Bensalem, PA
23
In-network payers
265
Disclosed rate categories
24
Beds
Rothman Orthopaedic Specialty Hospital is a 24-bed proprietary hospital in Bensalem, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 265 disclosed rate categories.
CCN (Medicare provider number)
390322
NPI
1336378132
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
24
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 Rothman Orthopaedic Specialty 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
$19,634 - $30,029
from 4 insurers · median $26,651
274 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$371 - $3,642
from 4 insurers · median $717
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$7,180 - $23,760
from 3 insurers · median $21,268
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,027 - $6,854
from 3 insurers · median $2,679
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$315 - $2,354
from 3 insurers · median $1,221
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,675 - $6,770
from 3 insurers · median $2,679
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$7,647 - $19,262
from 4 insurers · median $14,020
94 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45380
$2,675 - $11,310
from 3 insurers · median $2,679
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 27446
$5,977 - $34,543
from 4 insurers · median $21,425
713 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$5,977 - $13,513
from 2 insurers · median $9,745
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$4,221 - $5,977
from 3 insurers · median $5,158
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$5,281 - $13,513
from 2 insurers · median $9,397
Typical for a hospital with this service line
Mammography
CPT 77067
$91 - $226
from 4 insurers · median $136
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,194 - $8,536
from 3 insurers · median $7,236
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,194 - $13,232
from 2 insurers · median $8,713
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$5,977 - $94,606
from 3 insurers · median $23,760
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,977 - $13,513
from 3 insurers · median $10,089
Typical for a hospital with this service line
Gynecology
CPT 58662
$5,977 - $13,513
from 3 insurers · median $12,663
Typical for a hospital with this service line
CT imaging
CPT 74176
$271 - $3,976
from 4 insurers · median $421
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$102 - $234
from 4 insurers · median $168
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$3,468 - $4,194
from 2 insurers · median $3,831
Typical for a hospital with this service line
Urology
CPT 50590
$7,879 - $10,204
from 4 insurers · median $9,044
Typical for a hospital with this service line
Orthopedics and pain
CPT 29848
$3,594 - $6,105
from 4 insurers · median $4,581
60 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 29888
$6,396 - $16,219
from 4 insurers · median $10,603
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* | 20 | 263% | 17 | 2 |
| Insurer B* | 24 | 219% | 19 | 2 |
| Insurer C* | 11 | 172% | 5 | 4 |
| Insurer D* | 23 | 104% | 15 | 7 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 12 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 Rothman Orthopaedic Specialty Hospital.
3300 Tillman Drive, Bensalem, PA 19020
(215) 244-7400
The nearest hospitals of similar type and size. Their rates are compared with Rothman Orthopaedic Specialty Hospital for the same insurers and services above.
Physicians Care Surgical Hospital
â–¼ Rates typically 9% lower than Rothman Orthopaedic Specialty Hospital (24 services)
Surgical Institute Of Reading
â–¼ Rates typically 18% lower than Rothman Orthopaedic Specialty Hospital (23 services)
Oss Orthopaedic Hospital
â–¼ Rates typically 46% lower than Rothman Orthopaedic Specialty Hospital (24 services)
Ahn Emerus Westmoreland Llc
â–² Rates typically 28% higher than Rothman Orthopaedic Specialty Hospital (24 services)
Dana-Farber Cancer Institute
â–² Rates typically 124% higher than Rothman Orthopaedic Specialty Hospital (7 services)
Mass Eye & Ear Infirmary
â–¼ Rates typically 62% lower than Rothman Orthopaedic Specialty Hospital (24 services)
Upmc Williamsport
Penn Medicine Chester County Hospital
About Rothman Orthopaedic Specialty Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Rothman Orthopaedic Specialty Hospital range from $371 to $3,642 across 4 insurers. Cigna's rate is $655. The median at nearby comparable hospitals is $748. 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 Rothman Orthopaedic Specialty Hospital range from $2,675 to $6,770 across 3 insurers. UnitedHealthcare's rate is $2,675. The median at nearby comparable hospitals is $2,202. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Rothman Orthopaedic Specialty Hospital range from $91 to $226 across 4 insurers. Cigna's rate is $226. The median at nearby comparable hospitals is $147. 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 Rothman Orthopaedic Specialty Hospital range from $19,634 to $30,029 across 4 insurers. Aetna's rate is $25,702. The median at nearby comparable hospitals is $19,488. What a patient pays depends on their plan's deductible, coinsurance and network status.
Rothman Orthopaedic Specialty Hospital has 24 beds. Facility type: Short Term Acute Care Hospital.
Rothman Orthopaedic Specialty Hospital is located at 3300 Tillman Drive, Bensalem, PA 19020. Its main phone number is (215) 244-7400.
Rothman Orthopaedic Specialty Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390322.
The National Provider Identifier (NPI) on file for Rothman Orthopaedic Specialty Hospital is 1336378132.
Rothman Orthopaedic Specialty Hospital lists 23 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.
265 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