Roxborough Memorial Hospital
Roxborough Memorial Hospital in Philadelphia, PA publishes cash prices for 384 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 376 of 380 procedures and above it for 3. By typical cash price it ranks #3 of 108 Pennsylvania hospitals and #2 of 26 hospitals in the Philadelphia, PA area, cheapest first. Select 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 Check a bill from this hospital (215) 483-9900
Acute care hospital For-profit hospital Emergency department CMS star rating 2 of 5 CCN 390304 · CMS hospital register NPI 1083986129
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Roxborough Memorial Hospital in Philadelphia, PA:
- Jul 22, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 Hc X-Ray Abdomen 2 Vw | $106.00 | $558.30 | $16.48–$541.55 | 68% below | 81% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc X-Ray Ankle 3+ Vw | $88.00 | $499.35 | $18.73–$484.37 | 76% below | 82% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Non-Inv Physiologic Std Extrem Art 1-2 Lvl, Lmt | $136.00 | $735.68 | $37.11–$713.61 | 70% below | 82% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Esophagram | $179.00 | $870.72 | $22.50–$844.60 | 61% below | 79% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hc Nm Bone Imaging, Whole Body | $408.00 | $2,829.75 | $61.50–$2,744.86 | 67% below | 86% |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc Us, Breast Unilat Complete | $106.00 | $725.44 | $53.43–$703.68 | 81% below | 85% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Ultrasound Breast Unilat Limited | $88.00 | $430.61 | $40.94–$417.69 | 81% below | 80% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Ct Angio Abd & Plvis Wo/W Contrast | $356.00 | $3,429.06 | $285.32–$3,326.19 | 88% below | 90% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angiography Coro/Heart 3D | $356.00 | $2,544.00 | $207.07–$2,467.68 | 82% below | 86% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Ct Heart W/O Contrast Quant Eval Coronary Calcium | $88.00 | $1,718.00 | $34.78–$1,666.46 | 50% below | 95% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Scan Abdomen/Pelvis Wo Contrast | $243.00 | $1,167.60 | $101.07–$1,132.57 | 88% below | 79% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Scan Abdomen/Pelvis W Contrast | $356.00 | $5,817.50 | $192.73–$5,642.98 | 88% below | 94% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Scan Abdomen/Pelvis Combo | $356.00 | $6,828.58 | $254.70–$6,623.72 | 88% below | 95% |
| CT scan of the abdomen with contrast CPT 74160 Hc Ct Scan Of Abdomen Contrast | $179.00 | $3,382.99 | $90.00–$3,281.50 | 89% below | 95% |
| CT scan of the head with contrast CPT 70460 Hc Ct Scan Head Contrast | $179.00 | $2,982.19 | $80.00–$2,892.72 | 87% below | 94% |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Scan Head Combo | $179.00 | $3,508.18 | $100.00–$3,402.93 | 89% below | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Scan Of Pelvis Contrast | $179.00 | $3,150.08 | $86.50–$3,055.58 | 89% below | 94% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc Duplex Scan Extracranial,Bilat | $243.00 | $2,076.63 | $119.34–$2,014.33 | — | 88% |
| Chest X-ray, 2 views CPT 71046 Hc Chest X-Ray 2 Vw | $88.00 | $501.25 | $14.85–$486.21 | 73% below | 82% |
| Chest X-ray, single view CPT 71045 Hc Chest X-Ray 1 Vw | $88.00 | $430.61 | $8.11–$417.69 | 53% below | 80% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Hc X-Ray Clavicle | $88.00 | $448.75 | $11.50–$435.29 | 69% below | 80% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us,Retroperit, B-Scan/Real Time,Complete | $106.00 | $1,091.15 | $49.00–$1,058.42 | 85% below | 90% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dexa,Bone Density, 1 + Site, Axial Skeleton | $106.00 | $897.44 | $51.94–$870.52 | 61% below | 88% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Dexa,Bone Density, 1 + Site, Appendiculr Skeltn | $88.00 | $415.00 | $17.68–$402.55 | 51% below | 79% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us,Preg Uter,Fet & Mat,+ Detl Fet Exm | $243.00 | $2,978.00 | $91.42–$2,888.66 | 81% below | 92% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Diagnostic Computed Tomography Thorax W/Contrast | $179.00 | $3,209.70 | $87.50–$3,113.41 | 87% below | 94% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Mammography; Bilateral | $115.00 | $624.67 | $90.83–$605.93 | — | 82% |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Mammography; Unilateral | $89.00 | $455.33 | $71.01–$441.67 | 72% below | 80% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc Duplex Lo Extrem Art Bilat | $243.00 | $2,967.25 | $119.34–$2,878.23 | — | 92% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Duplex Extrem Venous,Bilat | $243.00 | $3,067.50 | $114.20–$2,975.48 | — | 92% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Heart Xthoracic,Complete W Doppler | $558.00 | $2,899.48 | $98.14–$2,812.50 | 70% below | 81% |
| Elbow X-ray, 2 views CPT 73070 Hc X-Ray Elbow 2 Vw | $88.00 | $430.61 | $11.50–$417.69 | 71% below | 80% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Hc X-Ray Elbow 3+ Vw | $88.00 | $506.13 | $11.50–$490.95 | 75% below | 83% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hc X-Ray Facial Bones 3+ Vw | $106.00 | $845.69 | $22.50–$820.32 | 74% below | 87% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc X-Ray Forearm 2 Vw | $88.00 | $506.13 | $11.50–$490.95 | 69% below | 83% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Nm Hepatobiliary Syst Imaging Including Gallbladdr | $408.00 | $2,234.00 | $214.47–$2,166.98 | 67% below | 82% |
| Hand X-ray, 2 views CPT 73120 Hc X-Ray Hand 2 Vw | $106.00 | $520.99 | $10.00–$505.36 | 62% below | 80% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc X-Ray Heel | $88.00 | $449.56 | $11.50–$436.07 | 67% below | 80% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Slp Stdy Unattnd Simul Rcord Hr/O2 Sat/Resp Flw/Resp Eff | $220.00 | $635.50 | $99.64–$616.44 | 64% below | 65% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Home Sleep Test/Type 3 Porta - 95806 - 74000034 | $220.00 | $573.00 | $99.64–$616.44 | 64% below | 62% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $877.00 | $5,728.19 | $517.67–$5,556.34 | 72% below | 85% |
| Knee X-ray, 3 views CPT 73562 Hc X-Ray Knee 3 View | $88.00 | $890.94 | $16.50–$864.21 | 78% below | 90% |
| Knee X-ray, complete, 4 or more views CPT 73564 Hc X-Ray Knee 4+ View | $106.00 | $729.25 | $22.42–$707.37 | 76% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us, Abdomen Limited | $106.00 | $1,456.88 | $37.50–$1,413.17 | 83% below | 93% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Extremity Non Vascular Real Time Ltd | $106.00 | $675.00 | $7.85–$654.75 | 73% below | 84% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Computed Tomography Thorax Lw Dose Lng Ca Scr C- | $106.00 | $520.99 | $73.38–$520.99 | 73% below | 80% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc X-Ray Tib + Fib, 2Vw | $88.00 | $617.75 | $16.50–$599.22 | 74% below | 86% |
