PA Health_Wellness CHC: disclosed hospital rates

iDirect answer

Based on the published hospital price files, PA Health_Wellness CHC appears in disclosed negotiated rates across 6 hospitals and 25 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.

25 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 Bucks Hospital	54322 CPT	—	—	$1,009 – $7,187	—
1-STAGE DISTAL HYPOSPADIAS REPAIR (WIT Outpatient	Jefferson Cherry Hill Hospital	54322 CPT	—	—	$169 – $8,312	—
1-STAGE DISTAL HYPOSPADIAS REPAIR (WIT Outpatient	Jefferson Frankford Hospital	54322 CPT	—	—	$1,009 – $7,187	—
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 Cherry Hill Hospital	54332 CPT	—	—	$486 – $10,000	—
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	—
1st psyc collab care mgmt Outpatient	Jefferson Cherry Hill Hospital	99492 CPT	—	—	$92.53 – $92.53	—
1st psyc collab care mgmt Outpatient	Jefferson Frankford Hospital	99492 CPT	—	—	$41.97 – $127	—
1st-sbsq psyc collab care Outpatient	Jefferson Cherry Hill Hospital	99494 CPT	—	—	$44.95 – $44.95	—
2013 Addition--CARDIOVERSION INTERNAL Outpatient	Jefferson Cherry Hill Hospital	92961 CPT	—	—	$130 – $6,648	—
2013 Addition--COLLECT BLOOD FROM PICC Outpatient	Jefferson Cherry Hill Hospital	36592 CPT	—	—	$3.37 – $6,648	—
2013 Addition--DEBRIDMNT SKIN-SUBQ EA AD 20C Outpatient	Jefferson Cherry Hill Hospital	11045 CPT	—	—	$20.09 – $6,648	—
2013 Addition--DEXA VERTEBRAL FX ASSMNT Outpatient	Jefferson Cherry Hill Hospital	77082 CPT	—	—	$41.82 – $41.82	—
2013 Addition--GUIDED CLIP PLACEMENT Outpatient	Jefferson Cherry Hill Hospital	19295 CPT	—	—	$45.18 – $45.18	—
2013 Addition--INJ RADIOPHAR NON-IMAGING Outpatient	Jefferson Cherry Hill Hospital	78808 CPT	—	—	$46.17 – $1,975	—
2013 Addition--MYOCARD IN FARC WITH 1STP Outpatient	Jefferson Cherry Hill Hospital	78468 CPT	—	—	$182 – $1,436	—
2013 Addition--Pressurized or nonpressurized inhalation treatment for acute ai Outpatient	Jefferson Cherry Hill Hospital	94640 CPT	—	—	$31.93 – $516	—
2013 Addition--X-RAY STRESS VIEW UNI-BI Outpatient	Jefferson Cherry Hill Hospital	77071 CPT	—	—	$27.74 – $257	—