Roxborough Memorial Hospital
Roxborough Memorial Hospital in East Norriton, PA publishes cash prices for 51 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Click a procedure to compare it with other hospitals nearby.
5800 Ridge Avenue Philadelphia, PA 19128, 2701 DeKalb Pike East Norriton, PA 19401 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 Hc Ct Scan Abdomen/Pelvis W Contrast | $356.00 | $5,817.50 | 94% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Scan Abdomen/Pelvis W Contrast | $356.00 | $5,817.50 | 94% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Scan Of Pelvis Contrast | $179.00 | $3,150.08 | 94% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Scan Of Pelvis Contrast | $179.00 | $3,150.08 | 94% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Mammography; Bilateral | $115.00 | $624.67 | 82% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Mammography; Bilateral | $115.00 | $624.67 | 82% |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Mammography; Unilateral | $89.00 | $455.33 | 80% |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Mammography; Unilateral | $89.00 | $455.33 | 80% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Extrem Jt, W/O Contrast | $243.00 | $3,737.50 | 93% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Extrem Jt, W/O Contrast | $243.00 | $3,737.50 | 93% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Joint Of Leg. Combo | $356.00 | $5,122.50 | 93% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Joint Of Leg. Combo | $356.00 | $5,122.50 | 93% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain | $243.00 | $3,808.34 | 94% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain | $243.00 | $3,808.34 | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Combo | $356.00 | $5,463.41 | 93% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Combo | $356.00 | $5,463.41 | 93% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri, Lumbar Spine | $243.00 | $3,950.55 | 94% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri, Lumbar Spine | $243.00 | $3,950.55 | 94% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us, Ob >/= 14 Wks, Sngl Fetus | $106.00 | $1,159.44 | 91% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us, Ob >/= 14 Wks, Sngl Fetus | $106.00 | $1,159.44 | 91% |
| Screening mammogram, both breasts CPT 77067 Hc Mammogram, Screening | $94.00 | $573.88 | 84% |
| Screening mammogram, both breasts CPT 77067 Hc Mammogram, Screening | $94.00 | $573.88 | 84% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $877.00 | $5,728.19 | 85% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $877.00 | $5,728.19 | 85% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Ultrasound,Transvaginal | $106.00 | $937.50 | 89% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Ultrasound,Transvaginal | $106.00 | $937.50 | 89% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us, Abdom,B-Scan &/Or Real Time,Complete | $106.00 | $1,456.88 | 93% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us, Abdom,B-Scan &/Or Real Time,Complete | $106.00 | $1,456.88 | 93% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc X-Ray Lumbar Spine 4 Vw | $106.00 | $826.25 | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc X-Ray Lumbar Spine 4 Vw | $106.00 | $826.25 | 87% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel Calcium Total | $8.00 | $240.39 | 97% |
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel Calcium Total | $8.00 | $240.39 | 97% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $13.00 | $277.88 | 95% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $13.00 | $277.88 | 95% |
| Complete blood count (CBC) with differential CPT 85025 Hc Complete Cbc & Auto Diff Wbc | $7.00 | $311.25 | 98% |
| Complete blood count (CBC) with differential CPT 85025 Hc Complete Cbc & Auto Diff Wbc | $7.00 | $311.25 | 98% |
| Complete blood count (CBC), no differential CPT 85027 Hc Complete Cbc | $6.00 | $398.75 | 98% |
| Complete blood count (CBC), no differential CPT 85027 Hc Complete Cbc | $6.00 | $398.75 | 98% |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $8.00 | $262.50 | 97% |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $8.00 | $262.50 | 97% |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $8.00 | $253.75 | 97% |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $8.00 | $253.75 | 97% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Prostate Specific Antigen,Free | $18.00 | $212.63 | 92% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Prostate Specific Antigen,Free | $18.00 | $212.63 | 92% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312 | $18.00 | $687.50 | 97% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312 | $18.00 | $687.50 | 97% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial | $6.00 | $151.25 | 96% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial | $6.00 | $151.25 | 96% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $4.00 | $142.50 | 97% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $4.00 | $142.50 | 97% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Thyroid Stim Hormone | $16.00 | $527.50 | 97% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Thyroid Stim Hormone | $16.00 | $527.50 | 97% |
| Urinalysis with microscope exam, manual CPT 81000 Hc Urinalysis, Nonauto, W/Scope | $4.00 | $676.25 | 99% |