| MR angiography (MRA) of the head without contrast CPT 70544 Hc Mr Angio, Head | $243.00 | $3,548.15 | $195.14–$3,441.71 | 86% below | 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 | $195.14–$3,625.38 | 88% below | 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 | $285.32–$4,968.83 | 90% below | 93% |
| MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen Wo Contrast | $243.00 | $3,806.18 | $195.14–$3,691.99 | 88% below | 94% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen Wo/W Contrast | $356.00 | $5,258.75 | $285.32–$5,100.99 | 90% below | 93% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain | $243.00 | $3,808.34 | $195.14–$3,694.09 | 87% below | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain Combo | $356.00 | $5,463.41 | $269.00–$5,299.51 | 88% below | 93% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri, Lumbar Spine | $243.00 | $3,950.55 | $187.20–$3,832.03 | 86% below | 94% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri, Lumbar Spine Combo | $356.00 | $5,552.49 | $269.00–$5,385.92 | 89% below | 94% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri, Dorsal Spine | $243.00 | $3,922.50 | $187.20–$3,804.83 | 88% below | 94% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri, Cerv Spine Combo | $356.00 | $5,579.96 | $269.00–$5,412.56 | 88% below | 94% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri, Cerv Spine | $243.00 | $3,949.78 | $195.14–$3,831.29 | 86% below | 94% |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri, Pelvis, Combo | $356.00 | $5,157.34 | $285.32–$5,002.62 | 90% below | 93% |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Mri, Pelvis, W/O Contrast | $243.00 | $3,682.50 | $195.14–$3,572.03 | 88% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Joint Upper Extrem Wo Contrast | $243.00 | $5,022.69 | $195.14–$4,872.01 | 89% below | 95% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Radex Spine Cervical 4 Or 5 Views | $106.00 | $792.31 | $26.50–$768.54 | 76% below | 87% |
| Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Neck Tissue Contrast | $179.00 | $3,078.75 | $82.50–$2,986.39 | 87% below | 94% |
| Neck soft tissue X-ray CPT 70360 Hc X-Ray Neck Soft Tissue | $88.00 | $433.13 | $10.00–$420.14 | 69% below | 80% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Nm Myocardial Spect Multiple Studies | $1,323.00 | $5,452.71 | $278.34–$5,289.13 | 66% below | 76% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Ct Attenuation Skull Base Mid-Thigh | $1,461.00 | $7,945.21 | $1,169.50–$7,706.85 | 80% below | 82% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvis Nonobst Limited/Fu | $106.00 | $720.69 | $19.00–$699.07 | 76% below | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Ultrasound,Pelvic (Nonobstetric) | $106.00 | $1,418.13 | $46.50–$1,375.59 | 82% below | 93% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us, Ob >/= 14 Wks, Sngl Fetus | $106.00 | $1,159.44 | $46.50–$1,124.66 | 83% below | 91% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us, Ob < 14 Wks, Single Fetus | $106.00 | $946.86 | $38.39–$918.45 | 81% below | 89% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us,Pregnant Uterus,Limited, 1/> Fetuses | $106.00 | $686.75 | $39.00–$666.15 | 80% below | 85% |
| Rib X-ray, one side, 2 views one side CPT 71100 Hc X-Ray Ribs 2 Vw Unilat | $88.00 | $496.29 | $16.50–$481.40 | 74% below | 82% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Hc X-Ray Ribs, Chest 3+ Vw | $106.00 | $632.08 | $16.50–$613.12 | 74% below | 83% |
| Screening mammogram, both breasts CPT 77067 Hc Mammogram, Screening | $94.00 | $573.88 | $75.02–$556.66 | 63% below | 84% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Hc X-Ray Shoulder 2+ Vw | $88.00 | $588.63 | $16.50–$570.97 | 74% below | 85% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hc X-Ray Sinuses 3+ Vw | $88.00 | $729.25 | $22.50–$707.37 | 79% below | 88% |
| Skull X-ray, fewer than 4 views CPT 70250 Hc X-Ray Skull <4 Vw | $106.00 | $611.25 | $21.00–$592.91 | 70% below | 83% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $877.00 | $5,728.19 | $270.32–$5,556.34 | 75% below | 85% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Echo Tthrc R-T 2D W/Wo M-Mode Rst&Strs Cont Ecg | $558.00 | $1,667.20 | $119.21–$1,617.18 | 69% below | 67% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Swallowing Fcn,W/Cine &/Or Video | $179.00 | $1,004.13 | $28.00–$974.01 | 70% below | 82% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Xray Femur =>2 Vw | $88.00 | $739.00 | $17.05–$716.83 | 78% below | 88% |
| Toe X-ray, 2 or more views CPT 73660 Hc X-Ray Toe(S) | $88.00 | $430.61 | $9.00–$417.69 | 69% below | 80% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Ultrasound,Transvaginal | $106.00 | $937.50 | $46.50–$909.38 | 81% below | 89% |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Us,Pregnant Uterus,Transvaginal | $106.00 | $823.75 | $53.03–$799.04 | 81% below | 87% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us, Abdom,B-Scan &/Or Real Time,Complete | $106.00 | $1,456.88 | $57.50–$1,413.17 | 86% below | 93% |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Ultrasound,Scrotum & Contents | $106.00 | $997.08 | $44.00–$967.17 | 83% below | 89% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us, Head/Neck Tissues,Real Time | $106.00 | $922.48 | $50.98–$894.81 | 81% below | 89% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Xray Upper Gi Tract | $179.00 | $973.96 | $39.00–$944.74 | 72% below | 82% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Hc X-Ray Humerus | $88.00 | $617.75 | $11.50–$599.22 | 68% below | 86% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Duplex Extrem Venous,Uni Or Ltd | $106.00 | $2,967.25 | $78.60–$2,878.23 | 83% below | 96% |
| Wrist X-ray, 2 views CPT 73100 Hc X-Ray Wrist 2 Vw | $88.00 | $430.61 | $11.50–$417.69 | 68% below | 80% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hc X-Ray Wrist 3+ Vw | $88.00 | $490.00 | $11.50–$475.30 | 73% below | 82% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Xray Hip W Pelvis, Unilat 2-3 Vw | $88.00 | $580.50 | $22.36–$563.09 | 75% below | 85% |
| X-ray of the abdomen, 1 view CPT 74018 Hc Radiologic Exam Abdomen 1 View | $88.00 | $430.61 | $13.77–$417.69 | 69% below | 80% |
| X-ray of the ankle, 2 views CPT 73600 Hc X-Ray Ankle 2 Vw | $88.00 | $434.94 | $11.50–$421.89 | 74% below | 80% |
| X-ray of the finger(s), 2 or more views CPT 73140 Hc X-Ray Exam Of Finger(S) | $88.00 | $430.61 | $9.00–$417.69 | 64% below | 80% |
