78 – $18.01
Urine test (automated, without microscope): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $6.19 BCBS HIGHMARK — BCBS HIGHMARK: $4.31 Cigna — CIGNA: $8.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $3.26 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $7.70 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $1.91 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $2.25 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $9.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $2.25 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $2.27
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urnls Dip Stick/Tablet Rgnt Au	$10	$10	$1.78 – $18.01
Urine test (automated, without microscope): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $6.19 BCBS HIGHMARK — BCBS HIGHMARK: $4.31 Cigna — CIGNA: $6 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $3.26 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $5.50 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $1.91 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $2.25 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $6.80 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $2.25 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $2.27
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMTD W/O MIC-MCR	$14	$14	$4.90 – $9.52
Urine test (automated, without microscope): rates for 7 insurance plans Cigna — CIGNA: $8.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $7.70 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $9.52 ROUSE HOME — ROUSE HOME: $4.90 SELF-PAY — SELF-PAY: $7 WARREN CO JAIL — WARREN CO JAIL: $4.90 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $7
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL (POST TREATMENT)	$102	$102	$14.51 – $76.50
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $50.57 BCBS HIGHMARK — BCBS HIGHMARK: $35.22 Cigna — CIGNA: $61.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $26.67 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $56.10 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $15.63 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $18.39 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $69.36 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $18.39 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $18.57
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL SCREEN	$102	$102	$14.51 – $76.50
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $50.57 BCBS HIGHMARK — BCBS HIGHMARK: $35.22 Cigna — CIGNA: $61.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $26.67 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $56.10 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $15.63 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $18.39 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $69.36 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $18.39 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $18.57
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL (POST TREATMENT)	$102	$102	$35.70 – $69.36
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Cigna — CIGNA: $61.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $56.10 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $69.36 ROUSE HOME — ROUSE HOME: $35.70 SELF-PAY — SELF-PAY: $51 WARREN CO JAIL — WARREN CO JAIL: $35.70 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $51
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$85	$85	$13.25 – $75.79
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $46.20 BCBS HIGHMARK — BCBS HIGHMARK: $32.18 Cigna — CIGNA: $51 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $24.36 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $46.75 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $14.28 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $16.80 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $57.80 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $16.80 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $16.97
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$85	$85	$29.75 – $57.80
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Cigna — CIGNA: $51 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $46.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $57.80 ROUSE HOME — ROUSE HOME: $29.75 SELF-PAY — SELF-PAY: $42.50 WARREN CO JAIL — WARREN CO JAIL: $29.75 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $42.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC,AUTOMATED DIFFERENTIAL	$57	$57	$6.13 – $42.75
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $21.37 BCBS HIGHMARK — BCBS HIGHMARK: $14.88 Cigna — CIGNA: $34.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $11.27 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $31.35 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $6.60 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $7.77 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $38.76 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $7.77 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $7.85
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC,AUTOMATED DIFFERENTIAL	$57	$57	$19.95 – $38.76
Complete blood count (CBC) with differential: rates for 7 insurance plans Cigna — CIGNA: $34.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $31.35 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $38.76 ROUSE HOME — ROUSE HOME: $19.95 SELF-PAY — SELF-PAY: $28.50 WARREN CO JAIL — WARREN CO JAIL: $19.95 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $28.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC	$53	$53	$5.10 – $39.75
Complete blood count (CBC), automated: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $17.79 BCBS HIGHMARK — BCBS HIGHMARK: $12.39 Cigna — CIGNA: $31.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $9.38 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $29.15 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $5.50 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $6.47 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $36.04 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $6.47 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $6.53
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC	$53	$53	$18.55 – $36.04
Complete blood count (CBC), automated: rates for 7 insurance plans Cigna — CIGNA: $31.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $29.15 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $36.04 ROUSE HOME — ROUSE HOME: $18.55 SELF-PAY — SELF-PAY: $26.50 WARREN CO JAIL — WARREN CO JAIL: $18.55 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $26.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT	$24	$24	$3.38 – $18
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $11.80 BCBS HIGHMARK — BCBS HIGHMARK: $8.22 Cigna — CIGNA: $14.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $6.22 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $13.20 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $3.65 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $4.29 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $16.32 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $4.29 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $4.33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT	$24	$24	$8.40 – $16.32
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Cigna — CIGNA: $14.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $13.20 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $16.32 ROUSE HOME — ROUSE HOME: $8.40 SELF-PAY — SELF-PAY: $12 WARREN CO JAIL — WARREN CO JAIL: $8.40 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$32	$32	$4.74 – $24
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $16.53 BCBS HIGHMARK — BCBS HIGHMARK: $11.51 Cigna — CIGNA: $19.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $8.71 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $17.60 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $5.11 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $6.01 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $21.76 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $6.01 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $6.07
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT	$32	$32	$11.20 – $21.76
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Cigna — CIGNA: $19.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $17.60 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $21.76 ROUSE HOME — ROUSE HOME: $11.20 SELF-PAY — SELF-PAY: $16 WARREN CO JAIL — WARREN CO JAIL: $11.20 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $16

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF CT HEAD WO CON	$119	$119	$41.65 – $614.04
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $71.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $65.45 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $80.92 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD WO CONTST	$1,161	$1,161	$86.56 – $870.75
