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Roxborough Memorial Hospital

Philadelphia, PA · 107 beds · 73 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 84/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
ACL Reconstruction (Arthroscopic)	$7,418$776$7.9k	$7,418	$7,887
Basic Metabolic Panel	$9$7$37	$8	$240
Bone Marrow Biopsy	$1,764$454$4.0k	$1,688	$6,789
Breast Biopsy (Ultrasound-guided)	$1,857$776$4.0k	$1,688	$7,684
Bunion Correction Surgery	$3,506$1.1k$7.9k	$3,345	$11,243
Cardiac Ablation for Atrial Fibrillation	$26,721$1.6k$35k	$26,721	$34,652
Cardiac Catheterization (Left Heart)	$3,500$1.6k$7.8k	$3,314	$15,952
Carpal Tunnel Release Surgery	$2,146$664$4.7k	$1,996	$6,843
Chest X-ray (2 Views)	$91$15$210	$88	$501
Colonoscopy with Biopsy	$1,425$239$3.6k	$1,223	$4,923
Complete Abdominal Ultrasound	$112$58$305	$106	$1,457
Complete Blood Count (CBC) with Differential	$8$6$34	$7	$311
Comprehensive Metabolic Panel	$12$8$46	$10	$341
Coronary Angioplasty with Stent	$11,802$1.6k$28k	$11,801	$52,136
Critical Care, First Hour	$878$334$2.0k	$844	$7,020
CT Abdomen and Pelvis with Contrast	$374$193$848	$356	$5,818
CT Cardiac Calcium Scoring	$93$35$723	$88	$1,718
CT Chest without Contrast	$112$83$741	$106	$3,210
CT Head without Contrast	$112$78$591	$106	$1,654
DEXA Bone Density Scan	$112$52$253	$106	$897
Diagnostic Colonoscopy	$1,108$191$3.6k	$950	$4,879
Diagnostic Mammogram (Both Breasts)	$120$91$238	$115	$625
Echocardiogram (Complete with Doppler)	$587$98$1.7k	$558	$2,899
Emergency Room Visit (Level 3)	$311$57$886	$279	$1,352
Group Therapy Session	$109$63$246	$103	$431
Hemoglobin A1c (Diabetes Test)	$10$7$46	$9	$311
HIV Antibody Test	$10$7$43	$8	$186
Home Sleep Study	$228$135$522	$220	$604
Individual Therapy Session (45 Minutes)	$191$111$429	$181	$783
Inguinal Hernia Repair (Open)	$3,807$806$6.8k	$3,660	$6,791
Initial Psychiatric Diagnostic Evaluation	$191$111$590	$181	$783
Initial Psychiatric Evaluation with Medication Management	$191$111$590	$181	$700
IUD Removal	$374$249$842	$311	$842
Knee Arthroscopy with Meniscectomy	$3,512$932$7.9k	$3,345	$7,863
Laparoscopic Appendectomy	$6,181$776$7.3k	$6,180	$7,274
Laparoscopic Gallbladder Removal	$6,490$776$15k	$6,180	$19,301
Laparoscopic Tubal Ligation	$6,181$776$8.5k	$6,180	$8,493
Lipid Panel (Cholesterol Test)	$14$11$59	$13	$278
Lumbar Epidural Steroid Injection	$866$577$3.6k	$721	$4,669
Lumbar Puncture (Spinal Tap)	$758$358$3.3k	$721	$3,277
MRI Abdomen with and without Contrast	$428$285$2.1k	$356	$5,259
MRI Brain with and without Contrast	$374$269$2.1k	$356	$5,463
MRI Brain with Contrast	$374$269$1.5k	$356	$4,393
MRI Brain without Contrast	$269$195$1.3k	$243	$3,808
MRI Cervical Spine (Neck) without Contrast	$269$195$1.3k	$243	$3,950
MRI Knee without Contrast	$269$195$1.3k	$243	$3,738
MRI Lower Back (Lumbar Spine) without Contrast	$256$187$1.3k	$243	$3,951
MRI Thoracic Spine (Mid-back) without Contrast	$256$187$1.3k	$243	$3,923
Nuclear Cardiac Stress Test	$1,363$278$3.1k	$1,323	$5,453
Office Visit, Established Patient (Level 3)	$42$40$45	—	$626
Office Visit, New Patient (Level 3)	$58$54$61	—	$689
Pacemaker Insertion (Dual Chamber)	$10,685$491$25k	$10,685	$43,954
PET/CT Scan, Whole Body	$1,535$1.2k$4.7k	$1,461	$7,945
Pregnancy Ultrasound (Second or Third Trimester)	$112$47$268	$106	$1,159
Prostate Biopsy	$2,142$101$4.8k	$2,049	$6,362
PSA Prostate Cancer Screening	$20$15$82	$18	$688
Pulmonary Function Test with Bronchodilator	$381$11$902	$381	$1,487
Rotator Cuff Repair (Arthroscopic)	$4,029$776$4.0k	$7,418	$4,029
Screening Mammogram	$99$75$197	$94	$574
Septoplasty (Deviated Septum Repair)	$3,559$823$8.0k	$3,389	$10,995
Sinus Surgery (Endoscopic, with Tissue Removal)	$7,215$776$17k	$7,215	$21,815
Skin Biopsy (Tangential)	$470$332$882	$415	$882
Skin Lesion Removal (Benign, up to 0.5 cm)	$1,145$454$1.1k	$1,688	$1,145
Sleep Study (In-lab Polysomnography)	$922$270$2.1k	$877	$5,728
Spinal Cord Stimulator Trial	$6,515$776$15k	$6,515	$28,726
Spirometry (Breathing Test)	$221$9$522	$220	$846
Total Hip Replacement	$13,782$1.6k$22k	$13,125	$21,513
Total Knee Replacement	$13,113$1.6k$13k	$13,125	$13,113
Total Mastectomy	$6,788$776$9.6k	$6,788	$9,554
TSH Thyroid Function Test	$18$13$82	$16	$528
Upper GI Endoscopy (EGD)	$1,048$133$3.6k	$927	$5,637
Urinalysis with Microscopy	$3$3$14	$3	$207
Vitamin D Blood Test	$33$24$140	$29	$512

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.