Evangelical Community Hospital
Evangelical Community Hospital in Lewisburg, PA publishes cash prices for 39 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1 Hospital Drive, Lewisburg, PA 17837 Collected Sep 23, 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 Scan of Abdomen and Pelvis With Contrast | $437.50 | $7,856.50 | 94% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Scan Head or Brain Without Contrast | $296.00 | $2,337.75 | 87% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Scan of Pelvis With Contrast | $475.50 | $2,958.50 | 84% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic Mammography of Both Breasts | $208.00 | $1,066.25 | 80% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic Mammography of 1 Breast | $222.00 | $1,059.50 | 79% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Scan of Leg Joint Without Contrast | $462.00 | $4,562.00 | 90% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Scan of Leg Joint Before and After Contrast | $712.50 | $6,750.75 | 89% |
| MRI of the brain, no contrast dye CPT 70551 MRI Scan of Brain Without Contrast | $455.00 | $4,194.75 | 89% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan of Brain Before and After Contrast | $701.50 | $6,651.00 | 89% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Scan of Lower Spinal Canal Without Contrast | $454.00 | $4,527.25 | 90% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound Scan of Pregnant Uterus (14 Weeks or More), Single or 1st Fetus | $846.80 | $1,058.50 | 20% |
| Screening mammogram, both breasts CPT 77067 Screening Mammography | $225.00 | $672.00 | 67% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study in Sleep Lab (6 Years or Older) | $7,018.40 | $8,773.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound of Uterus, Ovaries, Tubes, Cervix and Pelvic Area Through Vagina | $831.80 | $1,039.75 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 Complete Ultrasound Scan of Abdomen | $1,123.60 | $1,404.50 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of Lower and Sacral Spine, Minimum of 4 Views | $961.00 | $1,201.25 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Blood Test, Basic Group of Blood Chemicals (Calcium, Total) | $20.00 | $287.00 | 93% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood Test, Lipids (Cholesterol and Triglycerides) | $40.00 | $349.75 | 89% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Cell Count, With Diff | $15.00 | $138.25 | 89% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Cell Count, W/O Diff | $15.00 | $135.50 | 89% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood Test, Comprehensive Group of Blood Chemicals | $25.00 | $331.00 | 92% |
| Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel | $191.60 | $239.50 | 20% |
| Liver function blood test panel CPT 80076 Liver Function Blood Test Panel | $25.00 | $358.00 | 93% |
| Obstetric blood test panel CPT 80055 Obstetric Blood Test Panel | $190.00 | $249.00 | 24% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa (Prostate Specific Antigen) Measurement, Free | $45.00 | $647.75 | 93% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement, Total | $45.00 | $305.75 | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation Assessment Blood Test, Plasma or Whole Blood | $30.00 | $164.75 | 82% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood Test, Clotting Time | $15.00 | $119.75 | 87% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh) | $40.00 | $295.00 | 86% |
| Urinalysis with microscope exam, automated CPT 81001 Manual Urinalysis Test With Examination Using Microscope, Automated | $10.00 | $112.50 | 91% |
| Urinalysis without microscope exam, automated CPT 81003 Automated Urinalysis Test | $10.00 | $106.50 | 91% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of Substance Into Lower Spine Canal Using Imaging Guidance | $1,843.20 | $2,304.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject Anesthetic/Steroid Sacral Spine Nerve W Image Guide, Single Level | $3,272.00 | $4,090.00 | 20% |
| Prostate biopsy CPT 55700 Biopsy of Prostate Gland | $6,034.80 | $7,543.50 | 20% |
| Removal of a breast lump, open surgery CPT 19120 Removal of Growth and Tissue of Breast, Duct, or Nipple | $5,848.80 | $7,311.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 New Outpatient Visit Level 3 or Over 30 Minutes | $239.20 | $299.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 New Outpatient Visit Level 4 or Over 45 Minutes | $266.40 | $333.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 New Outpatient Visit Level 5 or Over 60 Minutes | $316.00 | $395.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Occupational Therapy, Each 15 Minutes | $135.20 | $169.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical Therapy, Each 15 Minutes | $135.20 | $169.00 | 20% |