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $696.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $638.55 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $789.48 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 26 In the file: PF CT HEAD WO CON	$119	$119	$41.65 – $80.92
CT scan of the head or brain, without contrast: rates for 7 insurance plans Cigna — CIGNA: $71.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $65.45 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $80.92 ROUSE HOME — ROUSE HOME: $41.65 SELF-PAY — SELF-PAY: $59.50 WARREN CO JAIL — WARREN CO JAIL: $41.65 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $59.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF MRI BRAIN W/WO CON	$323	$323	$113.05 – $2,851.98
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $1,027.65 BCBS HIGHMARK — BCBS HIGHMARK: $715.73 Cigna — CIGNA: $193.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $541.85 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $177.65 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $317.64 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $373.69 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $219.64 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $373.69 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $377.43
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W/WO CONTRAST	$2,915	$2,915	$288.84 – $2,851.98
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $1,027.65 BCBS HIGHMARK — BCBS HIGHMARK: $715.73 Cigna — CIGNA: $1,749 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $541.85 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,603.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $317.64 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $373.69 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,982.20 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $373.69 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $377.43
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 26 In the file: PF MRI BRAIN W/WO CON	$323	$323	$113.05 – $219.64
MRI of the brain, before and after contrast: rates for 7 insurance plans Cigna — CIGNA: $193.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $177.65 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $219.64 ROUSE HOME — ROUSE HOME: $113.05 SELF-PAY — SELF-PAY: $161.50 WARREN CO JAIL — WARREN CO JAIL: $113.05 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $161.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF XR CHEST X-RAY, 2 VIEW	$31	$31	$10.85 – $101.01
Chest X-ray, 2 views: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $256.33 BCBS HIGHMARK — BCBS HIGHMARK: $178.53 Cigna — CIGNA: $18.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $135.15 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $17.05 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $79.23 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $93.21 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $21.08 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $93.21 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $94.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CHEST 2 VIEWS	$189	$189	$66.15 – $141.75
Chest X-ray, 2 views: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $256.33 BCBS HIGHMARK — BCBS HIGHMARK: $178.53 Cigna — CIGNA: $113.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $135.15 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $103.95 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $79.23 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $93.21 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $128.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $93.21 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $94.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CHEST 2VIEW, B-READER	$95	$95	$33.25 – $101.01
Chest X-ray, 2 views: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $256.33 BCBS HIGHMARK — BCBS HIGHMARK: $178.53 Cigna — CIGNA: $57 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $135.15 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $52.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $79.23 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $93.21 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $64.60 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $93.21 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $94.14
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radex Spi Lumbosac Minimum 4 V	$164	$164	$57.40 – $143.65
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $98.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $90.20 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $111.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Radex Spi Lumbosac Minimum 4 V	$164	$164	$57.40 – $111.52
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Cigna — CIGNA: $98.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $90.20 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $111.52 ROUSE HOME — ROUSE HOME: $57.40 SELF-PAY — SELF-PAY: $82 WARREN CO JAIL — WARREN CO JAIL: $57.40 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $82
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF XR LUMBAR SPINE, COMPLETE	$37	$37	$12.95 – $143.65
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $22.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $20.35 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $25.16 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF MRI LUMBAR SPINE W/O CON	$209	$209	$73.15 – $1,457.95
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $702.82 BCBS HIGHMARK — BCBS HIGHMARK: $489.49 Cigna — CIGNA: $125.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $370.58 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $114.95 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $217.23 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $255.57 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $142.12 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $255.57 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $258.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR WO CONTRAST	$2,377	$2,377	$197.55 – $1,782.75
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $702.82 BCBS HIGHMARK — BCBS HIGHMARK: $489.49 Cigna — CIGNA: $1,426.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $370.58 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,307.35 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $217.23 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $255.57 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,616.36 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $255.57 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $258.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 26 In the file: PF MRI LUMBAR SPINE W/O CON	$209	$209	$73.15 – $142.12
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Cigna — CIGNA: $125.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $114.95 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $142.12 ROUSE HOME — ROUSE HOME: $73.15 SELF-PAY — SELF-PAY: $104.50 WARREN CO JAIL — WARREN CO JAIL: $73.15 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $104.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF CT PELVIS W CON	$163	$163	$57.05 – $863.39
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $516.67 BCBS HIGHMARK — BCBS HIGHMARK: $359.85 Cigna — CIGNA: $97.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $272.43 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $89.65 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $159.70 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $187.88 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $110.84 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $187.88 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $189.76
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF CT PELVIS W CON	$163	$163	$57.05 – $110.84
CT scan of the pelvis, with contrast: rates for 7 insurance plans Cigna — CIGNA: $97.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $89.65 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $110.84 ROUSE HOME — ROUSE HOME: $57.05 SELF-PAY — SELF-PAY: $81.50 WARREN CO JAIL — WARREN CO JAIL: $57.05 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $81.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W CONTRAST	$1,514	$1,514	$145.22 – $1,135.50
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $516.67 BCBS HIGHMARK — BCBS HIGHMARK: $359.85 Cigna — CIGNA: $908.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $272.43 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $832.70 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $159.70 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $187.88 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,029.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $187.88 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $189.76
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF MRI ANK/HIP/KNEE WO/ CON	$191	$191	$66.85 – $1,257.11