| X-ray of the foot, 2 views CPT 73620 Hc X-Ray Foot 2 Vw | $88.00 | $449.56 | $10.00–$436.07 | 73% below | 80% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc X-Ray Foot 3+ Vw | $88.00 | $490.90 | $11.50–$476.17 | 76% below | 82% |
| X-ray of the hand, 3 or more views CPT 73130 Hc X-Ray Hand 3+ Vw | $88.00 | $491.88 | $11.50–$477.12 | 70% below | 82% |
| X-ray of the knee, 1 or 2 views CPT 73560 Hc X-Ray Knee 1 Or 2 View | $88.00 | $506.13 | $16.50–$490.95 | 69% below | 83% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc X-Ray Lumbar Spine 2/3 Vw | $106.00 | $645.19 | $22.50–$625.83 | 71% below | 84% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc X-Ray Lumbar Spine 4 Vw | $106.00 | $826.25 | $22.50–$801.46 | 77% below | 87% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc X-Ray Thoracic Spine 2 Vw | $106.00 | $528.75 | $20.19–$512.89 | 71% below | 80% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hc X-Ray Nasal Bones | $88.00 | $492.43 | $11.50–$477.66 | 68% below | 82% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Radex Spine Cervical 2 Or 3 Views | $88.00 | $534.01 | $16.50–$517.99 | 74% below | 84% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc X-Ray Pelvis 1/2 Vw | $106.00 | $528.75 | $10.00–$512.89 | 64% below | 80% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc X-Ray Sacrum/Coccyx 2+ Vw | $88.00 | $729.25 | $16.50–$707.37 | 74% below | 88% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hc Assay Of Acth | $38.00 | $1,500.00 | $30.90–$1,455.00 | 83% below | 97% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Transferase Alanine Amino (Alt) (Sgpt) | $5.00 | $97.50 | $4.24–$94.58 | 86% below | 95% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Transferase Aspartate Amino (Ast) (Sgot) | $5.00 | $96.25 | $4.14–$93.36 | 86% below | 95% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Hepatitis Panel,Acute | $47.00 | $565.31 | $38.10–$548.35 | 85% below | 92% |
| Albumin blood test CPT 82040 Hc Assay Of Serum Albumin | $4.00 | $82.35 | $3.65–$79.88 | 87% below | 95% |
| Aldosterone blood test CPT 82088 Hc Assay Of Aldosterone | $40.00 | $374.75 | $26.00–$363.51 | 81% below | 89% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Assay Alkaline Phosphatase | $5.00 | $93.99 | $4.14–$91.17 | 86% below | 95% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Quant,Each | $5.00 | $381.13 | $4.18–$369.70 | 85% below | 99% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein, Serum | $16.00 | $214.30 | $13.42–$207.87 | 85% below | 93% |
| Ammonia blood test CPT 82140 Hc Assay Of Ammonia | $14.00 | $297.50 | $5.00–$288.58 | 85% below | 95% |
| Amylase blood test CPT 82150 Hc Assay Of Amylase | $6.00 | $168.75 | $5.00–$163.69 | 86% below | 96% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Cirullinated Peptide Antibody | $12.00 | $216.94 | $10.36–$210.43 | 86% below | 94% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Antibodies | $12.00 | $491.25 | $9.67–$476.51 | 84% below | 98% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide | $39.00 | $328.81 | $31.41–$318.95 | 80% below | 88% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Spec, Bacteria, Not Urine,Stool,Blood | $8.00 | $432.50 | $6.90–$419.53 | 85% below | 98% |
| Bilirubin blood test, total CPT 82247 Hc Bilirubin Total | $5.00 | $95.41 | $4.02–$92.55 | 84% below | 95% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path,Level Iv | $53.00 | $1,321.25 | $9.00–$1,281.61 | 70% below | 96% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Venous Blood,Venipuncture | $9.00 | $53.75 | $2.68–$52.14 | 40% below | 83% |
| Blood glucose (sugar) test CPT 82947 Hc Assay Quantitative,Blood Glucose | $3.00 | $90.50 | $3.14–$87.79 | 88% below | 97% |
| Blood lead test CPT 83655 Hc Assay Of Lead | $12.00 | $129.03 | $9.69–$125.16 | 85% below | 91% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Chorionic Gonadotropin, Qual | $7.00 | $273.75 | $6.02–$265.54 | 86% below | 97% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Arc Blood Typing, Abo | $136.00 | $231.81 | $2.39–$231.81 | 2% above | 41% |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Assay Urea Nitrogen, Quan | $3.00 | $92.13 | $3.16–$89.37 | 89% below | 97% |
| C-peptide blood test CPT 84681 Hc Assay Of C-Peptide | $20.00 | $216.25 | $16.65–$209.76 | 82% below | 91% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein | $5.00 | $218.75 | $3.00–$212.19 | 86% below | 98% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc Cytomed, Dna, Amp Probe | $37.00 | $600.00 | $29.82–$582.00 | 82% below | 94% |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc Immunoassay, Tumor Antigen, Ca 19-9 | $20.00 | $223.75 | $16.65–$217.04 | 85% below | 91% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Immunoassay, Tumor Antigen, Ca 125 | $20.00 | $248.75 | $16.65–$241.29 | 85% below | 92% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Sars-Cov-2 Covid-19 Amp Prb | $51.00 | $246.29 | $35.49–$238.90 | 44% below | 79% |
| Calcium blood test, total CPT 82310 Hc Assay Of Calcium, Total | $5.00 | $92.35 | $4.13–$89.58 | 85% below | 95% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen | $18.00 | $251.25 | $15.17–$243.71 | 85% below | 93% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella-Zoster | $12.00 | $315.00 | $10.30–$305.55 | 86% below | 96% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chylmd Trach, Dna, Amp Probe | $35.00 | $242.44 | $23.19–$235.17 | 82% below | 86% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $13.00 | $277.88 | $10.71–$269.54 | 85% below | 95% |
| Complete blood count (CBC) with differential CPT 85025 Hc Complete Cbc & Auto Diff Wbc | $7.00 | $311.25 | $6.00–$301.91 | 86% below | 98% |
| Complete blood count (CBC), no differential CPT 85027 Hc Complete Cbc | $6.00 | $398.75 | $5.18–$386.79 | 86% below | 98% |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Metabolic Panel,Comprehensive | $10.00 | $341.06 | $8.45–$330.83 | 89% below | 97% |
| Cortisol blood test, total CPT 82533 Hc Total Cortisol | $16.00 | $447.50 | $12.00–$434.08 | 84% below | 96% |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Assay Of Ck (Cpk) | $6.00 | $263.75 | $4.55–$255.84 | 87% below | 98% |
| Creatinine blood test CPT 82565 Hc Assay Of Creatinine | $5.00 | $88.86 | $4.10–$86.19 | 85% below | 94% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Cmv Antibody | $14.00 | $169.48 | $11.51–$164.40 | 84% below | 92% |
| D-dimer blood test (blood clot marker) CPT 85379 Hc Fibrin Degradproducts,D-Dimer, Quant | $10.00 | $290.63 | $8.14–$281.91 | 85% below | 97% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dehydroepiandrosterone-Sulfate | $22.00 | $251.55 | $17.78–$244.00 | 84% below | 91% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen Multip Class | $62.00 | $673.75 | $49.71–$653.54 | 66% below | 91% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel | $7.00 | $246.13 | $5.61–$238.75 | 87% below | 97% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Epstein-Barr Antibody,V Capsid | $18.00 | $173.75 | $14.51–$168.54 | 84% below | 90% |
