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Roxborough Memorial Hospital prices. From its own published file.

Roxborough Memorial Hospital in Philadelphia, PA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

4,323prices published
Sep 2026file last updated
$356cash price for ct abdomen and pelvis with contrast (list $5,818)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$279$1,352$56.65–$1,312
Emergency visit, high (level 4)
99284
$426$2,099$95.33–$2,036
Emergency visit, highest (level 5)
99285
$608$3,044$139–$2,953
Comprehensive metabolic panel
80053
$10.00$341$8.45–$331
Basic metabolic panel
80048
$8.00$240$6.77–$233
Complete blood count (CBC)
85025
$7.00$311$6.00–$302
Blood draw (venipuncture)
36415
$9.00$53.75$2.68–$52.14
Urinalysis
81001
$3.00$207$2.54–$201
Troponin (heart test)
84484
$12.00$334$9.87–$324
EKG tracing
93005
$60.00$386$10.46–$375
Chest X-ray, 2 views
71046
$88.00$501$14.85–$486
CT head without contrast
70450
$106$1,654$77.50–$1,605
CT abdomen and pelvis with contrast
74177
$356$5,818$193–$5,643
MRI lower back without contrast
72148
$243$3,951$187–$3,832
Ultrasound, abdomen
76700
$106$1,457$57.50–$1,413
IV push, single drug
96374
$217$1,016$31.02–$985
IV fluids, first hour
96360
$217$1,016$31.63–$985
Colonoscopy, diagnostic
45378
$950$2,905$191–$6,648
Upper GI endoscopy with biopsy
43239
$927$5,569$158–$6,638
Knee arthroscopy
29881
$3,345$7,863$932–$7,863

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Roxborough Memorial Hospital price transparency page.

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