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $702.82 BCBS HIGHMARK — BCBS HIGHMARK: $489.49 Cigna — CIGNA: $114.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $370.58 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $105.05 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $217.23 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $255.57 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $129.88 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $255.57 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $258.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI JOINT LOWER EXTREM W/O CON	$2,778	$2,778	$197.55 – $2,083.50
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $702.82 BCBS HIGHMARK — BCBS HIGHMARK: $489.49 Cigna — CIGNA: $1,666.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $370.58 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,527.90 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $217.23 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $255.57 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,889.04 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $255.57 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $258.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 26 In the file: PF MRI ANK/HIP/KNEE WO/ CON	$191	$191	$66.85 – $129.88
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Cigna — CIGNA: $114.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $105.05 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $129.88 ROUSE HOME — ROUSE HOME: $66.85 SELF-PAY — SELF-PAY: $95.50 WARREN CO JAIL — WARREN CO JAIL: $66.85 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $95.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF CT ABDOMEN & PELVIS W CON	$257	$257	$89.95 – $2,956.84
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $1,027.65 BCBS HIGHMARK — BCBS HIGHMARK: $715.73 Cigna — CIGNA: $154.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $541.85 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $141.35 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $317.64 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $373.69 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $174.76 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $373.69 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $377.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN & PELVIS W CONTRAST	$2,871	$2,871	$288.84 – $2,956.84
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $1,027.65 BCBS HIGHMARK — BCBS HIGHMARK: $715.73 Cigna — CIGNA: $1,722.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $541.85 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,579.05 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $317.64 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $373.69 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,952.28 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $373.69 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $377.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 26 In the file: PF CT ABDOMEN & PELVIS W CON	$257	$257	$89.95 – $174.76
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Cigna — CIGNA: $154.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $141.35 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $174.76 ROUSE HOME — ROUSE HOME: $89.95 SELF-PAY — SELF-PAY: $128.50 WARREN CO JAIL — WARREN CO JAIL: $89.95 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $128.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF US ABDOMEN - COMPLETE	$114	$114	$39.90 – $311.31
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $68.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $62.70 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $77.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABD COMPLETE	$787	$787	$86.56 – $590.25
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $472.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $432.85 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $535.16 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABD COMP PORT	$784	$784	$86.56 – $588
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $470.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $431.20 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $533.12 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF US PREGNANCY COM (OB)>14WKS	$140	$140	$49 – $364.31
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $84 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $77 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $95.20 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREG. > 14 wks	$754	$754	$86.56 – $565.50
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $452.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $414.70 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $512.72 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF US PREGNANCY COM (OB)>14WKS	$140	$140	$49 – $95.20
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Cigna — CIGNA: $84 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $77 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $95.20 ROUSE HOME — ROUSE HOME: $49 SELF-PAY — SELF-PAY: $70 WARREN CO JAIL — WARREN CO JAIL: $49 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $70
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRA-TRANSVAGINAL	$479	$479	$86.56 – $359.25
Transvaginal ultrasound: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $287.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $263.45 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $325.72 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ULTRA-TRANSVAGINAL	$479	$479	$167.65 – $325.72
Transvaginal ultrasound: rates for 7 insurance plans Cigna — CIGNA: $287.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $263.45 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $325.72 ROUSE HOME — ROUSE HOME: $167.65 SELF-PAY — SELF-PAY: $239.50 WARREN CO JAIL — WARREN CO JAIL: $167.65 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $239.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRA-TRANSVAGINAL	$479	$479	$86.56 – $359.25
Transvaginal ultrasound: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $307.94 BCBS HIGHMARK — BCBS HIGHMARK: $214.48 Cigna — CIGNA: $287.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $162.37 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $263.45 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $95.18 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $111.98 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $325.72 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $111.98 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $113.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY UNILATERAL 77065	$259	$259	$67.25 – $272.60
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $217.58 BCBS HIGHMARK — BCBS HIGHMARK: $151.54 Cigna — CIGNA: $155.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $114.72 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $142.45 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $67.25 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $79.12 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $176.12 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $79.12 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $79.91
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY UNILATERAL	$259	$259	$67.25 – $272.60
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $217.58 BCBS HIGHMARK — BCBS HIGHMARK: $151.54 Cigna — CIGNA: $155.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $114.72 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $142.45 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $67.25 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $79.12 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $176.12 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $79.12 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $79.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAPHY UNILATERAL 77065	$259	$259	$90.65 – $176.12
Diagnostic mammogram, one breast: rates for 7 insurance plans Cigna — CIGNA: $155.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $142.45 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $176.12 ROUSE HOME — ROUSE HOME: $90.65 SELF-PAY — SELF-PAY: $129.50 WARREN CO JAIL — WARREN CO JAIL: $90.65 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $129.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG BILATERAL 77066	$326	$326	$86.28 – $504.99
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $279.15 BCBS HIGHMARK — BCBS HIGHMARK: $194.42 Cigna — CIGNA: $195.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $147.19 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $179.30 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $86.28 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $101.51 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $221.68 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $101.51 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $102.53
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAGNOSTIC BILATERAL	$488	$488	$86.28 – $504.99
