Quick answers
- Does West Penn Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at West Penn Hospital. In a medical emergency, call 911.
- Where is West Penn Hospital?
- 4800 Friendship Avenue, Pittsburgh, PA 15224, in Allegheny County, Pennsylvania.
- What is the phone number of West Penn Hospital?
- (412) 578-5000, as listed by Medicare (CMS).
- What is the Medicare star rating of West Penn Hospital?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).
Specialties and care areas[4]
- Burn Center
- Cancer
- Cardiovascular
- Emergency Care
- Gastroenterology
- Neuroscience
- Obesity
- Orthopaedics
- Physical Therapy
- Pregnancy and Newborn Care
- Stroke Center
- Women's Health
Conditions treated[4]
- Cancers of the breast, lung, esophagus, pancreas, colon, gynecologic, skin, prostate
- Heart disease
- Severe burns
- Autoimmune diseases
- Stroke
- Orthopaedic conditions
- Neurological problems
- Pelvic floor disorders
Treatments[4]
- Medical and surgical weight loss (bariatrics)
- Menopause therapies
Programs and centers[4]
- Burn Center (pediatric burn center verified by ABA and ACS)
- Weight Management
- Birthing center
- Heart health program for women
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|
Doctors and clinicians (1,052)
1,052 doctors and other clinicians list West Penn 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
- Physician Assistant151
- Internal Medicine108
- Nurse Practitioner105
- Diagnostic Radiology64
- Family Practice63
- Certified Registered Nurse Anesthetist (CRNA)48
- Hospitalist43
- Cardiovascular Disease (Cardiology)36
- Anesthesiology33
- Obstetrics/Gynecology33
- Pathology32
- General Surgery30
Doctors with a page on this site (1,052)
- Aakash A. Desai, MDGastroenterology
- Aaron Brumbaugh, MDDiagnostic Radiology
- Aaron Chafitz, MDDiagnostic Radiology
- Aaron N. Berg, MDPathology
- Aashish Dua, MDInterventional Cardiology
- Abdelghaffar Elobeid, MDInternal Medicine
- Abdul Q. Khan, MDInternal Medicine
- Abhas Khurana, MDCardiovascular Disease (Cardiology)
- Abhijit A. Kulkarni, MDGastroenterology
- Abigail Arrigo, MDInternal Medicine
- Abigail Hatfield, DOAnesthesiology
- Abirami Janakiraman, MDInternal Medicine
- Adam C. Bruton, CNACertified Registered Nurse Anesthetist (CRNA)
- Adam Dore, DORheumatology
- Adam J. Fang, MDDiagnostic Radiology
- Adam Kichler, DOInternal Medicine
- Adam L. Johnson, MDGeneral Surgery
- Adam P. Childers, MDAnesthesiology
- Adam P. Glover, DODiagnostic Radiology
- Adam R. Kapalko, PAPhysician Assistant
- Adam S. Rothschild, MDFamily Practice
- Adeel Nasrullah, MDHospitalist
- Adrienne L. Schouchoff, MDCardiovascular Disease (Cardiology)
- Advait Iyer, DOGeneral Surgery
And 1,028 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- UPMC Children's Hospital of Pittsburgh0.3 mi · Pittsburgh, PA · Children's Hospital
- UPMC Presbyterian Shadyside1.6 mi · Pittsburgh, PA · Acute Care Hospital
- Magee Womens Hospital of UPMC Health System1.9 mi · Pittsburgh, PA · Acute Care Hospital
- UPMC Mercy2.4 mi · Pittsburgh, PA · Acute Care Hospital
- Allegheny General Hospital3.0 mi · Pittsburgh, PA · Acute Care Hospital
Other hospitals nearby
- Children's Home of Pittsburgh0.5 mi · Pittsburgh, PA · Children's Hospital
- Select Specialty Hospital - Pittsburgh/Upmc1.6 mi · Pittsburgh, PA · Long-Term Acute Care Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Canterbury Place0.7 mi · Pittsburgh, PA · 1 of 5 stars
- Ivy Park Post Acute1.2 mi · Pittsburgh, PA · 2 of 5 stars
- East End Health & Rehab Center1.4 mi · Pittsburgh, PA · 3 of 5 stars
All nursing homes in the state →
Hospice providers
- Sivitz Jewish Hospice2.6 mi · Pittsburgh, PA
- Bethany Hospice of Western Pennsylvania6.2 mi · Pittsburgh, PA · 4 of 5 stars
- Heartland Hospice6.2 mi · Pittsburgh, PA · 4 of 5 stars
All hospice providers in the state →
Home health agencies
- Maxim Healthcare Services Inc2.4 mi · Pittsburgh, PA
- Christian Group, Inc2.5 mi · Pittsburgh, PA
- Jewish Association of Aging2.6 mi · Pittsburgh, PA
All home health agencies in the state →
Dialysis facilities
- DaVita Bloomfield Pittsburgh0.3 mi · Pittsburgh, PA · 3 of 5 stars
- DaVita Pittsburgh Home Modality0.3 mi · Pittsburgh, PA
- DCI Canterbury0.3 mi · Pittsburgh, PA
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Leo R. McCafferty M.D. Surgery Center, LLC1.0 mi · Pittsburgh, PA
- Shadyside Surgi-Center1.9 mi · Pittsburgh, PA
- UPMC East Side Surgery Center1.9 mi · Pittsburgh, PA
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
- East End Community Health Center1.2 mi · Pittsburgh, PA · Community health center
- East Liberty Medical Office1.3 mi · Pittsburgh, PA · Community health center
- Hill House Health Center2.3 mi · Pittsburgh, PA · Community health center
Clinics and urgent care
- Medexpress Urgent Care, PC - Pennsylvania0.3 mi · Pittsburgh, PA · Urgent care center
- Occupational Health Centers of the Southwest P.A.2.1 mi · Pittsburgh, PA · Urgent care center
- Occupational Health Centers of the Southwest P.A.2.4 mi · Pittsburgh, PA · Urgent care center
Pharmacies
- Soia LLC0.3 mi · Pittsburgh, PA · Pharmacy
- UPMC Community Provider Services0.3 mi · Pittsburgh, PA · Clinic pharmacy
- West Penn Allegheny Health System, Inc.0.3 mi · Pittsburgh, PA · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Canterbury Place1.4 mi · Pittsburgh, PA
- Forbes Road Residence1.9 mi · Pittsburgh, PA
- Schenley Gardens2.1 mi · Pittsburgh, PA
- Donahue's Personal Care I2.5 mi · Pittsburgh, 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 West Penn 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 | 4 of 5 stars |