| Estradiol blood test CPT 82670 Hc Assay Of Total Estradiol | $27.00 | $286.25 | $21.50–$277.66 | 84% below | 91% |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Gonadotropin (Fsh) | $18.00 | $240.41 | $14.86–$233.20 | 85% below | 93% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hc Assay For Calprotectin Fecal | $19.00 | $800.00 | $15.70–$776.00 | 85% below | 98% |
| Ferritin blood test (iron stores) CPT 82728 Hc Assay Of Ferritin | $13.00 | $188.30 | $10.90–$182.65 | 85% below | 93% |
| Fibrinogen blood test CPT 85384 Hc Fibrinogen, Activity | $9.00 | $185.00 | $7.78–$179.45 | 86% below | 95% |
| Folate (folic acid) blood test CPT 82746 Hc Blood Folic Acid Serum | $14.00 | $185.00 | $11.76–$179.45 | 84% below | 92% |
| Free T3 thyroid hormone test CPT 84481 Hc Triiodothyronine Free Assay (Ft-3) | $16.00 | $248.75 | $13.55–$241.29 | 85% below | 94% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Assay Of Free Thyroxine | $9.00 | $443.75 | $7.22–$430.44 | 85% below | 98% |
| Free testosterone test CPT 84402 Hc Assay Of Testosterone | $25.00 | $262.25 | $20.38–$254.38 | 84% below | 90% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Assay Of Ggt | $7.00 | $176.25 | $4.55–$170.96 | 85% below | 96% |
| Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tolerance Test (Gtt) | $12.00 | $392.19 | $10.30–$380.42 | 85% below | 97% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N.Gonorrhoeae, Dna, Amp Prob | $35.00 | $242.44 | $23.19–$235.17 | 81% below | 86% |
| H. pylori antibody blood test CPT 86677 Hc Helicobacter Pylori | $16.00 | $204.45 | $13.48–$198.32 | 86% below | 92% |
| H. pylori stool antigen test CPT 87338 Hc Hpylori Stool Eia | $14.00 | $236.46 | $9.90–$229.37 | 85% below | 94% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Iadna Hiv-1 Quant & Reverse Transcription | $85.00 | $664.81 | $68.08–$644.87 | 83% below | 87% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv-1/Hiv-2, Single Assay | $13.00 | $328.00 | $10.97–$318.16 | 87% below | 96% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Eia Hiv-1/Hiv-2 Screen - 87389 - 30200255 | $24.00 | $54.30 | $16.29–$54.30 | 83% below | 56% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv High-Risk Types | $35.00 | $600.00 | $28.07–$582.00 | 83% below | 94% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Glycosylated Hemoglobin Test | $9.00 | $311.25 | $7.00–$301.91 | 82% below | 97% |
| Hepatitis B core antibody test (total) CPT 86704 Hc Hep B Core Ab Test, Total | $12.00 | $160.00 | $9.64–$155.20 | 86% below | 93% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surface Ab Test | $10.00 | $550.00 | $8.59–$533.50 | 86% below | 98% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hepatitis B Surface Ag, Eia | $10.00 | $156.25 | $8.26–$151.56 | 86% below | 94% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc Hep C Antibody, High Risk - 86803 - 30200256 | $14.00 | $398.75 | $11.42–$386.79 | 86% below | 96% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Iadna Hepatitis C Quant & Reverse Transcription | $42.00 | $630.81 | $34.27–$611.89 | 85% below | 93% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Simplex Test, Type 1 | $13.00 | $138.13 | $10.55–$133.99 | 84% below | 91% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Simplex Test, Type 2 | $19.00 | $148.89 | $15.48–$144.42 | 82% below | 87% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C-Reactive Protein,High Sensitivity | $12.00 | $158.75 | $10.36–$153.99 | 85% below | 92% |
| Homocysteine blood test CPT 83090 Hc Assay Of Homocystine | $17.00 | $284.53 | $14.34–$275.99 | 86% below | 94% |
| Insulin blood test CPT 83525 Hc Assay Of Insulin,Total | $11.00 | $150.00 | $9.14–$145.50 | 85% below | 93% |
| Iron blood test (serum iron) CPT 83540 Hc Assay Of Iron | $6.00 | $198.75 | $5.18–$192.79 | 87% below | 97% |
| Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Test | $8.00 | $198.75 | $5.00–$192.79 | 87% below | 96% |
| LH (luteinizing hormone) test CPT 83002 Hc Gonadotropin (Lh) | $18.00 | $241.56 | $14.82–$234.31 | 85% below | 93% |
| Lactate (lactic acid) blood test CPT 83605 Hc Assay Of Lactic Acid | $11.00 | $191.39 | $8.00–$185.65 | 86% below | 94% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate (Ld) (Ldh) Enzyme | $6.00 | $151.25 | $4.55–$146.71 | 84% below | 96% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hc Assay Of Lipase | $6.00 | $277.50 | $5.00–$269.18 | 87% below | 98% |
| Lyme disease antibody test CPT 86618 Hc Lyme Disease Antibody | $17.00 | $550.00 | $13.62–$533.50 | 82% below | 97% |
| Magnesium blood test CPT 83735 Hc Assay Of Magnesium | $6.00 | $256.25 | $5.36–$248.56 | 86% below | 98% |
| Measles (rubeola) antibody test CPT 86765 Hc Rubeola | $12.00 | $415.00 | $10.30–$402.55 | 85% below | 97% |
| Mumps immunity blood test CPT 86735 Hc Mumps | $13.00 | $252.38 | $9.00–$244.81 | 84% below | 95% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Prostate Specific Antigen,Free | $18.00 | $212.63 | $14.71–$206.25 | 84% below | 92% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312 | $18.00 | $687.50 | $14.71–$666.88 | 84% below | 97% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Cytopath C/V Auto Fluid Redo | $26.00 | $288.40 | $21.29–$279.75 | 68% below | 91% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cytopath Cerv/Vag Thin Layer | $20.00 | $1,000.00 | $16.00–$970.00 | 67% below | 98% |
| Parathyroid hormone (PTH) blood test CPT 83970 Hc Assay Of Parathormone | $41.00 | $1,147.63 | $33.02–$1,113.20 | 81% below | 96% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplas Time Partial | $6.00 | $151.25 | $4.81–$146.71 | 85% below | 96% |
| Phosphorus (phosphate) blood test CPT 84100 Hc Assay Of Inorganic Phosphorus | $4.00 | $91.25 | $3.79–$88.51 | 88% below | 96% |
| Potassium blood test CPT 84132 Hc Assay Of Serum Potassium | $4.00 | $100.06 | $3.81–$97.06 | 87% below | 96% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hc Fetal Chrmoml Aneuploidy | $759.00 | $39.00 | $11.70–$39.00 | 68% below | -1846% |
| Progesterone blood test CPT 84144 Hc Assay Of Progesterone | $20.00 | $224.38 | $16.69–$217.65 | 85% below | 91% |
| Prolactin blood test CPT 84146 Hc Assay Of Prolactin | $19.00 | $262.93 | $15.50–$255.04 | 85% below | 93% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $4.00 | $142.50 | $3.43–$138.23 | 86% below | 97% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc Drug Screen Prsmv Qual Dir Optical Obs Per Day | $12.00 | $43.38 | $10.08–$42.08 | 78% below | 72% |
