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Penn Highlands Elk

763 Johnsonburg Road, Saint Marys, PA 15857 · (814) 788-8000

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 4/5St. Marys, PA metro

Price file

Prices published

File dated 2026-04-01

497 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $99

$99
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $4,324

$4,324
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,287

$1,287
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,155

$2,155
cash
—
cash
$3,815
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $412

$412
cash
—
cash
—
cash
—
cash
$91
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $124

$124
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $1,180

$1,180
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $65

$65
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 5 lines · metro median $184

$184
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $828

$828
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 3 lines · metro median $22

$22
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $412

$412
cash
Group psychotherapy

CPT 90853 · lowest of 3 lines · metro median $477

$477
cash
—
cash
—
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $157

$157
cash
Liver function panel

CPT 80076 · metro median $96

$96
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $4,324

$4,324
cash
—
cash
$2,926
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,926

$2,926
cash
—
cash
$10,778
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 5 lines · metro median $146

$146
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 5 lines · metro median $209

$209
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 5 lines · metro median $252

$252
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $216

$216
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $49

$49
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $167

$167
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $1,287

$1,287
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $82

$82
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $95

$95
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $35

$35
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $828

$828
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $828

$828
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 3 lines · metro median $828

$828
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $46,358

$46,358
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $976

$976
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $3,145

$3,145
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $10,778

$10,778
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 5 lines · metro median $8,384

$8,384
cash
TSH test (thyroid)

CPT 84443 · lowest of 3 lines · metro median $197

$197
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $1,287

$1,287
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $1,287

$1,287
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $8,100

$8,100
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $8,100

$8,100
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $41

$41
cash
—
cash
—
cash
$3,815
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $213

$213
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.