Does WellSpan Surgery and Rehabilitation Hospital have an emergency room?

Medicare (CMS) data does not list emergency services at WellSpan Surgery and Rehabilitation Hospital. The closest hospitals that do: WellSpan York Hospital (1.6 mi), UPMC Memorial (4.4 mi) and UPMC Hanover (16 mi). In a medical emergency, call 911.

Where is WellSpan Surgery and Rehabilitation Hospital?

55 Monument Road, York, PA 17403, in York County, Pennsylvania.

What is the phone number of WellSpan Surgery and Rehabilitation Hospital?

(717) 812-6100, as listed by Medicare (CMS).

What is the Medicare star rating of WellSpan Surgery and Rehabilitation 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.

WellSpan Surgery and Rehabilitation Hospital

Quick answers

Does WellSpan Surgery and Rehabilitation Hospital have an emergency room?: Medicare (CMS) data does not list emergency services at WellSpan Surgery and Rehabilitation Hospital. The closest hospitals that do: WellSpan York Hospital (1.6 mi), UPMC Memorial (4.4 mi) and UPMC Hanover (16 mi). In a medical emergency, call 911.
Where is WellSpan Surgery and Rehabilitation Hospital?: 55 Monument Road, York, PA 17403, in York County, Pennsylvania.
What is the phone number of WellSpan Surgery and Rehabilitation Hospital?: (717) 812-6100, as listed by Medicare (CMS).
What is the Medicare star rating of WellSpan Surgery and Rehabilitation 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^[4]

Orthopedic and neurosurgical surgery
Inpatient rehabilitation (ages 18 and over)
Outpatient rehabilitation
Orthopedic surgery
Neurosurgery
Physical medicine and rehabilitation

Conditions treated^[4]

Treatments^[4]

Cognitive training
Swallowing and voice therapy
Joint replacement surgery
Spine surgery
Hand, foot and ankle surgery
Advanced pain management
Robotic gait training
Swallowing evaluation (fiber optic endoscopic)
Augmentative communication training

Procedures^[4]

Joint replacement
Spine surgery
Hand, foot and ankle surgery
Sports injury surgery

Programs and centers^[4]

Brain Injury rehabilitation
Amputee rehabilitation
Stroke rehabilitation
Spinal cord rehabilitation
Inpatient rehabilitation
Outpatient rehabilitation

Visiting and practical information

Visiting	Main entrance open Mon–Fri 5:30 a.m.–8 p.m., Sat–Sun 8 a.m.–8 p.m. (entrance hours, not visitation rules); visitors need ID badge^[5]

Recognition^[4]

CARF accreditation: amputation, brain injury, comprehensive integrated inpatient rehabilitation, spinal cord and stroke
DNV accreditation

Doctors and clinicians (96)

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

Main specialties

And 72 more: the button below opens the full list.

Nearest emergency rooms

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

WellSpan York Hospital1.6 mi · York, PA · Acute Care Hospital
UPMC Memorial4.4 mi · York, PA · Acute Care Hospital
UPMC Hanover16 mi · Hanover, PA · Acute Care Hospital
Penn State Health Lancaster Medical Center21 mi · Lancaster, PA · Acute Care Hospital
Lancaster General Hospital23 mi · Lancaster, PA · Acute Care Hospital

Other hospitals nearby

Oss Orthopaedic Hospital1.2 mi · York, PA · Acute Care Hospital
Encompass Health Rehabilitation Hospital of York5.3 mi · York, PA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Rest Haven-York1.6 mi · York, PA · 2 of 5 stars
Yorkview Nursing and Rehabilitation1.8 mi · York, PA · 1 of 5 stars
York South Skilled Nursing and Rehabilitation Ctr1.9 mi · York, PA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Heartland Hospice (York)3.9 mi · York, PA · 3 of 5 stars
Memorial White Rose Hospice3.9 mi · York, PA · 4 of 5 stars
Amedisys Hospice of York6.2 mi · York, PA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Comforcare Home Care - York0.4 mi · York, PA
Racheal Home Health Care Inc.0.4 mi · York, PA
Well Quest Home Health LLC0.4 mi · York, PA

All home health agencies in the state →

Dialysis facilities

DaVita Saint Charles Way Dialysis0.4 mi · York, PA · 2 of 5 stars
USRC Central York0.4 mi · York, PA · 3 of 5 stars
USRC South York0.4 mi · York, 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.

Apple Hill Surgical Partners0.4 mi · York, PA
UPMC Specialty Care York Endoscopy0.4 mi · York, PA
Eyes of York Surgical Center LLC6.2 mi · York, PA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Family First Health Dental Center at Springwood Road1.8 mi · York, PA · Community health center
William Penn Senior High2.5 mi · York, PA · Community health center
Hannah Penn Center2.5 mi · York, PA · Community health center

Clinics and urgent care

WellSpan Medical Group0.4 mi · York, PA · Urgent care center
Medexpress Urgent Care, PC - Pennsylvania6.2 mi · York, PA · Urgent care center
WellSpan Medical Group10 mi · Manchester, PA · Urgent care center

Pharmacies

Minnich's Pharmacy Inc0.4 mi · York, PA · Community/retail pharmacy
Minnich's Pharmacy Inc0.4 mi · York, PA · Community/retail pharmacy
Nell's, Inc0.4 mi · York, PA · Community/retail pharmacy

Assisted living nearby

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

Celebration Villa of York0.4 mi · York, PA
Country Meadows of Leader Heights0.4 mi · York, PA
Senior Commons at Powder Mill0.4 mi · York, PA
The Residence at Fitz Farm0.4 mi · York, 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 WellSpan Surgery and Rehabilitation 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.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	87%National average: 72%
Would definitely recommend the hospital	89%National average: 71%
Nurses “always” communicated well	89%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	94%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	75%National average: 60%
Completed surveys	109Response rate: 53%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

Return visits to the hospital (readmissions)

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

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

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 York Best hospitals in Pennsylvania

