Prime Healthcare Services · Bristol, PA
25
In-network payers
156
Disclosed rate categories
175
Beds
3
Care quality
Lower Bucks Hospital is a 175-bed proprietary hospital in Bristol, PA, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 156 disclosed rate categories.
CCN (Medicare provider number)
390070
NPI
1528319621
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
175
Care Quality
3
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 Lower Bucks 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 460
$45,401 - $67,055
from 2 insurers · median $56,228
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$18,782 - $31,976
from 3 insurers · median $30,945
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$14,840 - $25,153
from 2 insurers · median $19,997
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$9,545 - $16,207
from 3 insurers · median $15,828
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$745 - $830
from 3 insurers · median $772
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$19,112 - $25,103
from 2 insurers · median $22,108
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,058 - $1,714
from 3 insurers · median $1,299
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,071 - $2,278
from 3 insurers · median $2,261
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,736 - $2,523
from 3 insurers · median $2,157
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,278 - $2,846
from 3 insurers · median $2,523
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,758 - $12,206
from 3 insurers · median $10,962
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,241 - $3,079
from 3 insurers · median $2,764
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$130 - $207
from 3 insurers · median $183
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,880 - $10,962
from 3 insurers · median $10,502
Typical for a hospital with this service line
CT imaging
CPT 74176
$491 - $687
from 3 insurers · median $567
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$223 - $591
from 3 insurers · median $249
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,029 - $12,993
from 3 insurers · median $10,962
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,672 - $7,533
from 3 insurers · median $5,947
Typical for a hospital with this service line
Mammography
CPT 77067
$95 - $146
from 3 insurers · median $100
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$745 - $1,874
from 3 insurers · median $830
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$3,906 - $11,868
from 3 insurers · median $10,962
Typical for a hospital with this service line
CT imaging
CPT 71260
$374 - $828
from 3 insurers · median $417
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$5,756 - $17,225
from 3 insurers · median $13,912
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$3,289 - $17,225
from 3 insurers · median $13,912
Typical for a hospital with this service line
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 | 233% | 16 | 6 |
| Insurer B* | 24 | 188% | 12 | 10 |
| Insurer C* | 22 | 159% | 0 | 20 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 12 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 Lower Bucks Hospital.
501 Bath Road, Bristol, PA 19007
(215) 785-9200
The nearest hospitals of similar type and size. Their rates are compared with Lower Bucks Hospital for the same insurers and services above.
Virtua Willingboro Hospital
▲ Rates typically 16% higher than Lower Bucks Hospital (24 services)
Nazareth Hospital - Pa
▲ Rates typically 46% higher than Lower Bucks Hospital (24 services)
St. Francis - Trenton
▼ Rates typically 17% lower than Lower Bucks Hospital (14 services)
Helene Fuld Medical Center
▲ Rates typically 18% higher than Lower Bucks Hospital (24 services)
Holy Redeemer Hospital
▼ Rates typically 18% lower than Lower Bucks Hospital (24 services)
Temple University Hospital – Jeanes Campus
▲ Rates typically 13% higher than Lower Bucks Hospital (24 services)
Suburban Community Hospital
Roxborough Memorial Hospital
Upmc Memorial
Upmc Passavant - Cranberry
About Lower Bucks Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lower Bucks Hospital range from $745 to $1,874 across 3 insurers. Blue Cross Blue Shield's rate is $1,874. The median at nearby comparable hospitals is $822. 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 Lower Bucks Hospital range from $745 to $830 across 3 insurers. Blue Cross Blue Shield's rate is $772. The median at nearby comparable hospitals is $709. 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 Lower Bucks Hospital range from $1,071 to $2,278 across 3 insurers. Blue Cross Blue Shield's rate is $2,261. The median at nearby comparable hospitals is $2,586. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lower Bucks Hospital range from $95 to $146 across 3 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $176. 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 Lower Bucks Hospital range from $14,840 to $25,153 across 2 insurers. UnitedHealthcare's rate is $14,840. The median at nearby comparable hospitals is $32,087. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lower Bucks Hospital has 175 beds. Facility type: Short Term Acute Care Hospital.
Lower Bucks Hospital is located at 501 Bath Road, Bristol, PA 19007. Its main phone number is (215) 785-9200.
Lower Bucks Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390070.
The National Provider Identifier (NPI) on file for Lower Bucks Hospital is 1528319621.
Lower Bucks Hospital is affiliated with Prime Healthcare Services.
Lower Bucks Hospital lists 25 in-network payers, including Ambetter, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
156 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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{
"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