Doylestown Hospital · Doylestown, PA
32
In-network payers
338
Disclosed rate categories
217
Beds
5
Care quality
Doylestown Hospital is a 217-bed voluntary non-profit - private hospital in Doylestown, PA, affiliated with Doylestown Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 338 disclosed rate categories.
CCN (Medicare provider number)
390203
NPI
1225091697
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
217
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Doylestown Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 470
$13,662 - $29,636
from 4 insurers · median $26,795
169 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$8,081 - $10,245
from 4 insurers · median $8,791
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,972 - $14,846
from 4 insurers · median $12,900
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$270 - $940
from 4 insurers · median $674
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$984 - $1,741
from 4 insurers · median $1,254
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$49,127 - $60,965
from 2 insurers · median $55,046
13 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$1,623 - $4,166
from 4 insurers · median $3,155
22 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$4,533 - $11,521
from 4 insurers · median $6,502
69 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$3,622 - $7,299
from 4 insurers · median $4,017
142 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$69,292 - $135,074
from 4 insurers · median $118,046
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,081 - $10,245
from 4 insurers · median $8,791
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Mammography
CPT 77067
$113 - $239
from 4 insurers · median $158
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,621 - $11,645
from 4 insurers · median $3,932
142 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$857 - $1,286
from 4 insurers · median $1,038
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,016 - $4,615
from 4 insurers · median $2,693
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$664 - $1,140
from 4 insurers · median $914
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$84 - $575
from 4 insurers · median $203
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$697 - $1,177
from 4 insurers · median $1,038
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,087 - $7,276
from 4 insurers · median $3,617
55 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93971
$115 - $1,043
from 4 insurers · median $731
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$128 - $700
from 4 insurers · median $412
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$265 - $1,475
from 4 insurers · median $744
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$1,711 - $3,932
from 4 insurers · median $2,850
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$29 - $207
from 4 insurers · median $84
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 207% | 10 | 9 |
| Insurer B* | 24 | 192% | 12 | 7 |
| Insurer C* | 24 | 102% | 3 | 18 |
| Insurer D* | 23 | 77% | 2 | 18 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Doylestown Hospital.
595 West State Street, Doylestown, PA 18901
(215) 345-2200
The nearest hospitals of similar type and size. Their rates are compared with Doylestown Hospital for the same insurers and services above.
Jefferson Lansdale Hospital
▲ Rates typically 36% higher than Doylestown Hospital (21 services)
Grand View Hospital
▲ Rates typically 54% higher than Doylestown Hospital (21 services)
Holy Redeemer Hospital
▲ Rates typically 18% higher than Doylestown Hospital (21 services)
Suburban Community Hospital
Rates about the same as Doylestown Hospital (21 services)
Einstein Medical Center Montgomery
▲ Rates typically 62% higher than Doylestown Hospital (21 services)
St. Mary Medical Center
▲ Rates typically 46% higher than Doylestown Hospital (21 services)
Regional Hospital Of Scranton
Olean General Hospital
Penn Medicine Chester County Hospital
Upmc East
About Doylestown Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Doylestown Hospital range from $265 to $1,475 across 4 insurers. Aetna's rate is $547. The median at nearby comparable hospitals is $813. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Doylestown Hospital range from $270 to $940 across 4 insurers. UnitedHealthcare's rate is $940. The median at nearby comparable hospitals is $720. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Doylestown Hospital range from $857 to $1,286 across 4 insurers. Blue Cross Blue Shield's rate is $857. The median at nearby comparable hospitals is $2,486. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Doylestown Hospital range from $8,081 to $10,245 across 4 insurers. Cigna's rate is $8,081. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Doylestown Hospital range from $113 to $239 across 4 insurers. Cigna's rate is $113. The median at nearby comparable hospitals is $136. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Doylestown Hospital range from $13,662 to $29,636 across 4 insurers. Aetna's rate is $28,644. The median at nearby comparable hospitals is $28,816. What a patient pays depends on their plan's deductible, coinsurance and network status.
Doylestown Hospital has 217 beds. Facility type: Short Term Acute Care Hospital.
Doylestown Hospital is located at 595 West State Street, Doylestown, PA 18901. Its main phone number is (215) 345-2200.
Doylestown Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390203.
The National Provider Identifier (NPI) on file for Doylestown Hospital is 1225091697.
Doylestown Hospital lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
338 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers