▸ Hospital · · CCN 399812

Children's Hospital Of Philadelphia Transplant

Compliance grade

100/100

Rates published

16,789

last crawl 2026-05-24

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

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Source MRF: https://media.chop.edu/data/files/finance/23-1352166_ChildrensHospitalofPhiladelphia_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychotherapy 60 minutes	CPT	90837	18	$498.85	$498.85	$82.31	$227.73	$729
emergency
ED visit level 1	CPT	99281	18	$358.77	$358.77	$97.94	$253.32	$1,401
ED visit level 2	CPT	99282	18	$771.83	$771.83	$44.52	$436.76	$1,401
ED visit level 3	CPT	99283	18	$1,463.35	$1,463.35	$76.48	$732.84	$1,472
ED visit level 4	CPT	99284	18	$2,545.02	$2,545.02	$128.7	$1,118.9	$2,942
ED visit level 5	CPT	99285	18	$6,179.8	$6,179.8	$187.3	$1,820.57	$5,561.82
Critical care, first hour	CPT	99291	18	$7,909.02	$7,909.02	$204.7	$2,330	$7,118.12
imaging
CT head without contrast	CPT	70450	18	$3,752.74	$3,752.74	$104.63	$1,414.04	$3,377.47
CT head with contrast	CPT	70460	18	$4,903.56	$4,903.56	$108	$1,766.48	$4,413.2
CT head with and without contrast	CPT	70470	18	$4,753.45	$4,753.45	$135	$1,739.99	$4,278.11
CT neck with contrast	CPT	70491	18	$6,074.4	$6,074.4	$111.38	$2,032.5	$5,466.96
MRI brain without contrast	CPT	70551	18	$8,106.86	$8,106.86	$363.15	$2,874.36	$7,296.17
MRI brain with contrast	CPT	70552	18	$11,193	$11,193	$363.15	$3,745.1	$10,073
MRI brain with and without contrast	CPT	70553	18	$12,733	$12,733	$363.15	$4,007.67	$11,460
Chest X-ray single view	CPT	71045	18	$773.49	$773.49	$10.95	$325.1	$696.14
Chest X-ray 2 views	CPT	71046	18	$1,314.95	$1,314.95	$20.05	$552.68	$1,183.46
Chest X-ray 3 views	CPT	71047	18	$1,395.56	$1,395.56	$25.52	$586.56	$1,256
CT chest without contrast	CPT	71250	18	$4,863.53	$4,863.53	$112.19	$1,759.42	$4,377.18
CT chest with contrast	CPT	71260	18	$6,114.44	$6,114.44	$118.13	$2,045.9	$5,503
CT chest with and without contrast	CPT	71270	18	$7,605.51	$7,605.51	$139.73	$2,544.81	$6,844.96
MRI chest without contrast	CPT	71550	18	$11,372	$11,372	$363.15	$3,792.37	$10,235
MRI chest with contrast	CPT	71551	18	$12,813	$12,813	$421.47	$4,020.24	$11,532
MRI chest with and without contrast	CPT	71552	18	$15,706	$15,706	$638.4	$4,917.44	$14,135
Lumbosacral spine X-ray	CPT	72100	18	$1,643.69	$1,643.69	$30.38	$690.84	$1,479.32
CT cervical spine without contrast	CPT	72125	18	$4,933.56	$4,933.56	$112.19	$1,771.78	$4,440.2
CT thoracic spine without contrast	CPT	72128	18	$4,903.56	$4,903.56	$122.31	$1,766.48	$4,413.2
CT lumbar spine without contrast	CPT	72131	18	$4,873.51	$4,873.51	$118.94	$1,761.18	$4,386.16
MRI cervical spine without contrast	CPT	72141	18	$8,667.9	$8,667.9	$363.15	$2,973.39	$7,801.11
MRI thoracic spine without contrast	CPT	72146	18	$8,687.8	$8,687.8	$252.72	$2,976.9	$7,819.02
MRI lumbar spine without contrast	CPT	72148	18	$8,657.97	$8,657.97	$252.72	$2,971.63	$7,792.17