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $279.15 BCBS HIGHMARK — BCBS HIGHMARK: $194.42 Cigna — CIGNA: $292.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $147.19 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $268.40 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $86.28 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $101.51 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $331.84 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $101.51 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $102.53
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIAG BILATERAL 77066	$326	$326	$114.10 – $221.68
Diagnostic mammogram, both breasts: rates for 7 insurance plans Cigna — CIGNA: $195.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $179.30 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $221.68 ROUSE HOME — ROUSE HOME: $114.10 SELF-PAY — SELF-PAY: $163 WARREN CO JAIL — WARREN CO JAIL: $114.10 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $163
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAPHY SCREEN, BILATERAL	$393	$393	$71.16 – $412.53
Screening mammogram, both breasts: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $230.23 BCBS HIGHMARK — BCBS HIGHMARK: $160.35 Cigna — CIGNA: $235.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $121.39 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $216.15 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $71.16 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $83.72 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $267.24 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $83.72 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $84.56
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN, BILATERAL 77067	$393	$393	$71.16 – $412.53
Screening mammogram, both breasts: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $230.23 BCBS HIGHMARK — BCBS HIGHMARK: $160.35 Cigna — CIGNA: $235.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $121.39 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $216.15 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $71.16 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $83.72 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $267.24 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $83.72 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $84.56
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAPHY SCREEN, BILATERAL	$393	$393	$137.55 – $267.24
Screening mammogram, both breasts: rates for 7 insurance plans Cigna — CIGNA: $235.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $216.15 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $267.24 ROUSE HOME — ROUSE HOME: $137.55 SELF-PAY — SELF-PAY: $196.50 WARREN CO JAIL — WARREN CO JAIL: $137.55 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $196.50

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ECG W/INTERPRETATION MCR	$89	$89	$12.39 – $66.75
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Cigna — CIGNA: $53.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $48.95 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $60.52 ROUSE HOME — ROUSE HOME: $31.15 SELF-PAY — SELF-PAY: $44.50 TRICARE — TRICARE: $12.39 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $66.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $44.50 UPMC — UPMC: $45.66 WARREN CO JAIL — WARREN CO JAIL: $31.15
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ecg Routine Ecg W/Least 12 Lds	$81	$81	$12.39 – $60.75
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Cigna — CIGNA: $48.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $44.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $55.08 ROUSE HOME — ROUSE HOME: $28.35 SELF-PAY — SELF-PAY: $40.50 TRICARE — TRICARE: $12.39 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $60.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $40.50 UPMC — UPMC: $45.66 WARREN CO JAIL — WARREN CO JAIL: $28.35
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ECG W/INTERPRETATION MCR	$89	$89	$31.15 – $60.52
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans Cigna — CIGNA: $53.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $48.95 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $60.52 ROUSE HOME — ROUSE HOME: $31.15 SELF-PAY — SELF-PAY: $44.50 WARREN CO JAIL — WARREN CO JAIL: $31.15 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $44.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY; 6 YRS & >	$2,989	$2,989	$706.37 – $2,241.75
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $2,529.51 BCBS HIGHMARK — BCBS HIGHMARK: $1,761.73 Cigna — CIGNA: $1,793.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,333.74 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,643.95 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $781.85 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $919.82 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $2,032.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $919.82 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $929.02
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY; 6 YRS & >	$2,989	$2,989	$1,046.15 – $2,032.52
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Cigna — CIGNA: $1,793.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,643.95 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $2,032.52 ROUSE HOME — ROUSE HOME: $1,046.15 SELF-PAY — SELF-PAY: $1,494.50 WARREN CO JAIL — WARREN CO JAIL: $1,046.15 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $1,494.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 26 In the file: PF POLYSOMNOGRAPHY; 6 YRS & >	$330	$330	$115.50 – $706.37
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $2,529.51 BCBS HIGHMARK — BCBS HIGHMARK: $1,761.73 Cigna — CIGNA: $198 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,333.74 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $181.50 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $781.85 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $919.82 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $224.40 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $919.82 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $929.02

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER PROC, 1 OR MORE AREA-MCR	$96	$96	$23.73 – $76.78
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $76.78 BCBS HIGHMARK — BCBS HIGHMARK: $53.48 Cigna — CIGNA: $57.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $40.48 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $52.80 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $23.73 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $27.92 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $65.28 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $27.92 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $28.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPEECH THER EXERCISE/15 MIN	$134	$134	$23.73 – $100.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $76.78 BCBS HIGHMARK — BCBS HIGHMARK: $53.48 Cigna — CIGNA: $80.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $40.48 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $73.70 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $23.73 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $27.92 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $91.12 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $27.92 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $28.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXERCISES / 15 MIN	$125	$125	$23.73 – $93.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $76.78 BCBS HIGHMARK — BCBS HIGHMARK: $53.48 Cigna — CIGNA: $75 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $40.48 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $68.75 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $23.73 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $27.92 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $85 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $27.92 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $28.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVALUATION LOW COMPLEXITY	$161	$161	$56.35 – $258.69
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $258.69 BCBS HIGHMARK — BCBS HIGHMARK: $180.17 Cigna — CIGNA: $96.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $136.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $79.96 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $94.07 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $94.07 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $95.01
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION LOW COMPLEXITY	$161	$161	$56.35 – $109.48
Physical therapy evaluation (low complexity): rates for 7 insurance plans Cigna — CIGNA: $96.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 ROUSE HOME — ROUSE HOME: $56.35 SELF-PAY — SELF-PAY: $80.50 WARREN CO JAIL — WARREN CO JAIL: $56.35 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $80.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ In the file: PTA PT EVAL LOW COMPLEXITY	$161	$161	$56.35 – $143.45