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 37 common services exactly as WellSpan Surgery and Rehabilitation 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Est Outpatient Visit Level 3 or Over 20 Minutes	$142	$113.60	$50 – $137.74
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates Aetna — All_Plans: $118.43 Aetna_Better_Health_Kids — All_Plans: $136 Amerihealth_Caritas_Medicaid — All_Plans: $56.80 First_Health_Network — All_Plans: $118.43 Geisinger — All_Plans: $132.98 Geisinger_Medicaid — All_Plans: $50 Health_Partners_Medicaid — All_Other_Plans: $50 Highmark_Wholecare_Gateway_Medicaid — All_Plans: $50 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $134.90 PA_Health_&_Wellness_Medicaid — All_Plans: $50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: Est Outpatient Visit Level 3 or Over 20 Minutes	$142	$113.60	$83.88 – $134.90
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Aetna — All_Plans: $125.67 Blue_Cross — All_Other_Plans: $127.29 Blue_Cross — Capital_Blue_Performance_PPO: $82.20 Blue_Cross — Capital_Cares_4_kids: $83.88 Cigna — All_Plans: $127.29 First_Health_Network — All_Plans: $125.67 Geisinger — All_Plans: $132.98 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $134.90 PHC — All_Plans: $134.90 UPMC — All_Plans: $132.06
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Est Outpatient Visit Level 4 or Over 30 Minutes	$210	$168	$50 – $203.70
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates Aetna — All_Plans: $175.14 Aetna_Better_Health_Kids — All_Plans: $136 Amerihealth_Caritas_Medicaid — All_Plans: $77.28 First_Health_Network — All_Plans: $175.14 Geisinger — All_Plans: $196.67 Geisinger_Medicaid — All_Plans: $50 Health_Partners_Medicaid — All_Other_Plans: $50 Highmark_Wholecare_Gateway_Medicaid — All_Plans: $50 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $199.50 PA_Health_&_Wellness_Medicaid — All_Plans: $50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: Est Outpatient Visit Level 4 or Over 30 Minutes	$210	$168	$124.05 – $199.50
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates Aetna — All_Plans: $185.85 Blue_Cross — All_Other_Plans: $188.24 Blue_Cross — Capital_Blue_Performance_PPO: $121.57 Blue_Cross — Capital_Cares_4_kids: $124.05 Cigna — All_Plans: $188.24 First_Health_Network — All_Plans: $185.85 Geisinger — All_Plans: $196.67 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $199.50 PHC — All_Plans: $199.50 UPMC — All_Plans: $195.30
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Department Visit for Problem of Moderate Severity	$2,176	$1,740.80	$70.81 – $2,110.72
Emergency room visit (moderate): 10 of 41 insurance plan rates Aetna — All_Plans: $1,814.78 Aetna_Advantra_Medicare — All_Plans: $276.09 Aetna_Better_Health_Kids — All_Plans: $268.60 Aetna_Medicare — All_Plans: $276.09 Amerihealth_Caritas_Medicaid — All_Plans: $80.44 Amerihealth_Medicare — All_Plans: $282.79 Blue_Cross — All_Other_Plans: $1,745.37 Blue_Cross — Capital_Blue_Performance_PPO: $1,745.37 Blue_Cross — Capital_Cares_4_kids: $1,221.76 Blue_Cross_BlueJourney_Medicare — All_Plans: $268.05
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: Emergency Department Visit for Problem of Moderate Severity	$2,176	$1,740.80	$1,285.36 – $2,067.20
Emergency room visit (moderate): 10 of 11 insurance plan rates Aetna — All_Plans: $1,925.76 Blue_Cross — All_Other_Plans: $1,950.57 Blue_Cross — Capital_Blue_Performance_PPO: $1,259.69 Blue_Cross — Capital_Cares_4_kids: $1,285.36 Cigna — All_Plans: $1,950.57 First_Health_Network — All_Plans: $1,925.76 Geisinger — All_Plans: $2,037.82 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $2,067.20 PHC — All_Plans: $2,067.20 UPMC — All_Plans: $2,023.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Department Visit for Problem of High Severity	$3,348	$2,678.40	$119.16 – $3,247.56
Emergency room visit (moderately high): 10 of 41 insurance plan rates Aetna — All_Plans: $2,792.23 Aetna_Advantra_Medicare — All_Plans: $424.60 Aetna_Better_Health_Kids — All_Plans: $418.20 Aetna_Medicare — All_Plans: $424.60 Amerihealth_Caritas_Medicaid — All_Plans: $135.37 Amerihealth_Medicare — All_Plans: $434.90 Blue_Cross — All_Other_Plans: $2,685.43 Blue_Cross — Capital_Blue_Performance_PPO: $2,685.43 Blue_Cross — Capital_Cares_4_kids: $1,879.80 Blue_Cross_BlueJourney_Medicare — All_Plans: $412.23
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: Emergency Department Visit for Problem of High Severity	$3,348	$2,678.40	$1,977.66 – $3,180.60
Emergency room visit (moderately high): 10 of 11 insurance plan rates Aetna — All_Plans: $2,962.98 Blue_Cross — All_Other_Plans: $3,001.15 Blue_Cross — Capital_Blue_Performance_PPO: $1,938.16 Blue_Cross — Capital_Cares_4_kids: $1,977.66 Cigna — All_Plans: $3,001.15 First_Health_Network — All_Plans: $2,962.98 Geisinger — All_Plans: $3,135.40 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $3,180.60 PHC — All_Plans: $3,180.60 UPMC — All_Plans: $3,113.64
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Department Visit for Life Threatening or Functioning Severity	$3,727	$2,981.60	$173.42 – $3,615.19
Emergency room visit (high): 10 of 41 insurance plan rates Aetna — All_Plans: $3,108.32 Aetna_Advantra_Medicare — All_Plans: $611.34 Aetna_Better_Health_Kids — All_Plans: $656.20 Aetna_Medicare — All_Plans: $611.34 Amerihealth_Caritas_Medicaid — All_Plans: $197.01 Amerihealth_Medicare — All_Plans: $626.17 Blue_Cross — All_Other_Plans: $2,989.43 Blue_Cross — Capital_Blue_Performance_PPO: $2,989.43 Blue_Cross — Capital_Cares_4_kids: $2,092.60 Blue_Cross_BlueJourney_Medicare — All_Plans: $593.53
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: Emergency Department Visit for Life Threatening or Functioning Severity	$3,727	$2,981.60	$2,201.54 – $3,540.65
Emergency room visit (high): 10 of 11 insurance plan rates Aetna — All_Plans: $3,298.39 Blue_Cross — All_Other_Plans: $3,340.88 Blue_Cross — Capital_Blue_Performance_PPO: $2,157.56 Blue_Cross — Capital_Cares_4_kids: $2,201.54 Cigna — All_Plans: $3,340.88 First_Health_Network — All_Plans: $3,298.40 Geisinger — All_Plans: $3,490.34 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $3,540.65 PHC — All_Plans: $3,540.65 UPMC — All_Plans: $3,466.11

