WellSpan Surgery and Rehabilitation Hospital
WellSpan Surgery and Rehabilitation Hospital in York, PA publishes cash prices for 203 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 160 of 203 procedures and above it for 37. By typical cash price it ranks #26 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
55 Monument Road, York PA 17403 Collected Sep 23, 2026 Source price file Check a bill from this hospital (717) 812-6100
Acute care hospital Nonprofit hospital No emergency department CCN 390327 · CMS hospital register NPI 1760787576
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
WellSpan Surgery and Rehabilitation Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named WellSpan Surgery and Rehabilitation Hospital in York, PA:
- Mar 27, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 X-Ray of Abdomen, 2 Views | $482.40 | $603.00 | $20.60–$602.31 | 48% above | 20% |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-Ray of Abdomen, 2 Views | $482.40 | $603.00 | $356.19–$572.85 | — | 20% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray of Ankle, Minimum of 3 Views | $291.20 | $364.00 | $23.41–$497.84 | 20% below | 20% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-Ray of Ankle, Minimum of 3 Views | $291.20 | $364.00 | $215.01–$345.80 | — | 20% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Scan of Arm Without Contrast | $285.50 | $1,462.00 | $98.80–$1,418.14 | 76% below | 80% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Scan of Arm Without Contrast | $285.50 | $1,462.00 | $863.60–$1,388.90 | — | 80% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Single Contrast X-Ray of Esophagus | $236.80 | $296.00 | $28.13–$1,006.60 | 49% below | 20% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Single Contrast X-Ray of Esophagus | $236.80 | $296.00 | $174.85–$281.20 | — | 20% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited Ultrasound Scan of 1 Breast | $492.00 | $615.00 | $51.17–$596.55 | 7% above | 20% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Limited Ultrasound Scan of 1 Breast | $492.00 | $615.00 | $363.28–$584.25 | — | 20% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Scan of Blood Vessels of Abdomen and Pelvis With Contrast | $517.50 | $3,682.00 | $345.73–$3,571.54 | 83% below | 86% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Scan of Blood Vessels of Abdomen and Pelvis With Contrast | $517.50 | $3,682.00 | $2,174.96–$3,497.90 | — | 86% |
| CT angiography (CTA) of the head CPT 70496 CT Scan of Blood Vessels of Head With Contrast | $538.00 | $2,763.00 | $172.34–$2,680.11 | 69% below | 81% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Scan of Blood Vessels of Head With Contrast | $538.00 | $2,763.00 | $1,632.10–$2,624.85 | — | 81% |
| CT angiography (CTA) of the neck CPT 70498 CT Scan of Blood Vessels of Neck With Contrast | $538.00 | $2,763.00 | $172.34–$2,680.11 | 68% below | 81% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Scan of Blood Vessels of Neck With Contrast | $538.00 | $2,763.00 | $1,632.10–$2,624.85 | — | 81% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Scan of Blood Vessels of Chest With Contrast | $531.50 | $2,649.00 | $172.34–$2,569.53 | 72% below | 80% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Scan of Blood Vessels of Chest With Contrast | $531.50 | $2,649.00 | $1,564.76–$2,516.55 | — | 80% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Scan of Abdomen and Pelvis Without Contrast | $242.50 | $2,322.00 | $126.34–$2,252.34 | 88% below | 90% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Scan of Abdomen and Pelvis Without Contrast | $242.50 | $2,322.00 | $1,371.61–$2,205.90 | — | 90% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Scan of Abdomen and Pelvis With Contrast | $437.50 | $2,896.00 | $240.91–$2,809.12 | 85% below | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Scan of Abdomen and Pelvis With Contrast | $437.50 | $2,896.00 | $1,710.67–$2,751.20 | — | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Scan of Abdomen and Pelvis Before and After Contrast | $525.00 | $3,065.00 | $318.38–$2,973.05 | 82% below | 83% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Scan of Abdomen and Pelvis Before and After Contrast | $525.00 | $3,065.00 | $1,810.50–$2,911.75 | — | 83% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Scan of Face Without Contrast | $295.00 | $1,462.00 | $96.88–$1,418.14 | 74% below | 80% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Scan of Face Without Contrast | $295.00 | $1,462.00 | $863.60–$1,388.90 | — | 80% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain Without Contrast | $296.00 | $1,462.00 | $96.88–$1,418.14 | 73% below | 80% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Scan Head or Brain Without Contrast | $296.00 | $1,462.00 | $863.60–$1,388.90 | — | 80% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Scan of Lower Spine Without Contrast | $286.00 | $1,462.00 | $102.95–$1,418.14 | 75% below | 80% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Scan of Lower Spine Without Contrast | $286.00 | $1,462.00 | $863.60–$1,388.90 | — | 80% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Scan of Upper Spine Without Contrast | $282.00 | $1,462.00 | $102.95–$1,418.14 | 76% below | 81% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Scan of Upper Spine Without Contrast | $282.00 | $1,462.00 | $863.60–$1,388.90 | — | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of Both Sides of Head and Neck Blood Flow | $1,321.60 | $1,652.00 | $149.17–$1,602.44 | 63% above | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound of Both Sides of Head and Neck Blood Flow | $1,321.60 | $1,652.00 | $975.84–$1,569.40 | — | 20% |
| Chest X-ray, 2 views CPT 71046 X-Ray of Chest, 2 Views | $322.40 | $403.00 | $18.57–$497.84 | at median | 20% |
| Chest X-ray, 2 views inpatient CPT 71046 X-Ray of Chest, 2 Views | $322.40 | $403.00 | $238.05–$382.85 | — | 20% |
| Chest X-ray, single view CPT 71045 X-Ray of Chest, 1 View | $292.80 | $366.00 | $10.14–$497.84 | 55% above | 20% |