| Rapid flu test (influenza antigen) CPT 87804 Hc Detect Agent,Immun,Dir Obs,Influenza | $16.00 | $158.84 | $11.35–$154.07 | 71% below | 90% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Strep A Assay W/Optic | $16.00 | $149.00 | $6.30–$144.53 | 75% below | 89% |
| Renin blood test CPT 84244 Hc Assay Of Renin | $21.00 | $246.33 | $12.00–$238.94 | 85% below | 91% |
| Rh blood typing CPT 86901 Hc Arc Blood Typing, Rh (D) | $38.00 | $146.13 | $2.39–$141.75 | 33% below | 74% |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor, Quant | $5.00 | $121.88 | $4.54–$118.22 | 87% below | 96% |
| Rubella antibody test (immunity check) CPT 86762 Hc Rubella | $14.00 | $262.25 | $11.51–$254.38 | 83% below | 95% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Hc Semen Analysis,Volume, Count, Motility, Diff | $12.00 | $24.00 | $7.20–$24.00 | 86% below | 50% |
| Sodium blood test CPT 84295 Hc Assay Of Serum Sodium | $4.00 | $100.06 | $3.85–$97.06 | 88% below | 96% |
| Stool ova and parasites exam CPT 87177 Hc Ova And Parasites Smears | $8.00 | $164.35 | $7.12–$159.42 | 86% below | 95% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Blood Stool | $4.00 | $94.76 | $3.47–$91.92 | 80% below | 96% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Assay Test For Blood Fecal | $15.00 | $150.00 | $2.80–$145.50 | 58% below | 90% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody Treponema Pallidum | $13.00 | $143.34 | $10.59–$139.04 | 83% below | 91% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test Non Treponemal Antibody Qual | $4.00 | $117.69 | $3.42–$114.16 | 86% below | 97% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Tb Test, Cell Mdiatd Antgen Resps Gamma Intfron | $61.00 | $456.75 | $49.58–$443.05 | 80% below | 87% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone | $25.00 | $264.74 | $20.65–$256.80 | 85% below | 91% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Antibody | $14.00 | $164.50 | $7.91–$159.57 | 81% below | 91% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Thyroid Stim Hormone | $16.00 | $527.50 | $13.44–$511.68 | 84% below | 97% |
| Total IgE blood test CPT 82785 Hc Assay Of Gammaglobulin Ige | $16.00 | $185.00 | $13.17–$179.45 | 85% below | 91% |
| Total cholesterol blood test CPT 82465 Hc Assay, Bld/Serum Cholesterol | $4.00 | $89.49 | $3.48–$86.81 | 87% below | 96% |
| Total thyroxine (T4) blood test CPT 84436 Hc Assay Of Total Thyroxine | $6.00 | $380.00 | $5.50–$368.60 | 87% below | 98% |
| Total triiodothyronine (T3) blood test CPT 84480 Hc Triiodothyronine Total Assay, Tt-3 | $14.00 | $309.56 | $8.00–$300.27 | 86% below | 95% |
| Transferrin blood test CPT 84466 Hc Assay Of Transferrin | $12.00 | $165.00 | $10.21–$160.05 | 86% below | 93% |
| Trichomonas test (NAAT) CPT 87661 Hc Trichomonas Vaginalis Amplif | $35.00 | $168.43 | $28.07–$163.38 | 81% below | 79% |
| Triglycerides blood test CPT 84478 Hc Assay Of Triglycerides | $5.00 | $111.25 | $4.55–$107.91 | 87% below | 96% |
| Troponin test, quantitative CPT 84484 Hc Assay Of Troponin, Quant | $12.00 | $333.75 | $9.87–$323.74 | 85% below | 96% |
| Urinalysis with microscope exam, manual CPT 81000 Hc Urinalysis, Nonauto, W/Scope | $4.00 | $676.25 | $3.22–$655.96 | 86% below | 99% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis Nonauto W/O Scope | $3.00 | $52.38 | $2.78–$50.81 | 86% below | 94% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Urine Culture, Colony Count | $8.00 | $300.00 | $6.46–$291.00 | 86% below | 97% |
| Urine microalbumin (albumin) test CPT 82043 Hc Microalbumin, Quantitative | $5.00 | $263.75 | $4.62–$255.84 | 87% below | 98% |
| Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Test | $8.00 | $243.75 | $4.00–$236.44 | 78% below | 97% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B-12 | $15.00 | $190.00 | $12.06–$184.30 | 84% below | 92% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Assay Vit D, 25-Hydroxy W Fractions | $29.00 | $512.38 | $23.68–$497.01 | 81% below | 94% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Assay Vit D, 1,25-Dihydroxy W Fractions | $38.00 | $371.90 | $30.80–$360.74 | 84% below | 90% |
| Zinc blood test CPT 84630 Hc Assay Of Zinc | $11.00 | $370.00 | $9.11–$358.90 | 85% below | 97% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Chorionic Gonadotropin, Quant | $15.00 | $687.50 | $12.04–$666.88 | 83% below | 98% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Appendectomy, open surgery CPT 44950 Appendectomy | $6,618.00 | $7,743.00 | $776.00–$7,743.00 | 44% below | 15% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopysurgery - 29888 - | $7,418.00 | $7,886.50 | $776.00–$7,886.50 | 43% below | 6% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr | $7,418.00 | $4,028.95 | $700.63–$4,028.95 | 45% below | -84% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Hc Nasal Endo Sx,Dilat Maxillary Sinus Ostium | $7,215.00 | $21,814.80 | $776.00–$21,160.36 | 42% below | 67% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Bx Breast W Device Stereotact Guide 1St Lesion | $1,688.00 | $11,453.00 | $148.30–$11,109.41 | 57% below | 85% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Clsd Treat Dist Fibula Fx Wo Manip | $252.00 | $949.69 | $118.50–$949.69 | 62% below | 73% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Clsd Treat Metatarsal Fx Wo Manip | $252.00 | $333.00 | $57.91–$333.00 | 52% below | 24% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor Hlx Vlgs Dstl Mtar Osteo | $3,345.00 | $11,243.00 | $1,085.00–$10,905.71 | 43% below | 70% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Cor Hlx Vlgs Rsc Prx Phlx Bs | $3,345.00 | $9,993.00 | $1,236.00–$9,693.21 | 44% below | 67% |
| Cardiac catheterization with coronary angiogram CPT 93458 Hc Cath Plc/Cor Angio Rs/I W L Hrt Ventriculogrphy | $3,314.00 | $15,952.00 | $1,582.00–$15,473.44 | 62% below | 79% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion, Elective;Extern | $675.00 | $3,084.34 | $87.00–$3,084.34 | 54% below | 78% |
| Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery | $1,996.00 | $6,843.00 | $664.00–$6,637.71 | 53% below | 71% |
| Catheter ablation for atrial fibrillation CPT 93656 Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein | $26,721.00 | $34,652.30 | $1,582.00–$34,652.30 | 14% below | 23% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Clsd Treat Distl Rad/Ulna Fx Wo Manip | $252.00 | $326.00 | $56.69–$326.00 | 62% below | 23% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Hc Colonoscopy Flex Endoscope Us | $1,223.00 | $2,904.80 | $232.40–$2,904.80 | 47% below | 58% |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy,Remv Lesn,Snare | $1,223.00 | $3,219.03 | $284.20–$6,637.71 | 52% below | 62% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy W/Lesion Removal | $1,223.00 | $6,843.00 | $284.20–$6,637.71 | 52% below | 82% |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy,Biopsy | $1,223.00 | $3,002.69 | $238.90–$6,637.71 | 45% below | 59% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy And Biopsy | $1,223.00 | $6,843.00 | $238.90–$6,637.71 | 45% below | 82% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071 | $950.00 | $2,904.80 | $191.30–$6,647.56 | 37% below | 67% |
