University of Pennsylvania Health System · Philadelphia, PA
34
In-network payers
363
Disclosed rate categories
350
Beds
5
Care quality
Penn Presbyterian Medical Center is a 350-bed voluntary non-profit - other hospital in Philadelphia, 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 363 disclosed rate categories.
CCN (Medicare provider number)
390223
NPI
1245207521
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
350
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 Presbyterian Medical Center 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
$31,584 - $37,987
from 4 insurers · median $35,099
239 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$52,349 - $70,135
from 4 insurers · median $67,286
34 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$145,075 - $253,644
from 4 insurers · median $193,491
11 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$654 - $894
from 4 insurers · median $703
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,113 - $3,891
from 3 insurers · median $2,814
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,113 - $2,750
from 3 insurers · median $2,617
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,113 - $3,047
from 3 insurers · median $2,617
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$66 - $259
from 3 insurers · median $248
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$243 - $1,226
from 3 insurers · median $822
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,499 - $9,905
from 3 insurers · median $3,759
618 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Gynecology
CPT 58558
$2,499 - $4,599
from 3 insurers · median $3,195
16 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 70450
$193 - $894
from 4 insurers · median $242
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$558 - $894
from 4 insurers · median $711
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$289 - $894
from 4 insurers · median $506
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,926 - $2,796
from 3 insurers · median $2,113
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$629 - $1,671
from 4 insurers · median $912
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$3,942 - $7,429
from 3 insurers · median $4,603
168 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$2,113 - $3,179
from 3 insurers · median $2,123
17 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Orthopedics and pain
CPT 20610
$884 - $5,869
from 3 insurers · median $2,485
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$362 - $1,058
from 4 insurers · median $987
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$408 - $1,058
from 4 insurers · median $987
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 31575
$478 - $3,891
from 3 insurers · median $2,823
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$972 - $1,107
from 3 insurers · median $1,036
Common here, based on CMS Medicare volume
Urology
CPT 52000
$1,155 - $1,663
from 3 insurers · median $1,410
344 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
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* | 21 | 231% | 10 | 10 |
| Insurer B* | 24 | 226% | 2 | 20 |
| Insurer C* | 24 | 222% | 10 | 13 |
| Insurer D* | 13 | 172% | 3 | 9 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 0 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 Presbyterian Medical Center.
51 North 39th Street, Philadelphia, PA 19104
(215) 662-8000
The nearest hospitals of similar type and size. Their rates are compared with Penn Presbyterian Medical Center for the same insurers and services above.
Mercy Catholic Medical Center
▲ Rates typically 47% higher than Penn Presbyterian Medical Center (24 services)
Lankenau Medical Center
▲ Rates typically 54% higher than Penn Presbyterian Medical Center (24 services)
Cooper University Hospital
▲ Rates typically 102% higher than Penn Presbyterian Medical Center (24 services)
Virtua Our Lady Of Lourdes Hospital
▲ Rates typically 33% higher than Penn Presbyterian Medical Center (24 services)
Bryn Mawr Hospital
▲ Rates typically 54% higher than Penn Presbyterian Medical Center (24 services)
Inspira Medical Center Woodbury
▲ Rates typically 52% higher than Penn Presbyterian Medical Center (24 services)
Pennsylvania Hospital
Hospital Of The University Of Pennsylvania
Temple University Hospital – Jeanes Campus
Temple University Hospital, Inc
About Penn Presbyterian Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Penn Presbyterian Medical Center range from $629 to $1,671 across 4 insurers. Cigna's rate is $629. The median at nearby comparable hospitals is $1,193. 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 Penn Presbyterian Medical Center range from $654 to $894 across 4 insurers. Blue Cross Blue Shield's rate is $688. The median at nearby comparable hospitals is $908. 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 Penn Presbyterian Medical Center range from $2,113 to $2,750 across 3 insurers. UnitedHealthcare's rate is $2,113. The median at nearby comparable hospitals is $4,623. 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 Presbyterian Medical Center range from $66 to $259 across 3 insurers. Blue Cross Blue Shield's rate is $66. The median at nearby comparable hospitals is $374. 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 Presbyterian Medical Center range from $31,584 to $37,987 across 4 insurers. Aetna's rate is $37,945. The median at nearby comparable hospitals is $37,934. What a patient pays depends on their plan's deductible, coinsurance and network status.
Penn Presbyterian Medical Center has 350 beds. Facility type: Short Term Acute Care Hospital.
Penn Presbyterian Medical Center is located at 51 North 39th Street, Philadelphia, PA 19104. Its main phone number is (215) 662-8000.
Penn Presbyterian Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390223.
The National Provider Identifier (NPI) on file for Penn Presbyterian Medical Center is 1245207521.
Penn Presbyterian Medical Center is affiliated with University of Pennsylvania Health System.
Penn Presbyterian Medical Center 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.
363 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.
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