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood Test, Basic Group of Blood Chemicals (Calcium, Total)	$69	$20	$8.46 – $66.93
Basic metabolic panel (blood test): 10 of 41 insurance plan rates Aetna — All_Plans: $34.94 Aetna_Advantra_Medicare — All_Plans: $8.71 Aetna_Better_Health_Kids — All_Plans: $31.82 Aetna_Medicare — All_Plans: $8.71 Amerihealth_Caritas_Medicaid — All_Plans: $9.36 Amerihealth_Medicare — All_Plans: $8.93 Blue_Cross — All_Other_Plans: $55.34 Blue_Cross — Capital_Blue_Performance_PPO: $55.34 Blue_Cross — Capital_Cares_4_kids: $38.74 Blue_Cross_BlueJourney_Medicare — All_Plans: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: Blood Test, Basic Group of Blood Chemicals (Calcium, Total)	$69	$20	$40.76 – $65.55
Basic metabolic panel (blood test): 10 of 11 insurance plan rates Aetna — All_Plans: $61.06 Blue_Cross — All_Other_Plans: $61.85 Blue_Cross — Capital_Blue_Performance_PPO: $39.94 Blue_Cross — Capital_Cares_4_kids: $40.76 Cigna — All_Plans: $61.85 First_Health_Network — All_Plans: $61.07 Geisinger — All_Plans: $64.62 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $65.55 PHC — All_Plans: $65.55 UPMC — All_Plans: $64.17
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood Test, Comprehensive Group of Blood Chemicals	$88	$25	$10.56 – $85.36
Comprehensive metabolic panel (blood test): 10 of 41 insurance plan rates Aetna — All_Plans: $43.61 Aetna_Advantra_Medicare — All_Plans: $10.88 Aetna_Better_Health_Kids — All_Plans: $39.75 Aetna_Medicare — All_Plans: $10.88 Amerihealth_Caritas_Medicaid — All_Plans: $11.69 Amerihealth_Medicare — All_Plans: $11.14 Blue_Cross — All_Other_Plans: $70.58 Blue_Cross — Capital_Blue_Performance_PPO: $70.58 Blue_Cross — Capital_Cares_4_kids: $49.41 Blue_Cross_BlueJourney_Medicare — All_Plans: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: Blood Test, Comprehensive Group of Blood Chemicals	$88	$25	$51.98 – $83.60
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates Aetna — All_Plans: $77.88 Blue_Cross — All_Other_Plans: $78.88 Blue_Cross — Capital_Blue_Performance_PPO: $50.94 Blue_Cross — Capital_Cares_4_kids: $51.98 Cigna — All_Plans: $78.88 First_Health_Network — All_Plans: $77.88 Geisinger — All_Plans: $82.41 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $83.60 PHC — All_Plans: $83.60 UPMC — All_Plans: $81.84
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood Test, Lipids (Cholesterol and Triglycerides)	$100	$40	$13.39 – $97
Cholesterol panel (lipid panel): 10 of 41 insurance plan rates Aetna — All_Plans: $55.30 Aetna_Advantra_Medicare — All_Plans: $13.79 Aetna_Better_Health_Kids — All_Plans: $47.60 Aetna_Medicare — All_Plans: $13.79 Amerihealth_Caritas_Medicaid — All_Plans: $14 Amerihealth_Medicare — All_Plans: $14.13 Blue_Cross — All_Other_Plans: $80.21 Blue_Cross — Capital_Blue_Performance_PPO: $80.21 Blue_Cross — Capital_Cares_4_kids: $56.15 Blue_Cross_BlueJourney_Medicare — All_Plans: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Blood Test, Lipids (Cholesterol and Triglycerides)	$100	$40	$59.07 – $95
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates Aetna — All_Plans: $88.50 Blue_Cross — All_Other_Plans: $89.64 Blue_Cross — Capital_Blue_Performance_PPO: $57.89 Blue_Cross — Capital_Cares_4_kids: $59.07 Cigna — All_Plans: $89.64 First_Health_Network — All_Plans: $88.50 Geisinger — All_Plans: $93.65 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $95 PHC — All_Plans: $95 UPMC — All_Plans: $93
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney Function Blood Test Panel	$45	$36	$8.68 – $43.65
Kidney function panel: 10 of 41 insurance plan rates Aetna — All_Plans: $35.85 Aetna_Advantra_Medicare — All_Plans: $8.94 Aetna_Better_Health_Kids — All_Plans: $32.64 Aetna_Medicare — All_Plans: $8.94 Amerihealth_Caritas_Medicaid — All_Plans: $9.60 Amerihealth_Medicare — All_Plans: $9.16 Blue_Cross — All_Other_Plans: $36.09 Blue_Cross — Capital_Blue_Performance_PPO: $36.09 Blue_Cross — Capital_Cares_4_kids: $25.27 Blue_Cross_BlueJourney_Medicare — All_Plans: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: Kidney Function Blood Test Panel	$45	$36	$26.58 – $42.75
Kidney function panel: 10 of 11 insurance plan rates Aetna — All_Plans: $39.83 Blue_Cross — All_Other_Plans: $40.34 Blue_Cross — Capital_Blue_Performance_PPO: $26.05 Blue_Cross — Capital_Cares_4_kids: $26.58 Cigna — All_Plans: $40.34 First_Health_Network — All_Plans: $39.83 Geisinger — All_Plans: $42.14 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $42.75 PHC — All_Plans: $42.75 UPMC — All_Plans: $41.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver Function Blood Test Panel	$42	$25	$8.17 – $40.74
Liver function panel: 10 of 41 insurance plan rates Aetna — All_Plans: $33.74 Aetna_Advantra_Medicare — All_Plans: $8.42 Aetna_Better_Health_Kids — All_Plans: $30.70 Aetna_Medicare — All_Plans: $8.42 Amerihealth_Caritas_Medicaid — All_Plans: $9.03 Amerihealth_Medicare — All_Plans: $8.62 Blue_Cross — All_Other_Plans: $33.69 Blue_Cross — Capital_Blue_Performance_PPO: $33.69 Blue_Cross — Capital_Cares_4_kids: $23.58 Blue_Cross_BlueJourney_Medicare — All_Plans: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Liver Function Blood Test Panel	$42	$25	$24.81 – $39.90
Liver function panel: 10 of 11 insurance plan rates Aetna — All_Plans: $37.17 Blue_Cross — All_Other_Plans: $37.65 Blue_Cross — Capital_Blue_Performance_PPO: $24.31 Blue_Cross — Capital_Cares_4_kids: $24.81 Cigna — All_Plans: $37.65 First_Health_Network — All_Plans: $37.17 Geisinger — All_Plans: $39.33 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $39.90 PHC — All_Plans: $39.90 UPMC — All_Plans: $39.06
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual Urinalysis Test With Examination Using Microscope, Automated	$20	$10	$3 – $19.40
Urine test (automated, with microscope): 10 of 41 insurance plan rates Aetna — All_Plans: $13.09 Aetna_Advantra_Medicare — All_Plans: $3.27 Aetna_Better_Health_Kids — All_Plans: $10.20 Aetna_Medicare — All_Plans: $3.27 Amerihealth_Caritas_Medicaid — All_Plans: $3 Amerihealth_Medicare — All_Plans: $3.34 Blue_Cross — All_Other_Plans: $16.04 Blue_Cross — Capital_Blue_Performance_PPO: $16.04 Blue_Cross — Capital_Cares_4_kids: $11.23 Blue_Cross_BlueJourney_Medicare — All_Plans: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: Manual Urinalysis Test With Examination Using Microscope, Automated	$20	$10	$11.81 – $19
Urine test (automated, with microscope): 10 of 11 insurance plan rates Aetna — All_Plans: $17.70 Blue_Cross — All_Other_Plans: $17.93 Blue_Cross — Capital_Blue_Performance_PPO: $11.58 Blue_Cross — Capital_Cares_4_kids: $11.81 Cigna — All_Plans: $17.93 First_Health_Network — All_Plans: $17.70 Geisinger — All_Plans: $18.73 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $19 PHC — All_Plans: $19 UPMC — All_Plans: $18.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated Urinalysis Test	$11	$10	$2.25 – $11.21
Urine test (automated, without microscope): 10 of 41 insurance plan rates Aetna — All_Plans: $9.29 Aetna_Advantra_Medicare — All_Plans: $2.32 Aetna_Better_Health_Kids — All_Plans: $10.54 Aetna_Medicare — All_Plans: $2.32 Amerihealth_Caritas_Medicaid — All_Plans: $3.10 Amerihealth_Medicare — All_Plans: $2.37 Blue_Cross — All_Other_Plans: $8.82 Blue_Cross — Capital_Blue_Performance_PPO: $8.82 Blue_Cross — Capital_Cares_4_kids: $6.18 Blue_Cross_BlueJourney_Medicare — All_Plans: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Automated Urinalysis Test	$11	$10	$6.50 – $10.45