| Colonoscopy, diagnostic CPT 45378 Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068 | $950.00 | $2,904.80 | $191.30–$6,647.56 | 37% below | 67% |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy,Diagnostic | $950.00 | $2,904.80 | $191.30–$6,647.56 | 37% below | 67% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic Colonoscopy | $950.00 | $6,853.15 | $191.30–$6,647.56 | 37% below | 86% |
| Coronary stent placement, one artery CPT 92928 Hc Perc Drug-El Cor Stent Sing - 92928 - 48100192 | $11,801.00 | $52,136.00 | $1,582.00–$50,571.92 | 42% below | 77% |
| Coronary stent placement, one artery CPT 92928 Hc Prq Trluml Coronary Stent W/Angio One Art/Brnch - 92928 - 48100127 | $11,801.00 | $52,136.00 | $1,582.00–$50,571.92 | 42% below | 77% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy And Treatment | $3,603.00 | $6,843.00 | $776.00–$6,843.00 | 24% below | 47% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystourethroscopy | $712.00 | $2,747.20 | $454.38–$2,747.20 | 58% below | 74% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruc Benign/Premal,First Lesion | $205.00 | $765.60 | $133.14–$765.60 | 52% below | 73% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Hc Remove Impacted Ear Wax Uni | $60.00 | $289.87 | $9.60–$289.87 | 57% below | 79% |
| Earwax removal with instruments, one ear one side CPT 69210 Hc Removal Impacted Cerumen Instrumentation Unilat | $60.00 | $503.38 | $48.24–$503.38 | 55% below | 88% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMET SAMPL,WWO ENDOCERVICAL SAMP,ANY | $206.00 | $4,562.00 | $165.34–$4,425.14 | 48% below | 95% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Hc Nasal Endo Sx,Ethmoidectomy Total (Ant&Post) | $7,215.00 | $21,814.80 | $776.00–$21,160.36 | 44% below | 67% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Hc Nasal Endo Sx,Frontal Sinus Exploration | $7,215.00 | $21,814.80 | $776.00–$21,160.36 | 42% below | 67% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Hc Nasal Endo Sx,Maxillary Antrostomy Only | $3,811.00 | $12,156.20 | $776.00–$11,791.51 | 45% below | 69% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Hc Nasal Endo Sx,Maxillary Antrostomy & Tissue Remv | $7,215.00 | $21,814.80 | $776.00–$21,160.36 | 38% below | 67% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Inj Dx/Ther Sbst Intrlmnr Crv/Thrc W Img - 62321 - 36100564 | $721.00 | $2,535.95 | $441.00–$2,535.95 | 70% below | 72% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj Dx/Thr Paravrt Facet Jnt Img Lumb/Sac 1St Lvl | $904.00 | $3,194.65 | $555.55–$3,194.65 | 37% below | 72% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc | $6,618.00 | $7,902.00 | $776.00–$7,902.00 | 39% below | 16% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hrn 1St < 3 Cm Rdc | $3,660.00 | $7,413.00 | $776.00–$7,413.00 | 46% below | 51% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Colorectal Cancer Screen, Flex Sigmoidscope - 45330 - 75000067 | $950.00 | $2,637.09 | $56.30–$2,637.09 | 18% below | 64% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Sigmoidoscopy,Diagnostic | $950.00 | $2,637.09 | $56.30–$2,637.09 | 18% below | 64% |
| Gallbladder removal, laparoscopic CPT 47562 Hc Lap,Cholecystectomy | $6,180.00 | $27,344.70 | $776.00–$26,524.36 | 43% below | 77% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic Cholecystectomy | $6,180.00 | $11,256.30 | $776.00–$26,524.36 | 43% below | 45% |
| Hammertoe correction surgery CPT 28285 Repair Of Hammertoe | $3,345.00 | $6,993.00 | $947.00–$6,993.00 | 23% below | 52% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy Intern Rubber Band Ligations | $950.00 | $3,338.35 | $454.38–$3,338.35 | 47% below | 72% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Biopsy | $3,309.00 | $11,710.50 | $776.00–$11,359.19 | 37% below | 72% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple/Single | $205.00 | $6,843.00 | $164.09–$6,637.71 | 60% below | 97% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc Incision & Drain Skin Abscess Simple | $205.00 | $948.77 | $164.09–$6,637.71 | 60% below | 78% |
| 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 | $806.00–$6,790.65 | 36% below | 46% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inject Tendon Sheath/Ligament | $313.00 | $1,297.56 | $225.65–$1,297.56 | 45% below | 76% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Asp/Drain Large Joint/Bursa | $313.00 | $1,403.62 | $244.09–$1,403.62 | 33% below | 78% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Drain/Inject Intermediate Joint/Bursa | $313.00 | $1,403.62 | $244.09–$1,403.62 | 12% below | 78% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Drain/Inject Small Joint/Bursa | $313.00 | $1,297.56 | $225.65–$1,297.56 | 24% below | 76% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopysurgery - 29882 - | $3,345.00 | $6,935.63 | $932.00–$6,935.63 | 39% below | 52% |
| Knee arthroscopy with meniscus trim CPT 29881 Knee Arthroscopy/Surgery - 29881 - OR36029881 | $3,345.00 | $7,863.00 | $932.00–$7,863.00 | 43% below | 57% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee Arthroscopy/Surgery - 29880 - OR36029880 | $3,345.00 | $8,913.00 | $776.00–$8,645.61 | 45% below | 62% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy Appendectomy | $6,180.00 | $7,274.25 | $776.00–$7,274.25 | 41% below | 15% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap Ing Hernia Repair Init | $6,180.00 | $10,625.50 | $776.99–$10,625.50 | 44% below | 42% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur | $6,180.00 | $11,542.00 | $776.00–$11,542.00 | 41% below | 46% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy Remove Adnexa | $6,180.00 | $8,493.00 | $776.00–$8,493.00 | 37% below | 27% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Cataract Secondary Discission (Yag Laser) | $562.00 | $2,349.35 | $408.55–$2,349.35 | 39% below | 76% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repr Wnd Intrmd Body/Scalp/Extr <2.5 Cm | $415.00 | $1,786.94 | $310.75–$1,786.94 | 29% below | 77% |
| Left heart catheterization, diagnostic one side CPT 93452 Hc Left Heart Cath Inj Vetriculography, Rs/I | $3,314.00 | $17,129.00 | $1,582.00–$16,615.13 | 49% below | 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 | $441.00–$6,598.91 | 66% below | 72% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac | $721.00 | $6,803.00 | $441.00–$6,598.91 | 66% below | 89% |
