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Robert Packer Hospital

One Guthrie Square, Sayre, PA 18840 · (570) 888-6666

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Sayre, PA metroWebsite ↗

Price file

Prices published

File dated 2026-03-31

9,900 price rows for 55 procedures

Published prices

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

CPT 80048 · lowest of 4 lines · metro median $255

$255
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $3,533

$3,533
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $1,989

$1,989
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $4,250

$4,250
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 4 lines · metro median $1,825

$1,825
cash
Cesarean section hospital stay, no complications

MS-DRG 788 · lowest of 2 lines · metro median $14,054

$14,054
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 8 lines · metro median $350

$350
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 4 lines · metro median $4,206

$4,206
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 8 lines · metro median $1,083

$1,083
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 4 lines · metro median $5,407

$5,407
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $160

$160
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $301

$301
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 8 lines · metro median $368

$368
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $919

$919
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 8 lines · metro median $350

$350
cash
Group psychotherapy

CPT 90853 · lowest of 8 lines · metro median $27

$27
cash
Hip or knee replacement, no major complications

MS-DRG 470 · lowest of 4 lines · metro median $66,442

$66,442
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392 · lowest of 2 lines · metro median $39,956

$39,956
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · lowest of 2 lines · metro median $33,938

$33,938
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 4 lines · metro median $404

$404
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 8 lines · metro median $187

$187
cash
Liver function panel

CPT 80076 · lowest of 4 lines · metro median $154

$154
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $5,842

$5,842
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $4,431

$4,431
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $4,222

$4,222
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $4,208

$4,208
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473 · lowest of 2 lines · metro median $81,842

$81,842
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 12 lines · metro median $2,490

$2,490
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $587

$587
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 8 lines · metro median $737

$737
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $1,007

$1,007
cash
PSA test (prostate)

CPT 84153 · lowest of 8 lines · metro median $47

$47
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $96

$96
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 8 lines · metro median $197

$197
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 8 lines · metro median $288

$288
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 4 lines · metro median $202

$202
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 4 lines · metro median $233

$233
cash
Prostate biopsy

CPT 55700 · lowest of 4 lines · metro median $378

$378
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $71

$71
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 12 lines · metro median $24

$24
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 8 lines · metro median $74

$74
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 12 lines · metro median $64

$64
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $40

$40
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $799

$799
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 12 lines · metro median $302

$302
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 8 lines · metro median $2,605

$2,605
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $3,722

$3,722
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $337

$337
cash
Transvaginal ultrasound

CPT 76830 · lowest of 8 lines · metro median $380

$380
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $1,654

$1,654
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 8 lines · metro median $4,876

$4,876
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 8 lines · metro median $4,969

$4,969
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $32

$32
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · lowest of 2 lines · metro median $13,672

$13,672
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $861

$861
cash

Source files

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