| Chest X-ray, single view inpatient CPT 71045 X-Ray of Chest, 1 View | $292.80 | $366.00 | $216.20–$347.70 | — | 20% |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-Ray of Collar Bone | $292.00 | $365.00 | $14.38–$497.84 | 2% above | 20% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-Ray of Collar Bone | $292.00 | $365.00 | $215.61–$346.75 | — | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete Ultrasound Scan Behind Abdominal Cavity | $772.80 | $966.00 | $61.25–$937.02 | 6% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Complete Ultrasound Scan Behind Abdominal Cavity | $772.80 | $966.00 | $570.62–$917.70 | — | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Scan of Chest Without Contrast | $285.00 | $1,462.00 | $102.95–$1,418.14 | 74% below | 81% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Scan of Chest Without Contrast | $285.00 | $1,462.00 | $863.60–$1,388.90 | — | 81% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Scan of Chest With Contrast | $470.00 | $2,362.00 | $109.38–$2,291.14 | 67% below | 80% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Scan of Chest With Contrast | $470.00 | $2,362.00 | $1,395.23–$2,243.90 | — | 80% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of Leg Arteries or Artery Grafts | $989.60 | $1,237.00 | $149.17–$1,199.89 | 20% above | 20% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound of Leg Arteries or Artery Grafts | $989.60 | $1,237.00 | $730.70–$1,175.15 | — | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound Study of Arm or Leg Veins With Compression and Maneuvers | $869.60 | $1,087.00 | $142.75–$1,165.74 | at median | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound Study of Arm or Leg Veins With Compression and Maneuvers | $869.60 | $1,087.00 | $642.09–$1,032.65 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of Heart W Blood Flow, Rate, Direction and Valve Function | $3,666.40 | $4,583.00 | $122.67–$4,445.51 | 95% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function | $3,666.40 | $4,583.00 | $122.67–$4,445.51 | 95% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound of Heart With Blood Flow, Rate, Direction and Valve Function | $3,666.40 | $4,583.00 | $2,707.18–$4,353.85 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound of Heart W Blood Flow, Rate, Direction and Valve Function | $3,666.40 | $4,583.00 | $2,707.18–$4,353.85 | — | 20% |
| Elbow X-ray, 2 views CPT 73070 X-Ray of Elbow, 2 Views | $257.60 | $322.00 | $14.38–$497.84 | 16% below | 20% |
| Elbow X-ray, 2 views inpatient CPT 73070 X-Ray of Elbow, 2 Views | $257.60 | $322.00 | $190.21–$305.90 | — | 20% |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-Ray of Elbow, Minimum of 3 Views | $297.60 | $372.00 | $14.38–$497.84 | 14% below | 20% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-Ray of Elbow, Minimum of 3 Views | $297.60 | $372.00 | $219.74–$353.40 | — | 20% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-Ray of Forearm, 2 Views | $259.20 | $324.00 | $14.38–$497.84 | 7% below | 20% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-Ray of Forearm, 2 Views | $259.20 | $324.00 | $191.39–$307.80 | — | 20% |
| Hand X-ray, 2 views CPT 73120 X-Ray of Hand, 2 Views | $280.00 | $350.00 | $12.50–$602.31 | at median | 20% |
| Hand X-ray, 2 views inpatient CPT 73120 X-Ray of Hand, 2 Views | $280.00 | $350.00 | $206.75–$332.50 | — | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-Ray of Heel, Minimum of 2 Views | $236.00 | $295.00 | $14.38–$497.84 | 11% below | 20% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-Ray of Heel, Minimum of 2 Views | $236.00 | $295.00 | $174.26–$280.25 | — | 20% |
| Knee X-ray, 3 views CPT 73562 X-Ray of Knee, 3 Views | $333.60 | $417.00 | $20.63–$497.84 | 16% below | 20% |
| Knee X-ray, 3 views inpatient CPT 73562 X-Ray of Knee, 3 Views | $333.60 | $417.00 | $246.32–$396.15 | — | 20% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-Ray of Knee, 4 or More Views | $442.40 | $553.00 | $28.02–$602.31 | 1% above | 20% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-Ray of Knee, 4 or More Views | $442.40 | $553.00 | $326.66–$525.35 | — | 20% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Scan of Leg Without Contrast | $285.50 | $1,462.00 | $98.80–$1,418.14 | 73% below | 80% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Scan of Leg Without Contrast | $285.50 | $1,462.00 | $863.60–$1,388.90 | — | 80% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited Ultrasound Scan of Abdomen | $910.40 | $1,138.00 | $46.88–$1,103.86 | 50% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited Ultrasound Scan of Abdomen | $910.40 | $1,138.00 | $672.22–$1,081.10 | — | 20% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Limited Ultrasound Joint/Other Extremity Structure Lacking Blood Vessels | $468.00 | $585.00 | $9.82–$602.31 | 19% above | 20% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Limited Ultrasound Joint/Other Extremity Structure Lacking Blood Vessels | $468.00 | $585.00 | $345.56–$555.75 | — | 20% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-Ray of Lower Leg, 2 Views | $305.60 | $382.00 | $20.63–$497.84 | 8% below | 20% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-Ray of Lower Leg, 2 Views | $305.60 | $382.00 | $225.65–$362.90 | — | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan of Brain Without Contrast | $455.00 | $2,225.00 | $234.00–$2,158.25 | 75% below | 80% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Scan of Brain Without Contrast | $455.00 | $2,225.00 | $1,314.31–$2,113.75 | — | 80% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain Before and After Contrast | $701.50 | $2,646.00 | $336.25–$2,566.62 | 76% below | 73% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Scan of Brain Before and After Contrast | $701.50 | $2,646.00 | $1,562.99–$2,513.70 | — | 73% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal Without Contrast | $454.00 | $2,225.00 | $234.00–$2,158.25 | 75% below | 80% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Scan of Lower Spinal Canal Without Contrast | $454.00 | $2,225.00 | $1,314.31–$2,113.75 | — | 80% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Scan of Lower Spinal Canal Before and After Contrast | $700.50 | $2,646.00 | $336.25–$2,566.62 | 79% below | 74% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Scan of Lower Spinal Canal Before and After Contrast | $700.50 | $2,646.00 | $1,562.99–$2,513.70 | — | 74% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Scan of Middle Spinal Canal Without Contrast | $454.00 | $2,225.00 | $234.00–$2,158.25 | 78% below | 80% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Scan of Middle Spinal Canal Without Contrast | $454.00 | $2,225.00 | $1,314.31–$2,113.75 | — | 80% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Scan of Upper Spinal Canal Before and After Contrast | $701.50 | $2,646.00 | $336.25–$2,566.62 | 76% below | 73% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Scan of Upper Spinal Canal Before and After Contrast | $701.50 | $2,646.00 | $1,562.99–$2,513.70 | — | 73% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Scan of Upper Spinal Canal Without Contrast | $454.00 | $2,225.00 | $234.00–$2,158.25 | 74% below | 80% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Scan of Upper Spinal Canal Without Contrast | $454.00 | $2,225.00 | $1,314.31–$2,113.75 | — | 80% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Scan of Pelvis Without Contrast | $455.50 | $2,225.00 | $234.00–$2,158.25 | 77% below | 80% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Scan of Pelvis Without Contrast | $455.50 | $2,225.00 | $1,314.31–$2,113.75 | — | 80% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray of Upper Spine, 4-5 Views | $436.00 | $545.00 | $33.13–$602.31 | 1% below | 20% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-Ray of Upper Spine, 4-5 Views | $436.00 | $545.00 | $321.93–$517.75 | — | 20% |