Urine test (automated, without microscope): 10 of 11 insurance plan rates Aetna — All_Plans: $9.73 Blue_Cross — All_Other_Plans: $9.86 Blue_Cross — Capital_Blue_Performance_PPO: $6.37 Blue_Cross — Capital_Cares_4_kids: $6.50 Cigna — All_Plans: $9.86 First_Health_Network — All_Plans: $9.74 Geisinger — All_Plans: $10.30 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $10.45 PHC — All_Plans: $10.45 UPMC — All_Plans: $10.23
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Psa (Prostate Specific Antigen) Measurement, Total	$96	$45	$18.39 – $93.12
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates Aetna — All_Plans: $75.95 Aetna_Advantra_Medicare — All_Plans: $18.94 Aetna_Better_Health_Kids — All_Plans: $82.82 Aetna_Medicare — All_Plans: $18.94 Amerihealth_Caritas_Medicaid — All_Plans: $24.36 Amerihealth_Medicare — All_Plans: $19.40 Blue_Cross — All_Other_Plans: $77 Blue_Cross — Capital_Blue_Performance_PPO: $77 Blue_Cross — Capital_Cares_4_kids: $53.90 Blue_Cross_BlueJourney_Medicare — All_Plans: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: Psa (Prostate Specific Antigen) Measurement, Total	$96	$45	$56.71 – $91.20
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates Aetna — All_Plans: $84.96 Blue_Cross — All_Other_Plans: $86.05 Blue_Cross — Capital_Blue_Performance_PPO: $55.57 Blue_Cross — Capital_Cares_4_kids: $56.71 Cigna — All_Plans: $86.05 First_Health_Network — All_Plans: $84.96 Geisinger — All_Plans: $89.90 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $91.20 PHC — All_Plans: $91.20 UPMC — All_Plans: $89.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood Test, Thyroid Stimulating Hormone (Tsh)	$112	$40	$16.80 – $108.64
Thyroid stimulating hormone (TSH) test: 10 of 41 insurance plan rates Aetna — All_Plans: $69.38 Aetna_Advantra_Medicare — All_Plans: $17.30 Aetna_Better_Health_Kids — All_Plans: $78.91 Aetna_Medicare — All_Plans: $17.30 Amerihealth_Caritas_Medicaid — All_Plans: $23.21 Amerihealth_Medicare — All_Plans: $17.72 Blue_Cross — All_Other_Plans: $89.84 Blue_Cross — Capital_Blue_Performance_PPO: $89.84 Blue_Cross — Capital_Cares_4_kids: $62.88 Blue_Cross_BlueJourney_Medicare — All_Plans: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: Blood Test, Thyroid Stimulating Hormone (Tsh)	$112	$40	$66.16 – $106.40
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates Aetna — All_Plans: $99.12 Blue_Cross — All_Other_Plans: $100.40 Blue_Cross — Capital_Blue_Performance_PPO: $64.84 Blue_Cross — Capital_Cares_4_kids: $66.16 Cigna — All_Plans: $100.40 First_Health_Network — All_Plans: $99.12 Geisinger — All_Plans: $104.89 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $106.40 PHC — All_Plans: $106.40 UPMC — All_Plans: $104.16
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete Blood Cell Count, With Diff	$55	$15	$6 – $53.35
Complete blood count (CBC) with differential: 10 of 41 insurance plan rates Aetna — All_Plans: $32.09 Aetna_Advantra_Medicare — All_Plans: $8 Aetna_Better_Health_Kids — All_Plans: $20.40 Aetna_Medicare — All_Plans: $8 Amerihealth_Caritas_Medicaid — All_Plans: $6 Amerihealth_Medicare — All_Plans: $8.20 Blue_Cross — All_Other_Plans: $44.12 Blue_Cross — Capital_Blue_Performance_PPO: $44.12 Blue_Cross — Capital_Cares_4_kids: $30.88 Blue_Cross_BlueJourney_Medicare — All_Plans: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: Complete Blood Cell Count, With Diff	$55	$15	$32.49 – $52.25
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates Aetna — All_Plans: $48.67 Blue_Cross — All_Other_Plans: $49.30 Blue_Cross — Capital_Blue_Performance_PPO: $31.84 Blue_Cross — Capital_Cares_4_kids: $32.49 Cigna — All_Plans: $49.30 First_Health_Network — All_Plans: $48.68 Geisinger — All_Plans: $51.51 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $52.25 PHC — All_Plans: $52.25 UPMC — All_Plans: $51.15
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete Blood Cell Count, W/O Diff	$45	$15	$6.47 – $43.65
Complete blood count (CBC), automated: 10 of 41 insurance plan rates Aetna — All_Plans: $26.72 Aetna_Advantra_Medicare — All_Plans: $6.66 Aetna_Better_Health_Kids — All_Plans: $25.57 Aetna_Medicare — All_Plans: $6.66 Amerihealth_Caritas_Medicaid — All_Plans: $7.52 Amerihealth_Medicare — All_Plans: $6.83 Blue_Cross — All_Other_Plans: $36.09 Blue_Cross — Capital_Blue_Performance_PPO: $36.09 Blue_Cross — Capital_Cares_4_kids: $25.27 Blue_Cross_BlueJourney_Medicare — All_Plans: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: Complete Blood Cell Count, W/O Diff	$45	$15	$26.58 – $42.75
Complete blood count (CBC), automated: 10 of 11 insurance plan rates Aetna — All_Plans: $39.83 Blue_Cross — All_Other_Plans: $40.34 Blue_Cross — Capital_Blue_Performance_PPO: $26.05 Blue_Cross — Capital_Cares_4_kids: $26.58 Cigna — All_Plans: $40.34 First_Health_Network — All_Plans: $39.83 Geisinger — All_Plans: $42.14 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $42.75 PHC — All_Plans: $42.75 UPMC — All_Plans: $41.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood Test, Clotting Time	$34	$15	$4 – $32.98
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates Aetna — All_Plans: $17.72 Aetna_Advantra_Medicare — All_Plans: $4.42 Aetna_Better_Health_Kids — All_Plans: $13.60 Aetna_Medicare — All_Plans: $4.42 Amerihealth_Caritas_Medicaid — All_Plans: $4 Amerihealth_Medicare — All_Plans: $4.53 Blue_Cross — All_Other_Plans: $27.27 Blue_Cross — Capital_Blue_Performance_PPO: $27.27 Blue_Cross — Capital_Cares_4_kids: $19.09 Blue_Cross_BlueJourney_Medicare — All_Plans: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: Blood Test, Clotting Time	$34	$15	$20.08 – $32.30
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates Aetna — All_Plans: $30.09 Blue_Cross — All_Other_Plans: $30.48 Blue_Cross — Capital_Blue_Performance_PPO: $19.68 Blue_Cross — Capital_Cares_4_kids: $20.08 Cigna — All_Plans: $30.48 First_Health_Network — All_Plans: $30.09 Geisinger — All_Plans: $31.84 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $32.30 PHC — All_Plans: $32.30 UPMC — All_Plans: $31.62
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation Assessment Blood Test, Plasma or Whole Blood	$40	$30	$6.01 – $38.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates Aetna — All_Plans: $24.82 Aetna_Advantra_Medicare — All_Plans: $6.19 Aetna_Better_Health_Kids — All_Plans: $25.50 Aetna_Medicare — All_Plans: $6.19 Amerihealth_Caritas_Medicaid — All_Plans: $7.50 Amerihealth_Medicare — All_Plans: $6.34 Blue_Cross — All_Other_Plans: $32.08 Blue_Cross — Capital_Blue_Performance_PPO: $32.08 Blue_Cross — Capital_Cares_4_kids: $22.46 Blue_Cross_BlueJourney_Medicare — All_Plans: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: Coagulation Assessment Blood Test, Plasma or Whole Blood	$40	$30	$23.63 – $38
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates Aetna — All_Plans: $35.40 Blue_Cross — All_Other_Plans: $35.86 Blue_Cross — Capital_Blue_Performance_PPO: $23.16 Blue_Cross — Capital_Cares_4_kids: $23.63 Cigna — All_Plans: $35.86 First_Health_Network — All_Plans: $35.40 Geisinger — All_Plans: $37.46 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $38 PHC — All_Plans: $38 UPMC — All_Plans: $37.20

