▸ Hospital · PA · CCN 393303
Children's Hospital of Philadelphia
34TH STREET & CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104
723 bedsChildrens2
Compliance grade
A
90/100
Procedures tracked
11
of 209 target codes
Payers
18
with negotiated rates
Rates published
1,677
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| imaging | ||||||||
| MRI brain without contrast | CPT | 70551 | 18 | $8,106.86 | $8,106.86 | $363.15 | $2,874.36 | $7,296.17 |
| MRI brain with and without contrast | CPT | 70553 | 18 | $12,733 | $12,733 | $363.15 | $4,007.67 | $11,460 |
| MRI lumbar spine without contrast | CPT | 72148 | 18 | $8,657.97 | $8,657.97 | $252.72 | $2,971.63 | $7,792.17 |
| MRI lower extremity joint without contrast | CPT | 73721 | 18 | $9,801.06 | $9,801.06 | $363.15 | $3,279.44 | $8,820.95 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 18 | $4,403.19 | $4,403.19 | $136.44 | $1,659.13 | $3,962.87 |
| lab | ||||||||
| Comprehensive metabolic panel | CPT | 80053 | 18 | $479.86 | $479.86 | $15.78 | $171.37 | $431.87 |
| Lipid panel | CPT | 80061 | 18 | $345.2 | $345.2 | $13.69 | $57.3 | $310.68 |
| Complete blood count with automated differential | CPT | 85025 | 18 | $454.33 | $454.33 | $8.1 | $176.62 | $408.9 |
| office | ||||||||
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | $1,020.41 | $1,020.41 | $168.37 | $448.98 | $918.37 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | $652.54 | $652.54 | $107.67 | $287.12 | $587.29 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | $977.54 | $977.54 | $161.29 | $430.12 | $879.79 |
Payer mix (top 18)
| Payer | Codes covered | Median rate |
|---|---|---|
| upmc medical assistance | 11 | $222.51 |
| Blue Cross Blue Shield | 11 | $278.57 |
| choice care network | 11 | $733.54 |
| Cigna | 11 | $407.52 |
| First Health | 11 | $529.78 |
| geisinger health plan commercial | 11 | $358.62 |
| geisinger medical assistance | 11 | $261.02 |
| health partners | 11 | $153.64 |
| Aetna | 11 | $262.93 |
| jefferson health plans | 11 | $385.52 |
| keystone first chip | 11 | $252.66 |
| keystone health plan east | 11 | $257.72 |
| Medicaid | 11 | $134.48 |
| Multiplan | 11 | $652.03 |
| private health care systems | 11 | $652.03 |
| qualcare | 11 | $448.28 |
| UnitedHealthcare | 11 | $256.9 |
| horizon nj health | 8 | $767.31 |