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Cigna — CIGNA: $96.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 ROUSE HOME — ROUSE HOME: $56.35 SELF-PAY — SELF-PAY: $80.50 TRICARE — TRICARE: $67.96 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $120.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $80.50 UPMC — UPMC: $143.45 WARREN CO JAIL — WARREN CO JAIL: $56.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE-COMPLEXITY	$161	$161	$56.35 – $258.69
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $258.69 BCBS HIGHMARK — BCBS HIGHMARK: $180.17 Cigna — CIGNA: $96.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $136.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $79.96 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $94.07 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $94.07 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $95.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE-COMPLEXITY	$161	$161	$56.35 – $109.48
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Cigna — CIGNA: $96.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 ROUSE HOME — ROUSE HOME: $56.35 SELF-PAY — SELF-PAY: $80.50 WARREN CO JAIL — WARREN CO JAIL: $56.35 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $80.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ In the file: PTA PT EVAL MODERATE-COMPLEX	$161	$161	$56.35 – $158.23
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Cigna — CIGNA: $96.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 ROUSE HOME — ROUSE HOME: $56.35 SELF-PAY — SELF-PAY: $80.50 TRICARE — TRICARE: $67.96 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $120.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $80.50 UPMC — UPMC: $158.23 WARREN CO JAIL — WARREN CO JAIL: $56.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH-COMPLEXITY	$161	$161	$56.35 – $258.69
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $258.69 BCBS HIGHMARK — BCBS HIGHMARK: $180.17 Cigna — CIGNA: $96.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $136.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $79.96 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $94.07 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $94.07 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $95.01
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH-COMPLEXITY	$161	$161	$56.35 – $109.48
Physical therapy evaluation (high complexity): rates for 7 insurance plans Cigna — CIGNA: $96.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 ROUSE HOME — ROUSE HOME: $56.35 SELF-PAY — SELF-PAY: $80.50 WARREN CO JAIL — WARREN CO JAIL: $56.35 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $80.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ In the file: PTA PT EVAL HIGH-COMPLEXITY	$161	$161	$56.35 – $166.49
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Cigna — CIGNA: $96.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $88.55 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $109.48 ROUSE HOME — ROUSE HOME: $56.35 SELF-PAY — SELF-PAY: $80.50 TRICARE — TRICARE: $67.96 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $120.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $80.50 UPMC — UPMC: $166.49 WARREN CO JAIL — WARREN CO JAIL: $56.35
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCH THERAPY	$476	$476	$146.96 – $357
Family psychotherapy, with the patient: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $522.83 BCBS HIGHMARK — BCBS HIGHMARK: $364.14 Cigna — CIGNA: $285.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $275.67 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $261.80 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $161.60 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $190.12 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $323.68 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $190.12 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $192.02
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCH THERAPY	$476	$476	$166.60 – $323.68
Family psychotherapy, with the patient: rates for 7 insurance plans Cigna — CIGNA: $285.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $261.80 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $323.68 ROUSE HOME — ROUSE HOME: $166.60 SELF-PAY — SELF-PAY: $238 WARREN CO JAIL — WARREN CO JAIL: $166.60 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $238
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	$142	$142	$49.70 – $242.06
Group psychotherapy: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $299.25 BCBS HIGHMARK — BCBS HIGHMARK: $208.42 Cigna — CIGNA: $85.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $157.79 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $78.10 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $92.50 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $108.82 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $96.56 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $108.82 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $109.91
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	$142	$142	$49.70 – $96.56
Group psychotherapy: rates for 7 insurance plans Cigna — CIGNA: $85.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $78.10 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $96.56 ROUSE HOME — ROUSE HOME: $49.70 SELF-PAY — SELF-PAY: $71 WARREN CO JAIL — WARREN CO JAIL: $49.70 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $71

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION-MCR	$9,675	$9,675	$1,986.11 – $7,256.25
Removal of breast growth (open surgery): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $11,533.28 BCBS HIGHMARK — BCBS HIGHMARK: $8,032.61 Cigna — CIGNA: $5,805 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $6,081.18 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $5,321.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $3,564.83 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $4,193.92 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $6,579 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $4,193.92 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $4,235.86
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Cyst/Aberrant Breast Tissu	$1,235	$1,235	$432.25 – $1,986.11
Removal of breast growth (open surgery): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $11,533.28 BCBS HIGHMARK — BCBS HIGHMARK: $8,032.61 Cigna — CIGNA: $741 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $6,081.18 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $679.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $3,564.83 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $4,193.92 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $839.80 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $4,193.92 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $4,235.86
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION-MCR	$9,675	$9,675	$3,386.25 – $6,579
Removal of breast growth (open surgery): rates for 7 insurance plans Cigna — CIGNA: $5,805 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $5,321.25 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $6,579 ROUSE HOME — ROUSE HOME: $3,386.25 SELF-PAY — SELF-PAY: $4,837.50 WARREN CO JAIL — WARREN CO JAIL: $3,386.25 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $4,837.50
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrp Acetblr/Prox Fem Prostc	$6,409	$6,409	$2,243.15 – $5,447.65
Total hip replacement: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $37,817.56 BCBS HIGHMARK — BCBS HIGHMARK: $26,338.90 Cigna — CIGNA: $3,845.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $19,940.17 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,524.95 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $11,689.06 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $13,751.84 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,358.12 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $13,751.84 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $13,889.36
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Arthrp Acetblr/Prox Fem Prostc	$6,409	$6,409	$2,243.15 – $4,358.12
Total hip replacement: rates for 7 insurance plans Cigna — CIGNA: $3,845.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,524.95 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,358.12 ROUSE HOME — ROUSE HOME: $2,243.15 SELF-PAY — SELF-PAY: $3,204.50 WARREN CO JAIL — WARREN CO JAIL: $2,243.15 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $3,204.50
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrp Kne Condyle&platu Media	$6,767	$6,767	$2,368.45 – $11,137.86
Total knee replacement: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $37,817.56 BCBS HIGHMARK — BCBS HIGHMARK: $26,338.90 Cigna — CIGNA: $4,060.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $19,940.17 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,721.85 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $11,689.06 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $13,751.84 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,601.56 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $13,751.84 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $13,889.36
