University of Pennsylvania Health System · Lancaster, PA
34
In-network payers
335
Disclosed rate categories
632
Beds
5
Care quality
Penn Medicine Lancaster General Hospital is a 632-bed voluntary non-profit - private hospital in Lancaster, PA, affiliated with University of Pennsylvania Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 335 disclosed rate categories.
CCN (Medicare provider number)
390100
NPI
1104875103
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
632
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 Penn Medicine Lancaster General 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
$8,141 - $11,000
from 4 insurers · median $9,372
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,392 - $19,399
from 4 insurers · median $17,467
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 obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$70,062 - $79,542
from 2 insurers · median $74,802
75 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45380
$361 - $18,647
from 2 insurers · median $9,504
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$956 - $66,896
from 2 insurers · median $33,926
86 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$31,078 - $48,425
from 3 insurers · median $37,166
83 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$40,900
negotiated rate
248 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58558
$13,282
negotiated rate
55 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$194,537 - $287,080
from 3 insurers · median $216,646
12 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$53,737
negotiated rate
61 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$459 - $5,633
from 2 insurers · median $3,046
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$539 - $6,203
from 3 insurers · median $551
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,141 - $11,000
from 4 insurers · median $9,372
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 obstetrics / child birth services to CMS
Orthopedics and pain
CPT 64721
$732 - $26,668
from 2 insurers · median $13,700
345 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Gynecology
CPT 58662
$92,826
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58661
$85,486
negotiated rate
248 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$14,891
negotiated rate
248 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$194 - $1,034
from 3 insurers · median $218
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$1,256 - $50,186
from 2 insurers · median $25,721
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$25,439
negotiated rate
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$64,237
negotiated rate
205 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$616 - $4,731
from 2 insurers · median $2,674
Common here, based on CMS Medicare volume
Urology
CPT 50590
$925 - $60,840
from 2 insurers · median $30,883
71 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 29888
$70,601
negotiated rate
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* | 24 | 1247% | 18 | 3 |
| Insurer B* | 7 | 200% | 0 | 3 |
| Insurer C* | 15 | 37% | 2 | 9 |
| Insurer D* | 3 | - | 0 | 0 |
How we chose these services: 12 appear in this hospital's own Medicare claims, 5 are common here based on CMS Medicare volume, and 7 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 Penn Medicine Lancaster General Hospital.
555 North Duke Street, Lancaster, PA 17602
(717) 299-5511
The nearest hospitals of similar type and size. Their rates are compared with Penn Medicine Lancaster General Hospital for the same insurers and services above.
Wellspan York Hospital
▼ Rates typically 28% lower than Penn Medicine Lancaster General Hospital (19 services)
Milton S. Hershey Medical Center
▲ Rates typically 15% higher than Penn Medicine Lancaster General Hospital (21 services)
Reading Hospital
▲ Rates typically 30% higher than Penn Medicine Lancaster General Hospital (21 services)
Upmc Harrisburg
▼ Rates typically 27% lower than Penn Medicine Lancaster General Hospital (21 services)
Geisinger St Lukes Hospital
▼ Rates typically 28% lower than Penn Medicine Lancaster General Hospital (21 services)
St. Francis Hospital Wilmington
Rates about the same as Penn Medicine Lancaster General Hospital (20 services)
Penn Medicine Chester County Hospital
Penn Presbyterian Medical Center
Hospital Of The University Of Pennsylvania
Pennsylvania Hospital
About Penn Medicine Lancaster General Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Penn Medicine Lancaster General Hospital range from $539 to $6,203 across 3 insurers. Cigna's rate is $551. The median at nearby comparable hospitals is $1,620. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Penn Medicine Lancaster General Hospital range from $361 to $18,647 across 2 insurers. Blue Cross Blue Shield's rate is $18,647. The median at nearby comparable hospitals is $4,163. 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 Penn Medicine Lancaster General Hospital range from $8,141 to $11,000 across 4 insurers. Aetna's rate is $11,000. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Penn Medicine Lancaster General Hospital range from $194 to $1,034 across 3 insurers. Cigna's rate is $218. The median at nearby comparable hospitals is $383. 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 Penn Medicine Lancaster General Hospital range from $31,078 to $48,425 across 3 insurers. Blue Cross Blue Shield's rate is $31,078. The median at nearby comparable hospitals is $39,362. What a patient pays depends on their plan's deductible, coinsurance and network status.
Penn Medicine Lancaster General Hospital has 632 beds. Facility type: Short Term Acute Care Hospital.
Penn Medicine Lancaster General Hospital is located at 555 North Duke Street, Lancaster, PA 17602. Its main phone number is (717) 299-5511.
Penn Medicine Lancaster General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390100.
The National Provider Identifier (NPI) on file for Penn Medicine Lancaster General Hospital is 1104875103.
Penn Medicine Lancaster General Hospital is affiliated with University of Pennsylvania Health System.
Penn Medicine Lancaster General Hospital lists 34 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.
335 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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