| Pelvic CT scan without contrast CPT 72192 CT Scan of Pelvis Without Contrast | $281.00 | $1,462.00 | $84.38–$1,418.14 | 74% below | 81% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Scan of Pelvis Without Contrast | $281.00 | $1,462.00 | $863.60–$1,388.90 | — | 81% |
| Rib X-ray, one side, 2 views CPT 71100 X-Ray of Ribs on Side of Body, 2 Views | $352.80 | $441.00 | $20.63–$497.84 | 5% above | 20% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 X-Ray of Ribs on Side of Body, 2 Views | $352.80 | $441.00 | $260.50–$418.95 | — | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-Ray of Ribs on Side of Body, Minimum of 3 Views | $417.60 | $522.00 | $20.63–$602.31 | 2% above | 20% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-Ray of Ribs on Side of Body, Minimum of 3 Views | $417.60 | $522.00 | $308.35–$495.90 | — | 20% |
| Screening mammogram, both breasts CPT 77067 Screening Mammography | $225.00 | $427.00 | $83.06–$521.53 | 13% below | 47% |
| Screening mammogram, both breasts inpatient CPT 77067 Screening Mammography | $225.00 | $427.00 | $252.23–$405.65 | — | 47% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray of Shoulder, Minimum of 2 Views | $330.40 | $413.00 | $20.63–$497.84 | 2% below | 20% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-Ray of Shoulder, Minimum of 2 Views | $330.40 | $413.00 | $243.96–$392.35 | — | 20% |
| Skull X-ray, fewer than 4 views CPT 70250 X-Ray of Skull, 1-3 Views | $375.20 | $469.00 | $26.25–$602.31 | 5% above | 20% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X-Ray of Skull, 1-3 Views | $375.20 | $469.00 | $277.04–$445.55 | — | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for Evaluation of Swallowing Function | $590.40 | $738.00 | $35.00–$1,006.60 | at median | 20% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for Evaluation of Swallowing Function | $590.40 | $738.00 | $435.94–$701.10 | — | 20% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray of Thigh Bone, Minimum 2 Views | $312.00 | $390.00 | $21.32–$497.84 | 22% below | 20% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-Ray of Thigh Bone, Minimum 2 Views | $312.00 | $390.00 | $230.37–$370.50 | — | 20% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Scan of Middle Spine Without Contrast | $286.50 | $1,462.00 | $102.95–$1,418.14 | 76% below | 80% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Scan of Middle Spine Without Contrast | $286.50 | $1,462.00 | $863.60–$1,388.90 | — | 80% |
| Toe X-ray, 2 or more views CPT 73660 X-Ray of Toe, Minimum of 2 Views | $280.00 | $350.00 | $11.25–$497.84 | at median | 20% |
| Toe X-ray, 2 or more views inpatient CPT 73660 X-Ray of Toe, Minimum of 2 Views | $280.00 | $350.00 | $206.75–$332.50 | — | 20% |
| Ultrasound of the abdomen, complete CPT 76700 Complete Ultrasound Scan of Abdomen | $1,272.00 | $1,590.00 | $71.88–$1,542.30 | 62% above | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Complete Ultrasound Scan of Abdomen | $1,272.00 | $1,590.00 | $939.21–$1,510.50 | — | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scan of Scrotum | $617.60 | $772.00 | $55.00–$748.84 | at median | 20% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Scan of Scrotum | $617.60 | $772.00 | $456.02–$733.40 | — | 20% |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-Ray of Upper Arm, Minimum of 2 Views | $266.40 | $333.00 | $14.38–$497.84 | 4% below | 20% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-Ray of Upper Arm, Minimum of 2 Views | $266.40 | $333.00 | $196.70–$316.35 | — | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound Study of One Arm or Leg Veins With Compression and Maneuvers | $605.60 | $757.00 | $98.25–$734.29 | 5% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound Study of One Arm or Leg Veins With Compression and Maneuvers | $605.60 | $757.00 | $447.16–$719.15 | — | 20% |
| Wrist X-ray, 2 views CPT 73100 X-Ray of Wrist, 2 Views | $256.00 | $320.00 | $14.38–$497.84 | 7% below | 20% |
| Wrist X-ray, 2 views inpatient CPT 73100 X-Ray of Wrist, 2 Views | $256.00 | $320.00 | $189.02–$304.00 | — | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray of Wrist, Minimum of 3 Views | $315.20 | $394.00 | $14.38–$497.84 | 2% below | 20% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-Ray of Wrist, Minimum of 3 Views | $315.20 | $394.00 | $232.74–$374.30 | — | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray of Hip, 2-3 Views | $344.80 | $431.00 | $27.95–$497.84 | 3% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-Ray of Hip, 2-3 Views | $344.80 | $431.00 | $254.59–$409.45 | — | 20% |
| X-ray of the abdomen, 1 view CPT 74018 X-Ray of Abdomen, 1 View | $292.80 | $366.00 | $17.22–$497.84 | 5% above | 20% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray of Abdomen, 1 View | $292.80 | $366.00 | $216.20–$347.70 | — | 20% |
| X-ray of the ankle, 2 views CPT 73600 X-Ray of Ankle, 2 Views | $248.80 | $311.00 | $14.38–$497.84 | 26% below | 20% |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-Ray of Ankle, 2 Views | $248.80 | $311.00 | $183.71–$295.45 | — | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-Ray of Finger, Minimum of 2 Views | $231.20 | $289.00 | $11.25–$497.84 | 4% below | 20% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray of Finger, Minimum of 2 Views | $231.20 | $289.00 | $170.71–$274.55 | — | 20% |
| X-ray of the foot, 2 views CPT 73620 X-Ray of Foot, 2 Views | $221.60 | $277.00 | $12.50–$497.84 | 32% below | 20% |
| X-ray of the foot, 2 views inpatient CPT 73620 X-Ray of Foot, 2 Views | $221.60 | $277.00 | $163.62–$263.15 | — | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray of Foot, Minimum of 3 Views | $290.40 | $363.00 | $14.38–$497.84 | 20% below | 20% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-Ray of Foot, Minimum of 3 Views | $290.40 | $363.00 | $214.42–$344.85 | — | 20% |
| X-ray of the hand, 3 or more views CPT 73130 X-Ray of Hand, Minimum of 3 Views | $296.80 | $371.00 | $14.38–$497.84 | at median | 20% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-Ray of Hand, Minimum of 3 Views | $296.80 | $371.00 | $219.15–$352.45 | — | 20% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-Ray of Knee, 1-2 Views | $262.40 | $328.00 | $20.63–$497.84 | 7% below | 20% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-Ray of Knee, 1-2 Views | $262.40 | $328.00 | $193.75–$311.60 | — | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray of Lower and Sacral Spine, 2-3 Views | $339.20 | $424.00 | $28.13–$602.31 | 7% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray of Lower and Sacral Spine, 2-3 Views | $339.20 | $424.00 | $250.46–$402.80 | — | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $526.40 | $658.00 | $28.13–$638.26 | 16% above | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $526.40 | $658.00 | $388.68–$625.10 | — | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray of Middle Spine, 2 Views | $200.00 | $250.00 | $25.24–$602.31 | 45% below | 20% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray