Keystone First: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Keystone First appears in disclosed negotiated rates across 9 hospitals and 236 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.

236 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
1- STAGE PERINEAL HYPOSPADIAS REPAIR RE Outpatient	Jefferson Bucks Hospital	54336 CPT	—	—	$1,009 – $11,083	—
1- STAGE PERINEAL HYPOSPADIAS REPAIR RE Outpatient	Jefferson Frankford Hospital	54336 CPT	—	—	$1,009 – $11,083	—
1- STAGE PERINEAL HYPOSPADIAS REPAIR RE Outpatient	Jefferson Lansdale Hospital	54336 CPT	—	—	$954 – $16,622	—
1- STAGE PERINEAL HYPOSPADIAS REPAIR RE Outpatient	Jefferson Methodist Hospital	54336 CPT	—	—	$1,009 – $11,938	—
1-STAGE DISTAL HYPOSPADIAS REPAIR (WIT Outpatient	Jefferson Methodist Hospital	54322 CPT	—	—	$1,009 – $10,200	—
1-STAGE PROXIMAL PENILE OR PENOSCROTAL Outpatient	Jefferson Abington Hospital	54332 CPT	—	—	$954 – $7,200	—
1-STAGE PROXIMAL PENILE OR PENOSCROTAL Outpatient	Jefferson Bucks Hospital	54332 CPT	—	—	$1,009 – $8,226	—
1-STAGE PROXIMAL PENILE OR PENOSCROTAL Outpatient	Jefferson Frankford Hospital	54332 CPT	—	—	$1,009 – $8,226	—
1-STAGE PROXIMAL PENILE OR PENOSCROTAL Outpatient	Jefferson Lansdale Hospital	54332 CPT	—	—	$954 – $16,622	—
1-STAGE PROXIMAL PENILE OR PENOSCROTAL Outpatient	Jefferson Methodist Hospital	54332 CPT	—	—	$1,009 – $10,510	—
17-HYDROXYPREGNENOLONE Outpatient	Jefferson Bucks Hospital	84143 CPT	—	—	$15.97 – $252	—
17-HYDROXYPREGNENOLONE Outpatient	Jefferson Frankford Hospital	84143 CPT	—	—	$15.97 – $252	—
1st psyc collab care mgmt Outpatient	Jefferson Bucks Hospital	99492 CPT	—	—	$41.97 – $127	—
1st psyc collab care mgmt Outpatient	Jefferson Frankford Hospital	99492 CPT	—	—	$41.97 – $127	—
1st-sbsq psyc collab care Outpatient	Jefferson Bucks Hospital	99494 CPT	—	—	$44.95 – $61.90	—
1st-sbsq psyc collab care Outpatient	Jefferson Frankford Hospital	99494 CPT	—	—	$44.95 – $61.90	—
ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE Outpatient	Penn Presbyterian Medical Center	J2997 HCPCS	$255	$255	$30.86 – $469	—
ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE Outpatient	Pennsylvania Hospital	J2997 HCPCS	$255	$255	$34.43 – $282	—
ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE Outpatient	Penn Medicine Chester County Hospital	J2997 HCPCS	$255	$255	$51.00 – $255	—
ALTEPLASE (TPA) INJECTION 1MG/ML ORD Outpatient	Penn Presbyterian Medical Center	J2997 HCPCS	$308	$308	$37.27 – $469	—
ALTEPLASE (TPA) INJECTION 1MG/ML ORD Outpatient	Pennsylvania Hospital	J2997 HCPCS	$308	$308	$41.58 – $282	—
ALTEPLASE (TPA) INJECTION 1MG/ML ORD Outpatient	Penn Medicine Chester County Hospital	J2997 HCPCS	$308	$308	$61.60 – $308	—
ALTEPLASE (TPA) INJECTION 5MG/5ML ORD Outpatient	Penn Presbyterian Medical Center	J2997 HCPCS	$1,372	$1,372	$93.83 – $1,372	—
ALTEPLASE (TPA) INJECTION 5MG/5ML ORD Outpatient	Pennsylvania Hospital	J2997 HCPCS	$1,372	$1,372	$93.83 – $282	—
ALTEPLASE (TPA) INJECTION 5MG/5ML ORD Outpatient	Penn Medicine Chester County Hospital	J2997 HCPCS	$1,372	$1,372	$93.83 – $1,372	—