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Arthrp Kne Condyle&platu Media	$6,767	$6,767	$2,368.45 – $4,601.56
Total knee replacement: rates for 7 insurance plans Cigna — CIGNA: $4,060.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,721.85 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,601.56 ROUSE HOME — ROUSE HOME: $2,368.45 SELF-PAY — SELF-PAY: $3,383.50 WARREN CO JAIL — WARREN CO JAIL: $2,368.45 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $3,383.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder Scope Bone Shaving	$1,902	$1,902	$665.70 – $1,986.66
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates Cigna — CIGNA: $1,141.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,046.10 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,293.36 ROUSE HOME — ROUSE HOME: $665.70 SELF-PAY — SELF-PAY: $951 TRICARE — TRICARE: $1,616.70 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $1,426.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $951 UPMC — UPMC: $1,986.66 WARREN CO JAIL — WARREN CO JAIL: $665.70
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Shoulder Scope Bone Shaving	$1,902	$1,902	$665.70 – $1,293.36
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Cigna — CIGNA: $1,141.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,046.10 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,293.36 ROUSE HOME — ROUSE HOME: $665.70 SELF-PAY — SELF-PAY: $951 WARREN CO JAIL — WARREN CO JAIL: $665.70 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $951
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs Kne Surg W/Meniscectomy	$2,772	$2,772	$970.20 – $2,431.57
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $9,637.98 BCBS HIGHMARK — BCBS HIGHMARK: $6,712.59 Cigna — CIGNA: $1,663.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $5,081.84 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,524.60 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $2,979.01 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $3,504.72 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,884.96 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $3,504.72 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $3,539.77
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Arthrs Kne Surg W/Meniscectomy	$2,772	$2,772	$970.20 – $1,884.96
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans Cigna — CIGNA: $1,663.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,524.60 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,884.96 ROUSE HOME — ROUSE HOME: $970.20 SELF-PAY — SELF-PAY: $1,386 WARREN CO JAIL — WARREN CO JAIL: $970.20 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $1,386
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Upper Stomach-Intestine Scope	$595	$595	$208.25 – $1,281.83
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $2,671.63 BCBS HIGHMARK — BCBS HIGHMARK: $1,860.71 Cigna — CIGNA: $357 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,408.67 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $327.25 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $825.77 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $971.50 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $404.60 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $971.50 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $981.22
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Upper Stomach-Intestine Scope	$595	$595	$208.25 – $404.60
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Cigna — CIGNA: $357 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $327.25 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $404.60 ROUSE HOME — ROUSE HOME: $208.25 SELF-PAY — SELF-PAY: $297.50 WARREN CO JAIL — WARREN CO JAIL: $208.25 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $297.50
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Upper Stomach-Intestine Scope	$622	$622	$217.70 – $1,732.99
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $2,671.63 BCBS HIGHMARK — BCBS HIGHMARK: $1,860.71 Cigna — CIGNA: $373.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,408.67 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $342.10 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $825.77 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $971.50 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $422.96 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $971.50 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $981.22
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Upper Stomach-Intestine Scope	$622	$622	$217.70 – $422.96
Upper GI endoscopy with biopsy: rates for 7 insurance plans Cigna — CIGNA: $373.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $342.10 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $422.96 ROUSE HOME — ROUSE HOME: $217.70 SELF-PAY — SELF-PAY: $311 WARREN CO JAIL — WARREN CO JAIL: $217.70 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $311
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scope Of Colon For Diagnosis	$650	$650	$227.50 – $1,732.32
Colonoscopy (diagnostic): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $2,739.28 BCBS HIGHMARK — BCBS HIGHMARK: $1,907.83 Cigna — CIGNA: $390 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,444.35 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $357.50 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $846.68 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $996.10 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $442 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $996.10 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $1,006.06
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Scope Of Colon For Diagnosis	$650	$650	$227.50 – $442
Colonoscopy (diagnostic): rates for 7 insurance plans Cigna — CIGNA: $390 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $357.50 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $442 ROUSE HOME — ROUSE HOME: $227.50 SELF-PAY — SELF-PAY: $325 WARREN CO JAIL — WARREN CO JAIL: $227.50 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $325
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scope Of Colon With Biopsy	$725	$725	$253.75 – $1,719.87
Colonoscopy with biopsy: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $3,524.81 BCBS HIGHMARK — BCBS HIGHMARK: $2,454.94 Cigna — CIGNA: $435 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,858.54 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $398.75 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $1,089.49 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $1,281.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $493 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $1,281.75 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $1,294.57
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Scope Of Colon With Biopsy	$725	$725	$253.75 – $493
Colonoscopy with biopsy: rates for 7 insurance plans Cigna — CIGNA: $435 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $398.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $493 ROUSE HOME — ROUSE HOME: $253.75 SELF-PAY — SELF-PAY: $362.50 WARREN CO JAIL — WARREN CO JAIL: $253.75 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $362.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colsc Flx Prox Splenic Flxr Rm	$1,190	$1,190	$416.50 – $1,718.79
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $3,524.81 BCBS HIGHMARK — BCBS HIGHMARK: $2,454.94 Cigna — CIGNA: $714 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,858.54 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $654.50 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $1,089.49 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $1,281.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $809.20 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $1,281.75 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $1,294.57
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colsc Flx Prox Splenic Flxr Rm	$1,190	$1,190	$416.50 – $809.20
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Cigna — CIGNA: $714 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $654.50 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $809.20 ROUSE HOME — ROUSE HOME: $416.50 SELF-PAY — SELF-PAY: $595 WARREN CO JAIL — WARREN CO JAIL: $416.50 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $595
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal Ca Scrn	$705	$705	$246.75 – $1,632.94
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $2,739.28 BCBS HIGHMARK — BCBS HIGHMARK: $1,907.83 Cigna — CIGNA: $423 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $1,444.35 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $387.75 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $846.68 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $996.10 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $479.40 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $996.10 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $1,006.06