| Would recommend the hospital | 4 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 | 4 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Quiet at night | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 76%National average: 72% |
| Would definitely recommend the hospital | 77%National average: 71% |
| Nurses “always” communicated well | 85%National average: 80% |
| Doctors “always” communicated well | 79%National average: 80% |
| Staff “always” explained medicines before giving them | 65%National average: 62% |
| Were given information about recovery at home | 88%National average: 86% |
| Room and bathroom “always” clean | 72%National average: 74% |
| Area around the room “always” quiet at night | 58%National average: 60% |
| Completed surveys | 438Response rate: 17% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 0.468No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.484No different from the national benchmark |
| Surgical site infections after colon surgery | 1.584No different from the national benchmark |
| Surgical site infections after abdominal hysterectomy | 0.603No different from the national benchmark |
| MRSA bloodstream infections | 0.523No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.298Better than the national benchmark |
Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 11% |
|---|---|
| Deaths within 30 days: heart failure patients | 9.8% |
| Deaths within 30 days: pneumonia patients | 16% |
| Deaths within 30 days: COPD patients | Too few cases to report |
| Deaths within 30 days: stroke patients | 11.8% |
| Deaths within 30 days: coronary bypass surgery (CABG) | Not reported to Medicare |
| Serious complications (patient safety indicator PSI-90) | 1.06No different from the national rate |
| Complications after hip or knee replacement | Not reported to Medicare |
Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | Not reported to Medicare |
|---|---|
| Readmitted within 30 days: heart attack | 13.6% |
| Readmitted within 30 days: heart failure | 20.9% |
| Readmitted within 30 days: pneumonia | 17.2% |
| Readmitted within 30 days: COPD | 19.8% |
| Readmitted within 30 days: coronary bypass surgery | Not reported to Medicare |
| Readmitted within 30 days: hip or knee replacement | Not reported to Medicare |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Medium (20,000–39,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 208 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 2%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 60%National average: 65% |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as West Penn 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 →
$! 8 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $230 | $62.10 | $20.80 – $246.75 |
New patient office visit (about 30–44 minutes): 10 of 34 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC NEW PT VISIT LEVEL 3 | $677 | $494.21 | $20.80 – $246.75 |
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC NEW PT VISIT LEVEL 3 | $677 | $494.21 | $56.96 – $246.75 |
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $374 | $100.98 | $20.80 – $374.85 |
New patient office visit (about 45–59 minutes): 10 of 34 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC NEW PT VISIT LEVEL 4 | $789 | $575.97 | $20.80 – $374.85 |
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC NEW PT VISIT LEVEL 4 | $789 | $575.97 | $92 – $374.85 |
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $509 | $137.43 | $20.80 – $472.50 |
New patient office visit (about 60–74 minutes): 10 of 34 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC NEW PT VISIT LEVEL 5 | $902 | $658.46 | $20.80 – $472.50 |
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC NEW PT VISIT LEVEL 5 | $902 | $658.46 | $110 – $472.50 |
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN | $185 | $49.95 | $20.80 – $192.21 |
Established patient office visit (about 20–29 minutes): 10 of 34 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC ESTAB PT VISIT LEVEL 3 | $677 | $494.21 | $20.80 – $192.21 |
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC ESTAB PT VISIT LEVEL 3 | $677 | $494.21 | $36.75 – $192.21 |
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN | $272 | $73.44 | $20.80 – $271.52 |
Established patient office visit (about 30–39 minutes): 10 of 34 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC ESTAB PT VISIT LEVEL 4 | $789 | $575.97 | $20.80 – $271.52 |
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC ESTAB PT VISIT LEVEL 4 | $789 | $575.97 | $57.14 – $271.52 |
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $260 | $70.20 | $72.93 – $294 |
Office consultation with a specialist (moderate): 10 of 24 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | Not listed in the file | Not listed in the file | $72.93 – $294 |
Office consultation with a specialist (moderate): 10 of 23 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · modifier 00 In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | Not listed in the file | Not listed in the file | $72.93 – $294 |
Office consultation with a specialist (moderate): rates for 1 insurance plan
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $397 | $107.19 | $111.24 – $432.60 |
Office consultation with a specialist (moderate to high): 10 of 24 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | Not listed in the file | Not listed in the file | $111.24 – $432.60 |
Office consultation with a specialist (moderate to high): 10 of 23 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · modifier 00 In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | Not listed in the file | Not listed in the file | $111.24 – $432.60 |
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $276 | $74.52 | $32 – $655.05 |