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) In the file: CT Scan Head or Brain Without Contrast	$1,462	$296	$96.88 – $1,418.14
CT scan of the head or brain, without contrast: 10 of 41 insurance plan rates Aetna — All_Plans: $1,219.31 Aetna_Advantra_Medicare — All_Plans: $106.04 Aetna_Better_Health_Kids — All_Plans: $396.95 Aetna_Medicare — All_Plans: $106.04 Amerihealth_Caritas_Medicaid — All_Plans: $165.79 Amerihealth_Medicare — All_Plans: $108.61 Blue_Cross — All_Other_Plans: $1,172.67 Blue_Cross — Capital_Blue_Performance_PPO: $1,172.67 Blue_Cross — Capital_Cares_4_kids: $820.87 Blue_Cross_BlueJourney_Medicare — All_Plans: $102.95
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT Scan Head or Brain Without Contrast	$1,462	$296	$863.60 – $1,388.90
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Aetna — All_Plans: $1,293.87 Blue_Cross — All_Other_Plans: $1,310.54 Blue_Cross — Capital_Blue_Performance_PPO: $846.35 Blue_Cross — Capital_Cares_4_kids: $863.60 Cigna — All_Plans: $1,310.54 First_Health_Network — All_Plans: $1,293.87 Geisinger — All_Plans: $1,369.16 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $1,388.90 PHC — All_Plans: $1,388.90 UPMC — All_Plans: $1,359.66
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Scan of Brain Before and After Contrast	$2,646	$701.50	$336.25 – $2,566.62
MRI of the brain, before and after contrast: 10 of 41 insurance plan rates Aetna — All_Plans: $2,206.76 Aetna_Advantra_Medicare — All_Plans: $356.10 Aetna_Better_Health_Kids — All_Plans: $1,152.60 Aetna_Medicare — All_Plans: $356.10 Amerihealth_Caritas_Medicaid — All_Plans: $481.38 Amerihealth_Medicare — All_Plans: $364.75 Blue_Cross — All_Other_Plans: $2,122.36 Blue_Cross — Capital_Blue_Performance_PPO: $2,122.36 Blue_Cross — Capital_Cares_4_kids: $1,485.65 Blue_Cross_BlueJourney_Medicare — All_Plans: $345.73
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI Scan of Brain Before and After Contrast	$2,646	$701.50	$1,562.99 – $2,513.70
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Aetna — All_Plans: $2,341.71 Blue_Cross — All_Other_Plans: $2,371.87 Blue_Cross — Capital_Blue_Performance_PPO: $1,531.77 Blue_Cross — Capital_Cares_4_kids: $1,562.99 Cigna — All_Plans: $2,371.87 First_Health_Network — All_Plans: $2,341.71 Geisinger — All_Plans: $2,477.98 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $2,513.70 PHC — All_Plans: $2,513.70 UPMC — All_Plans: $2,460.78
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-Ray of Chest, 2 Views	$403	$322.40	$18.57 – $497.84
Chest X-ray, 2 views: 10 of 41 insurance plan rates Aetna — All_Plans: $336.10 Aetna_Advantra_Medicare — All_Plans: $87.80 Aetna_Better_Health_Kids — All_Plans: $80.38 Aetna_Medicare — All_Plans: $87.80 Amerihealth_Caritas_Medicaid — All_Plans: $33.57 Amerihealth_Medicare — All_Plans: $89.93 Blue_Cross — All_Other_Plans: $323.25 Blue_Cross — Capital_Blue_Performance_PPO: $323.25 Blue_Cross — Capital_Cares_4_kids: $226.27 Blue_Cross_BlueJourney_Medicare — All_Plans: $85.24
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-Ray of Chest, 2 Views	$403	$322.40	$238.05 – $382.85
Chest X-ray, 2 views: 10 of 11 insurance plan rates Aetna — All_Plans: $356.65 Blue_Cross — All_Other_Plans: $361.25 Blue_Cross — Capital_Blue_Performance_PPO: $233.30 Blue_Cross — Capital_Cares_4_kids: $238.05 Cigna — All_Plans: $361.25 First_Health_Network — All_Plans: $356.66 Geisinger — All_Plans: $377.41 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $382.85 PHC — All_Plans: $382.85 UPMC — All_Plans: $374.79
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-Ray of Lower and Sacral Spine, Minimum of 4 Views	$658	$526.40	$28.13 – $638.26
X-ray of the lower spine, at least 4 views: 10 of 41 insurance plan rates Aetna — All_Plans: $548.77 Aetna_Advantra_Medicare — All_Plans: $106.04 Aetna_Better_Health_Kids — All_Plans: $124.51 Aetna_Medicare — All_Plans: $106.04 Amerihealth_Caritas_Medicaid — All_Plans: $52 Amerihealth_Medicare — All_Plans: $108.61 Blue_Cross — All_Other_Plans: $527.78 Blue_Cross — Capital_Blue_Performance_PPO: $527.78 Blue_Cross — Capital_Cares_4_kids: $369.45 Blue_Cross_BlueJourney_Medicare — All_Plans: $102.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: X-Ray of Lower and Sacral Spine, Minimum of 4 Views	$658	$526.40	$388.68 – $625.10
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates Aetna — All_Plans: $582.33 Blue_Cross — All_Other_Plans: $589.83 Blue_Cross — Capital_Blue_Performance_PPO: $380.92 Blue_Cross — Capital_Cares_4_kids: $388.68 Cigna — All_Plans: $589.83 First_Health_Network — All_Plans: $582.33 Geisinger — All_Plans: $616.22 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $625.10 PHC — All_Plans: $625.10 UPMC — All_Plans: $611.94
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Scan of Lower Spinal Canal Without Contrast	$2,225	$454	$234 – $2,158.25
MRI of the lower back (lumbar spine), without contrast: 10 of 41 insurance plan rates Aetna — All_Plans: $1,855.65 Aetna_Advantra_Medicare — All_Plans: $241.02 Aetna_Better_Health_Kids — All_Plans: $870.91 Aetna_Medicare — All_Plans: $241.02 Amerihealth_Caritas_Medicaid — All_Plans: $363.73 Amerihealth_Medicare — All_Plans: $246.87 Blue_Cross — All_Other_Plans: $1,784.67 Blue_Cross — Capital_Blue_Performance_PPO: $1,784.67 Blue_Cross — Capital_Cares_4_kids: $1,249.27 Blue_Cross_BlueJourney_Medicare — All_Plans: $234
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI Scan of Lower Spinal Canal Without Contrast	$2,225	$454	$1,314.31 – $2,113.75
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Aetna — All_Plans: $1,969.12 Blue_Cross — All_Other_Plans: $1,994.49 Blue_Cross — Capital_Blue_Performance_PPO: $1,288.05 Blue_Cross — Capital_Cares_4_kids: $1,314.31 Cigna — All_Plans: $1,994.49 First_Health_Network — All_Plans: $1,969.13 Geisinger — All_Plans: $2,083.71 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $2,113.75 PHC — All_Plans: $2,113.75 UPMC — All_Plans: $2,069.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Scan of Abdomen and Pelvis With Contrast	$2,896	$437.50	$240.91 – $2,809.12
CT scan of the abdomen and pelvis, with contrast: 10 of 41 insurance plan rates Aetna — All_Plans: $2,415.26 Aetna_Advantra_Medicare — All_Plans: $356.10 Aetna_Better_Health_Kids — All_Plans: $894.74 Aetna_Medicare — All_Plans: $356.10 Amerihealth_Caritas_Medicaid — All_Plans: $373.69 Amerihealth_Medicare — All_Plans: $364.75 Blue_Cross — All_Other_Plans: $2,322.88 Blue_Cross — Capital_Blue_Performance_PPO: $2,322.88 Blue_Cross — Capital_Cares_4_kids: $1,626.02 Blue_Cross_BlueJourney_Medicare — All_Plans: $345.73
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT Scan of Abdomen and Pelvis With Contrast	$2,896	$437.50	$1,710.67 – $2,751.20
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Aetna — All_Plans: $2,562.96 Blue_Cross — All_Other_Plans: $2,595.97 Blue_Cross — Capital_Blue_Performance_PPO: $1,676.49 Blue_Cross — Capital_Cares_4_kids: $1,710.67 Cigna — All_Plans: $2,595.97 First_Health_Network — All_Plans: $2,562.96 Geisinger — All_Plans: $2,712.10 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $2,751.20 PHC — All_Plans: $2,751.20 UPMC — All_Plans: $2,693.28
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete Ultrasound Scan of Abdomen	$1,590	$1,272	$71.88 – $1,542.30
Ultrasound of the abdomen, complete: 10 of 41 insurance plan rates Aetna — All_Plans: $1,326.06 Aetna_Advantra_Medicare — All_Plans: $106.04 Aetna_Better_Health_Kids — All_Plans: $323.92 Aetna_Medicare — All_Plans: $106.04 Amerihealth_Caritas_Medicaid — All_Plans: $135.28 Amerihealth_Medicare — All_Plans: $108.61 Blue_Cross — All_Other_Plans: $1,275.34 Blue_Cross — Capital_Blue_Performance_PPO: $1,275.34 Blue_Cross — Capital_Cares_4_kids: $892.74 Blue_Cross_BlueJourney_Medicare — All_Plans: $102.95
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: Complete Ultrasound Scan of Abdomen	$1,590	$1,272	$939.21 – $1,510.50
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates Aetna — All_Plans: $1,407.15 Blue_Cross — All_Other_Plans: $1,425.28 Blue_Cross — Capital_Blue_Performance_PPO: $920.45 Blue_Cross — Capital_Cares_4_kids: $939.21 Cigna — All_Plans: $1,425.28 First_Health_Network — All_Plans: $1,407.15 Geisinger — All_Plans: $1,489.04 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $1,510.50 PHC — All_Plans: $1,510.50 UPMC — All_Plans: $1,478.70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening Mammography	$427	$225	$83.06 – $521.53
Screening mammogram, both breasts: 10 of 41 insurance plan rates Aetna — All_Plans: $356.12 Aetna_Advantra_Medicare — All_Plans: $85.55 Aetna_Better_Health_Kids — All_Plans: $355.98 Aetna_Medicare — All_Plans: $85.55 Amerihealth_Caritas_Medicaid — All_Plans: $148.67 Amerihealth_Medicare — All_Plans: $87.63 Blue_Cross — All_Other_Plans: $342.50 Blue_Cross — Capital_Blue_Performance_PPO: $342.50 Blue_Cross — Capital_Cares_4_kids: $239.75 Blue_Cross_BlueJourney_Medicare — All_Plans: $83.06
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: Screening Mammography	$427	$225	$252.23 – $405.65
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — All_Plans: $377.89 Blue_Cross — All_Other_Plans: $382.76 Blue_Cross — Capital_Blue_Performance_PPO: $247.19 Blue_Cross — Capital_Cares_4_kids: $252.23 Cigna — All_Plans: $382.76 First_Health_Network — All_Plans: $377.90 Geisinger — All_Plans: $399.89 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $405.65 PHC — All_Plans: $405.65 UPMC — All_Plans: $397.11

