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Children's Hospital of Philadelphia

Philadelphia, PA · CMS ID: 393303

This hospital has pricing data for 28 procedures ranging from $0 to $12,733.

Procedures (28)

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$773
Gross Charge
$773
Insurance Negotiated Rates
Geisinger Medical Assistance$11

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$1,315
Gross Charge
$1,315
Insurance Negotiated Rates
Geisinger Medical Assistance$20

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$454
Gross Charge
$454
Insurance Negotiated Rates
Geisinger Medical Assistance$8

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$0
Gross Charge
$0
Insurance Negotiated Rates
Geisinger Medical Assistance$4

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$7,445
Gross Charge
$7,445
Insurance Negotiated Rates
Geisinger Medical Assistance$260

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$4,403
Gross Charge
$4,403
Insurance Negotiated Rates
Geisinger Medical Assistance$136

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$6,114
Gross Charge
$6,114
Insurance Negotiated Rates
Geisinger Medical Assistance$118

ER Visit Level 3

99283
Cash Price
(No Insurance)
$1,463
Gross Charge
$1,463
Insurance Negotiated Rates
Geisinger Medical Assistance$76

ER Visit Level 4

99284
Cash Price
(No Insurance)
$2,545
Gross Charge
$2,545
Insurance Negotiated Rates
Geisinger Medical Assistance$129

ER Visit Level 5

99285
Cash Price
(No Insurance)
$6,180
Gross Charge
$6,180
Insurance Negotiated Rates
Geisinger Medical Assistance$187

Fetal Non-Stress Test

59025
Cash Price
(No Insurance)
$1,121
Gross Charge
$1,121
Insurance Negotiated Rates
Geisinger Medical Assistance$6

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$172
Gross Charge
$172
Insurance Negotiated Rates
Geisinger Medical Assistance$9

Knee X-Ray

73560
Cash Price
(No Insurance)
$1,199
Gross Charge
$1,199
Insurance Negotiated Rates
Geisinger Medical Assistance$22

Lipid Panel

80061
Cash Price
(No Insurance)
$345
Gross Charge
$345
Insurance Negotiated Rates
Medicaid$14

MRI Brain

70551
Cash Price
(No Insurance)
$8,107
Gross Charge
$8,107
Insurance Negotiated Rates
Geisinger Medical Assistance$363

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$12,733
Gross Charge
$12,733
Insurance Negotiated Rates
Geisinger Medical Assistance$363

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$8,668
Gross Charge
$8,668
Insurance Negotiated Rates
Geisinger Medical Assistance$363

MRI Knee

73721
Cash Price
(No Insurance)
$9,801
Gross Charge
$9,801
Insurance Negotiated Rates
Geisinger Medical Assistance$363

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$8,658
Gross Charge
$8,658
Insurance Negotiated Rates
Geisinger Medical Assistance$253

MRI Shoulder

73221
Cash Price
(No Insurance)
$9,543
Gross Charge
$9,543
Insurance Negotiated Rates
Geisinger Medical Assistance$363

Office Visit Level 3

99213
Cash Price
(No Insurance)
$653
Gross Charge
$653
Insurance Negotiated Rates
Medicaid$108

Office Visit Level 4

99214
Cash Price
(No Insurance)
$978
Gross Charge
$978
Insurance Negotiated Rates
Medicaid$161

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$1,160
Gross Charge
$1,160
Insurance Negotiated Rates
Geisinger Medical Assistance$22

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$500
Gross Charge
$500
Insurance Negotiated Rates
Geisinger Medical Assistance$31

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$2,983
Gross Charge
$2,983
Insurance Negotiated Rates
Geisinger Medical Assistance$78

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$2,953
Gross Charge
$2,953
Insurance Negotiated Rates
Geisinger Medical Assistance$63

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$2,670
Gross Charge
$2,670
Insurance Negotiated Rates
Geisinger Medical Assistance$63

Urinalysis

81001
Cash Price
(No Insurance)
$214
Gross Charge
$214
Insurance Negotiated Rates
Geisinger Medical Assistance$4