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | Not listed in the file | Not listed in the file | $93.81 – $304.50 |
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · modifier TG In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | Not listed in the file | Not listed in the file | $32 – $655.05 |
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $334 | $90.18 | $32 – $655.05 |
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | Not listed in the file | Not listed in the file | $113.72 – $351.75 |
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · modifier TG In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | Not listed in the file | Not listed in the file | $32 – $655.05 |
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM | $199 | $53.73 | $56 – $934.67 |
Emergency room visit (moderate): 10 of 55 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC ED VISIT LEVEL 3 | $1,661 | $1,212.53 | $56 – $934.67 |
Emergency room visit (moderate): 10 of 51 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC ED VISIT LEVEL 3 | $1,661 | $1,212.53 | $59.48 – $124.76 |
Emergency room visit (moderate): 10 of 21 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $340 | $91.80 | $80 – $1,437.40 |
Emergency room visit (moderately high): 10 of 55 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC ED VISIT LEVEL 4 | $2,555 | $1,865.15 | $80 – $1,437.40 |
Emergency room visit (moderately high): 10 of 51 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC ED VISIT LEVEL 4 | $2,555 | $1,865.15 | $100.10 – $229.18 |
Emergency room visit (moderately high): 10 of 21 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM | $493 | $133.11 | $80 – $2,069.59 |
Emergency room visit (high): 10 of 55 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ED VISIT LEVEL 5 | $3,679 | $2,685.67 | $80 – $2,069.59 |
Emergency room visit (high): 10 of 51 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC ED VISIT LEVEL 5 | $3,679 | $2,685.67 | $145.68 – $333.04 |
Emergency room visit (high): 10 of 21 insurance plan rates
| |||
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: CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $26 | $7.02 | $4.22 – $28 |
Basic metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BMP TOTAL CALCIUM | $76 | $55.48 | $4.22 – $28 |
Basic metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BMP TOTAL CALCIUM | $76 | $55.48 | $5.59 – $23.10 |
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CHG COMPREHENSIVE METABOLIC PANEL | $32 | $8.64 | $5.27 – $34.95 |
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PNL | $95 | $69.35 | $5.27 – $34.95 |
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC COMPREHENSIVE METABOLIC PNL | $95 | $69.35 | $6.97 – $29.40 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: CHG OBSTETRIC PANEL | $144 | $38.88 | $12 – $158.25 |
Obstetric blood test panel: 10 of 48 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC OBSTETRIC PANEL | $430 | $313.90 | $12 – $158.25 |
Obstetric blood test panel: 10 of 48 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: HC OBSTETRIC PANEL | $430 | $313.90 | $12 – $52.02 |
Obstetric blood test panel: 10 of 14 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: CHG LIPID PANEL | $40 | $10.80 | $6.68 – $44.32 |
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL | $121 | $88.33 | $6.68 – $44.32 |
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LIPID PANEL | $121 | $88.33 | $8.83 – $36.75 |
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: CHG RENAL FUNCTION PANEL | $26 | $7.02 | $4.33 – $28.73 |
Kidney function panel: 10 of 48 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL | $78 | $56.94 | $4.33 – $28.73 |
Kidney function panel: 10 of 48 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL | $78 | $56.94 | $5.73 – $24.15 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: CHG HEPATIC FUNCTION PANEL | $24 | $6.48 | $4.07 – $27.04 |
Liver function panel: 10 of 48 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL | $74 | $54.02 | $4.07 – $27.04 |
Liver function panel: 10 of 48 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC FUNCTION PANEL | $74 | $54.02 | $5.39 – $23.10 |
Liver function panel: 10 of 15 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINE AUTO W MICROSCOPY | $29 | $21.17 | $1.58 – $10.49 |
Urine test (automated, with microscope): 10 of 48 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINE AUTO W MICROSCOPY | $29 | $21.17 | $2.09 – $9.45 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | Not listed in the file | Not listed in the file | $3 – $3.45 |
Urine test (automated, with microscope): rates for 1 insurance plan
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $10 | $2.70 | $1.74 – $11.52 |
Urine test (manual, without microscope): 10 of 48 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URINALYSIS DIPSTICK WO MICRO POC | $31 | $22.63 | $1.74 – $11.52 |
Urine test (manual, without microscope): 10 of 48 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: HC URINALYSIS DIPSTICK WO MICRO POC | $31 | $22.63 | $2.30 – $7.35 |
Urine test (manual, without microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $6 | $1.62 | $1.12 – $7.45 |
Urine test (automated, without microscope): 10 of 48 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINE AUTO WO MICROSCOPY | $20 | $14.60 | $1.12 – $7.45 |
Urine test (automated, without microscope): 10 of 48 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC URINE AUTO WO MICROSCOPY | $20 | $14.60 | $1.49 – $6.30 |
Urine test (automated, without microscope): 10 of 15 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $56 | $15.12 | $9.17 – $60.87 |
