Rothman Orthopaedic Specialty Hospital

3300 Tillman Drive, Bensalem, PA 19020 · (215) 244-7400

Acute Care HospitalsProprietaryPhiladelphia, PA-NJ-DE-MD metro Website ↗

Price file

Prices published

File dated 2026-04-01

2,160 price rows for 25 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$11 to $11

24 negotiated rates

$570

list

CT scan of the head, no contrast

CPT 70450 · metro median $381

$110

cash

$106 to $234

118 negotiated rates

$3,856

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$10 to $10

24 negotiated rates

$233

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$14 to $14

24 negotiated rates

$665

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $26,093

$19,094

cash

$13,260 to $64,690

145 negotiated rates

$56,032

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $3,218

$3,139

cash

$564 to $5,910

124 negotiated rates

$20,597

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$17 to $17

24 negotiated rates

$760

list

Liver function panel

CPT 80076

—

cash

$10 to $10

24 negotiated rates

$594

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,237

$371

cash

$356 to $780

118 negotiated rates

$4,636

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,011

$251

cash

$241 to $533

118 negotiated rates

$5,497

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $860

$251

cash

$241 to $533

118 negotiated rates

$2,749

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $877

$251

cash

$241 to $533

118 negotiated rates

$2,749

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $24,166

$24,166

cash

$16,000 to $67,689

145 negotiated rates

$85,610

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,020

$912

cash

$116 to $1,718

118 negotiated rates

$5,627

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$8 to $8

48 negotiated rates

$221

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$21 to $21

24 negotiated rates

$90

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$5 to $5

48 negotiated rates

$169

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $3,356

$3,500

cash

$386 to $6,590

124 negotiated rates

$17,077

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$185 to $185

24 negotiated rates

$22,469

list

Spinal fusion (not neck), no complications

MS-DRG 460 · metro median $38,085

$38,085

cash

$26,448 to $112,082

142 negotiated rates

$95,298

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,006

$704

cash

$91 to $1,325

118 negotiated rates

$3,585

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $725

$704

cash

$104 to $1,325

118 negotiated rates

$3,585

list

TSH test (thyroid)

CPT 84443

—

cash

$15 to $22

41 negotiated rates

$730

list

Urinalysis with microscope

CPT 81001

—

cash

$4 to $4

24 negotiated rates

$194

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $236

$110

cash

$50 to $234

118 negotiated rates

$1,419

list

Source files

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

https://rothmanorthohospital.com/270260289_rothman-orthopaedic-specialty-hospital-llc_standardcharges.csv
Rothman Orthopaedic Specialty Hospital · parsed · tall v3.0.0 · file dated 2026-04-01 · 23.3 MB · 2160 price rows read · read Nov 2026