of Middle Spine, 2 Views | $200.00 | $250.00 | $147.68–$237.50 | — | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray of Nose Bones, Minimum of 3 Views | $289.60 | $362.00 | $14.38–$497.84 | 7% above | 20% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray of Nose Bones, Minimum of 3 Views | $289.60 | $362.00 | $213.83–$343.90 | — | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray of Upper Spine, 2-3 Views | $155.20 | $194.00 | $20.63–$497.84 | 53% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-Ray of Upper Spine, 2-3 Views | $155.20 | $194.00 | $114.60–$184.30 | — | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray of Pelvis, 1-2 Views | $294.40 | $368.00 | $12.50–$602.31 | 1% above | 20% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray of Pelvis, 1-2 Views | $294.40 | $368.00 | $217.38–$349.60 | — | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray of Sacrum and Tailbone, Minimum of 2 Views | $308.00 | $385.00 | $20.63–$497.84 | 8% below | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray of Sacrum and Tailbone, Minimum of 2 Views | $308.00 | $385.00 | $227.42–$365.75 | — | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone (Acth) Level | $160.80 | $201.00 | $38.62–$194.97 | 28% below | 20% |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone (Acth) Level | $160.80 | $201.00 | $118.73–$190.95 | — | 20% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver Enzyme (Sgpt), Level | $22.40 | $28.00 | $5.30–$27.16 | 38% below | 20% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver Enzyme (Sgpt), Level | $22.40 | $28.00 | $16.54–$26.60 | — | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver Enzyme (Sgot), Level | $21.60 | $27.00 | $5.18–$26.19 | 40% below | 20% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver Enzyme (Sgot), Level | $21.60 | $27.00 | $15.95–$25.65 | — | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $198.40 | $248.00 | $47.63–$240.56 | 36% below | 20% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel | $198.40 | $248.00 | $146.49–$235.60 | — | 20% |
| Albumin blood test CPT 82040 Albumin (Protein) Level | $20.80 | $26.00 | $3.65–$25.22 | 35% below | 20% |
| Albumin blood test inpatient CPT 82040 Albumin (Protein) Level | $20.80 | $26.00 | $15.36–$24.70 | — | 20% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (Enzyme) Level, Alkaline | $21.60 | $27.00 | $5.18–$26.19 | 41% below | 20% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase (Enzyme) Level, Alkaline | $21.60 | $27.00 | $15.95–$25.65 | — | 20% |
| Ammonia blood test CPT 82140 Ammonia Level | $60.80 | $76.00 | $5.00–$73.72 | 33% below | 20% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $60.80 | $76.00 | $44.89–$72.20 | — | 20% |
| Amylase blood test CPT 82150 Amylase (Enzyme) Level | $26.40 | $33.00 | $5.00–$32.28 | 40% below | 20% |
| Amylase blood test inpatient CPT 82150 Amylase (Enzyme) Level | $26.40 | $33.00 | $19.49–$31.35 | — | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of Antibody for Rheumatoid Arthritis Assessment | $54.40 | $68.00 | $12.95–$65.96 | 36% below | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of Antibody for Rheumatoid Arthritis Assessment | $54.40 | $68.00 | $40.17–$64.60 | — | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening Test for Autoimmune Disorder | $49.60 | $62.00 | $12.09–$60.23 | 33% below | 20% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening Test for Autoimmune Disorder | $49.60 | $62.00 | $36.62–$58.90 | — | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide (Heart and Blood Vessel Protein) Level | $80.00 | $240.00 | $37.94–$232.80 | 60% below | 67% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide (Heart and Blood Vessel Protein) Level | $80.00 | $240.00 | $141.77–$228.00 | — | 67% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial Culture, Any Other Source Except Urine, Blood or Stool, Aerobic | $35.20 | $44.00 | $6.90–$42.94 | 33% below | 20% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial Culture, Any Other Source Except Urine, Blood or Stool, Aerobic | $35.20 | $44.00 | $25.99–$41.80 | — | 20% |
| Basic metabolic panel (blood test) CPT 80048 Blood Test, Basic Group of Blood Chemicals (Calcium, Total) | $20.00 | $69.00 | $8.46–$66.93 | 73% below | 71% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Blood Test, Basic Group of Blood Chemicals (Calcium, Total) | $20.00 | $69.00 | $40.76–$65.55 | — | 71% |
| Bilirubin blood test, total CPT 82247 Bilirubin Level, Total | $10.00 | $31.00 | $5.02–$30.07 | 69% below | 68% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Level, Total | $10.00 | $31.00 | $18.31–$29.45 | — | 68% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Examination of Tissue Using a Microscope, Intermediate Complexity | $218.40 | $273.00 | $11.25–$283.77 | 23% above | 20% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Examination of Tissue Using a Microscope, Intermediate Complexity | $218.40 | $273.00 | $161.26–$259.35 | — | 20% |
| Blood culture for bacteria CPT 87040 Bacterial Blood Culture | $42.40 | $53.00 | $10.32–$51.41 | 50% below | 20% |
| Blood culture for bacteria inpatient CPT 87040 Bacterial Blood Culture | $42.40 | $53.00 | $31.31–$50.35 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of Needle Into Vein for Collection of Blood Sample | $5.00 | $15.00 | $3.00–$45.28 | 67% below | 67% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of Needle Into Vein for Collection of Blood Sample | $5.00 | $15.00 | $8.86–$14.25 | — | 67% |
| Blood glucose (sugar) test CPT 82947 Blood Glucose (Sugar) Level | $15.00 | $20.00 | $3.93–$19.58 | 42% below | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 Blood Glucose (Sugar) Level | $15.00 | $20.00 | $11.81–$19.00 | — | 25% |
| Blood lead test CPT 83655 Lead Level | $50.40 | $63.00 | $10.00–$61.11 | 35% below | 20% |
| Blood lead test inpatient CPT 83655 Lead Level | $50.40 | $63.00 | $37.21–$59.85 | — | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Typing (Abo) | $146.00 | $242.00 | $4.12–$621.68 | 10% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Group Typing (Abo) | $146.00 | $242.00 | $142.95–$229.90 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Level to Assess Kidney Function, Quantitative | $16.00 | $20.00 | $3.95–$19.68 | 41% below | 20% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Level to Assess Kidney Function, Quantitative | $16.00 | $20.00 | $11.81–$19.00 | — | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-Reactive Protein for Detection of Infection or Inflammation | $20.00 | $27.00 | $3.00–$26.19 | 44% below | 26% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-Reactive Protein for Detection of Infection or Inflammation | $20.00 | $27.00 | $15.95–$25.65 | — | 26% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Detect for Clostridium Difficile, Amplified Probe | $152.00 | $190.00 | $37.27–$185.67 | 27% below | 20% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detect for Clostridium Difficile, Amplified Probe | $152.00 | $190.00 | $112.23–$180.50 | — | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed Dna or Rna Probe Detect of Coronavirus 2 (Covid-19) Antigen | $100.00 | $192.00 | $35.49–$255.62 | 10% above | 48% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed Dna or Rna Probe Detect of Coronavirus 2 (Covid-19) Antigen | $100.00 | $192.00 | $113.41–$182.40 | — | 48% |