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA TOTAL | $174 | $127.02 | $9.17 – $60.87 |
PSA (prostate specific antigen) blood test: 10 of 48 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HC PSA TOTAL | $174 | $127.02 | $12.13 – $50.40 |
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $50 | $13.50 | $8.38 – $55.61 |
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC THYROID STIMULATING HORMONE | $151 | $110.23 | $8.38 – $55.61 |
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC THYROID STIMULATING HORMONE | $151 | $110.23 | $11.09 – $46.20 |
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $24 | $6.48 | $3.87 – $25.72 |
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC CBC AUTO W AUTO DIFF | $70 | $51.10 | $3.87 – $25.72 |
Complete blood count (CBC) with differential: 10 of 48 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC CBC AUTO W AUTO DIFF | $70 | $51.10 | $5.13 – $22.05 |
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CHG BLOOD COUNT COMPLETE AUTOMATED | $20 | $5.40 | $3.23 – $21.42 |
Complete blood count (CBC), automated: 10 of 48 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC CBC AUTO WO DIFF | $58 | $42.34 | $3.23 – $21.42 |
Complete blood count (CBC), automated: 10 of 48 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC CBC AUTO WO DIFF | $58 | $42.34 | $4.27 – $17.85 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: CHG PROTHROMBIN TIME | $12 | $3.24 | $2.14 – $14.20 |
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME | $39 | $28.47 | $2.14 – $14.20 |
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME POC | $39 | $28.47 | $2.14 – $14.20 |
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $18 | $4.86 | $3 – $20 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLASTIN TIME (APTT) | $54 | $39.42 | $3 – $20 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 48 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC THROMBOPLASTIN TIME (APTT) | $54 | $39.42 | $3.97 – $20 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
| |||
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: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $113 | $30.51 | $41.21 – $358.96 |
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT HEAD/BRAIN WO CNTRST | $1,542 | $1,125.66 | $72.79 – $358.96 |
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT HEAD/BRAIN WO CNTRST | $1,542 | $1,125.66 | $127.16 – $212.91 |
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $305 | $82.35 | $73.50 – $1,205.53 |
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN W/WO CNTRST | $5,357 | $3,910.61 | $244.45 – $1,205.53 |
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MRI BRAIN W/WO CNTRST | $5,357 | $3,910.61 | $383.04 – $671 |
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS | $29 | $7.83 | $9.23 – $297.22 |
Chest X-ray, 2 views: 10 of 47 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XR CHEST 2V | $605 | $441.65 | $23.76 – $297.22 |
Chest X-ray, 2 views: 10 of 47 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XR CHEST 2V W FLUORO | $605 | $441.65 | $23.76 – $297.22 |
Chest X-ray, 2 views: 10 of 47 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $36 | $9.72 | $14.14 – $358.96 |
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC XR SPINE LUMBOSACRAL MIN 4V | $731 | $533.63 | $36 – $358.96 |
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC XR SPINE LUMBOSACRAL MIN 4V | $731 | $533.63 | $59.57 – $88.68 |
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $197 | $53.19 | $72.40 – $815.95 |
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI LUMB SPINE WO CNTRST | $2,901 | $2,117.73 | $165.45 – $815.95 |
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MRI LUMB SPINE WO CNTRST | $2,901 | $2,117.73 | $230.13 – $400.37 |
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CHG CT PELVIS W/CONTRAST MATERIAL | $153 | $41.31 | $56.27 – $600.93 |
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CNTRST | $2,581 | $1,884.13 | $121.85 – $600.93 |
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CNTRST | $2,581 | $1,884.13 | $274.99 – $443.34 |
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $180 | $48.60 | $65.51 – $815.95 |
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LE JNT WO CNTRST | $2,901 | $2,117.73 | $165.45 – $815.95 |
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MRI LE JNT WO CNTRST | $2,901 | $2,117.73 | $243.79 – $420.39 |
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $243 | $65.61 | $73.95 – $1,205.53 |
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD&PELVIS W CNTRST | $5,178 | $3,779.94 | $244.45 – $1,205.53 |
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD&PELVIS W CNTRST | $5,178 | $3,779.94 | $364.31 – $600.72 |
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $107 | $28.89 | $39.66 – $358.96 |
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US ABD COMPLT | $798 | $582.54 | $72.79 – $358.96 |
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC US ABD COMPLT | $798 | $582.54 | $136.13 – $226.89 |
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $133 | $35.91 | $32.55 – $358.96 |
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US OB OVER 14WKS SNGL | $798 | $582.54 | $72.79 – $358.96 |
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC US OB OVER 14WKS SNGL | $798 | $582.54 | $155.41 – $258.56 |
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: CHG US TRANSVAGINAL | $92 | $24.84 | $31.50 – $358.96 |
Transvaginal ultrasound: 10 of 47 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TV | $798 | $582.54 | $72.79 – $358.96 |
Transvaginal ultrasound: 10 of 47 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC US TV | $798 | $582.54 | $139.65 – $226.34 |
