Royersford, PA
22
In-network payers
209
Disclosed rate categories
12
Beds
Physicians Care Surgical Hospital is a 12-bed physician hospital in Royersford, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 209 disclosed rate categories.
CCN (Medicare provider number)
390324
NPI
1265664544
Type
Short Term Acute Care Hospital
Ownership
Physician
Beds
12
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 Physicians Care Surgical 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 470
$18,753 - $25,952
from 4 insurers · median $21,278
409 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45385
$2,344 - $17,069
from 4 insurers · median $5,182
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,782 - $7,914
from 4 insurers · median $4,767
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$38,817 - $48,675
from 4 insurers · median $39,958
11 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$1,079 - $6,023
from 4 insurers · median $2,019
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,344 - $7,914
from 4 insurers · median $4,870
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,594 - $8,683
from 4 insurers · median $6,049
186 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$273 - $4,420
from 4 insurers · median $571
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$5,089 - $8,861
from 4 insurers · median $6,532
94 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45378
$1,811 - $10,182
from 4 insurers · median $5,182
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,570 - $20,280
from 4 insurers · median $14,536
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$6,997 - $19,675
from 3 insurers · median $14,264
82 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$5,470 - $11,579
from 4 insurers · median $8,169
Typical for a hospital with this service line
Orthopedics and pain
CPT 29880
$5,244 - $9,672
from 4 insurers · median $7,643
94 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58558
$3,838 - $8,417
from 4 insurers · median $7,321
Typical for a hospital with this service line
Orthopedics and pain
CPT 27446
$10,586 - $26,612
from 4 insurers · median $15,435
587 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58661
$5,470 - $11,579
from 4 insurers · median $9,124
Typical for a hospital with this service line
Mammography
CPT 77067
$93 - $109
from 4 insurers · median $103
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$5,470 - $13,026
from 4 insurers · median $10,685
Typical for a hospital with this service line
CT imaging
CPT 74176
$126 - $4,110
from 4 insurers · median $343
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29848
$2,931 - $9,007
from 4 insurers · median $4,016
93 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$3,023 - $8,417
from 4 insurers · median $3,454
Typical for a hospital with this service line
CT imaging
CPT 70450
$82 - $217
from 4 insurers · median $125
Common here, based on CMS Medicare volume
Urology
CPT 52000
$1,360 - $9,979
from 4 insurers · median $4,606
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 | 255% | 2 | 3 |
| Insurer B* | 24 | 254% | 16 | 1 |
| Insurer C* | 24 | 192% | 10 | 13 |
| Insurer D* | 24 | 140% | 13 | 4 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 9 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 Physicians Care Surgical Hospital.
454 Enterprise Drive, Royersford, PA 19468
(610) 495-4793
The nearest hospitals of similar type and size. Their rates are compared with Physicians Care Surgical Hospital for the same insurers and services above.
Surgical Institute Of Reading
▼ Rates typically 10% lower than Physicians Care Surgical Hospital (23 services)
Rothman Orthopaedic Specialty Hospital
▲ Rates typically 11% higher than Physicians Care Surgical Hospital (24 services)
Advanced Surgical Hospital
▼ Rates typically 16% lower than Physicians Care Surgical Hospital (24 services)
Edgewood Surgical Hospital
▼ Rates typically 38% lower than Physicians Care Surgical Hospital (24 services)
North Carolina Specialty Hospital
▼ Rates typically 48% lower than Physicians Care Surgical Hospital (20 services)
Temple University Hospital – Jeanes Campus
Geisinger Community Medical Center
Kensington Hospital
Lehigh Valley Hospital - Dickson City
About Physicians Care Surgical Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Physicians Care Surgical Hospital range from $273 to $4,420 across 4 insurers. Aetna's rate is $405. The median at nearby comparable hospitals is $539. 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 Physicians Care Surgical Hospital range from $2,344 to $17,069 across 4 insurers. Blue Cross Blue Shield's rate is $17,069. The median at nearby comparable hospitals is $1,829. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Physicians Care Surgical Hospital range from $93 to $109 across 4 insurers. Cigna's rate is $109. The median at nearby comparable hospitals is $91. 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 Physicians Care Surgical Hospital range from $18,753 to $25,952 across 4 insurers. Aetna's rate is $22,491. The median at nearby comparable hospitals is $18,318. What a patient pays depends on their plan's deductible, coinsurance and network status.
Physicians Care Surgical Hospital has 12 beds. Facility type: Short Term Acute Care Hospital.
Physicians Care Surgical Hospital is located at 454 Enterprise Drive, Royersford, PA 19468. Its main phone number is (610) 495-4793.
Physicians Care Surgical Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390324.
The National Provider Identifier (NPI) on file for Physicians Care Surgical Hospital is 1265664544.
Physicians Care Surgical Hospital lists 22 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
209 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