Pennsylvania · 1,500 published self-pay prices, from $1,130 to $143,221.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 1,500 published items.
| Item | Cash price | Setting |
|---|---|---|
| ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION | $2,335 | Outpatient |
| ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION | $3,736 | Outpatient |
| ALDESLEUKIN 22 MILLION UNIT INTRAVENOUS SOLUTION | $2,810 | Outpatient |
| ALEMTUZUMAB 12 MG/1.2 ML INTRAVENOUS SOLUTION | $14,399 | Outpatient |
| ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $5,280 | Outpatient |
| ALTEPLASE 50 MG INTRAVENOUS (PULMONARY EMBOLISM/CARDIAC ARREST NIGHT VIAL) | $2,640 | Outpatient |
| ALTEPLASE 50 MG INTRAVENOUS SOLUTION | $2,640 | Outpatient |
| ALTEPLASE IV BAG INFUSION 1 MG/ML (PEDIATRIC) | $5,280 | Outpatient |
| ALTEPLASE IV BOLUS (ISCHEMIC STROKE-NIGHT VIAL) | $5,280 | Outpatient |
| ALTEPLASE IV BOLUS (ISCHEMIC STROKE) | $5,280 | Outpatient |
| ALTEPLASE IV INFUSION 1 MG/ML | $5,280 | Outpatient |
| ALTEPLASE IV SYRINGE (PULMONARY EMBOLISM/CARDIAC ARREST) | $2,640 | Outpatient |
| AMINOLEVULINIC ACID HCL 30 MG/ML ORAL SOLUTION | $1,918 | Inpatient |
| ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION | $1,523 | Outpatient |
| ANTI-INHIBITOR COAGULANT COMPLEX 700 UNIT-1,300 UNIT INTRAVENOUS SOLN | $1,248 | Outpatient |
| ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 2,000 (+/-) UNIT IV SOLUTION | $2,280 | Outpatient |
| ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION | $1,152 | Outpatient |
| ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 1,000 (+/-) UNIT INTRAVENOUS SOLN | $1,296 | Outpatient |
| ANTIHEMOPHILIC FVIII,B-DOM TRUNCATED 2,000 (+/-) UNIT INTRAVENOUS SOLN | $2,592 | Outpatient |
| ARIPIPRAZOLE ER 300 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE | $1,268 | Inpatient |
| ARIPIPRAZOLE ER 300 MG SUSPENSION, EXTENDED REL. INTRAMUSCULAR SYRINGE | $1,268 | Inpatient |
| ARIPIPRAZOLE ER 400 MG INTRAMUSCULAR SUSPENSION,EXTENDED RELEASE | $1,691 | Inpatient |
| ARIPIPRAZOLE ER 400 MG SUSPENSION, EXTENDED REL.INTRAMUSCULAR SYRINGE | $1,691 | Inpatient |
| BASILIXIMAB 20 MG INTRAVENOUS SOLUTION | $2,629 | Outpatient |
| BELANTAMAB MAFODOTIN-BLMF 100 MG INTRAVENOUS SOLUTION | $5,296 | Outpatient |
| BELIMUMAB 400 MG INTRAVENOUS SOLUTION | $1,226 | Outpatient |
| BENDAMUSTINE 100 MG INTRAVENOUS POWDER FOR SOLUTION | $1,783 | Outpatient |
| BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE | $3,406 | Outpatient |
| BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION | $6,781 | Outpatient |
| BUPRENORPHINE ER 128 MG/0.36 ML SOLUTION,EXT.REL.SUBCUTANEOUS SYRINGE | $2,846 | Outpatient |
| C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SYRINGE | $2,302 | Outpatient |
| CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION | $1,397 | Outpatient |
| CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION | $10,903 | Outpatient |
| CARDIOVERSION, ELECT, EXTRN | $2,001 | Outpatient |
| CARFILZOMIB 60 MG INTRAVENOUS SOLUTION | $1,877 | Outpatient |
| CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT | $3,431 | Outpatient |
| CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT | $3,431 | Outpatient |
| CHEMICAL PLEURODESIS | $2,147 | Outpatient |
| COAGULATION FACTOR IX (RECOMB) 2,000 UNIT INTRAVENOUS SOLUTION | $2,040 | Outpatient |
| COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION | $1,608 | Outpatient |
| COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION | $3,216 | Outpatient |
| COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION | $8,040 | Outpatient |
| COPANLISIB 60 MG INTRAVENOUS SOLUTION | $3,152 | Inpatient |
| DANTROLENE 250 MG INTRAVENOUS SUSPENSION | $1,876 | Inpatient |