Transvaginal ultrasound: 10 of 13 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $107 | $28.89 | $32.97 – $261.03 |
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC DX MAMMO INCL CAD UNI | $490 | $357.70 | $112.65 – $246.86 |
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: HC DX MAMMO INCL CAD UNI | $490 | $357.70 | $141.26 – $246.86 |
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $132 | $35.64 | $40.97 – $332.49 |
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC DX MAMMO INCL CAD BI | $611 | $446.03 | $142.84 – $310.74 |
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC DX MAMMO INCL CAD BI | $611 | $446.03 | $178.84 – $310.74 |
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $102 | $27.54 | $31.16 – $274.93 |
Screening mammogram, both breasts: 10 of 25 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC SCR MAMMO BI INCL CAD | $501 | $365.73 | $115.17 – $251.79 |
Screening mammogram, both breasts: 10 of 24 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC SCR MAMMO BI INCL CAD | $501 | $365.73 | $144.28 – $251.79 |
Screening mammogram, both breasts: 10 of 13 insurance plan rates
| |||
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) In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $40 | $10.80 | $15.77 – $52.50 |
Electrocardiogram (ECG/EKG) with reading: 10 of 31 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | Not listed in the file | Not listed in the file | $15.77 – $52.50 |
Electrocardiogram (ECG/EKG) with reading: 10 of 23 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · modifier 00 In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | Not listed in the file | Not listed in the file | $15.77 – $52.50 |
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $646 | $174.42 | $219.46 – $10,857.35 |
Left heart catheterization (diagnostic): 10 of 38 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC LT HRT CATH S&I | $12,866 | $9,392.18 | $1,136.74 – $10,857.35 |
Left heart catheterization (diagnostic): 10 of 38 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: HC LT HRT CATH S&I | $12,866 | $9,392.18 | $1,136.74 – $1,688.15 |
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION | $1,047 | $282.69 | $307.71 – $25,614.49 |
Heart rhythm study (electrophysiology evaluation): 10 of 44 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC EPS WO ARRYTH | $30,352 | $22,156.96 | $713.91 – $25,614.49 |
Heart rhythm study (electrophysiology evaluation): 10 of 44 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: HC EPS WO ARRYTH | $30,352 | $22,156.96 | $713.91 – $1,361.79 |
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $2,593 | $700.11 | $853.60 – $82,811.54 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 44 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $98,129 | $71,634.17 | $918.23 – $82,811.54 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 44 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $98,129 | $71,634.17 | $918.23 – $2,191.61 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $327 | $88.29 | $80.05 – $3,434.31 |
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOMNOGRAPHY >=4 | $5,087 | $3,713.51 | $381.22 – $3,434.31 |
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: HC POLYSOMNOGRAPHY >=4 | $5,087 | $3,713.51 | $724.14 – $1,118.62 |
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
| |||
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: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $83 | $22.41 | $8.80 – $91.85 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC THRPY EXERCISE EA 15MIN | $164 | $119.72 | $8.80 – $91.85 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 42 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC THRPY EXERCISE EA 15MIN | $164 | $119.72 | $8.80 – $46.36 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN | $448 | $327.04 | $47.11 – $312.76 |
Physical therapy evaluation (low complexity): 10 of 36 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN | $448 | $327.04 | $84.48 – $129.28 |
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | Not listed in the file | Not listed in the file | $129.28 – $159.35 |
Physical therapy evaluation (low complexity): rates for 1 insurance plan
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $282 | $76.14 | $40.53 – $913.34 |
Physical therapy evaluation (moderate complexity): 10 of 37 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MOD COMPLEX 30 MIN | $700 | $511 | $40.53 – $913.34 |
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL MOD COMPLEX 30 MIN | $700 | $511 | $84.48 – $129.28 |
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEX 45 MIN | $876 | $639.48 | $47.11 – $312.76 |
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEX 45 MIN | $876 | $639.48 | $84.48 – $129.28 |
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | Not listed in the file | Not listed in the file | $129.28 – $159.35 |
Physical therapy evaluation (high complexity): rates for 1 insurance plan
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $203 | $54.81 | $32.32 – $542.36 |
Psychotherapy, 30 minutes: 10 of 51 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | Not listed in the file | Not listed in the file | $32.32 – $120.48 |
Psychotherapy, 30 minutes: 10 of 31 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · modifier HE In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | Not listed in the file | Not listed in the file | $32.32 – $120.48 |
Psychotherapy, 30 minutes: rates for 4 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267 | $72.09 | $62.40 – $542.36 |
Psychotherapy, 45 minutes: 10 of 51 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | Not listed in the file | Not listed in the file | $64.64 – $160.65 |
