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PricedCare

Shriners Hospitals for Children - Philadelphia

3551 N Broad Street, Philadelphia, PA 19104 · (215) 430-4000

ChildrensVoluntary non-profit - OtherPhiladelphia, PA-NJ-DE-MD metroWebsite ↗

Price file

Prices published

File dated 2026-03-19

864 price rows for 31 procedures

Published prices

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

CPT 80048 · metro median $20

$75
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $837

$3,558
cash
CT scan of the head, no contrast

CPT 70450 · metro median $381

$1,214
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $661

$1,849
cash
Chlamydia test (DNA)

CPT 87491 · metro median $58

$185
cash
Complete blood count (CBC) with differential

CPT 85025 · metro median $23

$69
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $29

$93
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $151

$409
cash
Gonorrhea test (DNA)

CPT 87591 · metro median $60

$185
cash
Hip or knee replacement, no major complications

MS-DRG 470

—
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—
cash
Lipid panel (cholesterol test)

CPT 80061 · metro median $31

$118
cash
Liver function panel

CPT 80076 · metro median $24

$72
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $1,237

$3,333
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,011

$2,176
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $860

$6,065
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $877

$6,217
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473

—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,020

$4,493
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $113

$330
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $144

$419
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $144

$620
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $34

$53
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $42

$688
cash
Prothrombin time (blood clotting test)

CPT 85610 · metro median $21

$35
cash
Spinal fusion (not neck), no complications

MS-DRG 460

—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,006

$4,694
cash
TSH test (thyroid)

CPT 84443 · metro median $37

$148
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $461

$727
cash
Urinalysis with microscope

CPT 81001 · metro median $13

$28
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $236

$468
cash

Source files

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