MRI lumbar spine with and without contrast	CPT	72149	18	$11,073	$11,073	$363.15	$3,705.18	$9,966.11
MRI cervical spine with and without contrast	CPT	72156	18	$12,455	$12,455	$363.15	$3,963.66	$11,210
MRI lumbar spine with contrast	CPT	72158	18	$12,396	$12,396	$363.15	$3,954.23	$11,156
CT pelvis without contrast	CPT	72192	18	$3,682.66	$3,682.66	$91.13	$1,387.63	$3,314.39
CT pelvis with contrast	CPT	72193	18	$6,264.57	$6,264.57	$116.78	$2,096.13	$5,638.11
Shoulder X-ray	CPT	73030	18	$1,160.24	$1,160.24	$22.28	$487.65	$1,044.22
Humerus X-ray	CPT	73060	18	$1,121.55	$1,121.55	$15.53	$471.39	$1,009.4
Hand X-ray 3 views	CPT	73130	18	$1,314.95	$1,314.95	$15.53	$552.68	$1,183.46
MRI upper extremity joint without contrast	CPT	73221	18	$9,542.67	$9,542.67	$363.15	$3,192.98	$8,588.4
MRI upper extremity joint with and without contrast	CPT	73223	18	$12,366	$12,366	$637.78	$3,949.52	$11,129
Knee X-ray 1-2 views	CPT	73560	18	$1,198.92	$1,198.92	$22.28	$503.91	$1,079.03
Ankle X-ray 3 views	CPT	73610	18	$1,372.98	$1,372.98	$25.29	$577.07	$1,235.68
MRI lower extremity joint without contrast	CPT	73721	18	$9,801.06	$9,801.06	$363.15	$3,279.44	$8,820.95
MRI lower extremity joint with and without contrast	CPT	73723	18	$12,366	$12,366	$637.78	$3,949.52	$11,129
CT abdomen without contrast	CPT	74150	18	$3,632.63	$3,632.63	$104.63	$1,377.12	$3,269.37
CT abdomen with contrast	CPT	74160	18	$6,244.54	$6,244.54	$121.5	$2,089.42	$5,620.09
CT abdomen with and without contrast	CPT	74170	18	$7,466.15	$7,466.15	$150.53	$2,498.18	$6,719.54
CT abdomen and pelvis without contrast	CPT	74176	18	$4,403.19	$4,403.19	$136.44	$1,659.13	$3,962.87
CT abdomen and pelvis with contrast	CPT	74177	18	$7,445.38	$7,445.38	$260.19	$2,491.23	$6,700.84
CT abdomen and pelvis with and without contrast	CPT	74178	18	$8,936.48	$8,936.48	$343.85	$2,990.15	$8,042.83
MRI abdomen without contrast	CPT	74181	18	$8,707.69	$8,707.69	$363.15	$2,980.41	$7,836.92
MRI abdomen with and without contrast	CPT	74183	18	$13,320	$13,320	$637.55	$4,170.48	$11,988
Abdominal ultrasound complete	CPT	76700	18	$2,983.42	$2,983.42	$77.63	$998.26	$2,685.08
Abdominal ultrasound limited	CPT	76705	18	$2,983.42	$2,983.42	$50.63	$998.26	$2,685.08
Retroperitoneal ultrasound complete	CPT	76770	18	$3,493.04	$3,493.04	$66.15	$1,168.77	$3,143.74
Obstetric ultrasound first trimester	CPT	76801	18	$3,719.9	$3,719.9	$51.83	$1,563.48	$3,347.91
Obstetric ultrasound after first trimester	CPT	76805	18	$3,077.89	$3,077.89	$62.78	$1,293.64	$2,770.1
Obstetric ultrasound with fetal anatomy	CPT	76811	18	$2,619.23	$2,619.23	$123.42	$896.8	$2,357.31
Transvaginal ultrasound	CPT	76830	18	$2,670.1	$2,670.1	$62.78	$905.78	$2,403.09
Pelvic ultrasound complete	CPT	76856	18	$2,952.88	$2,952.88	$62.78	$988.04	$2,657.59
Scrotal ultrasound	CPT	76870	18	$3,391.07	$3,391.07	$59.4	$1,197.05	$3,051.96
EKG tracing only	CPT	93005	18	$803.7	$803.7	$14.12	$159.77	$723.33
Transthoracic echocardiogram complete	CPT	93306	18	$10,504	$10,504	$132.49	$3,088.93	$9,453.22