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) In the file: Physical Therapy, Each 15 Minutes	$148	$118.40	$27.75 – $143.56
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Aetna — All_Plans: $123.43 Aetna_Advantra_Medicare — All_Plans: $28.58 Aetna_Better_Health_Kids — All_Plans: $28.49 Aetna_Medicare — All_Plans: $28.58 Amerihealth_Caritas_Medicaid — All_Plans: $56.80 Amerihealth_Medicare — All_Plans: $29.28 Blue_Cross — All_Other_Plans: $118.71 Blue_Cross — Capital_Blue_Performance_PPO: $118.71 Blue_Cross — Capital_Cares_4_kids: $83.10 Blue_Cross_BlueJourney_Medicare — All_Plans: $27.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Occupational Therapy, Each 15 Minutes	$148	$118.40	$27.75 – $143.56
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 41 insurance plan rates Aetna — All_Plans: $123.43 Aetna_Advantra_Medicare — All_Plans: $28.58 Aetna_Better_Health_Kids — All_Plans: $28.49 Aetna_Medicare — All_Plans: $28.58 Amerihealth_Caritas_Medicaid — All_Plans: $56.80 Amerihealth_Medicare — All_Plans: $29.28 Blue_Cross — All_Other_Plans: $118.71 Blue_Cross — Capital_Blue_Performance_PPO: $118.71 Blue_Cross — Capital_Cares_4_kids: $83.10 Blue_Cross_BlueJourney_Medicare — All_Plans: $27.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: Physical Therapy, Each 15 Minutes	$148	$118.40	$87.42 – $140.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — All_Plans: $130.98 Blue_Cross — All_Other_Plans: $132.67 Blue_Cross — Capital_Blue_Performance_PPO: $85.68 Blue_Cross — Capital_Cares_4_kids: $87.42 Cigna — All_Plans: $132.67 First_Health_Network — All_Plans: $130.98 Geisinger — All_Plans: $138.60 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $140.60 PHC — All_Plans: $140.60 UPMC — All_Plans: $137.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for Physical Therapy, Typically 20 Minutes	$366	$292.80	$79.51 – $470.73
Physical therapy evaluation (low complexity): 10 of 41 insurance plan rates Aetna — All_Plans: $305.24 Aetna_Advantra_Medicare — All_Plans: $97.32 Aetna_Better_Health_Kids — All_Plans: $216.27 Aetna_Medicare — All_Plans: $97.32 Amerihealth_Caritas_Medicaid — All_Plans: $90.33 Amerihealth_Medicare — All_Plans: $99.69 Blue_Cross — All_Other_Plans: $293.57 Blue_Cross — Capital_Blue_Performance_PPO: $293.57 Blue_Cross — Capital_Cares_4_kids: $205.50 Blue_Cross_BlueJourney_Medicare — All_Plans: $94.49
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: Evaluation for Physical Therapy, Typically 20 Minutes	$366	$292.80	$216.20 – $347.70
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — All_Plans: $323.91 Blue_Cross — All_Other_Plans: $328.08 Blue_Cross — Capital_Blue_Performance_PPO: $211.88 Blue_Cross — Capital_Cares_4_kids: $216.20 Cigna — All_Plans: $328.08 First_Health_Network — All_Plans: $323.91 Geisinger — All_Plans: $342.76 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $347.70 PHC — All_Plans: $347.70 UPMC — All_Plans: $340.38
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for Physical Therapy, Typically 30 Minutes	$391	$312.80	$79.51 – $470.73
Physical therapy evaluation (moderate complexity): 10 of 41 insurance plan rates Aetna — All_Plans: $326.09 Aetna_Advantra_Medicare — All_Plans: $97.32 Aetna_Better_Health_Kids — All_Plans: $216.27 Aetna_Medicare — All_Plans: $97.32 Amerihealth_Caritas_Medicaid — All_Plans: $90.33 Amerihealth_Medicare — All_Plans: $99.69 Blue_Cross — All_Other_Plans: $313.62 Blue_Cross — Capital_Blue_Performance_PPO: $313.62 Blue_Cross — Capital_Cares_4_kids: $219.53 Blue_Cross_BlueJourney_Medicare — All_Plans: $94.49
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: Evaluation for Physical Therapy, Typically 30 Minutes	$391	$312.80	$230.96 – $371.45
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — All_Plans: $346.04 Blue_Cross — All_Other_Plans: $350.49 Blue_Cross — Capital_Blue_Performance_PPO: $226.35 Blue_Cross — Capital_Cares_4_kids: $230.96 Cigna — All_Plans: $350.49 First_Health_Network — All_Plans: $346.04 Geisinger — All_Plans: $366.17 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $371.45 PHC — All_Plans: $371.45 UPMC — All_Plans: $363.63
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for Physical Therapy, Typically 45 Minutes	$417	$333.60	$79.51 – $470.73
Physical therapy evaluation (high complexity): 10 of 41 insurance plan rates Aetna — All_Plans: $347.78 Aetna_Advantra_Medicare — All_Plans: $97.32 Aetna_Better_Health_Kids — All_Plans: $216.27 Aetna_Medicare — All_Plans: $97.32 Amerihealth_Caritas_Medicaid — All_Plans: $90.33 Amerihealth_Medicare — All_Plans: $99.69 Blue_Cross — All_Other_Plans: $334.48 Blue_Cross — Capital_Blue_Performance_PPO: $334.48 Blue_Cross — Capital_Cares_4_kids: $234.13 Blue_Cross_BlueJourney_Medicare — All_Plans: $94.49
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: Evaluation for Physical Therapy, Typically 45 Minutes	$417	$333.60	$246.32 – $396.15
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — All_Plans: $369.05 Blue_Cross — All_Other_Plans: $373.80 Blue_Cross — Capital_Blue_Performance_PPO: $241.40 Blue_Cross — Capital_Cares_4_kids: $246.32 Cigna — All_Plans: $373.80 First_Health_Network — All_Plans: $369.05 Geisinger — All_Plans: $390.52 Johns_Hopkins_HealthCare_Plan — All_Other_Plans: $396.15 PHC — All_Plans: $396.15 UPMC — All_Plans: $387.81