| Calcium blood test, total CPT 82310 Calcium Level, Total | $21.60 | $27.00 | $5.16–$26.19 | 36% below | 20% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level, Total | $21.60 | $27.00 | $15.95–$25.65 | — | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detect for Chlamydia Trachomatis, Amplified Probe | $147.20 | $184.00 | $23.19–$178.48 | 25% below | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detect for Chlamydia Trachomatis, Amplified Probe | $147.20 | $184.00 | $108.69–$174.80 | — | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood Test, Lipids (Cholesterol and Triglycerides) | $40.00 | $100.00 | $13.39–$97.00 | 55% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood Test, Lipids (Cholesterol and Triglycerides) | $40.00 | $100.00 | $59.07–$95.00 | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Cell Count, With Diff | $15.00 | $55.00 | $6.00–$53.35 | 71% below | 73% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Cell Count, With Diff | $15.00 | $55.00 | $32.49–$52.25 | — | 73% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Cell Count, W/O Diff | $15.00 | $45.00 | $6.47–$43.65 | 65% below | 67% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Cell Count, W/O Diff | $15.00 | $45.00 | $26.58–$42.75 | — | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood Test, Comprehensive Group of Blood Chemicals | $25.00 | $88.00 | $10.56–$85.36 | 72% below | 72% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood Test, Comprehensive Group of Blood Chemicals | $25.00 | $88.00 | $51.98–$83.60 | — | 72% |
| Cortisol blood test, total CPT 82533 Cortisol (Hormone) Measurement, Total | $68.00 | $85.00 | $12.00–$82.45 | 34% below | 20% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol (Hormone) Measurement, Total | $68.00 | $85.00 | $50.21–$80.75 | — | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Cardiac Enzyme) Level, Total | $27.20 | $34.00 | $6.51–$32.98 | 40% below | 20% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (Cardiac Enzyme) Level, Total | $27.20 | $34.00 | $20.08–$32.30 | — | 20% |
| Creatinine blood test CPT 82565 Blood Creatinine Level | $15.00 | $27.00 | $5.12–$26.19 | 56% below | 44% |
| Creatinine blood test inpatient CPT 82565 Blood Creatinine Level | $15.00 | $27.00 | $15.95–$25.65 | — | 44% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for Antibody to Cytomegalovirus (Cmv) | $60.00 | $75.00 | $14.39–$72.75 | 31% below | 20% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for Antibody to Cytomegalovirus (Cmv) | $60.00 | $75.00 | $44.30–$71.25 | — | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation Function Measurement, D-Dimer; Quantitative | $50.40 | $63.00 | $10.18–$61.11 | 26% below | 20% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation Function Measurement, D-Dimer; Quantitative | $50.40 | $63.00 | $37.21–$59.85 | — | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (Dhea-S) Hormone Level | $92.00 | $115.00 | $21.00–$111.55 | 32% below | 20% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (Dhea-S) Hormone Level | $92.00 | $115.00 | $67.93–$109.25 | — | 20% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for Presence of Drug, by Chemistry Analyzers | $253.60 | $317.00 | $62.14–$309.57 | 39% above | 20% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for Presence of Drug, by Chemistry Analyzers | $253.60 | $317.00 | $187.25–$301.15 | — | 20% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood Test Panel, Electrolytes (Sodium Potassium, Chloride, Carbon Dioxide) | $34.40 | $43.00 | $7.00–$41.71 | 35% below | 20% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Blood Test Panel, Electrolytes (Sodium Potassium, Chloride, Carbon Dioxide) | $34.40 | $43.00 | $25.40–$40.85 | — | 20% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (Blood Protein) Level | $40.00 | $71.00 | $12.00–$68.87 | 54% below | 44% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (Blood Protein) Level | $40.00 | $71.00 | $41.94–$67.45 | — | 44% |
| Folate (folic acid) blood test CPT 82746 Folic Acid Level, Serum | $45.00 | $77.00 | $12.00–$74.69 | 48% below | 42% |
| Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Level, Serum | $45.00 | $77.00 | $45.48–$73.15 | — | 42% |
| Free T3 thyroid hormone test CPT 84481 Thyroid Hormone, T3 Measurement, Free | $70.40 | $88.00 | $16.94–$85.36 | 34% below | 20% |
| Free T3 thyroid hormone test inpatient CPT 84481 Thyroid Hormone, T3 Measurement, Free | $70.40 | $88.00 | $51.98–$83.60 | — | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (Thyroid Chemical), Free | $35.00 | $46.00 | $8.00–$44.94 | 42% below | 24% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (Thyroid Chemical), Free | $35.00 | $46.00 | $27.17–$43.70 | — | 24% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (Liver Enzyme) Level | $29.60 | $37.00 | $7.20–$35.89 | 38% below | 20% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase (Liver Enzyme) Level | $29.60 | $37.00 | $21.86–$35.15 | — | 20% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $70.00 | $239.00 | $43.89–$231.83 | 63% below | 71% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $70.00 | $239.00 | $141.18–$227.05 | — | 71% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detect for Neisseria Gonorrhoeae (Gonorrhoeae Bacteria), Amplified Probe | $147.20 | $184.00 | $23.19–$178.48 | 20% below | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detect for Neisseria Gonorrhoeae (Gonorrhoeae Bacteria), Amplified Probe | $147.20 | $184.00 | $108.69–$174.80 | — | 20% |
| H. pylori stool antigen test CPT 87338 Detect Test for Helicobacter Pylori in Stool, Multiple-Step Method | $60.00 | $75.00 | $12.18–$72.75 | 38% below | 20% |
| H. pylori stool antigen test inpatient CPT 87338 Detect Test for Helicobacter Pylori in Stool, Multiple-Step Method | $60.00 | $75.00 | $44.30–$71.25 | — | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection Test by Nucleic Acid for Hiv-1 Virus, Quantification | $354.40 | $443.00 | $85.10–$429.71 | 28% below | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection Test by Nucleic Acid for Hiv-1 Virus, Quantification | $354.40 | $443.00 | $261.68–$420.85 | — | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Level | $25.00 | $75.00 | $7.00–$72.75 | 51% below | 67% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c Level | $25.00 | $75.00 | $44.30–$71.25 | — | 67% |
| Hemoglobin blood test CPT 85018 Blood Count, Hemoglobin | $13.60 | $17.00 | $2.37–$16.49 | 21% below | 20% |
