Claim Watcher: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Claim Watcher appears in disclosed negotiated rates across 2 hospitals and 135 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

135 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
ABATACEPT 250 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0129 HCPCS	$4,483	$4,483	$44.11 – $163	—
ALPROSTADIL 500 MCG/ML IJ SOLN Outpatient	Penn Medicine Lancaster General Health	J0270 HCPCS	$369	$369	$0.79 – $13,500	—
ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE Outpatient	Penn Medicine Princeton Health	J2997 HCPCS	$255	$255	$93.83 – $169	—
ALTEPLASE (TPA) INJECTION 1MG/ML ORD Outpatient	Penn Medicine Princeton Health	J2997 HCPCS	$308	$308	$93.83 – $169	—
ALTEPLASE (TPA) INJECTION 5MG/5ML ORD Outpatient	Penn Medicine Princeton Health	J2997 HCPCS	$1,372	$1,372	$93.83 – $169	—
AMPHOTERICIN B 100 MCG/ML NASAL IRRIGATION ORD Outpatient	Penn Medicine Princeton Health	J0285 HCPCS	$28.00	$28.00	$2.58 – $50.07	—
AMPICILLIN IVPB 1G/50ML NSS (CNR) Outpatient	Penn Medicine Princeton Health	J0290 HCPCS	$31.00	$31.00	$0.59 – $31.00	—
AMPICILLIN IVPB 2G/100ML NSS (CNR) Outpatient	Penn Medicine Princeton Health	J0290 HCPCS	$56.00	$56.00	$0.59 – $56.00	—
ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER Outpatient	Penn Medicine Princeton Health	J0461 HCPCS	$32.00	$32.00	$0.07 – $32.00	—
AZTREONAM 1 G IJ SOLR Outpatient	Penn Medicine Lancaster General Health	J0457 HCPCS	$93.10	$93.10	$2.23 – $13,500	—
AZTREONAM 2 G IJ SOLR Outpatient	Penn Medicine Lancaster General Health	J0457 HCPCS	$175	$175	$2.23 – $13,500	—
BELATACEPT 250 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0485 HCPCS	$2,775	$2,775	$3.85 – $14.17	—
BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI Outpatient	Penn Medicine Princeton Health	J0702 HCPCS	$48.00	$48.00	$4.43 – $48.00	—
BEZLOTOXUMAB 1000 MG/40ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0565 HCPCS	$11,411	$11,411	$39.43 – $145	—
CAPECITABINE 150 MG ORAL TABS Outpatient	Penn Medicine Lancaster General Health	J8522 HCPCS	$105	$105	$0.04 – $0.14	—
CAPECITABINE 500 MG ORAL TABS Outpatient	Penn Medicine Lancaster General Health	J8522 HCPCS	$194	$194	$0.04 – $0.14	—
CASPOFUNGIN ACETATE 50 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0637 HCPCS	$944	$944	$2.27 – $13,500	—
CASPOFUNGIN ACETATE 70 MG IV SOLR Outpatient	Penn Medicine Lancaster General Health	J0637 HCPCS	$984	$984	$2.27 – $13,500	—
CEFAZOLIN 100 MG/ML (ANESTHESIA) Outpatient	Penn Medicine Princeton Health	J0690 HCPCS	$2.00	$2.00	$0.18 – $2.00	—
CEFAZOLIN FORTE 50 MG/ML OPHTH SOLN ORD Outpatient	Penn Medicine Princeton Health	J0690 HCPCS	$89.00	$89.00	$0.81 – $89.00	—
CEFAZOLIN SODIUM 1 G INJECTION SOLR Outpatient	Penn Medicine Princeton Health	J0690 HCPCS	$23.00	$23.00	$0.81 – $23.00	—
CEFTAZIDIME 50 MG/ML OPHTH SOLN ORD Outpatient	Penn Medicine Princeton Health	J0713 HCPCS	$183	$183	$1.47 – $183	—
CIDOFOVIR 15 MG/ML IV SOLN Outpatient	Penn Medicine Princeton Health	J0740 HCPCS	$533	$533	$524 – $944	—
CLINDAMYCIN PHOSPHATE 300 MG/2ML IJ SOLN Outpatient	Penn Medicine Lancaster General Health	J0736 HCPCS	$15.55	$15.55	$1.67 – $13,500	—
CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0736 HCPCS	$91.95	$91.95	$1.67 – $13,500	—