Psychotherapy, 45 minutes: 10 of 31 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · modifier HE In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | Not listed in the file | Not listed in the file | $64.64 – $160.65 |
Psychotherapy, 45 minutes: rates for 4 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $396 | $106.92 | $80.81 – $542.36 |
Psychotherapy, 60 minutes: 10 of 51 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | Not listed in the file | Not listed in the file | $80.81 – $240.31 |
Psychotherapy, 60 minutes: 10 of 31 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · modifier HE In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | Not listed in the file | Not listed in the file | $80.81 – $240.31 |
Psychotherapy, 60 minutes: rates for 4 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $289 | $78.03 | $16.16 – $542.36 |
Family psychotherapy, without the patient: 10 of 51 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | Not listed in the file | Not listed in the file | $16.16 – $256 |
Family psychotherapy, without the patient: 10 of 32 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · modifier HE In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | Not listed in the file | Not listed in the file | $16.16 – $256 |
Family psychotherapy, without the patient: rates for 4 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $301 | $81.27 | $16.16 – $542.36 |
Family psychotherapy, with the patient: 10 of 51 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | Not listed in the file | Not listed in the file | $16.16 – $201.43 |
Family psychotherapy, with the patient: 10 of 31 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · modifier HE In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | Not listed in the file | Not listed in the file | $16.16 – $201.43 |
Family psychotherapy, with the patient: rates for 4 insurance plans
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: PR GROUP PSYCHOTHERAPY | $71 | $19.17 | $5.39 – $312.24 |
Group psychotherapy: 10 of 51 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: PR GROUP PSYCHOTHERAPY | Not listed in the file | Not listed in the file | $5.39 – $47.63 |
Group psychotherapy: 10 of 31 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient (hospital stay) · modifier HE In the file: PR GROUP PSYCHOTHERAPY | Not listed in the file | Not listed in the file | $5.39 – $47.63 |
Group psychotherapy: rates for 4 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $1,183 | $319.41 | $11! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $12,926.17 |
Removal of breast growth (open surgery): 10 of 53 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | Not listed in the file | Not listed in the file | $181.65 – $1,222 |
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier SG In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | Not listed in the file | Not listed in the file | $11! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $12,926.17 |
Removal of breast growth (open surgery): rates for 9 insurance plans
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $3,617 | $976.59 | $210 – $43,433.40 |
Total hip replacement: 10 of 37 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | Not listed in the file | Not listed in the file | $210 – $3,380 |
Total hip replacement: 10 of 15 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier SG In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | Not listed in the file | Not listed in the file | $210 – $43,433.40 |
Total hip replacement: rates for 9 insurance plans
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $3,613 | $975.51 | $210 – $43,433.40 |
Total knee replacement: 10 of 38 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | Not listed in the file | Not listed in the file | $210 – $3,379 |
Total knee replacement: 10 of 15 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier SG In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | Not listed in the file | Not listed in the file | $210 – $43,433.40 |
Total knee replacement: rates for 9 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $481 | $129.87 | $114.14 – $869.60 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 16 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | Not listed in the file | Not listed in the file | $114.14 – $788.08 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · modifier 80 In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | Not listed in the file | Not listed in the file | $114.14 – $788.08 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,538 | $415.26 | $19! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10,952.55 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 51 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | Not listed in the file | Not listed in the file | $570.67 – $1,036.45 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier SG In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | Not listed in the file | Not listed in the file | $19! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10,952.55 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $825 | $222.75 | $193.20 – $19,968.98 |
Removal of tonsils and adenoids (under age 12): 10 of 44 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | Not listed in the file | Not listed in the file | $193.20 – $550.71 |
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier SG In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | Not listed in the file | Not listed in the file | $193.20 – $19,968.98 |
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $341 | $92.07 | $105.60 – $3,164.84 |