| 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 | $95.04–$3,098.81 | 53% below | 72% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low Back Disk Surgery | $7,418.00 | $9,168.00 | $776.00–$9,168.00 | 47% below | 19% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 LUMBAR SPINE FUSION | $27,739.00 | $1,811.62 | $315.04–$1,811.62 | 16% below | -1431% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec & foramot lumbar | $7,418.00 | $7,608.12 | $776.00–$7,608.12 | 47% below | 2% |
| Mastectomy (total removal of the breast) CPT 19303 Mast Simple Complete | $6,788.00 | $9,553.91 | $776.00–$9,553.91 | 47% below | 29% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc Skin Benig <0.5 Cm Face/Head/Mucus | $723.00 | $992.00 | $172.51–$992.00 | 59% below | 27% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate | $205.00 | $6,843.00 | $164.09–$6,637.71 | 56% below | 97% |
| Nail removal (partial or complete), one nail CPT 11730 Hc Removal Of Nail Plate | $205.00 | $948.77 | $164.09–$6,637.71 | 56% below | 78% |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Nerv Blck, Greater Occipital | $313.00 | $1,108.80 | $35.00–$1,108.80 | 45% below | 72% |
| Pacemaker implant (dual chamber) CPT 33208 Hc Insert Art & Ventr Pm W Transvenous Electrod | $10,685.00 | $43,954.00 | $490.90–$42,635.38 | 16% below | 76% |
| Paracentesis with imaging guidance CPT 49083 Hc Abdom Paracentesis Dx/Ther W Imaging Guidance | $927.00 | $4,295.95 | $84.33–$4,167.07 | 45% below | 78% |
| Partial knee replacement (one compartment) CPT 27446 Revision Of Knee Joint | $13,125.00 | $11,433.00 | $1,582.00–$11,433.00 | 43% below | -15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Removal Of Nail Bed | $415.00 | $1,148.00 | $199.64–$1,148.00 | 50% below | 64% |
| Prostate biopsy CPT 55700 Hc Biopsy Of Prostate,Needle/Punch | $2,049.00 | $6,362.00 | $101.14–$6,171.14 | 47% below | 68% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $1,996.00 | $7,817.10 | $776.00–$7,582.59 | 33% below | 74% |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Remove Foreign Body Simple | $415.00 | $1,889.66 | $328.61–$1,889.66 | 24% below | 78% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - G0121 - 75000071 | $950.00 | $2,904.80 | $505.14–$2,904.80 | 38% below | 67% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Colorectal Cancer Screen, Colonoscopy High Risk - G0105 - 75000068 | $950.00 | $2,904.80 | $505.14–$2,904.80 | 45% below | 67% |
| Septoplasty to straighten the nasal septum CPT 30520 Hc Septoplasty/Submucous Resecj W/Wo Cartilage Grf | $3,389.00 | $10,995.30 | $823.00–$10,665.44 | 45% below | 69% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting Of Kidney Stone | $3,603.00 | $7,021.71 | $264.50–$16,897.40 | 46% below | 49% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Hc Fragment Kidney Stone/ Eswl | $3,603.00 | $17,420.00 | $264.50–$16,897.40 | 46% below | 79% |
| Short arm cast (elbow to hand) CPT 29075 Hc Apply Elbow To Finger Cast | $285.00 | $1,103.75 | $45.50–$1,103.75 | 31% below | 74% |
| Short arm splint (forearm and hand) CPT 29125 Hc Apply Forearm Splint Static | $136.00 | $671.75 | $26.00–$671.75 | 57% below | 80% |
| Short leg cast (below the knee) CPT 29405 Hc Apply Short Leg Cast | $285.00 | $777.75 | $50.50–$777.75 | 45% below | 63% |
| Short leg splint (calf to foot) CPT 29515 Hc Apply Lower Leg Splint | $166.00 | $746.74 | $35.00–$746.74 | 64% below | 78% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Repr Wnd Smp Body/Scalp/Extr <2.5 Cm | $205.00 | $948.77 | $164.09–$948.77 | 60% below | 78% |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Skin Single Lesion | $415.00 | $1,889.66 | $328.61–$1,889.66 | 37% below | 78% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Exc Skin Malig <0.5 Cm Trnk/Arm/Leg | $723.00 | $2,695.55 | $454.38–$2,695.55 | 31% below | 73% |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags, Up To 15 | $205.00 | $1,111.04 | $164.09–$1,111.04 | 66% below | 82% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture,Lumbar,Diagnostic | $721.00 | $3,277.30 | $358.00–$3,277.30 | 41% below | 78% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Repr Wnd Smp Body/Scalp/Extr 2.6-7.5 Cm | $205.00 | $948.77 | $164.09–$948.77 | 61% below | 78% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Biopsy Skin Single Lesion | $415.00 | $882.25 | $153.42–$882.25 | 27% below | 53% |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis Ndl/Cath Pleura Asp W Imag | $641.00 | $2,977.15 | $88.70–$2,887.84 | 57% below | 78% |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $13,125.00 | $21,513.00 | $1,582.00–$21,513.00 | 45% below | 39% |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $13,125.00 | $13,113.00 | $1,582.00–$13,113.00 | 46% below | — |
| Total shoulder replacement CPT 23472 Reconstruct Shoulder Joint | $17,925.00 | $16,893.00 | $1,582.00–$16,893.00 | 45% below | -6% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inject Trigger Point1-2 Muscle | $313.00 | $1,403.62 | $244.09–$1,403.62 | 42% below | 78% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Tubal Cautery | $6,180.00 | $8,493.00 | $776.00–$8,493.00 | 44% below | 27% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx Breast W Device Us Guide 1St Lesion | $1,688.00 | $7,683.50 | $776.00–$7,453.00 | 53% below | 78% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hc Egd Balloon Dilation Esophagus <30 Mm Diam | $1,961.00 | $3,575.28 | $621.74–$3,575.28 | 43% below | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple | $927.00 | $6,843.00 | $157.50–$6,637.71 | 57% below | 86% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd Transoral Biopsy Single/Multiple | $927.00 | $4,295.95 | $157.50–$6,637.71 | 57% below | 78% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Hc Esophagogastroduodenoscopy Submucosal Injection | $927.00 | $2,890.00 | $160.60–$2,890.00 | 65% below | 68% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hc Egd Removal Tumor Polyp/Other Lesion Snare Tech | $1,961.00 | $3,575.28 | $200.70–$3,575.28 | 38% below | 45% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hc Egd Insert Guide Wire Dilator Passage Esophagus | $927.00 | $2,890.00 | $502.57–$2,890.00 | 63% below | 68% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd Transoral Diagnostic | $927.00 | $4,430.06 | $132.70–$6,637.71 | 51% below | 79% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $927.00 | $6,843.00 | $132.70–$6,637.71 | 51% below | 86% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Hc Edg Flex Transmural Drainage Pseudocyst | $6,206.00 | $4,742.61 | $776.00–$4,742.61 | 27% below | -31% |