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colorectal Ca Scrn	$705	$705	$246.75 – $479.40
Screening colonoscopy (not high risk): rates for 7 insurance plans Cigna — CIGNA: $423 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $387.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $479.40 ROUSE HOME — ROUSE HOME: $246.75 SELF-PAY — SELF-PAY: $352.50 WARREN CO JAIL — WARREN CO JAIL: $246.75 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $352.50
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps Surg Cholecstc	$2,124	$2,124	$743.40 – $3,853.03
Gallbladder removal by laparoscope: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $17,807.68 BCBS HIGHMARK — BCBS HIGHMARK: $12,402.56 Cigna — CIGNA: $1,274.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $9,389.50 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,168.20 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $5,504.19 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $6,475.52 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,444.32 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $6,475.52 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $6,540.28
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Laps Surg Cholecstc	$2,124	$2,124	$743.40 – $1,444.32
Gallbladder removal by laparoscope: rates for 7 insurance plans Cigna — CIGNA: $1,274.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $1,168.20 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,444.32 ROUSE HOME — ROUSE HOME: $743.40 SELF-PAY — SELF-PAY: $1,062 WARREN CO JAIL — WARREN CO JAIL: $743.40 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $1,062
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rpr 1st Ingun Hrna Age 5 Yrs/>	$1,158	$1,158	$405.30 – $2,431.78
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $10,546.41 BCBS HIGHMARK — BCBS HIGHMARK: $7,345.29 Cigna — CIGNA: $694.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $5,560.84 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $636.90 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $3,259.80 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $3,835.06 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $787.44 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $3,835.06 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $3,873.41
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Rpr 1st Ingun Hrna Age 5 Yrs/>	$1,158	$1,158	$405.30 – $787.44
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans Cigna — CIGNA: $694.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $636.90 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $787.44 ROUSE HOME — ROUSE HOME: $405.30 SELF-PAY — SELF-PAY: $579 WARREN CO JAIL — WARREN CO JAIL: $405.30 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $579
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BX PROSTATE NEEDLE/PUNCH-MCR	$4,385	$4,385	$1,534.75 – $3,727.25
Prostate biopsy: 10 of 11 insurance plan rates Cigna — CIGNA: $2,631 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $2,411.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $2,981.80 ROUSE HOME — ROUSE HOME: $1,534.75 SELF-PAY — SELF-PAY: $2,192.50 TRICARE — TRICARE: $3,727.25 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $3,288.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $2,192.50 UPMC — UPMC: $1,733.20 WARREN CO JAIL — WARREN CO JAIL: $1,534.75
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Needle Biopsy Any App	$733	$733	$256.55 – $1,733.20
Prostate biopsy: 10 of 11 insurance plan rates Cigna — CIGNA: $439.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $403.15 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $498.44 ROUSE HOME — ROUSE HOME: $256.55 SELF-PAY — SELF-PAY: $366.50 TRICARE — TRICARE: $623.05 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $549.75 Univera Medicare PPO — UNIVERA MEDICARE PPO: $366.50 UPMC — UPMC: $1,733.20 WARREN CO JAIL — WARREN CO JAIL: $256.55
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BX PROSTATE NEEDLE/PUNCH-MCR	$4,385	$4,385	$1,534.75 – $2,981.80
Prostate biopsy: rates for 7 insurance plans Cigna — CIGNA: $2,631 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $2,411.75 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $2,981.80 ROUSE HOME — ROUSE HOME: $1,534.75 SELF-PAY — SELF-PAY: $2,192.50 WARREN CO JAIL — WARREN CO JAIL: $1,534.75 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $2,192.50
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps Prstect Retropubic Rad W/	$5,564	$5,564	$1,947.40 – $18,204.83
Prostate removal by laparoscope (radical prostatectomy): 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $31,311.20 BCBS HIGHMARK — BCBS HIGHMARK: $21,807.40 Cigna — CIGNA: $3,338.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $16,509.54 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,060.20 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $9,678.01 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $11,385.89 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $3,783.52 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $11,385.89 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $11,499.75
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Laps Prstect Retropubic Rad W/	$5,564	$5,564	$1,947.40 – $3,783.52
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans Cigna — CIGNA: $3,338.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,060.20 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $3,783.52 ROUSE HOME — ROUSE HOME: $1,947.40 SELF-PAY — SELF-PAY: $2,782 WARREN CO JAIL — WARREN CO JAIL: $1,947.40 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $2,782
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hystsc Bx Endometrium&/Polypc	$686	$686	$240.10 – $999.55
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $9,535.27 BCBS HIGHMARK — BCBS HIGHMARK: $6,641.05 Cigna — CIGNA: $411.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $5,027.69 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $377.30 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $2,947.26 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $3,467.37 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $466.48 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $3,467.37 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $3,502.04
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hystsc Bx Endometrium&/Polypc	$686	$686	$240.10 – $466.48
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans Cigna — CIGNA: $411.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $377.30 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $466.48 ROUSE HOME — ROUSE HOME: $240.10 SELF-PAY — SELF-PAY: $343 WARREN CO JAIL — WARREN CO JAIL: $240.10 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $343
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neurp&/Trpos Median Nrv Carpl	$1,487	$1,487	$520.45 – $1,720.04
Carpal tunnel release: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $5,751.93 BCBS HIGHMARK — BCBS HIGHMARK: $4,006.06 Cigna — CIGNA: $892.20 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $3,032.83 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $817.85 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $1,777.87 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $2,091.61 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,011.16 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $2,091.61 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $2,112.53
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Neurp&/Trpos Median Nrv Carpl	$1,487	$1,487	$520.45 – $1,011.16
Carpal tunnel release: rates for 7 insurance plans Cigna — CIGNA: $892.20 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $817.85 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,011.16 ROUSE HOME — ROUSE HOME: $520.45 SELF-PAY — SELF-PAY: $743.50 WARREN CO JAIL — WARREN CO JAIL: $520.45 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $743.50
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Post-Cataract Laser Surgery	$918	$918	$321.30 – $1,732.28
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $1,620.08 BCBS HIGHMARK — BCBS HIGHMARK: $1,128.34 Cigna — CIGNA: $550.80 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $854.22 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $504.90 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $500.75 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $589.12 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $624.24 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $589.12 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $595.01
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Post-Cataract Laser Surgery	$918	$918	$321.30 – $624.24
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans Cigna — CIGNA: $550.80 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $504.90 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $624.24 ROUSE HOME — ROUSE HOME: $321.30 SELF-PAY — SELF-PAY: $459 WARREN CO JAIL — WARREN CO JAIL: $321.30 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $459