Upper GI endoscopy (diagnostic): 10 of 53 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | Not listed in the file | Not listed in the file | $105.60 – $237.27 |
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier SG In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | Not listed in the file | Not listed in the file | $105.60 – $3,164.84 |
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $383 | $103.41 | $118.71 – $3,164.84 |
Upper GI endoscopy with biopsy: 10 of 53 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | $118.71 – $267.54 |
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier SG In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | $118.71 – $3,164.84 |
Upper GI endoscopy with biopsy: rates for 9 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $512 | $138.24 | $79.66 – $3,077.58 |
Colonoscopy (diagnostic): 10 of 53 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | Not listed in the file | Not listed in the file | $79.66 – $359.04 |
Colonoscopy (diagnostic): 10 of 28 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier SG In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | Not listed in the file | Not listed in the file | $79.66 – $3,077.58 |
Colonoscopy (diagnostic): rates for 9 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $557 | $150.39 | $172.71 – $3,980.12 |
Colonoscopy with biopsy: 10 of 53 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | $172.71 – $388.65 |
Colonoscopy with biopsy: 10 of 28 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier SG In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | Not listed in the file | Not listed in the file | $172.71 – $3,980.12 |
Colonoscopy with biopsy: rates for 9 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $703 | $189.81 | $217.78 – $3,980.12 |
Colonoscopy with removal of polyps (snare): 10 of 53 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | Not listed in the file | Not listed in the file | $217.78 – $493.58 |
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier SG In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | Not listed in the file | Not listed in the file | $217.78 – $3,980.12 |
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $712 | $192.24 | $230.25 – $3,980.12 |
Ultrasound of the lower bowel by endoscope: 10 of 51 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | Not listed in the file | Not listed in the file | $230.25 – $498.99 |
Ultrasound of the lower bowel by endoscope: 10 of 22 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · modifier SG In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | Not listed in the file | Not listed in the file | $230.25 – $3,980.12 |
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: PR COLON CA SCRN NOT HI RSK IND | $513 | $138.51 | $79.66 – $3,077.58 |
Screening colonoscopy (not high risk): 10 of 40 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: PR COLON CA SCRN NOT HI RSK IND | Not listed in the file | Not listed in the file | $79.66 – $903 |
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · modifier 53 In the file: PR COLON CA SCRN NOT HI RSK IND | Not listed in the file | Not listed in the file | $79.66 – $903 |
Screening colonoscopy (not high risk): rates for 6 insurance plans
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $1,866 | $503.82 | $123.76 – $19,694.54 |
Gallbladder removal by laparoscope: 10 of 44 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY | Not listed in the file | Not listed in the file | $123.76 – $1,284.16 |
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier SG In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY | Not listed in the file | Not listed in the file | $123.76 – $19,694.54 |
Gallbladder removal by laparoscope: rates for 9 insurance plans
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $1,481 | $399.87 | $66.68 – $11,912.74 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 51 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | Not listed in the file | Not listed in the file | $66.68 – $1,013.65 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 80 In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | Not listed in the file | Not listed in the file | $66.68 – $11,912.74 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $362 | $97.74 | $93.98 – $6,914.98 |
Prostate biopsy: 10 of 53 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH | Not listed in the file | Not listed in the file | $93.98 – $547 |
Prostate biopsy: 10 of 29 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier SG In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH | Not listed in the file | Not listed in the file | $93.98 – $6,914.98 |
Prostate biopsy: rates for 9 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $3,349 | $904.23 | $210 – $35,144.25 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 44 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | Not listed in the file | Not listed in the file | $210 – $2,803.67 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · modifier 80 In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | Not listed in the file | Not listed in the file | $210 – $2,803.67 |
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $649 | $175.23 | $201.14 – $10,732.86 |
Hysteroscopy with biopsy of the uterus lining: 10 of 46 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | Not listed in the file | Not listed in the file | $201.14 – $452.78 |
Hysteroscopy with biopsy of the uterus lining: 10 of 28 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier SG In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | Not listed in the file | Not listed in the file | $201.14 – $10,732.86 |