| Vein ablation, radiofrequency, first vein CPT 36475 Hc Endovenous Rf, 1St Vein | $3,227.00 | $9,720.00 | $776.00–$9,428.40 | 66% below | 67% |
| Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion 1-14 | $205.00 | $7,533.00 | $49.00–$7,307.01 | 63% below | 97% |
| Wart removal, up to 14 warts CPT 17110 Hc Destruction Benign Lesions Up To 14 | $205.00 | $471.25 | $49.00–$7,307.01 | 63% below | 56% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt Subq Tis 1St 20Sqcm/< | $415.00 | $7,188.00 | $332.46–$6,972.36 | 61% below | 94% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Skin Sub-Q Tiss =<20 Sq Cm | $415.00 | $2,299.00 | $332.46–$6,972.36 | 61% below | 82% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dst Rd Xartc Fx/Epi Sep | $7,418.00 | $9,243.00 | $776.00–$9,243.00 | 41% below | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion Service | $451.00 | $2,057.23 | $21.83–$2,040.00 | 52% below | 78% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Airway Inhalation Treatment | $223.00 | $1,010.78 | $86.32–$980.46 | at median | 78% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Comprehensive Hearing Test | $131.00 | $648.75 | $29.00–$629.29 | 64% below | 80% |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care, E/M 30-74 Minutes | $844.00 | $7,020.00 | $334.00–$6,809.40 | 55% below | 88% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg,W/Awake & Drowsy Record | $220.00 | $1,762.50 | $13.50–$1,709.63 | 71% below | 88% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Electrocardiogram, Tracing | $60.00 | $386.25 | $10.46–$374.66 | 66% below | 84% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Ed Level 1 | $86.00 | $630.00 | $52.55–$630.00 | 72% below | 86% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Ed Level 2 | $156.00 | $988.75 | $32.98–$959.09 | 68% below | 84% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Ed Level 3 | $279.00 | $1,352.16 | $56.65–$1,311.60 | 62% below | 79% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Ed Level 4 | $426.00 | $2,098.99 | $95.33–$2,036.02 | 65% below | 80% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed Level 5 | $608.00 | $3,043.97 | $138.74–$2,952.65 | 62% below | 80% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Cardiac Stress Tst,Tracing Only (93017) | $220.00 | $1,487.47 | $46.50–$1,442.85 | 77% below | 85% |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psytx W/Patient | $181.00 | $911.00 | $110.62–$883.67 | 40% below | 80% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psytx W/O Patient | $181.00 | $750.00 | $110.62–$727.50 | 1% above | 76% |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy Iop | $103.00 | $431.06 | $63.31–$418.13 | 28% below | 76% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Infu, Hydration, 31-60 Min | $217.00 | $1,015.78 | $31.63–$985.31 | 50% below | 79% |
| IV infusion of a medicine, first hour CPT 96365 Hc Iv Infu, Therap/Proph/Diagn, Init, 1St Hr | $217.00 | $1,039.13 | $39.30–$1,007.96 | 52% below | 79% |
| IV push of a medicine, first drug CPT 96374 Hc Inj, Therap/Proph/Diagn, Iv Push Init Dx | $217.00 | $1,015.78 | $31.02–$985.31 | 34% below | 79% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inj, Therap/Proph/Diagn, Im Or Subcut | $73.00 | $333.84 | $12.70–$323.82 | 41% below | 78% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psych Diagnostic Evaluation | $181.00 | $782.75 | $110.62–$759.27 | 32% below | 77% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb | $381.00 | $2,112.75 | $58.99–$2,049.37 | 74% below | 82% |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromusc Reeducat,1+ Areas Complex, Ea 15 Min | $33.00 | $270.00 | $16.75–$261.90 | 74% below | 88% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Med Nutr Ther, 1St, Indiv, Ea 15 Min | $27.00 | $96.00 | $16.69–$94.00 | 46% below | 72% |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Occup Thrp Eval, Low Complexity, 30 Min | $103.00 | $574.75 | $61.73–$557.51 | 69% below | 82% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Phys Thrp Eval, High Complexity, 45 Min | $100.00 | $574.75 | $63.61–$557.51 | 71% below | 83% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Phys Thrp Eval, Low Complexity, 20 Min | $100.00 | $574.75 | $63.61–$557.51 | 66% below | 83% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Phys Thrp Eval, Moderate Complexity, 30 Min | $100.00 | $574.75 | $63.61–$557.51 | 70% below | 83% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy 1/> Regions Ea 15 Min | $28.00 | $295.00 | $21.03–$286.15 | 79% below | 91% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercises Complex, Ea 15 Min | $29.00 | $270.00 | $8.38–$261.90 | 78% below | 89% |
| Psychiatric evaluation with medical services CPT 90792 Hc Psych Diag Eval W/Med Srvcs | $181.00 | $700.00 | $110.62–$679.00 | 45% below | 74% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Psychotherapy For Crisis Initial 60 Minutes | $181.00 | $630.05 | $109.57–$611.15 | 1% above | 71% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psytx Pt&/Family 30 Minutes | $181.00 | $588.81 | $102.39–$571.15 | 26% below | 69% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psychotherapy Patient &/ Family 45 Minutes | $181.00 | $782.75 | $110.62–$759.27 | 29% below | 77% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psychotherapy W/Patient 60 Minutes | $181.00 | $630.05 | $109.57–$611.15 | 40% below | 71% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Tobacco Cessation Intermed 3-10 Min | $38.00 | $135.98 | $21.94–$131.90 | 17% below | 72% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Tobacco Cessation Asymptomatic 3-10 Min | $38.00 | $126.15 | $21.94–$131.90 | 17% below | 70% |
| Speech and language evaluation CPT 92523 Hc St Eval Speech Sound Prod Languag Comprhns, 15 Min | $232.00 | $1,135.01 | $180.00–$1,100.96 | 57% below | 80% |
| Speech therapy session, individual CPT 92507 Hc Speech/Hearing Therapy Individual, 15 Min | $78.00 | $380.00 | $21.70–$421.95 | 74% below | 79% |
| Speech therapy session, individual CPT 92507 Hc Speech/Hearing Therapy Individual, 90 Min | $78.00 | $435.00 | $21.70–$421.95 | 74% below | 82% |
| Spirometry (breathing test) CPT 94010 Hc Breathing Capacity Test | $220.00 | $846.19 | $9.00–$820.80 | 27% below | 74% |
| Spirometry before and after a bronchodilator CPT 94060 Hc Eval Of Bronchospasm | $381.00 | $1,487.47 | $11.40–$1,442.85 | 41% below | 74% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeut Actvity Direct Pt Contact Coplex Ea 15 Min | $36.00 | $297.50 | $13.00–$288.58 | 72% below | 88% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy Theraputic | $136.00 | $222.00 | $2.68–$222.00 | 41% below | 39% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://suburbanbhc.org/wp-content/uploads/2026/09/910401_RoxboroughMemorialHospital_standardcharges.json