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CHILDREN'S HOSPITAL OF PHILADELPHIA

Childrens

19

34TH ST & CIVIC CENTER BLVD

PHILADELPHIA, PA, 19104

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Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at CHILDREN'S HOSPITAL OF PHILADELPHIA

Collection Fee

CPT 36415

$5.5

Cbc,Platelet- With Diff

CPT 85025

$8.1

Chest X-Ray (1 view)

CPT 71045

$10.95

Therapeutic Exercises

CPT 97110

$11.31

EKG Tracing

CPT 93005

$14.12

Comprehensive Metab Panel-Piccolo

CPT 80053

$15.78

Therapeutic Activities

CPT 97530

$17.55

Mechanical Traction

CPT 97012

$17.67

Chest X-Ray (2 views)

CPT 71046

$20.05

Psychotherapy 60 Min

CPT 90837

$21.39

Thoracic Spine X-Ray

CPT 72072

$29.03

ER Visit — Low-Moderate Complexity

CPT 99283

$47.25

Abdominal Ultrasound — Limited

CPT 76705

$50.63

OB Ultrasound

CPT 76805

$62.78

Retroperitoneal Ultrasound

CPT 76770

$66.15

ER Visit — Moderate Complexity

CPT 99284

$67.5

ER Visit — High Complexity

CPT 99285

$67.5

HB Clinic-Est/Level 3

CPT 99213

$71.22

Abdominal Ultrasound

CPT 76700

$77.63

CT Chest

CPT 71250

$112.19

Echocardiogram w/ Doppler

CPT 93306

$132.49

CT Abdomen & Pelvis

CPT 74177

$260.19

MRI Brain w/o Contrast

CPT 70551

$363.15

MRI Brain w/ Contrast

CPT 70553

$363.15

Echocardiogram

CPT 93307

$486.2

MRI Joint of Lower Extremity

CPT 73721

$1,069.79

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.