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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
71045Cash Price
(No Insurance)
$773
Gross Charge
$773
Medicare Rate
$24
Insurance Negotiated Rates
Geisinger Medical Assistance$11
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$1,315
Gross Charge
$1,315
Medicare Rate
$31
Insurance Negotiated Rates
Geisinger Medical Assistance$20
Cash Price
(No Insurance)
$454
Gross Charge
$454
Insurance Negotiated Rates
Geisinger Medical Assistance$8
Cash Price
(No Insurance)
$0
Gross Charge
$0
Insurance Negotiated Rates
Geisinger Medical Assistance$4
Cash Price
(No Insurance)
$7,445
Gross Charge
$7,445
Medicare Rate
$280
Insurance Negotiated Rates
Geisinger Medical Assistance$260
Cash Price
(No Insurance)
$4,403
Gross Charge
$4,403
Medicare Rate
$172
Insurance Negotiated Rates
Geisinger Medical Assistance$136
Cash Price
(No Insurance)
$6,114
Gross Charge
$6,114
Medicare Rate
$156
Insurance Negotiated Rates
Geisinger Medical Assistance$118
ER Visit Level 3
99283Cash Price
(No Insurance)
$1,463
Gross Charge
$1,463
Medicare Rate
$69
Insurance Negotiated Rates
Geisinger Medical Assistance$76
ER Visit Level 4
99284Cash Price
(No Insurance)
$2,545
Gross Charge
$2,545
Medicare Rate
$117
Insurance Negotiated Rates
Geisinger Medical Assistance$129
ER Visit Level 5
99285Cash Price
(No Insurance)
$6,180
Gross Charge
$6,180
Medicare Rate
$170
Insurance Negotiated Rates
Geisinger Medical Assistance$187
Cash Price
(No Insurance)
$1,121
Gross Charge
$1,121
Medicare Rate
$48
Insurance Negotiated Rates
Geisinger Medical Assistance$6
Hemoglobin A1C
83036Cash Price
(No Insurance)
$172
Gross Charge
$172
Insurance Negotiated Rates
Geisinger Medical Assistance$9
Knee X-Ray
73560Cash Price
(No Insurance)
$1,199
Gross Charge
$1,199
Medicare Rate
$32
Insurance Negotiated Rates
Geisinger Medical Assistance$22
MRI Brain
70551Cash Price
(No Insurance)
$8,107
Gross Charge
$8,107
Medicare Rate
$183
Insurance Negotiated Rates
Geisinger Medical Assistance$363
Cash Price
(No Insurance)
$12,733
Gross Charge
$12,733
Medicare Rate
$296
Insurance Negotiated Rates
Geisinger Medical Assistance$363
MRI Cervical Spine
72141Cash Price
(No Insurance)
$8,668
Gross Charge
$8,668
Medicare Rate
$179
Insurance Negotiated Rates
Geisinger Medical Assistance$363
MRI Knee
73721Cash Price
(No Insurance)
$9,801
Gross Charge
$9,801
Medicare Rate
$191
Insurance Negotiated Rates
Geisinger Medical Assistance$363
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$8,658
Gross Charge
$8,658
Medicare Rate
$180
Insurance Negotiated Rates
Geisinger Medical Assistance$253
MRI Shoulder
73221Cash Price
(No Insurance)
$9,543
Gross Charge
$9,543
Medicare Rate
$191
Insurance Negotiated Rates
Geisinger Medical Assistance$363
Office Visit Level 3
99213Cash Price
(No Insurance)
$653
Gross Charge
$653
Medicare Rate
$91
Insurance Negotiated Rates
Medicaid$108
Office Visit Level 4
99214Cash Price
(No Insurance)
$978
Gross Charge
$978
Medicare Rate
$130
Insurance Negotiated Rates
Medicaid$161
Shoulder X-Ray
73030Cash Price
(No Insurance)
$1,160
Gross Charge
$1,160
Medicare Rate
$33
Insurance Negotiated Rates
Geisinger Medical Assistance$22
TSH (Thyroid)
84443Cash Price
(No Insurance)
$500
Gross Charge
$500
Insurance Negotiated Rates
Geisinger Medical Assistance$31
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$2,983
Gross Charge
$2,983
Medicare Rate
$107
Insurance Negotiated Rates
Geisinger Medical Assistance$78
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$2,953
Gross Charge
$2,953
Medicare Rate
$98
Insurance Negotiated Rates
Geisinger Medical Assistance$63
Cash Price
(No Insurance)
$2,670
Gross Charge
$2,670
Medicare Rate
$109
Insurance Negotiated Rates
Geisinger Medical Assistance$63
Urinalysis
81001Cash Price
(No Insurance)
$214
Gross Charge
$214
Insurance Negotiated Rates
Geisinger Medical Assistance$4