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract Removal Insertion Of	$1,619	$1,619	$566.65 – $3,857.31
Cataract removal with lens implant: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $6,797.92 BCBS HIGHMARK — BCBS HIGHMARK: $4,734.56 Cigna — CIGNA: $971.40 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $3,584.36 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $890.45 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $2,101.17 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $2,471.97 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,100.92 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $2,471.97 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $2,496.69
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cataract Removal Insertion Of	$1,619	$1,619	$566.65 – $1,100.92
Cataract removal with lens implant: rates for 7 insurance plans Cigna — CIGNA: $971.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $890.45 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $1,100.92 ROUSE HOME — ROUSE HOME: $566.65 SELF-PAY — SELF-PAY: $809.50 WARREN CO JAIL — WARREN CO JAIL: $566.65 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $809.50

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob Care Antepartum Vag Dlvr&po	$7,111	$7,111	$2,003.92 – $5,333.25
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates Cigna — CIGNA: $4,266.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,911.05 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,835.48 ROUSE HOME — ROUSE HOME: $2,488.85 SELF-PAY — SELF-PAY: $3,555.50 TRICARE — TRICARE: $4,266.60 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $5,333.25 Univera Medicare PPO — UNIVERA MEDICARE PPO: $3,555.50 UPMC — UPMC: $2,003.92 WARREN CO JAIL — WARREN CO JAIL: $2,488.85
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ob Care Antepartum Vag Dlvr&po	$7,111	$7,111	$2,488.85 – $4,835.48
Vaginal delivery, with care before and after: rates for 7 insurance plans Cigna — CIGNA: $4,266.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,911.05 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,835.48 ROUSE HOME — ROUSE HOME: $2,488.85 SELF-PAY — SELF-PAY: $3,555.50 WARREN CO JAIL — WARREN CO JAIL: $2,488.85 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $3,555.50
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob Antepartum Care C Dlvr&post	$6,916	$6,916	$2,420.60 – $5,878.60
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates Cigna — CIGNA: $4,149.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,803.80 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,702.88 ROUSE HOME — ROUSE HOME: $2,420.60 SELF-PAY — SELF-PAY: $3,458 TRICARE — TRICARE: $5,878.60 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $5,187 Univera Medicare PPO — UNIVERA MEDICARE PPO: $3,458 UPMC — UPMC: $3,140.67 WARREN CO JAIL — WARREN CO JAIL: $2,420.60
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ob Antepartum Care C Dlvr&post	$6,916	$6,916	$2,420.60 – $4,702.88
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans Cigna — CIGNA: $4,149.60 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,803.80 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,702.88 ROUSE HOME — ROUSE HOME: $2,420.60 SELF-PAY — SELF-PAY: $3,458 WARREN CO JAIL — WARREN CO JAIL: $2,420.60 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $3,458
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	$7,134	$7,134	$2,496.90 – $6,063.90
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates Cigna — CIGNA: $4,280.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,923.70 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,851.12 ROUSE HOME — ROUSE HOME: $2,496.90 SELF-PAY — SELF-PAY: $3,567 TRICARE — TRICARE: $6,063.90 Univera Healthcare PPO — UNIVERA HEALTHCARE PPO: $5,350.50 Univera Medicare PPO — UNIVERA MEDICARE PPO: $3,567 UPMC — UPMC: $3,923.70 WARREN CO JAIL — WARREN CO JAIL: $2,496.90
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Vbac delivery	$7,134	$7,134	$2,496.90 – $4,851.12
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans Cigna — CIGNA: $4,280.40 DEPARTMENT OF VETERANS AFFAIRS — DEPARTMENT OF VETERANS AFFAIRS: $3,923.70 INDEPENDENT HEALTH — INDEPENDENT HEALTH: $4,851.12 ROUSE HOME — ROUSE HOME: $2,496.90 SELF-PAY — SELF-PAY: $3,567 WARREN CO JAIL — WARREN CO JAIL: $2,496.90 WARREN STATE HOSPITAL — WARREN STATE HOSPITAL: $3,567

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$63,566.38 – $240,180.60
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $156,751.29 BCBS HIGHMARK — BCBS HIGHMARK: $240,180.60 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $181,831.49 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $106,590.88 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $125,401.03 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $125,401.03 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $126,655.04 NON CONTRACTED (100% POM) — NON CONTRACTED (100 PerCent POM): $125,401.03 PA HEALTH & WELLNESS — PA HEALTH WELLNESS: $127,909.05 UHC — UHC: $107,610.80
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$27,622.42 – $62,241.43
Spinal fusion (not neck), without major complications: 10 of 17 insurance plan rates APOSTROPHE — APOSTROPHE: $40,621.20 BCBS HIGHMARK — BCBS HIGHMARK: $62,241.43 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $47,120.59 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $27,622.42 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $32,496.96 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $32,496.96 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $32,821.93 NON CONTRACTED (100% POM) — NON CONTRACTED (100 PerCent POM): $32,496.96 PA HEALTH & WELLNESS — PA HEALTH WELLNESS: $33,146.90 UHC MCR (100% POM) — UHC MCR (100 PerCent POM): $32,496.96
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	$12,533.55 – $33,279.12
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates AETNA — AETNA: $17,161 APOSTROPHE — APOSTROPHE: $21,719.26 BCBS HIGHMARK — BCBS HIGHMARK: $33,279.12 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $25,194.34 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $14,769.10 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $17,375.41 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $17,375.41 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $17,549.16 NON CONTRACTED (100% POM) — NON CONTRACTED (100 PerCent POM): $17,375.41 PA HEALTH & WELLNESS — PA HEALTH WELLNESS: $17,722.92
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	$15,863.01 – $41,862.28
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates APOSTROPHE — APOSTROPHE: $27,320.96 BCBS HIGHMARK — BCBS HIGHMARK: $41,862.28 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $31,692.32 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $18,578.25 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $21,856.77 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $21,856.77 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $22,075.34 NON CONTRACTED (100% POM) — NON CONTRACTED (100 PerCent POM): $21,856.77 PA HEALTH & WELLNESS — PA HEALTH WELLNESS: $22,293.91 UHC — UHC: $26,854.30
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	$5,182 – $21,751.18
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates AETNA — AETNA: $5,182 APOSTROPHE — APOSTROPHE: $14,195.67 BCBS HIGHMARK — BCBS HIGHMARK: $21,751.18 DAVITA MCR (145% POM) — DAVITA MCR (145 PerCent POM): $16,466.98 GOLDEN LIVING CENTERS KINZUA — GOLDEN LIVING CENTERS KINZUA: $9,653.06 HIGHMARK MEDICARE — HIGHMARK MEDICARE: $11,356.54 MEDICARE ADVANTAGE 100% — MEDICARE ADVANTAGE 100 PerCent: $11,356.54 MEDICARE ADVANTAGE 101% — MEDICARE ADVANTAGE 101 PerCent: $11,470.11 NON CONTRACTED (100% POM) — NON CONTRACTED (100 PerCent POM): $11,356.54 PA HEALTH & WELLNESS — PA HEALTH WELLNESS: $11,583.67

Source: Warren General Hospital’s standard charges file (pub-dd9ed2ce8da741aba680475ac31af6a3.r2.dev, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 24, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	2 Crescent Park West, Warren, PA 16365
County	Warren County
State	Pennsylvania
Phone	(814) 723‑4973
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	391319
Name in Medicare records	WARREN GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	wgh.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Our Services - Warren General Hospital — wgh.org
SURGICAL SERVICES — Warren General Hospital — wgh.org
VISITOR GUIDE — Warren General Hospital — wgh.org
DAISY AWARD NOMINATION — Warren General Hospital — wgh.org
BEE AWARD NOMINATION — Warren General Hospital — wgh.org
EMERGENCY/HOSPITALIST CARE — Warren General Hospital — wgh.org
PEDIATRIC REHAB — Warren General Hospital — wgh.org
ORTHOPEDICS — Warren General Hospital — wgh.org
CANCER CARE — Warren General Hospital — wgh.org
GENERAL SURGERY — Warren General Hospital — wgh.org
MEDICAL SURGERY UNIT — Warren General Hospital — wgh.org
IMAGING — Warren General Hospital — wgh.org

Warren General Hospital

Summary

Profile from official sources

At a glance