Tower Health · Pottstown, PA
30
In-network payers
290
Disclosed rate categories
232
Beds
2
Care quality
Pottstown Hospital is a 232-bed voluntary non-profit - private hospital in Pottstown, PA, affiliated with Tower Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 290 disclosed rate categories.
CCN (Medicare provider number)
390123
NPI
1649794421
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
232
Care Quality
2
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 Pottstown 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 460
$28,370 - $43,436
from 3 insurers · median $41,426
18 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$5,395 - $17,626
from 4 insurers · median $11,587
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$350 - $5,286
from 4 insurers · median $858
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$18,880 - $26,040
from 4 insurers · median $23,463
11 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45385
$3,269 - $6,000
from 4 insurers · median $3,548
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,296 - $17,626
from 4 insurers · median $11,587
34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,300 - $6,000
from 4 insurers · median $3,093
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,301 - $6,000
from 4 insurers · median $3,548
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$548 - $1,824
from 4 insurers · median $1,295
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,395 - $6,807
from 4 insurers · median $6,161
107 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Mammography
CPT 77067
$190 - $563
from 4 insurers · median $365
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$105 - $1,350
from 4 insurers · median $571
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,395 - $31,957
from 4 insurers · median $18,421
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$4,299 - $10,449
from 4 insurers · median $5,499
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$24,336 - $37,532
from 4 insurers · median $32,910
Hospital reports neurosurgical services to CMS
X-ray and bone density
CPT 71046
$116 - $330
from 4 insurers · median $261
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,351 - $4,943
from 4 insurers · median $2,963
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$239 - $4,046
from 4 insurers · median $724
Common here, based on CMS Medicare volume
Urology
CPT 50590
$4,761 - $10,346
from 4 insurers · median $8,448
38 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58661
$5,395 - $17,626
from 4 insurers · median $11,986
Typical for a hospital with this service line
MRI imaging
CPT 70553
$350 - $3,380
from 3 insurers · median $1,047
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$5,395 - $17,626
from 4 insurers · median $11,986
Typical for a hospital with this service line
MRI imaging
CPT 70551
$239 - $2,401
from 4 insurers · median $1,141
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,192 - $6,000
from 4 insurers · median $4,510
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 | 292% | 9 | 13 |
| Insurer B* | 23 | 288% | 14 | 9 |
| Insurer C* | 24 | 275% | 17 | 5 |
| Insurer D* | 24 | 113% | 15 | 9 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 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 Pottstown Hospital.
1600 East High Street, Pottstown, PA 19464
(610) 327-7000
The nearest hospitals of similar type and size. Their rates are compared with Pottstown Hospital for the same insurers and services above.
Paoli Hospital
▲ Rates typically 18% higher than Pottstown Hospital (24 services)
Einstein Medical Center Montgomery
▼ Rates typically 18% lower than Pottstown Hospital (24 services)
Suburban Community Hospital
▼ Rates typically 30% lower than Pottstown Hospital (24 services)
Grand View Hospital
▼ Rates typically 10% lower than Pottstown Hospital (24 services)
Penn Medicine Chester County Hospital
▼ Rates typically 35% lower than Pottstown Hospital (24 services)
Jefferson Lansdale Hospital
▼ Rates typically 26% lower than Pottstown Hospital (24 services)
Reading Hospital
Brandywine Hospital
Phoenixville Hospital
Reading Hospital
About Pottstown Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pottstown Hospital range from $350 to $3,380 across 3 insurers. Blue Cross Blue Shield's rate is $3,380. The median at nearby comparable hospitals is $822. 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 Pottstown Hospital range from $350 to $5,286 across 4 insurers. Cigna's rate is $405. The median at nearby comparable hospitals is $826. 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 Pottstown Hospital range from $3,269 to $6,000 across 4 insurers. Blue Cross Blue Shield's rate is $3,269. The median at nearby comparable hospitals is $2,666. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pottstown Hospital range from $190 to $563 across 4 insurers. UnitedHealthcare's rate is $272. The median at nearby comparable hospitals is $219. 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 Pottstown Hospital range from $18,880 to $26,040 across 4 insurers. Aetna's rate is $26,040. The median at nearby comparable hospitals is $34,062. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pottstown Hospital has 232 beds. Facility type: Short Term Acute Care Hospital.
Pottstown Hospital is located at 1600 East High Street, Pottstown, PA 19464. Its main phone number is (610) 327-7000.
Pottstown Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390123.
The National Provider Identifier (NPI) on file for Pottstown Hospital is 1649794421.
Pottstown Hospital is affiliated with Tower Health.
Pottstown Hospital lists 30 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.
290 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