Stress echocardiogram	CPT	93350	18	$4,454.36	$4,454.36	$62.78	$1,383.34	$4,008.92
lab
Basic metabolic panel (BMP)	CPT	80048	18	$343.42	$343.42	$12.64	$144.34	$309.08
Electrolyte panel	CPT	80051	18	$352.67	$352.67	$9.45	$148.23	$317.4
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
Renal function panel	CPT	80069	18	$2,065.89	$2,065.89	$12.96	$868.3	$1,859.3
Hepatic function panel	CPT	80076	18	$479.86	$479.86	$12.19	$156.06	$431.87
Urinalysis non-automated	CPT	81002	18	$249.69	$249.69	$3.61	$63.75	$224.72
Urinalysis automated	CPT	81003	18	$115.9	$115.9	$4.19	$21.85	$104.31
Glucose quantitative	CPT	82947	18	$467.28	$467.28	$5.4	$61.35	$420.55
Hemoglobin A1c	CPT	83036	18	$277.14	$277.14	$9.45	$85.93	$249.43
Thyroid stimulating hormone (TSH)	CPT	84443	18	$500.17	$500.17	$31.33	$210.22	$450.15
Complete blood count with automated differential	CPT	85025	18	$454.33	$454.33	$8.1	$176.62	$408.9
Complete blood count without differential	CPT	85027	18	$353.23	$353.23	$10.15	$155.42	$317.91
Urine culture bacterial	CPT	87086	18	$270.67	$270.67	$10.8	$113.76	$243.6
Tissue exam by pathologist level IV	CPT	88305	18	$960.28	$960.28	$45.9	$403.61	$864.25
maternity
Fetal non-stress test	CPT	59025	18	$1,121.14	$1,121.14	$6.37	$511.8	$1,009.03
Vaginal delivery only	CPT	59409	18	$13,353	$13,353	$1,070	$5,612.29	$12,018
office
Office visit, new patient, 15-29 min	CPT	99202	17	$677.75	$677.75	$56.12	$186.06	$609.98
Office visit, new patient, 30-44 minutes	CPT	99203	17	$1,020.41	$1,020.41	$168.37	$448.98	$918.37
Office visit, new patient, 45-59 min	CPT	99204	17	$1,330.31	$1,330.31	$219.5	$585.34	$1,197.28
Office visit, new patient, 60-74 min	CPT	99205	17	$1,587.25	$1,587.25	$261.9	$698.39	$1,428.53
Office visit, established patient, 5 min	CPT	99211	17	$171.3	$171.3	$28.26	$75.37	$154.17
Office visit, established patient, 10-19 min	CPT	99212	17	$395.55	$395.55	$65.27	$174.04	$356
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
Office visit, established patient, 40-54 min	CPT	99215	17	$1,232	$1,232	$203.28	$542.08	$1,108.8
surgery
PCI bypass graft	CPT	92937	18	$30,066	$30,066	$913.84	$12,637	$27,059
Left heart catheterization	CPT	93452	18	$12,867	$12,867	$1,199	$5,407.96	$11,580
Coronary angiography with bypass cath	CPT	93458	18	$16,046	$16,046	$1,492.45	$6,744.22	$14,442

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 18)

Payer	Codes covered	Median rate
upmc medical assistance	93	$722
Blue Cross Blue Shield	93	$526.77
choice care network	93	$2,380.2
Cigna	93	$1,322.34
First Health	93	$1,719.04
geisinger health plan commercial	93	$698.39
geisinger medical assistance	93	$118.94
health partners	93	$512.42
Aetna	93	$789.44
jefferson health plans	93	$1,250.93
keystone first chip	93	$842.71
keystone health plan east	93	$828.2
Medicaid	93	$448.54
Multiplan	93	$2,115.73
private health care systems	93	$2,115.73
qualcare	93	$1,454.57
UnitedHealthcare	93	$611.32
horizon nj health	84	$515.96

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