Consumer Friendly Shoppable Service Guide

To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.

hospital_name	last_updated_on	version	location_name	hospital_address	license_number\|PA	type_2_npi		attester_name	general_contract_provisions
KidsPeace Children's Hospital	3/6/2026	3.0.0	KidsPeace Children's Hospital	5300 KidsPeace Drive, Orefield, PA 18069	234200\|PA	1417016825	TRUE	Michael Callan, CFO/EVP Finance	Allowed amounts are derived from our contract-based reimbursement arrangements, including percent?of?charge payer contracts, using adjudicated claims data. Actual allowed amounts supersede any contractual estimates in compliance with CMS requirements. Data in this file is refreshed annually.
description	code\|1	code\|1\|type	modifiers	setting	drug_unit_of_measurement	drug_type_of_measurement	standard_charge\|gross	standard_charge\|discounted_cash	payer_name	plan_name	standard_charge\|negotiated_dollar	standard_charge\|negotiated_percentage	standard_charge\|negotiated_algorithm	median_amount	10th_percentile	90th_percentile	count	standard_charge\|methodology	standard_charge\|min	standard_charge\|max	additional_generic_notes
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Aetna Health Plan	HMO	872							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Allied Trades Assistance Program	HMO	1200							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Beacon Health Options	PPO	830							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Blue Cross Capital	PPO	1380							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Carelon Behavioral Health	HMO	1400							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	CHAMPVA	FFS	1100							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Cigna Behavioral Health	PPO	788							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	ComPsych	EAP	1246							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Geisinger HP( Formally Magellan GHP)	HMO	877							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Highmark Healthy Kids CHIP	HMO	1389							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Highmark LVHN (Formerly Populytics)	PPO	1400							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Humana Behavioral Health	PPO	850							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Independence Admin	PPO	1148							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Independence Blue Cross	PPO	1148							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Keystone First CHIP	HMO	1000							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	KidzPartners (CHIP)	HMO	1170							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Magellan Commerical	PPO	1170							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Mental Health Consultants Inc	PPO	1325							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Meritain Health-Institutional	PPO	872							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Aetna Better Health CHIP	HMO	830							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA CCBHO HCBK Berks	HMO	1175							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA CCBHO HCCH Chester	HMO	1019.27							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA CCBHO HCCK Carbon Monroe Pike	HMO	1100							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA CCBHO HCDW Delaware	HMO	935							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA CCBHO HCNB Northeast	HMO	939.53							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA CCBHO HCNC North Central	HMO	1000							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA CCBHO HCYY Adams/York	HMO	1100							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Community Behavioral Health	HMO	1826							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Magellan Bucks Cty/MCO Healthcare	HMO	1166.99							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Magellan Cambria County	HMO	1100							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Magellan Lehigh Cty/MCO Healthcare CW	HMO	1100							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Magellan Montgomery/MCO Healthcare	HMO	1133							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Magellan Northampton/MCO Healthcare	HMO	1100							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Medicaid	FFS	935.79							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Performcare Capital	HMO	1260							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA Performcare Franklin/Fulton	HMO	1260							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	PA UPMC for Kids (CHIP)	HMO	771.75							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Populytics Valley Preffered	PPO	1400							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Quest Behavioral Health	HMO	1070							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Total Care Network	PPO	675							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	Tricare East	HMO	1091.55							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	United Behavioral Health	PPO	918							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	United Healthcare	PPO	918							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	United Healthcare Community Plan	HMO	883							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	UPMC (Comm/Value/Value Select)	HMO	750							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	UPMC For You	HMO	771.75							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	UPMC Partner	HMO	750							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	WV Aetna Better Health of West VA HMO	FFS	935							Per Diem	675	1826
Inpatient- All Inclusive Room, Board, Treatment	124	RC		inpatient			1826	1826	WV West Virginia Medicaid	FFS	935.79							Per Diem	675	1826