PA Health_Wellness Ambetter Comm Exch: disclosed hospital rates
iDirect answer
Based on the published hospital price files, PA Health_Wellness Ambetter Comm Exch appears in disclosed negotiated rates across 2 hospitals and 4 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.
4 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| 17-hydroxypregnenolone (hormone) level Outpatient | Jefferson Bucks Hospital | 84143 CPT | — | — | $15.97 – $252 | — | |
| 17-hydroxypregnenolone (hormone) level Outpatient | Jefferson Cherry Hill Hospital | 84143 CPT | — | — | $15.97 – $321 | — | |
| 2019-ncov coronavirus sars-cov-2-2019-ncov (covid-19) any technique multiple Outpatient | Jefferson Cherry Hill Hospital | U0002 HCPCS | — | — | $35.92 – $359 | — | |
| 3-d radiotherapy plan Outpatient | Jefferson Cherry Hill Hospital | 77295 CPT | — | — | $418 – $7,215 | — |