PENN LIFE (Living Independently For Elders): disclosed hospital rates

iDirect answer

Based on the published hospital price files, PENN LIFE (Living Independently For Elders) appears in disclosed negotiated rates across 3 hospitals and 22 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.

22 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
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) 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 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 1 MG ML SYRINGE EVD CLEARANCE Outpatient	The Hospital of the University of Pennsylvania	J2997 HCPCS	$255	$255	$28.56 – $298	—
CIDOFOVIR 15 MG ML IV SOLN Outpatient	The Hospital of the University of Pennsylvania	J0740 HCPCS	$533	$533	$59.70 – $1,663	—
CIDOFOVIR 15 MG/ML IV SOLN Outpatient	Penn Presbyterian Medical Center	J0740 HCPCS	$533	$533	$64.49 – $2,622	—
CIDOFOVIR 15 MG/ML IV SOLN Outpatient	Pennsylvania Hospital	J0740 HCPCS	$533	$533	$71.95 – $1,578	—
ONABOTULINUMTOXINA 25 UNITS/1ML INJECTION SOLR OR Outpatient	Penn Presbyterian Medical Center	J0585 HCPCS	$2,085	$2,085	$6.51 – $2,085	—
ONABOTULINUMTOXINA 25 UNITS/1ML INJECTION SOLR OR Outpatient	Pennsylvania Hospital	J0585 HCPCS	$2,085	$2,085	$6.51 – $281	—
ONABOTULINUMTOXINA 50 UNITS/1ML INJECTION SOLR OR Outpatient	Penn Presbyterian Medical Center	J0585 HCPCS	$2,085	$2,085	$6.51 – $2,085	—
ONABOTULINUMTOXINA 50 UNITS/1ML INJECTION SOLR OR Outpatient	Pennsylvania Hospital	J0585 HCPCS	$2,085	$2,085	$6.51 – $281	—
PENTOBARBITAL INFUSION 2000MG/40ML Outpatient	Penn Presbyterian Medical Center	J2515 HCPCS	$6,826	$6,826	$36.26 – $6,826	—
PENTOBARBITAL INFUSION 2000MG/40ML Outpatient	Pennsylvania Hospital	J2515 HCPCS	$6,826	$6,826	$36.26 – $922	—
TREPROSTINIL 20 MG/20ML INJECTION SOLN Outpatient	Penn Presbyterian Medical Center	J3285 HCPCS	$664	$664	$54.48 – $664	—
TREPROSTINIL 20 MG/20ML INJECTION SOLN Outpatient	Pennsylvania Hospital	J3285 HCPCS	$664	$664	$54.48 – $164	—
TREPROSTINIL 200 MG/20ML INJECTION SOLN Outpatient	Penn Presbyterian Medical Center	J3285 HCPCS	$6,632	$6,632	$54.48 – $6,632	—
TREPROSTINIL 200 MG/20ML INJECTION SOLN Outpatient	Pennsylvania Hospital	J3285 HCPCS	$6,632	$6,632	$54.48 – $895	—
TREPROSTINIL 50 MG/20ML INJECTION SOLN Outpatient	Penn Presbyterian Medical Center	J3285 HCPCS	$1,658	$1,658	$54.48 – $1,658	—
TREPROSTINIL 50 MG/20ML INJECTION SOLN Outpatient	Pennsylvania Hospital	J3285 HCPCS	$1,658	$1,658	$54.48 – $224	—