Main Line Health · Paoli, PA
34
In-network payers
274
Disclosed rate categories
231
Beds
4
Care quality
Paoli Hospital is a 231-bed voluntary non-profit - private hospital in Paoli, PA, affiliated with Main Line Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 274 disclosed rate categories.
CCN (Medicare provider number)
390153
NPI
1215042114
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
231
Care Quality
4
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 Paoli 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.
Childbirth · Inpatient
MS-DRG 807
$8,946 - $11,689
from 3 insurers · median $10,856
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
$16,115 - $16,639
from 3 insurers · median $16,623
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
Medicine & Surgery · Inpatient
MS-DRG 460
$57,063 - $81,739
from 3 insurers · median $66,117
30 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$31,315 - $48,122
from 3 insurers · median $33,756
54 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$884 - $7,470
from 4 insurers · median $2,857
39 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$828 - $2,236
from 4 insurers · median $910
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,988 - $6,430
from 2 insurers · median $4,209
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,222 - $1,982
from 4 insurers · median $1,802
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$158,822 - $205,425
from 3 insurers · median $163,128
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$7,036 - $8,690
from 2 insurers · median $7,863
63 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$2,700 - $8,298
from 4 insurers · median $5,721
79 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$8,946 - $11,689
from 3 insurers · median $10,856
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
Medicine & Surgery
CPT 47562
$6,837 - $9,519
from 2 insurers · median $8,178
64 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,254 - $6,222
from 4 insurers · median $2,394
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$158 - $416
from 4 insurers · median $296
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$245 - $588
from 4 insurers · median $452
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,343 - $6,638
from 4 insurers · median $2,492
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$402 - $1,500
from 4 insurers · median $1,261
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$828 - $3,095
from 4 insurers · median $1,855
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,300 - $8,471
from 4 insurers · median $4,091
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$402 - $880
from 4 insurers · median $772
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,251 - $7,552
from 2 insurers · median $6,401
64 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 74183
$828 - $3,660
from 4 insurers · median $2,283
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$518 - $1,790
from 4 insurers · median $1,536
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* | 20 | 468% | 14 | 2 |
| Insurer B* | 24 | 356% | 19 | 1 |
| Insurer C* | 24 | 266% | 15 | 5 |
| Insurer D* | 14 | 226% | 10 | 4 |
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 Paoli Hospital.
255 West Lancaster Avenue, Paoli, PA 19301
(610) 648-1000
The nearest hospitals of similar type and size. Their rates are compared with Paoli Hospital for the same insurers and services above.
Phoenixville Hospital
▼ Rates typically 19% lower than Paoli Hospital (21 services)
Penn Medicine Chester County Hospital
Rates about the same as Paoli Hospital (21 services)
Einstein Medical Center Montgomery
▼ Rates typically 29% lower than Paoli Hospital (21 services)
Suburban Community Hospital
▼ Rates typically 34% lower than Paoli Hospital (21 services)
Delaware County Memorial Hospital
▼ Rates typically 31% lower than Paoli Hospital (21 services)
Roxborough Memorial Hospital
▼ Rates typically 15% lower than Paoli Hospital (21 services)
Lankenau Medical Center
Bryn Mawr Hospital
Riddle Hospital
St. Lukes Hospital - Monroe Campus
About Paoli Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Paoli Hospital range from $828 to $3,095 across 4 insurers. UnitedHealthcare's rate is $828. The median at nearby comparable hospitals is $828. 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 Paoli Hospital range from $828 to $2,236 across 4 insurers. Blue Cross Blue Shield's rate is $2,236. The median at nearby comparable hospitals is $718. 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 Paoli Hospital range from $1,988 to $6,430 across 2 insurers. Aetna's rate is $6,430. The median at nearby comparable hospitals is $2,800. 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 Paoli Hospital range from $8,946 to $11,689 across 3 insurers. Cigna's rate is $11,689. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Paoli Hospital range from $158 to $416 across 4 insurers. Cigna's rate is $416. The median at nearby comparable hospitals is $151. 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 Paoli Hospital range from $31,315 to $48,122 across 3 insurers. Aetna's rate is $48,122. The median at nearby comparable hospitals is $28,377. What a patient pays depends on their plan's deductible, coinsurance and network status.
Paoli Hospital has 231 beds. Facility type: Short Term Acute Care Hospital.
Paoli Hospital is located at 255 West Lancaster Avenue, Paoli, PA 19301. Its main phone number is (610) 648-1000.
Paoli Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390153.
The National Provider Identifier (NPI) on file for Paoli Hospital is 1215042114.
Paoli Hospital is affiliated with Main Line Health.
Paoli Hospital lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
274 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