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	Not listed in the file	Not listed in the file	$970 – $62,053.85
Total hip replacement: 10 of 41 insurance plan rates Aetna_Advantra_Medicare — All_Plans: $12,829.79 Aetna_Better_Health_Kids — All_Plans: $6,420 Aetna_Medicare — All_Plans: $12,829.79 Amerihealth_Caritas_Medicaid — All_Plans: $1,101.92 Amerihealth_Medicare — All_Plans: $13,141.20 Blue_Cross_BlueJourney_Medicare — All_Plans: $12,779.97 Devoted_Medicare — All_Plans: $13,078.92 Geisinger_Gold_Medicare — All_Plans: $13,078.92 Geisinger_Medicaid — All_Plans: $970 Health_Partners_Medicaid — All_Other_Plans: $970
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	Not listed in the file	Not listed in the file	$970 – $62,053.85
Total knee replacement: 10 of 41 insurance plan rates Aetna_Advantra_Medicare — All_Plans: $12,829.79 Aetna_Better_Health_Kids — All_Plans: $6,420 Aetna_Medicare — All_Plans: $12,829.79 Amerihealth_Caritas_Medicaid — All_Plans: $1,101.92 Amerihealth_Medicare — All_Plans: $13,141.20 Blue_Cross_BlueJourney_Medicare — All_Plans: $12,779.97 Devoted_Medicare — All_Plans: $13,078.92 Geisinger_Gold_Medicare — All_Plans: $13,078.92 Geisinger_Medicaid — All_Plans: $970 Health_Partners_Medicaid — All_Other_Plans: $970
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele	Not listed in the file	Not listed in the file	$970 – $34,452.63
Shoulder arthroscopy: shaving of shoulder bone: 10 of 41 insurance plan rates Aetna_Advantra_Medicare — All_Plans: $7,123.17 Aetna_Better_Health_Kids — All_Plans: $6,420 Aetna_Medicare — All_Plans: $7,123.17 Amerihealth_Caritas_Medicaid — All_Plans: $1,101.92 Amerihealth_Medicare — All_Plans: $7,296.06 Blue_Cross_BlueJourney_Medicare — All_Plans: $7,095.51 Devoted_Medicare — All_Plans: $7,261.49 Geisinger_Gold_Medicare — All_Plans: $7,261.49 Geisinger_Medicaid — All_Plans: $970 Health_Partners_Medicaid — All_Other_Plans: $970
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	Not listed in the file	Not listed in the file	$970 – $15,648.03
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 41 insurance plan rates Aetna_Advantra_Medicare — All_Plans: $3,235.27 Aetna_Better_Health_Kids — All_Plans: $6,420 Aetna_Medicare — All_Plans: $3,235.27 Amerihealth_Caritas_Medicaid — All_Plans: $1,101.92 Amerihealth_Medicare — All_Plans: $3,313.80 Blue_Cross_BlueJourney_Medicare — All_Plans: $3,222.71 Devoted_Medicare — All_Plans: $3,298.09 Geisinger_Gold_Medicare — All_Plans: $3,298.09 Geisinger_Medicaid — All_Plans: $970 Health_Partners_Medicaid — All_Other_Plans: $970
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	Not listed in the file	Not listed in the file	$830 – $9,417.79
Carpal tunnel release: 10 of 41 insurance plan rates Aetna_Advantra_Medicare — All_Plans: $1,947.15 Aetna_Better_Health_Kids — All_Plans: $6,420 Aetna_Medicare — All_Plans: $1,947.15 Amerihealth_Caritas_Medicaid — All_Plans: $1,101.92 Amerihealth_Medicare — All_Plans: $1,994.41 Blue_Cross_BlueJourney_Medicare — All_Plans: $1,939.59 Devoted_Medicare — All_Plans: $1,984.96 Geisinger_Gold_Medicare — All_Plans: $1,984.96 Geisinger_Medicaid — All_Plans: $970 Health_Partners_Medicaid — All_Other_Plans: $970

