Children's Hospital of Philadelphia, The
Children's Hospital of Philadelphia, The in Philadelphia, PA publishes cash prices for 36 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
3401 Civic Center Blvd. Philadelphia, PA 19104 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd+Pelv W/Contrast | $7,445.38 | $7,445.38 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain WO Contrast | $3,752.74 | $3,752.74 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast | $6,264.57 | $6,264.57 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Le Joint WO Contrast | $9,801.06 | $9,801.06 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Le Joint W+WO Contras | $12,365.73 | $12,365.73 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Contrast | $8,106.86 | $8,106.86 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain W+WO Contrast | $12,733.49 | $12,733.49 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-Spine W/O Contrast | $8,657.97 | $8,657.97 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Usf OB Scan >= 14wks Sngl/First Gest | $3,077.89 | $3,077.89 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysmngy <6 Hrs Age 6 & Up | $10,307.07 | $10,307.07 | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysmngy >6 Hrs Age 6 & Up | $10,307.07 | $10,307.07 | — |
| Transvaginal pelvic ultrasound CPT 76830 Usf Uterus, Non-OB, Transvaginal | $2,670.10 | $2,670.10 | — |
| Transvaginal pelvic ultrasound CPT 76830 US, Transvaginal, Nonobstetic | $2,670.10 | $2,670.10 | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal Scan | $2,670.10 | $2,670.10 | — |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen, Complete | $2,983.42 | $2,983.42 | — |
| Ultrasound of the abdomen, complete CPT 76700 Usf Abdomen, Complete | $2,983.42 | $2,983.42 | — |
| X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine Comple | $2,185.13 | $2,185.13 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $343.42 | $343.42 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Panel(Lipo Elect Panel) | $82.97 | $82.97 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Profile | $345.20 | $345.20 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Differential-Ebola Testing | $353.23 | $353.23 | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc,Platelet- With Diff | $454.33 | $454.33 | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc,Platlet- No Diff | $352.75 | $352.75 | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc W/O Differential-Ebola Testing | $353.23 | $353.23 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp Metabolic Panel | $342.73 | $342.73 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metab Panel-Piccolo | $479.86 | $479.86 | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $2,065.89 | $2,065.89 | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $312.11 | $312.11 | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel-Piccolo | $479.86 | $479.86 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt-Partial Thromboplasti | $511.52 | $511.52 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-Inr | $362.82 | $362.82 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh (Single) | $500.17 | $500.17 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urine W/Micro (Automated) | $214.16 | $214.16 | — |
| Urinalysis with microscope exam, automated CPT 81001 Ua_Auto_W_Microscopic | $250.70 | $250.70 | — |
| Urinalysis with microscope exam, manual CPT 81000 Urine W/Micro(Non-Automat | $214.16 | $214.16 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick 10 | $35.27 | $35.27 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick 10- Ebola | $35.27 | $35.27 | — |
| Urinalysis without microscope exam, automated CPT 81003 Urine WO Micro(Automated) | $115.90 | $115.90 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urine WO Micro(Non-Automa | $115.90 | $115.90 | — |
| Urinalysis without microscope exam, manual CPT 81002 UGK | $249.69 | $249.69 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath W/Lv Inj and S&I | $12,866.89 | $12,866.89 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Inj Dx/Ther, Lumbar/Sacral | $3,876.61 | $3,876.61 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Pt - 15 Min | $104.39 | $104.39 | — |
| Group psychotherapy session CPT 90853 15 Min - Group Psychotherapy Other Than Multiple Families | $104.39 | $104.39 | — |
| Group psychotherapy session CPT 90853 Group Psychotherapy Other Than Multiple Families | $417.58 | $417.58 | — |
| New patient office visit, about 30 minutes CPT 99203 HB Clinic-New/Level 3 | $1,020.41 | $1,020.41 | — |
| New patient office visit, about 45 minutes CPT 99204 HB Clinic-New/Level 4 | $1,330.31 | $1,330.31 | — |
| New patient office visit, about 60 minutes CPT 99205 HB Clinic-New/Level 5 | $1,587.25 | $1,587.25 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Cybex Exercise/15 Min | $181.41 | $181.41 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Proc/ 15 Min (Th) | $181.41 | $181.41 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Proc/15 Min | $181.41 | $181.41 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Proc/ 15 Min | $181.41 | $181.41 | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min | $498.85 | $498.85 | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychothrpy Pt and/or Family 60 Min | $498.85 | $498.85 | — |
Source file: https://media.chop.edu/data/files/finance/23-1352166_ChildrensHospitalofPhiladelphia_standardcharges.csv