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $278 | $75.06 | $85.39 – $2,337.68 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 53 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC NJX INTERLAMINAR LMBR/SAC W/IMAG | $3,463 | $2,527.99 | $85.39 – $2,337.68 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 51 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC NJX INTERLAMINAR LMBR/SAC W/IMAG | $3,463 | $2,527.99 | $85.39 – $192.13 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $311 | $83.97 | $96.34 – $3,005.27 |
Nerve root injection, lower back, with imaging guidance: 10 of 53 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC INJ ANES FORAMEN EPI LUMB 1ST LVL | $3,561 | $2,599.53 | $99.79 – $3,005.27 |
Nerve root injection, lower back, with imaging guidance: 10 of 51 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: HC INJ ANES FORAMEN EPI LUMB 1ST LVL | $3,561 | $2,599.53 | $99.79 – $215.08 |
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $1,243 | $335.61 | $315 – $6,591.80 |
Carpal tunnel release: 10 of 53 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | Not listed in the file | Not listed in the file | $315 – $1,073 |
Carpal tunnel release: 10 of 29 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier SG In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | Not listed in the file | Not listed in the file | $315 – $6,591.80 |
Carpal tunnel release: rates for 9 insurance plans
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: PR POST-CATARACT LASER SURGERY | $851 | $229.77 | $227.34 – $1,851.86 |
Laser treatment of clouding after cataract surgery: 10 of 53 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: PR POST-CATARACT LASER SURGERY | Not listed in the file | Not listed in the file | $227.34 – $582.15 |
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier SG In the file: PR POST-CATARACT LASER SURGERY | Not listed in the file | Not listed in the file | $227.34 – $1,851.86 |
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $1,494 | $403.38 | $632.66 – $7,698.86 |
Cataract removal with lens implant: 10 of 51 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | Not listed in the file | Not listed in the file | $632.66 – $1,026.88 |
Cataract removal with lens implant: 10 of 22 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | Not listed in the file | Not listed in the file | $632.66 – $7,698.86 |
Cataract removal with lens implant: 10 of 15 insurance plan rates
| |||
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) In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $6,768 | $1,827.36 | $1,964.60 – $4,966.50 |
Vaginal delivery, with care before and after: 10 of 17 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | Not listed in the file | Not listed in the file | $2,931.27 – $4,966.50 |
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · modifier HD In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | Not listed in the file | Not listed in the file | $1,964.60 – $4,966.50 |
Vaginal delivery, with care before and after: rates for 9 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $7,517 | $2,029.59 | $1,964.60 – $5,700 |
Cesarean delivery (C-section), with care before and after: 10 of 17 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | Not listed in the file | Not listed in the file | $2,931.27 – $5,700 |
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · modifier HD In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | Not listed in the file | Not listed in the file | $1,964.60 – $5,700 |
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $7,089 | $1,914.03 | $1,575 – $5,400 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 17 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | Not listed in the file | Not listed in the file | $1,575 – $5,400 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · modifier TG In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | Not listed in the file | Not listed in the file | $1,575 – $5,400 |
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans
| |||
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) 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 | $51,521.69 – $213,214.10 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 50 insurance plan rates
| |||
| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | Not listed in the file | Not listed in the file | $2,733.98 – $37,500 |
Spinal fusion (not neck), without major complications: rates for 7 insurance plans
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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 | $9,060.24 – $41,657.88 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 51 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $2,733.98 – $52,300.47 |
Neck (cervical) spinal fusion, without complications: 10 of 50 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $2,733.98 – $26,481.64 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 49 insurance plan rates
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Source: West Penn Hospital’s standard charges file (ahn.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 14, 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 | 4800 Friendship Avenue, Pittsburgh, PA 15224 |
| County | Allegheny County |
| State | Pennsylvania |
| Phone | (412) 578‑5000 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 3 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 390090 |
| Name in Medicare records | WEST PENN HOSPITAL |
| Profile level | Medicare data + hospital website |
| Official website | ahn.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 2026-10-31.
- West Penn Hospital — ahn.org