University of Pennsylvania Health System · Philadelphia, PA
36
In-network payers
338
Disclosed rate categories
475
Beds
4
Care quality
Pennsylvania Hospital is a 475-bed voluntary non-profit - private hospital in Philadelphia, PA, affiliated with University of Pennsylvania Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 338 disclosed rate categories.
CCN (Medicare provider number)
390226
NPI
1063489342
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
475
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 Pennsylvania 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
$11,012 - $15,452
from 4 insurers · median $12,175
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
$15,661 - $22,056
from 4 insurers · median $17,608
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
$52,349 - $73,762
from 4 insurers · median $66,999
108 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$31,031 - $37,945
from 4 insurers · median $34,723
99 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$2,499 - $6,187
from 3 insurers · median $4,599
64 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$654 - $1,094
from 4 insurers · median $784
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,113 - $4,988
from 3 insurers · median $3,891
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,915 - $12,757
from 3 insurers · median $7,902
172 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$11,012 - $15,452
from 4 insurers · median $12,175
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
Cardiology and vascular testing
CPT 93306
$243 - $1,450
from 3 insurers · median $1,226
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,113 - $5,400
from 3 insurers · median $2,617
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$127,386 - $270,860
from 4 insurers · median $193,491
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45380
$2,113 - $5,616
from 3 insurers · median $2,617
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,915 - $9,568
from 3 insurers · median $8,007
77 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$66 - $419
from 3 insurers · median $248
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$3,915 - $12,324
from 3 insurers · median $6,600
172 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$3,074 - $6,722
from 3 insurers · median $6,707
75 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Orthopedics and pain
CPT 20610
$884 - $5,775
from 3 insurers · median $4,939
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$193 - $879
from 4 insurers · median $310
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$558 - $887
from 4 insurers · median $869
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$289 - $879
from 4 insurers · median $631
Common here, based on CMS Medicare volume
Urology
CPT 52000
$1,155 - $3,200
from 3 insurers · median $1,410
800 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$2,281 - $3,680
from 4 insurers · median $3,053
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$629 - $1,671
from 4 insurers · median $1,166
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* | 24 | 330% | 7 | 8 |
| Insurer B* | 24 | 210% | 9 | 12 |
| Insurer C* | 22 | 190% | 7 | 9 |
| Insurer D* | 14 | 179% | 1 | 9 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 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 Pennsylvania Hospital.
800 Spruce Street, Philadelphia, PA 19107
(215) 829-3000
The nearest hospitals of similar type and size. Their rates are compared with Pennsylvania Hospital for the same insurers and services above.
Thomas Jefferson University Hospital
Rates about the same as Pennsylvania Hospital (21 services)
Cooper University Hospital
▲ Rates typically 56% higher than Pennsylvania Hospital (21 services)
Virtua Our Lady Of Lourdes Hospital
Rates about the same as Pennsylvania Hospital (21 services)
Temple University Hospital – Main Campus
▲ Rates typically 20% higher than Pennsylvania Hospital (21 services)
Einstein Medical Center Philadelphia
▼ Rates typically 8% lower than Pennsylvania Hospital (21 services)
Lankenau Medical Center
Rates about the same as Pennsylvania Hospital (21 services)
Penn Presbyterian Medical Center
Hospital Of The University Of Pennsylvania
Chestnut Hill Hospital
About Pennsylvania Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pennsylvania Hospital range from $629 to $1,671 across 4 insurers. Cigna's rate is $629. The median at nearby comparable hospitals is $937. 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 Pennsylvania Hospital range from $654 to $1,094 across 4 insurers. Blue Cross Blue Shield's rate is $688. The median at nearby comparable hospitals is $792. 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 Pennsylvania Hospital range from $2,113 to $5,400 across 3 insurers. UnitedHealthcare's rate is $2,113. The median at nearby comparable hospitals is $5,334. 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 Pennsylvania Hospital range from $11,012 to $15,452 across 4 insurers. Cigna's rate is $12,663. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pennsylvania Hospital range from $66 to $419 across 3 insurers. Cigna's rate is $248. The median at nearby comparable hospitals is $252. 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 Pennsylvania Hospital range from $31,031 to $37,945 across 4 insurers. Aetna's rate is $37,945. The median at nearby comparable hospitals is $40,612. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pennsylvania Hospital has 475 beds. Facility type: Short Term Acute Care Hospital.
Pennsylvania Hospital is located at 800 Spruce Street, Philadelphia, PA 19107. Its main phone number is (215) 829-3000.
Pennsylvania Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390226.
The National Provider Identifier (NPI) on file for Pennsylvania Hospital is 1063489342.
Pennsylvania Hospital is affiliated with University of Pennsylvania Health System.
Pennsylvania Hospital lists 36 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