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major joint replacement or reattachment of lower extremity	Not listed in the file	Not listed in the file	$12,471.93 – $135,713.05
Hip or knee replacement (major joint of the leg), without major complications: 10 of 34 insurance plan rates Aetna_Advantra_Medicare — All_Plans: $28,059.02 Aetna_Medicare — All_Plans: $28,059.02 Amerihealth_Medicare — All_Plans: $28,740.07 Blue_Cross — Capital_Blue_Performance_PPO: $20,845 Blue_Cross_BlueJourney_Medicare — All_Plans: $27,950.06 Devoted_Medicare — All_Plans: $28,603.86 Geisinger_Gold_Medicare — All_Plans: $28,603.86 Health_Partners_Medicaid — Kidz_Partners: $29,965.95 Highmark — All_Other_Plans: $135,713.05 Highmark — Blue_Cross_High_Performance_Network: $106,607.94
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: Cervical spinal fusion	Not listed in the file	Not listed in the file	$15,785.02 – $58,953.89
Neck (cervical) spinal fusion, without complications: 10 of 34 insurance plan rates Aetna_Advantra_Medicare — All_Plans: $16,258.57 Aetna_Medicare — All_Plans: $16,258.57 Amerihealth_Medicare — All_Plans: $16,653.20 Blue_Cross_BlueJourney_Medicare — All_Plans: $16,195.43 Devoted_Medicare — All_Plans: $16,574.27 Geisinger_Gold_Medicare — All_Plans: $16,574.27 Health_Partners_Medicaid — Kidz_Partners: $17,363.52 Highmark — All_Other_Plans: $58,953.89 Highmark — Blue_Cross_High_Performance_Network: $47,163.12 Highmark — Choice_Blue_PPO: $47,163.12

Source: WellSpan Surgery and Rehabilitation Hospital’s standard charges file (edge.sitecorecloud.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	55 Monument Road, York, PA 17403
County	York County
State	Pennsylvania
Phone	(717) 812‑6100
Emergency services	Not listed
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	390327
Name in Medicare records	WELLSPAN SURGERY AND REHABILITATION HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	WellSpan Surgery & Rehabilitation Hospital
Official website	wellspan.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

WellSpan Surgery & Rehabilitation Hospital - WellSpan Health — wellspan.org
Visitor Information - WellSpan Health — wellspan.org