| Hemoglobin blood test inpatient CPT 85018 Blood Count, Hemoglobin | $13.60 | $17.00 | $10.04–$16.15 | — | 20% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Measurement | $49.60 | $62.00 | $12.05–$60.14 | 41% below | 20% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody Measurement | $49.60 | $62.00 | $36.62–$58.90 | — | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Measurement | $44.80 | $56.00 | $10.74–$54.32 | 39% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody Measurement | $44.80 | $56.00 | $33.08–$53.20 | — | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection Test by Immunoassay Technique for Hepatitis B Surface Antigen | $42.40 | $53.00 | $10.33–$51.46 | 39% below | 20% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection Test by Immunoassay Technique for Hepatitis B Surface Antigen | $42.40 | $53.00 | $31.31–$50.35 | — | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Measurement | $55.00 | $74.00 | $14.27–$71.78 | 45% below | 26% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody Measurement | $55.00 | $74.00 | $43.71–$70.30 | — | 26% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Detection Test by Nucleic Acid for Hepatitis C Virus, Quantification | $178.40 | $223.00 | $39.65–$216.31 | 37% below | 20% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection Test by Nucleic Acid for Hepatitis C Virus, Quantification | $178.40 | $223.00 | $131.73–$211.85 | — | 20% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $20.00 | $33.00 | $6.47–$32.23 | 56% below | 39% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $20.00 | $33.00 | $19.49–$31.35 | — | 39% |
| Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel | $36.00 | $45.00 | $8.68–$43.65 | 47% below | 20% |
| Kidney function blood test panel inpatient CPT 80069 Kidney Function Blood Test Panel | $36.00 | $45.00 | $26.58–$42.75 | — | 20% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Level | $75.20 | $94.00 | $8.00–$91.18 | 2% below | 20% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Level | $75.20 | $94.00 | $55.53–$89.30 | — | 20% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase (Enzyme) Level | $25.00 | $31.00 | $6.04–$30.09 | 32% below | 19% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase (Enzyme) Level | $25.00 | $31.00 | $18.31–$29.45 | — | 19% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (Fat Enzyme) Level | $28.00 | $35.00 | $5.00–$34.32 | 40% below | 20% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (Fat Enzyme) Level | $28.00 | $35.00 | $20.67–$33.25 | — | 20% |
| Liver function blood test panel CPT 80076 Liver Function Blood Test Panel | $25.00 | $42.00 | $8.17–$40.74 | 68% below | 40% |
| Liver function blood test panel inpatient CPT 80076 Liver Function Blood Test Panel | $25.00 | $42.00 | $24.81–$39.90 | — | 40% |
| Lyme disease antibody test CPT 86618 Analysis for Antibody Borrelia Burgdorferi (Lyme Disease Bacteria) | $70.40 | $88.00 | $17.03–$85.36 | 26% below | 20% |
| Lyme disease antibody test inpatient CPT 86618 Analysis for Antibody Borrelia Burgdorferi (Lyme Disease Bacteria) | $70.40 | $88.00 | $51.98–$83.60 | — | 20% |
| Magnesium blood test CPT 83735 Magnesium Level | $30.00 | $46.00 | $6.70–$44.62 | 28% below | 35% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $30.00 | $46.00 | $27.17–$43.70 | — | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa (Prostate Specific Antigen) Measurement, Free | $45.00 | $96.00 | $18.39–$93.12 | 60% below | 53% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa (Prostate Specific Antigen) Measurement, Free | $45.00 | $96.00 | $56.71–$91.20 | — | 53% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement, Total | $45.00 | $96.00 | $18.39–$93.12 | 59% below | 53% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa (Prostate Specific Antigen) Measurement, Total | $45.00 | $96.00 | $56.71–$91.20 | — | 53% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (Parathyroid Hormone) Level | $168.00 | $210.00 | $41.28–$205.65 | 23% below | 20% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (Parathyroid Hormone) Level | $168.00 | $210.00 | $124.05–$199.50 | — | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation Assessment Blood Test, Plasma or Whole Blood | $30.00 | $40.00 | $6.01–$38.80 | 27% below | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation Assessment Blood Test, Plasma or Whole Blood | $30.00 | $40.00 | $23.63–$38.00 | — | 25% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphate Level | $15.00 | $24.00 | $4.74–$23.61 | 54% below | 38% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate Level | $15.00 | $24.00 | $14.18–$22.80 | — | 38% |
| Potassium blood test CPT 84132 Blood Potassium Level | $25.60 | $32.00 | $4.76–$31.04 | 20% below | 20% |
| Potassium blood test inpatient CPT 84132 Blood Potassium Level | $25.60 | $32.00 | $18.90–$30.40 | — | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood Test, Clotting Time | $15.00 | $34.00 | $4.00–$32.98 | 47% below | 56% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood Test, Clotting Time | $15.00 | $34.00 | $20.08–$32.30 | — | 56% |
| Rh blood typing CPT 86901 Blood Typing for Rh (D) Antigen | $43.00 | $88.00 | $4.17–$189.31 | 25% below | 51% |
| Rh blood typing inpatient CPT 86901 Blood Typing for Rh (D) Antigen | $43.00 | $88.00 | $51.98–$83.60 | — | 51% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Level | $23.20 | $29.00 | $5.67–$28.25 | 41% below | 20% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Level | $23.20 | $29.00 | $17.13–$27.55 | — | 20% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red Blood Cell Sedimentation Rate, to Detect Inflammation, Automated | $20.00 | $54.00 | $2.70–$52.38 | 8% below | 63% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red Blood Cell Sedimentation Rate, to Detect Inflammation, Automated | $20.00 | $54.00 | $31.90–$51.30 | — | 63% |
| Sodium blood test CPT 84295 Blood Sodium Level | $25.60 | $32.00 | $4.81–$31.04 | 21% below | 20% |
| Sodium blood test inpatient CPT 84295 Blood Sodium Level | $25.60 | $32.00 | $18.90–$30.40 | — | 20% |
| Stool ova and parasites exam CPT 87177 Smear for Parasites | $37.60 | $47.00 | $7.50–$45.59 | 36% below | 20% |
| Stool ova and parasites exam inpatient CPT 87177 Smear for Parasites | $37.60 | $47.00 | $27.76–$44.65 | — | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Analysis for Blood to Screen for Colon Tumors | $15.00 | $22.00 | $3.47–$21.82 | 26% below | 32% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool Analysis for Blood to Screen for Colon Tumors | $15.00 | $22.00 | $13.00–$20.90 | — | 32% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool Analysis for Blood, by Fecal Hemoglobin Determination by Immunoassay | $36.00 | $65.00 | $18.05–$89.92 | at median | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Stool Analysis for Blood, by Fecal Hemoglobin Determination by Immunoassay | $36.00 | $65.00 | $38.40–$61.75 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Detection Test | $17.60 | $22.00 | $4.00–$21.34 | 37% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Detection Test | $17.60 | $22.00 | $13.00–$20.90 | — | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Test, Gamma Interferon | $257.60 | $322.00 | $61.98–$312.34 | 17% below | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis Test, Gamma Interferon | $257.60 | $322.00 | $190.21–$305.90 | — | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies (Autoantibody) Measurement | $60.80 | $76.00 | $7.91–$73.72 | 19% below | 20% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibodies (Autoantibody) Measurement | $60.80 | $76.00 | $44.89–$72.20 | — | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh) | $40.00 | $112.00 | $16.80–$108.64 | 60% below | 64% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh) | $40.00 | $112.00 | $66.16–$106.40 | — | 64% |
