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Thomas Jefferson University Hospital

111 South 11Th Street, Philadelphia, PA 19107 · (215) 955-6000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Philadelphia, PA-NJ-DE-MD metroWebsite ↗

Price file

Prices published

File dated 2026-09-15

9,144 price rows for 69 procedures

Published prices

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

CPT 80048 · lowest of 4 lines · metro median $20

$10
cash
CT scan of the abdomen and pelvis, with contrast

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

$412
cash
CT scan of the head, no contrast

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

$124
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $661

$207
cash
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cash
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cash
Cesarean section hospital stay, no complications

MS-DRG 788 · lowest of 4 lines · metro median $10,367

$11,850
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 40 lines · metro median $58

$40
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 4 lines · metro median $1,044

$1,099
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 4 lines · metro median $1,360

$1,414
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 4 lines · metro median $1,380

$1,414
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 12 lines · metro median $23

$9
cash
Comprehensive metabolic panel (blood test)

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

$12
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $189

$132
cash
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cash
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cash
Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines · metro median $174

$210
cash
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cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 8 lines · metro median $60

$40
cash
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cash
—
cash
—
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Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · lowest of 4 lines · metro median $15,120

$15,120
cash
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cash
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cash
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cash
Left heart catheterization

CPT 93452 · lowest of 4 lines · metro median $3,830

$3,830
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 20 lines · metro median $31

$15
cash
Liver function panel

CPT 80076 · lowest of 8 lines · metro median $24

$9
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $1,237

$412
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,011

$282
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $860

$282
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $877

$282
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473 · lowest of 4 lines · metro median $24,166

$29,048
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $1,020

$1,045
cash
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cash
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PSA test (prostate)

CPT 84153 · lowest of 8 lines · metro median $57

$21
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $34

$7
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 8 lines · metro median $42

$34
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 8 lines · metro median $299

$124
cash
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Prothrombin time (blood clotting test)

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

$5
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $181

$210
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 8 lines · metro median $181

$210
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 8 lines · metro median $188

$210
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 8 lines · metro median $3,356

$4,626
cash
Screening mammogram (both breasts)

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

$109
cash
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cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 4 lines · metro median $1,062

$1,015
cash
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cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 8 lines · metro median $1,006

$1,045
cash
Spinal injection, lower back, with imaging guidance

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

$834
cash
TSH test (thyroid)

CPT 84443 · lowest of 8 lines · metro median $37

$19
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $255

$124
cash
Ultrasound of the abdomen (complete)

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

$124
cash
Upper endoscopy (EGD)

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

$1,072
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 4 lines · metro median $1,069

$1,072
cash
Urinalysis with microscope

CPT 81001 · lowest of 8 lines · metro median $13

$4
cash
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cash
Vaginal delivery hospital stay, no complications

MS-DRG 807 · lowest of 4 lines · metro median $7,370

$8,549
cash
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cash
X-ray of the lower spine (4 or more views)

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

$124
cash

Source files

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