▸ Hospital · PA · CCN 390219

Excela Health Latrobe Hospital

ONE MELLON WAY, LATROBE, PA, 15650-

109 bedsAcute Care Hospitals2

Compliance grade

86/100

Procedures tracked

104

of 209 target codes

Payers

with negotiated rates

Rates published

2,266

last crawl 2026-05-24

▸ Compare with other hospitals All PA hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.independence.health/documents/content/250965414_LatrobeAreaHospital_StandardCharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$289	$173.4	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$289	$173.4	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$161	$96.6	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$275	$165	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$300	$180	—	—	—
emergency
ED visit level 1	CPT	99281	0	$307	$184.2	—	—	—
ED visit level 2	CPT	99282	0	$428	$256.8	—	—	—
ED visit level 3	CPT	99283	0	$551	$330.6	—	—	—
ED visit level 4	CPT	99284	0	$735	$441	—	—	—
ED visit level 5	CPT	99285	0	$961	$576.6	—	—	—
Critical care, first hour	CPT	99291	0	$1,334	$800.4	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,227	$736.2	—	—	—
CT head with contrast	CPT	70460	0	$1,412	$847.2	—	—	—
CT head with and without contrast	CPT	70470	0	$2,653	$1,591.8	—	—	—
CT neck with contrast	CPT	70491	0	$1,656	$993.6	—	—	—
MRI brain without contrast	CPT	70551	0	$1,868	$1,120.8	—	—	—
MRI brain with contrast	CPT	70552	0	$2,510	$1,506	—	—	—
MRI brain with and without contrast	CPT	70553	0	$2,270	$1,362	—	—	—
Chest X-ray single view	CPT	71045	0	$200	$120	—	—	—
Chest X-ray 2 views	CPT	71046	0	$252	$151.2	—	—	—
Chest X-ray 3 views	CPT	71047	0	$278	$166.8	—	—	—
CT chest without contrast	CPT	71250	0	$1,348	$808.8	—	—	—
CT chest with contrast	CPT	71260	0	$1,656	$993.6	—	—	—
CT chest with and without contrast	CPT	71270	0	$2,036	$1,221.6	—	—	—
MRI chest without contrast	CPT	71550	0	$1,964	$1,178.4	—	—	—
MRI chest with contrast	CPT	71551	0	$2,063	$1,237.8	—	—	—
MRI chest with and without contrast	CPT	71552	0	$2,163	$1,297.8	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$262	$157.2	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,348	$808.8	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,399	$839.4	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,399	$839.4	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$1,964	$1,178.4	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$1,964	$1,178.4	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$1,964	$1,178.4	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$2,063	$1,237.8	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$2,295	$1,377	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$2,671	$1,602.6	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,348	$808.8	—	—	—
CT pelvis with contrast	CPT	72193	0	$1,656	$993.6	—	—	—
Shoulder X-ray	CPT	73030	0	$365	$219	—	—	—
Humerus X-ray	CPT	73060	0	$322	$193.2	—	—	—
Hand X-ray 3 views	CPT	73130	0	$312	$187.2	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$1,868	$1,120.8	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$2,042	$1,225.2	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$342	$205.2	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$376	$225.6	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$1,868	$1,120.8	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$3,091	$1,854.6	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,348	$808.8	—	—	—
CT abdomen with contrast	CPT	74160	0	$1,656	$993.6	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$2,036	$1,221.6	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$2,022	$1,213.2	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$2,485	$1,491	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$3,053	$1,831.8	—	—	—
MRI abdomen without contrast	CPT	74181	0	$1,868	$1,120.8	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$2,042	$1,225.2	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$513	$307.8	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$482	$289.2	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$556	$333.6	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$444	$266.4	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$444	$266.4	—	—	—
Transvaginal ultrasound	CPT	76830	0	$445	$267	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$493	$295.8	—	—	—
Scrotal ultrasound	CPT	76870	0	$657	$394.2	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$243	$145.8	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$308	$184.8	—	—	—
Screening mammography bilateral	CPT	77067	0	$300	$180	—	—	—
EKG tracing only	CPT	93005	0	$188	$112.8	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$1,217	$730.2	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$1,002	$601.2	—	—	—
Stress echocardiogram	CPT	93350	0	$993	$595.8	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$45	$27	—	—	—
Electrolyte panel	CPT	80051	0	$74	$44.4	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$60	$36	—	—	—
Lipid panel	CPT	80061	0	$71	$42.6	—	—	—
Renal function panel	CPT	80069	0	$79	$47.4	—	—	—
Hepatic function panel	CPT	80076	0	$40	$24	—	—	—
Urinalysis non-automated	CPT	81002	0	$35	$21	—	—	—
Urinalysis automated	CPT	81003	0	$31	$18.6	—	—	—
Glucose quantitative	CPT	82947	0	$23	$13.8	—	—	—
Hemoglobin A1c	CPT	83036	0	$50	$30	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$65	$39	—	—	—
Complete blood count with automated differential	CPT	85025	0	$40	$24	—	—	—
Complete blood count without differential	CPT	85027	0	$30	$18	—	—	—
Urine culture bacterial	CPT	87086	0	$40	$24	—	—	—
Urine culture identification	CPT	87088	0	$47	$28.2	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$201	$120.6	—	—	—
maternity
Vaginal delivery only	CPT	59409	0	$3,614	$2,168.4	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$270	$162	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$280	$168	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$290	$174	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$434	$260.4	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$260	$156	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$270	$162	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$280	$168	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$290	$174	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$300	$180	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$1,900	$1,140	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$1,900	$1,140	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$1,950	$1,170	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$1,950	$1,170	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$1,950	$1,170	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$2,500	$1,500	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$2,500	$1,500	—	—	—