| Total triiodothyronine (T3) blood test CPT 84480 Thyroid Hormone, T3 Measurement, Total | $59.20 | $74.00 | $8.00–$71.78 | 39% below | 20% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid Hormone, T3 Measurement, Total | $59.20 | $74.00 | $43.71–$70.30 | — | 20% |
| Transferrin blood test CPT 84466 Transferrin (Iron Binding Protein) Level | $50.00 | $65.00 | $12.76–$63.57 | 42% below | 23% |
| Transferrin blood test inpatient CPT 84466 Transferrin (Iron Binding Protein) Level | $50.00 | $65.00 | $38.40–$61.75 | — | 23% |
| Triglycerides blood test CPT 84478 Triglycerides Level | $24.00 | $30.00 | $5.74–$29.10 | 39% below | 20% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Level | $24.00 | $30.00 | $17.72–$28.50 | — | 20% |
| Troponin test, quantitative CPT 84484 Troponin (Protein) Analysis, Quantitative | $61.60 | $77.00 | $9.87–$74.69 | 25% below | 20% |
| Troponin test, quantitative inpatient CPT 84484 Troponin (Protein) Analysis, Quantitative | $61.60 | $77.00 | $45.48–$73.15 | — | 20% |
| Uric acid blood test CPT 84550 Uric Acid Level, Blood | $15.00 | $24.00 | $4.52–$23.28 | 53% below | 38% |
| Uric acid blood test inpatient CPT 84550 Uric Acid Level, Blood | $15.00 | $24.00 | $14.18–$22.80 | — | 38% |
| Urinalysis with microscope exam, automated CPT 81001 Manual Urinalysis Test With Examination Using Microscope, Automated | $10.00 | $20.00 | $3.00–$19.40 | 70% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Manual Urinalysis Test With Examination Using Microscope, Automated | $10.00 | $20.00 | $11.81–$19.00 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Automated Urinalysis Test | $10.00 | $11.00 | $2.25–$11.21 | 44% below | 9% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Automated Urinalysis Test | $10.00 | $11.00 | $6.50–$10.45 | — | 9% |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial Colony Count, Urine | $25.00 | $41.00 | $8.00–$40.20 | 56% below | 39% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial Colony Count, Urine | $25.00 | $41.00 | $24.22–$38.95 | — | 39% |
| Urine microalbumin (albumin) test CPT 82043 Urine Microalbumin (Protein) Level | $24.00 | $30.00 | $5.78–$29.10 | 39% below | 20% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Urine Microalbumin (Protein) Level | $24.00 | $30.00 | $17.72–$28.50 | — | 20% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $35.20 | $44.00 | $4.00–$42.89 | 5% below | 20% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test | $35.20 | $44.00 | $25.99–$41.80 | — | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12) Level | $40.00 | $77.00 | $13.00–$75.13 | 57% below | 48% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (Vitamin B-12) Level | $40.00 | $77.00 | $45.48–$73.15 | — | 48% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 Level | $100.00 | $151.00 | $29.60–$147.46 | 33% below | 34% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 Level | $100.00 | $151.00 | $89.20–$143.45 | — | 34% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D, 1, 25 Level | $160.80 | $201.00 | $38.50–$194.97 | 33% below | 20% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Dihydroxyvitamin D, 1, 25 Level | $160.80 | $201.00 | $118.73–$190.95 | — | 20% |
| Zinc blood test CPT 84630 Zinc Level | $47.20 | $59.00 | $11.39–$57.23 | 35% below | 20% |
| Zinc blood test inpatient CPT 84630 Zinc Level | $47.20 | $59.00 | $34.85–$56.05 | — | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, Chorionic (Reproductive Hormone) Level | $55.00 | $77.00 | $15.05–$74.98 | 39% below | 29% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, Chorionic (Reproductive Hormone) Level | $55.00 | $77.00 | $45.48–$73.15 | — | 29% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or Single Drainage of Skin Abscess | $333.60 | $417.00 | $29.38–$958.30 | 35% below | 20% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or Single Drainage of Skin Abscess | $333.60 | $417.00 | $246.32–$396.15 | — | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or Injection of Fluid From Large Joint | $660.00 | $825.00 | $29.38–$1,423.65 | 41% above | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or Injection of Fluid From Large Joint | $660.00 | $825.00 | $487.33–$783.75 | — | 20% |
| Paracentesis with imaging guidance CPT 49083 Drainage of Fluid From Abdominal Cavity Using Imaging Guidance | $1,440.80 | $1,801.00 | $105.41–$4,521.63 | 14% below | 20% |
| Paracentesis with imaging guidance inpatient CPT 49083 Drainage of Fluid From Abdominal Cavity Using Imaging Guidance | $1,440.80 | $1,801.00 | $1,063.85–$1,710.95 | — | 20% |
| Short arm cast (elbow to hand) CPT 29075 Application of Elbow to Finger Cast | $458.40 | $573.00 | $56.88–$1,280.82 | 10% above | 20% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application of Elbow to Finger Cast | $458.40 | $573.00 | $338.47–$544.35 | — | 20% |
| Short leg splint (calf to foot) CPT 29515 Application of Short Leg Splint From Calf to Foot | $375.20 | $469.00 | $43.75–$760.97 | 19% below | 20% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application of Short Leg Splint From Calf to Foot | $375.20 | $469.00 | $277.04–$445.55 | — | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfollowupsion of Blood or Blood Products | $1,714.40 | $2,143.00 | $34.80–$2,108.45 | 82% above | 20% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfollowupsion of Blood or Blood Products | $1,714.40 | $2,143.00 | $1,265.87–$2,035.85 | — | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment for Airway Obstruction or Sputum Production | $239.20 | $299.00 | $101.70–$980.92 | 7% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment for Airway Obstruction or Sputum Production | $239.20 | $299.00 | $176.62–$284.05 | — | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine Electrocardiogram (Ecg) Using at Least 12 Leads With Tracing | $314.40 | $393.00 | $13.08–$381.21 | 80% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine Electrocardiogram (Ecg) Using at Least 12 Leads With Tracing | $314.40 | $393.00 | $232.15–$373.35 | — | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit for Problem of Moderate Severity | $1,740.80 | $2,176.00 | $70.81–$2,110.72 | 134% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Department Visit for Problem of Moderate Severity | $1,740.80 | $2,176.00 | $1,285.36–$2,067.20 | — | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit for Problem of High Severity | $2,678.40 | $3,348.00 | $119.16–$3,247.56 | 119% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Department Visit for Problem of High Severity | $2,678.40 | $3,348.00 | $1,977.66–$3,180.60 | — | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Department Visit for Life Threatening or Functioning Severity | $2,981.60 | $3,727.00 | $173.42–$3,615.19 | 87% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Department Visit for Life Threatening or Functioning Severity | $2,981.60 | $3,727.00 | $2,201.54–$3,540.65 | — | 20% |