| Urinalysis with microscope exam, manual CPT 81000 Hc Urinalysis, Nonauto, W/Scope | $4.00 | $676.25 | 99% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Nonauto W/O Scope | $3.00 | $52.38 | 94% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Nonauto W/O Scope | $3.00 | $52.38 | 94% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Hc Colonoscopy Flex Endoscope Us | $1,223.00 | $2,904.80 | 58% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Hc Colonoscopy Flex Endoscope Us | $1,223.00 | $2,904.80 | 58% |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy,Remv Lesn,Snare | $1,223.00 | $3,219.03 | 62% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy W/Lesion Removal | $1,223.00 | $6,843.00 | 82% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy W/Lesion Removal | $1,223.00 | $6,843.00 | 82% |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy,Remv Lesn,Snare | $1,223.00 | $3,219.03 | 62% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy And Biopsy | $1,223.00 | $6,843.00 | 82% |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy,Biopsy | $1,223.00 | $3,002.69 | 59% |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy,Biopsy | $1,223.00 | $3,002.69 | 59% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy And Biopsy | $1,223.00 | $6,843.00 | 82% |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy,Diagnostic | $950.00 | $2,904.80 | 67% |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy,Diagnostic | $950.00 | $2,904.80 | 67% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068 | $950.00 | $2,904.80 | 67% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071 | $950.00 | $2,904.80 | 67% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic Colonoscopy | $950.00 | $6,853.15 | 86% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic Colonoscopy | $950.00 | $6,853.15 | 86% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071 | $950.00 | $2,904.80 | 67% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068 | $950.00 | $2,904.80 | 67% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy | $6,180.00 | $11,256.30 | 45% |
| Gallbladder removal, laparoscopic CPT 47562 Hc Lap,Cholecystectomy | $6,180.00 | $27,344.70 | 77% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy | $6,180.00 | $11,256.30 | 45% |
| Gallbladder removal, laparoscopic CPT 47562 Hc Lap,Cholecystectomy | $6,180.00 | $27,344.70 | 77% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Hc Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible | $3,660.00 | $6,790.65 | 46% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Hc Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible | $3,660.00 | $6,790.65 | 46% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee Arthroscopy/Surgery - 29881 - OR36029881 | $3,345.00 | $7,863.00 | 57% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee Arthroscopy/Surgery - 29881 - OR36029881 | $3,345.00 | $7,863.00 | 57% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Cataract Secondary Discission (Yag Laser) | $562.00 | $2,349.35 | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Cataract Secondary Discission (Yag Laser) | $562.00 | $2,349.35 | 76% |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Left Heart Cath Inj Vetriculography, Rs/I | $3,314.00 | $17,129.00 | 81% |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Left Heart Cath Inj Vetriculography, Rs/I | $3,314.00 | $17,129.00 | 81% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W Img - 62323 - 36100565 | $721.00 | $2,535.95 | 72% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac | $721.00 | $6,803.00 | 89% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac | $721.00 | $6,803.00 | 89% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W Img - 62323 - 36100565 | $721.00 | $2,535.95 | 72% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $904.00 | $3,194.65 | 72% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $904.00 | $3,194.65 | 72% |
| Prostate biopsy CPT 55700 Hc Biopsy Of Prostate,Needle/Punch | $2,049.00 | $6,362.00 | 68% |
| Prostate biopsy CPT 55700 Hc Biopsy Of Prostate,Needle/Punch | $2,049.00 | $6,362.00 | 68% |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $13,125.00 | $21,513.00 | 39% |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $13,125.00 | $21,513.00 | 39% |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $13,125.00 | $13,113.00 | — |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $13,125.00 | $13,113.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd Transoral Biopsy Single/Multiple | $927.00 | $4,295.95 | 78% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd Transoral Biopsy Single/Multiple | $927.00 | $4,295.95 | 78% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple | $927.00 | $6,843.00 | 86% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple | $927.00 | $6,843.00 | 86% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $927.00 | $6,843.00 | 86% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $927.00 | $6,843.00 | 86% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd Transoral Diagnostic | $927.00 | $4,430.06 | 79% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd Transoral Diagnostic | $927.00 | $4,430.06 | 79% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psytx W/Patient | $181.00 | $911.00 | 80% |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psytx W/Patient | $181.00 | $911.00 | 80% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psytx W/O Patient | $181.00 | $750.00 | 76% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psytx W/O Patient | $181.00 | $750.00 | 76% |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy Iop | $103.00 | $431.06 | 76% |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy Iop | $103.00 | $431.06 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercises Complex, Ea 15 Min | $29.00 | $270.00 | 89% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercises Complex, Ea 15 Min | $29.00 | $270.00 | 89% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psytx Pt&/Family 30 Minutes | $181.00 | $588.81 | 69% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psytx Pt&/Family 30 Minutes | $181.00 | $588.81 | 69% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psychotherapy Patient &/ Family 45 Minutes | $181.00 | $782.75 | 77% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psychotherapy Patient &/ Family 45 Minutes | $181.00 | $782.75 | 77% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psychotherapy W/Patient 60 Minutes | $181.00 | $630.05 | 71% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psychotherapy W/Patient 60 Minutes | $181.00 | $630.05 | 71% |
Source file: https://roxboroughmemorial.com/wp-content/uploads/2026/09/910401_RoxboroughMemorialHospital_standardcharges.json