Philadelphia, PA
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Sep 1, 2026 | Sep 19, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Roxborough Memorial Hospital’s price for it.
The codes Roxborough Memorial Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Observation care, per hourHCPCS G0378 | $4.1k | $3.7k | $1.3k | 35% | 169–178 | $1.9k | $5.0k |
| Blood draw from a veinCPT 36415 | $9 | $30 | $107 | 356% | 158 | $3 | $587 |
| Unscheduled hospital outpatient clinic visitHCPCS G0463 | $143 | $176 | $67 | 38% | 11–110 | $83 | $342 |
| Bilateral breast tomosynthesis imagingCPT 77063 | $25 | $31 | $23 | 73% | 34 | $19 | $148 |
| Bilateral screening mammogram with computer-aided detectionCPT 77067 | $99 | $111 | $30 | 27% | 33 | $75 | $197 |
| Emergency department visitCPT 99283 | $311 | $379 | $189 | 50% | 17–26 | $57 | $886 |
| Emergency department visitCPT 99284 | $446 | $522 | $215 | 41% | 13–22 | $95 | $1.0k |
| Comprehensive metabolic blood panelCPT 80053 | $12 | $27 | $65 | 238% | 12 | $8 | $372 |
| Intravenous push injection of therapeutic or diagnostic drugCPT 96374 | $226 | $249 | $114 | 46% | 2–20 | $31 | $514 |
| Emergency department visitCPT 99285 | $636 | $699 | $289 | 41% | 2–20 | $139 | $1.4k |
EIN: 910401
Last updated: Sep 1, 2026
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Hospital ID: 781935c19532ab7003e9bf3dfa7a67f78e9130a3fbfd0bc6b01436d5823f2c10