St Mary Medical Center

Langhorne-Newtown Rd, Langhorne, PA 19047 · (215) 750-2003

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Philadelphia, PA-NJ-DE-MD metro Part of Trinity Health · 52 hospitals Website ↗

Price file

Prices published

File dated 2026-03-31

78,046 price rows for 56 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $20

$120

cash

$8 to $176

198 negotiated rates

$185

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $837

$2,891

cash

$279 to $4,226

164 negotiated rates

$4,448

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $381

$1,683

cash

$90 to $2,460

164 negotiated rates

$2,589

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $661

$1,520

cash

$142 to $2,222

92 negotiated rates

$2,339

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 4 lines · metro median $5,430

$5,715

cash

$893 to $5,567

3020 negotiated rates

$5,715

list

Cesarean section hospital stay, no complications

MS-DRG 788 · lowest of 2 lines · metro median $10,367

$13,448

cash

$7,048 to $21,594

168 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 12 lines · metro median $58

$228

cash

$27 to $425

1168 negotiated rates

$351

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 6 lines · metro median $1,044

$475

cash

$58 to $4,967

3178 negotiated rates

$475

list

Colonoscopy with biopsy

CPT 45380 · lowest of 6 lines · metro median $1,360

$560

cash

$63 to $4,967

3184 negotiated rates

$560

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 6 lines · metro median $1,380

$551

cash

$80 to $4,967

3184 negotiated rates

$551

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 8 lines · metro median $23

$72

cash

$7 to $152

770 negotiated rates

$111

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $29

$168

cash

$11 to $246

374 negotiated rates

$259

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $189

$523

cash

$89 to $765

200 negotiated rates

$805

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $151

$306

cash

$78 to $295

3020 negotiated rates

$306

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 6 lines · metro median $1,451

$1,451

cash

$19 to $17,623

3188 negotiated rates

$1,451

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 12 lines · metro median $60

$183

cash

$27 to $425

1168 negotiated rates

$281

list

Hip or knee replacement, no major complications

MS-DRG 470 · lowest of 2 lines · metro median $26,093

$50,068

cash

$13,816 to $43,443

172 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · lowest of 2 lines · metro median $11,001

$15,190

cash

$5,798 to $18,326

168 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · lowest of 2 lines · metro median $15,120

$27,834

cash

$3,796 to $27,943

172 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 6 lines · metro median $3,522

$1,155

cash

$159 to $10,437

3188 negotiated rates

$1,155

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 6 lines · metro median $3,218

$1,215

cash

$177 to $9,538

3188 negotiated rates

$1,215

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $3,830

$6,455

cash

$1,125 to $10,307

194 negotiated rates

$9,930

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 8 lines · metro median $31

$140

cash

$13 to $204

792 negotiated rates

$215

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $24

$144

cash

$8 to $211

198 negotiated rates

$222

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,237

$2,768

cash

$301 to $4,046

92 negotiated rates

$4,259

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $1,011

$2,143

cash

$206 to $4,699

276 negotiated rates

$3,297

list

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

CPT 72148 · lowest of 2 lines · metro median $860

$2,143

cash

$206 to $3,132

92 negotiated rates

$3,297

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $877

$2,143

cash

$206 to $3,132

92 negotiated rates

$3,297

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · lowest of 2 lines · metro median $24,166

$67,780

cash

$17,391 to $57,018

168 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 10 lines · metro median $1,020

$255

cash

$26 to $4,577

3592 negotiated rates

$255

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines · metro median $113

$240

cash

$54 to $240

1516 negotiated rates

$240

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $144

$285

cash

$90 to $370

3004 negotiated rates

$285

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $144

$388

cash

$116 to $374

3020 negotiated rates

$388

list

PSA test (prostate)

CPT 84153 · lowest of 6 lines · metro median $57

$68

cash

$11 to $313

594 negotiated rates

$105

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 10 lines · metro median $34

$42

cash

$6 to $82

990 negotiated rates

$65

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $42

$127

cash

$10 to $358

580 negotiated rates

$195

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 6 lines · metro median $299

$300

cash

$76 to $706

3202 negotiated rates

$300

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $120

$199

cash

$20 to $191

778 negotiated rates

$199

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $44

$241

cash

$20 to $232

778 negotiated rates

$241

list

Prostate biopsy

CPT 55700 · lowest of 6 lines · metro median $325

$325

cash

$27 to $10,276

3188 negotiated rates

$325

list

Prostate removal (laparoscopic)

CPT 55866 · lowest of 4 lines · metro median $3,965

$3,965

cash

$105 to $30,987

3186 negotiated rates

$3,965

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $21

$26

cash

$4 to $49

396 negotiated rates

$40

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 6 lines · metro median $3,356

$920

cash

$87 to $11,414

3188 negotiated rates

$920

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $169

$524

cash

$76 to $766

400 negotiated rates

$806

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 6 lines · metro median $370

$370

cash

$110 to $21,152

3184 negotiated rates

$370

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 8 lines · metro median $725

$213

cash

$32 to $3,782

3384 negotiated rates

$213

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $37

$137

cash

$17 to $230

396 negotiated rates

$211

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $255

$815

cash

$76 to $1,191

200 negotiated rates

$1,254

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $461

$569

cash

$83 to $831

164 negotiated rates

$875

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 4 lines · metro median $1,046

$285

cash

$39 to $2,581

3022 negotiated rates

$285

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,069

$4,620

cash

$39 to $5,594

180 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $13

$48

cash

$3 to $70

574 negotiated rates

$74

list

Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 4 lines · metro median $2,829

$5,400

cash

$675 to $5,640

1972 negotiated rates

$5,400

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · lowest of 2 lines · metro median $7,370

$9,322

cash

$5,062 to $15,184

164 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 4 lines · metro median $4,925

$5,130

cash

$893 to $5,013

3020 negotiated rates

$5,130

list

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

CPT 72110 · lowest of 4 lines · metro median $236

$391

cash

$33 to $571

380 negotiated rates

$601

list

Source files

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

https://hpt.trinity-health.org/231913910_st-mary-medical-center_standardcharges.zip
St. Mary Medical Center · parsed · tall v3.0.0 · file dated 2026-03-31 · 130.2 MB · 39023 price rows read · read Nov 2026
https://hpt.trinity-health.org/231913910_st-mary-medical-center_standardcharges.zip
St. Mary Medical Center · parsed · tall v3.0.0 · file dated 2026-03-31 · 130.2 MB · 39023 price rows read · read Nov 2026
https://hpt.trinity-health.org/232794121_nazareth-hospital_standardcharges.zip
Nazareth Hospital · unmatched · tall v3.0.0 · file dated 2026-03-31 · 101.1 MB · read Sep 2026