▸ Hospital · PA · CCN 393036

John Heinz Institute of Rehabilitation

150 MUNDY ST, WILKES-BARRE, PA, 18436

47 beds2

Compliance grade

74/100

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Rates published

135

last crawl 2026-05-24

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

Source MRF: https://www.allied-services.org/documents/232262852_john-heinz-institute-of-rehabilitation_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	0	$362	—	—	—	—
imaging
CT head without contrast	CPT	70450	0	$280	—	—	—	—
CT head with contrast	CPT	70460	0	$366	—	—	—	—
CT head with and without contrast	CPT	70470	0	$355	—	—	—	—
CT neck with contrast	CPT	70491	0	$454	—	—	—	—
MRI brain without contrast	CPT	70551	0	$613	—	—	—	—
MRI brain with contrast	CPT	70552	0	$818	—	—	—	—
MRI brain with and without contrast	CPT	70553	0	$992	—	—	—	—
CT chest without contrast	CPT	71250	0	$314	—	—	—	—
CT chest with contrast	CPT	71260	0	$458	—	—	—	—
CT chest with and without contrast	CPT	71270	0	$570	—	—	—	—
MRI chest without contrast	CPT	71550	0	$613	—	—	—	—
MRI chest with contrast	CPT	71551	0	$818	—	—	—	—
MRI chest with and without contrast	CPT	71552	0	$992	—	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$56	—	—	—	—
CT cervical spine without contrast	CPT	72125	0	$314	—	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$314	—	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$314	—	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$613	—	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$613	—	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$613	—	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$818	—	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$990	—	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$986	—	—	—	—
CT pelvis without contrast	CPT	72192	0	$314	—	—	—	—
CT pelvis with contrast	CPT	72193	0	$430	—	—	—	—
Shoulder X-ray	CPT	73030	0	$48	—	—	—	—
Humerus X-ray	CPT	73060	0	$48	—	—	—	—
Hand X-ray 3 views	CPT	73130	0	$56	—	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$613	—	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$984	—	—	—	—
Hip X-ray 2 views	CPT	73510	0	$66	—	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$50	—	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$58	—	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$613	—	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$984	—	—	—	—
CT abdomen without contrast	CPT	74150	0	$314	—	—	—	—
CT abdomen with contrast	CPT	74160	0	$502	—	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$595	—	—	—	—
MRI abdomen without contrast	CPT	74181	0	$613	—	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$992	—	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$179	—	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$179	—	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$179	—	—	—	—
Transvaginal ultrasound	CPT	76830	0	$179	—	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$179	—	—	—	—
Scrotal ultrasound	CPT	76870	0	$179	—	—	—	—
EKG complete	CPT	93000	0	$56	—	—	—	—
EKG tracing only	CPT	93005	0	$30	—	—	—	—
EKG interpretation only	CPT	93010	0	$26	—	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$344	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$37	—	—	—	—
Electrolyte panel	CPT	80051	0	$31	—	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$46	—	—	—	—
Lipid panel	CPT	80061	0	$59	—	—	—	—
Hepatic function panel	CPT	80076	0	$36	—	—	—	—
Urinalysis non-automated	CPT	81002	0	$11	—	—	—	—
Urinalysis automated	CPT	81003	0	$10	—	—	—	—
Glucose quantitative	CPT	82947	0	$17	—	—	—	—
Hemoglobin A1c	CPT	83036	0	$43	—	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$74	—	—	—	—
Urine culture bacterial	CPT	87086	0	$36	—	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$184	—	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$277	—	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$410	—	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$546	—	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$106	—	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$136	—	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$184	—	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$277	—	—	—	—