| IV infusion of a medicine, first hour CPT 96365 Infusion Into a Vein for Therapy, Prevention, or Diagnosis, 1 Hour or Less | $448.00 | $560.00 | $49.13–$1,016.09 | 1% below | 20% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Into a Vein for Therapy, Prevention, or Diagnosis, 1 Hour or Less | $448.00 | $560.00 | $330.79–$532.00 | — | 20% |
| IV push of a medicine, first drug CPT 96374 Injection of Drug or Substance Into Vein | $147.20 | $184.00 | $38.77–$1,016.09 | 55% below | 20% |
| IV push of a medicine, first drug inpatient CPT 96374 Injection of Drug or Substance Into Vein | $147.20 | $184.00 | $108.69–$174.80 | — | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of Drug or Substance Under Skin or Into Muscle | $113.60 | $142.00 | $15.88–$343.25 | 8% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of Drug or Substance Under Skin or Into Muscle | $113.60 | $142.00 | $83.88–$134.90 | — | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Occupational Therapy Nueromuscular Reeducation, Each 15 Minutes | $118.40 | $148.00 | $30.87–$153.79 | 8% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 Physical Therapy Nueromuscular Reeducation, Each 15 Minutes | $118.40 | $148.00 | $30.87–$153.79 | 8% below | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Occupational Therapy Nueromuscular Reeducation, Each 15 Minutes | $118.40 | $148.00 | $87.42–$140.60 | — | 20% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Physical Therapy Nueromuscular Reeducation, Each 15 Minutes | $118.40 | $148.00 | $87.42–$140.60 | — | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for Occupational Therapy, Typically 30 Minutes | $335.20 | $419.00 | $77.16–$482.69 | at median | 20% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for Occupational Therapy, Typically 30 Minutes | $335.20 | $419.00 | $247.50–$398.05 | — | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for Physical Therapy, Typically 45 Minutes | $333.60 | $417.00 | $79.51–$470.73 | 2% below | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for Physical Therapy, Typically 45 Minutes | $333.60 | $417.00 | $246.32–$396.15 | — | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for Physical Therapy, Typically 20 Minutes | $292.80 | $366.00 | $79.51–$470.73 | 1% below | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for Physical Therapy, Typically 20 Minutes | $292.80 | $366.00 | $216.20–$347.70 | — | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for Physical Therapy, Typically 30 Minutes | $312.80 | $391.00 | $79.51–$470.73 | 7% below | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation for Physical Therapy, Typically 30 Minutes | $312.80 | $391.00 | $230.96–$371.45 | — | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy Procedure Using Manual Technique, Each 15 Minutes | $118.40 | $148.00 | $26.20–$143.56 | 10% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Therapy Procedure Using Manual Technique, Each 15 Minutes | $118.40 | $148.00 | $87.42–$140.60 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Occupational Therapy, Each 15 Minutes | $118.40 | $148.00 | $27.75–$143.56 | 10% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical Therapy, Each 15 Minutes | $118.40 | $148.00 | $27.75–$143.56 | 10% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Physical Therapy, Each 15 Minutes | $118.40 | $148.00 | $87.42–$140.60 | — | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Occupational Therapy, Each 15 Minutes | $118.40 | $148.00 | $87.42–$140.60 | — | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes | $56.80 | $71.00 | $28.84–$143.68 | 24% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes | $56.80 | $71.00 | $41.94–$67.45 | — | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Outpatient Visit Level 5 or Over 40 Minutes | $206.40 | $258.00 | $50.00–$621.53 | 24% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est Outpatient Visit Level 5 or Over 40 Minutes | $206.40 | $258.00 | $152.40–$245.10 | — | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Outpatient Visit Level 3 or Over 20 Minutes | $113.60 | $142.00 | $50.00–$137.74 | 39% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Outpatient Visit Level 3 or Over 20 Minutes | $113.60 | $142.00 | $83.88–$134.90 | — | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Outpatient Visit Level 4 or Over 30 Minutes | $168.00 | $210.00 | $50.00–$203.70 | 17% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Outpatient Visit Level 4 or Over 30 Minutes | $168.00 | $210.00 | $124.05–$199.50 | — | 20% |
| Speech and language evaluation CPT 92523 Evaluate Speech/Sound Production W Language Comprehension and Expression | $384.80 | $481.00 | $50.00–$1,077.36 | 28% below | 20% |
| Speech and language evaluation inpatient CPT 92523 Evaluate Speech/Sound Production W Language Comprehension and Expression | $384.80 | $481.00 | $284.13–$456.95 | — | 20% |
| Speech therapy session, individual CPT 92507 Treat Speech/Language/Voice/Communication/Hearing Processing Disorder | $270.40 | $338.00 | $27.13–$361.83 | 11% below | 20% |
| Speech therapy session, individual inpatient CPT 92507 Treat Speech/Language/Voice/Communication/Hearing Processing Disorder | $270.40 | $338.00 | $199.66–$321.10 | — | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy Procedure Using Functional Activities | $118.40 | $148.00 | $33.12–$165.00 | 8% below | 20% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy Procedure Using Functional Activities | $118.40 | $148.00 | $87.42–$140.60 | — | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $531.80 | $664.75 | $12.50–$644.81 | 218% above | 20% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $531.80 | $664.75 | $392.67–$631.51 | — | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $119.60 | $149.50 | $12.50–$145.02 | 80% above | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2025-26 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $119.60 | $149.50 | $88.31–$142.03 | — | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,742.00 | $2,177.50 | $12.50–$2,112.18 | 440% above | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,742.00 | $2,177.50 | $1,286.25–$2,068.63 | — | 20% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.