Trinity Health · Langhorne, PA
34
In-network payers
283
Disclosed rate categories
373
Beds
3
Care quality
St. Mary Medical Center is a 373-bed voluntary non-profit - private hospital in Langhorne, PA, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 283 disclosed rate categories.
CCN (Medicare provider number)
390258
NPI
1780686931
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
373
Care Quality
3
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 St. Mary 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.
Childbirth · Inpatient
MS-DRG 807
$5,509 - $15,184
from 3 insurers · median $13,751
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
$8,687 - $17,545
from 3 insurers · median $12,618
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 470
$21,030 - $39,715
from 4 insurers · median $35,108
124 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$5,509 - $15,184
from 3 insurers · median $13,751
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
CT imaging
CPT 74177
$629 - $974
from 2 insurers · median $802
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,626 - $3,892
from 3 insurers · median $3,799
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,888 - $8,673
from 3 insurers · median $3,892
21 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$2,557 - $3,892
from 3 insurers · median $3,142
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,592 - $3,892
from 3 insurers · median $3,747
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,025 - $15,915
from 3 insurers · median $7,442
104 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$76,826 - $202,127
from 4 insurers · median $157,656
Hospital reports cardiac thoracic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$549 - $1,518
from 2 insurers · median $1,034
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$279 - $656
from 2 insurers · median $467
Common here, based on CMS Medicare volume
Urology
CPT 50590
$5,999 - $9,784
from 3 insurers · median $8,933
202 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$2,488 - $4,061
from 3 insurers · median $3,892
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$146 - $310
from 2 insurers · median $228
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$842 - $1,187
from 2 insurers · median $1,015
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$974 - $2,312
from 3 insurers · median $1,583
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,892 - $28,399
from 3 insurers · median $5,532
50 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$540 - $1,084
from 2 insurers · median $812
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,892 - $5,382
from 2 insurers · median $4,637
Typical for a hospital with this service line
MRI imaging
CPT 70551
$300 - $1,689
from 3 insurers · median $1,583
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$69 - $240
from 2 insurers · median $155
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,063 - $1,898
from 2 insurers · median $1,480
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* | 7 | 671% | 3 | 1 |
| Insurer B* | 24 | 301% | 9 | 12 |
| Insurer C* | 20 | 271% | 12 | 7 |
| Insurer D* | 14 | 248% | 1 | 9 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 14 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 St. Mary Medical Center.
1201 Langhorne-Newtown Road, Langhorne, PA 19047
(215) 750-2003
The nearest hospitals of similar type and size. Their rates are compared with St. Mary Medical Center for the same insurers and services above.
Jefferson Torresdale Hospital
▼ Rates typically 19% lower than St. Mary Medical Center (21 services)
Helene Fuld Medical Center
▲ Rates typically 85% higher than St. Mary Medical Center (21 services)
Holy Redeemer Hospital
▼ Rates typically 22% lower than St. Mary Medical Center (21 services)
Jefferson Abington Hospital
▼ Rates typically 14% lower than St. Mary Medical Center (21 services)
Capital Health Med Center - Hopewell
▲ Rates typically 85% higher than St. Mary Medical Center (21 services)
Robert Wood Johnson University Hospital Hamilton
▲ Rates typically 20% higher than St. Mary Medical Center (21 services)
Mercy Catholic Medical Center
Nazareth Hospital - Pa
Lehigh Valley Hospital - Schuylkill E. Norwegian Street
Dubois Regional Medical Center
About St. Mary Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Mary Medical Center range from $974 to $2,312 across 3 insurers. Aetna's rate is $1,583. The median at nearby comparable hospitals is $903. 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 St. Mary Medical Center range from $629 to $974 across 2 insurers. Blue Cross Blue Shield's rate is $974. The median at nearby comparable hospitals is $823. 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 St. Mary Medical Center range from $2,626 to $3,892 across 3 insurers. UnitedHealthcare's rate is $3,892. The median at nearby comparable hospitals is $4,381. 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 St. Mary Medical Center range from $5,509 to $15,184 across 3 insurers. Cigna's rate is $13,751. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Mary Medical Center range from $146 to $310 across 2 insurers. Blue Cross Blue Shield's rate is $146. The median at nearby comparable hospitals is $357. 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 St. Mary Medical Center range from $21,030 to $39,715 across 4 insurers. Aetna's rate is $39,715. The median at nearby comparable hospitals is $29,644. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Mary Medical Center has 373 beds. Facility type: Short Term Acute Care Hospital.
St. Mary Medical Center is located at 1201 Langhorne-Newtown Road, Langhorne, PA 19047. Its main phone number is (215) 750-2003.
St. Mary Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390258.
The National Provider Identifier (NPI) on file for St. Mary Medical Center is 1780686931.
St. Mary Medical Center is affiliated with Trinity Health.
St. Mary 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.
283 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