| DARBEPOETIN ALFA 150 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE | $2,322 | Outpatient |
| DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE | $2,322 | Outpatient |
| DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE | $1,348 | Outpatient |
| DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE | $2,322 | Outpatient |
| DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION | $2,896 | Inpatient |
| DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION | $2,870 | Outpatient |
| EFGARTIGIMOD ALFA 1008 MG-HYALURON-QVFC 11,200 UNIT/5.6 ML SUBCUT SOLN | $1,723 | Outpatient |
| ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION | $1,312 | Outpatient |
| ELOTUZUMAB 400 MG INTRAVENOUS SOLUTION | $1,750 | Outpatient |
| ELOTUZUMAB INTRAVENOUS SOLUTION 25 MG/ML | $1,312 | Outpatient |
| ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION | $1,685 | Outpatient |
| ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION | $2,528 | Outpatient |
| EPCORITAMAB-BYSP 48 MG/0.8 ML SUBCUTANEOUS SOLUTION | $11,590 | Outpatient |
| ETHACRYNATE IN IV BAG 1 MG/ML | $1,140 | Inpatient |
| ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION | $1,140 | Inpatient |
| FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION | $1,621 | Outpatient |
| FLOXURIDINE 0.5 GRAM SOLUTION FOR INJECTION | $2,184 | Outpatient |
| GI TRACT CAPSULE ENDOSCOPY | $1,191 | Outpatient |
| GLUCARPIDASE 1,000 UNIT INTRAVENOUS SOLUTION | $23,088 | Inpatient |
| GLUCARPIDASE IV SYRINGE 1,000 UNITS/ML | $23,088 | Outpatient |
| GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT (INPATIENT) | $1,592 | Outpatient |
| HC 3D MAPPING W/BIOSENSE | $4,609 | Inpatient |
| HC 3D RENDER W/O POST PROCESS | $1,243 | Inpatient |
| HC ABD PARACENTESIS | $1,641 | Outpatient |
| HC ABD PARACENTESIS SUBSEQ | $1,641 | Outpatient |
| HC ABD PARACENTESIS W/IMAGING | $1,225 | Outpatient |
| HC ABD PARACENTESIS W/O IMAGING | $1,641 | Outpatient |
| HC ABLATE ARRHYTHMIA ADD ON | $6,913 | Inpatient |
| HC ABLATION LIVER TMR PERC | $7,327 | Outpatient |
| HC ABLATION PULM TUMORS W/IMG | $9,977 | Outpatient |
| HC ABSC LOCAL SPECT | $4,243 | Outpatient |
| HC ABSC/FISTULA/SINUS TRACT STDY | $1,130 | Outpatient |
| HC ABSCESS LIM | $1,229 | Outpatient |
| HC ABSCESS LOC WHOLE BODY | $1,229 | Outpatient |
| HC ACU GASTRO BL LOS | $1,229 | Outpatient |
| HC ACUTE STROKE AI SOFTWARE | $2,254 | Outpatient |
| HC ADJ TISS TRN FCCMNAGHF 10SQCM> | $2,925 | Outpatient |
| HC ADJ TSSUE TRNSF DFCT<10.1 | $2,925 | Outpatient |
| HC ADRENAL IMAG | $4,243 | Outpatient |
| HC ADULT ECHO COMP WITH CONTRAST | $2,457 | Outpatient |
| HC ADULT ECHO COMPLETE | $2,311 | Outpatient |
| HC ADULT ECHO LIM WITH CONTRAST | $1,378 | Outpatient |
| HC ALL NIGHT SLEEP | $4,279 | Outpatient |
| HC AMBULATORY EEG 24 HOUR | $3,167 | Inpatient |
| HC AMNIOCENTESIS, DIAG | $1,511 | Outpatient |
| HC AMPU TOE;MTTRSPHLNGL | $6,502 | Outpatient |
| HC AMPUT FINGR JNT SINGL DIR CLOS | $4,150 | Outpatient |
| HC AMPUTATE FING/TH SGL; W LOC ADV FLAP | $4,150 | Outpatient |
| HC ANG ADREN UNIL - LT | $3,476 | Outpatient |
| HC ANG ADREN UNIL - RT | $3,476 | Outpatient |
| HC ANG EXIST CATH FU | $3,476 | Outpatient |
| HC ANG EXT BIL | $5,906 | Outpatient |
| HC ANG EXT UNIL - LT | $5,906 | Outpatient |
| HC ANG EXT UNIL - RT | $5,906 | Outpatient |
| HC ANG PULM UNIL SEL - LT | $5,906 | Outpatient |
| HC ANG PULM UNIL SEL - RT | $5,906 | Outpatient |
| HC ANGIOGRAM EXT UNIL S&I | $5,906 | Outpatient |
| HC ANGIOGRAPHY PULM NON SEL DURING HRT CATH | $1,230 | Inpatient |
| HC ANGIOJET PERC COR THROMBECTOMY | $6,847 | Inpatient |
| HC ANKLE TRIMAL FX W/MAN CL TR | $2,055 | Outpatient |
| HC ANOSCOPY W/CONTROL BLEEDING | $3,812 | Outpatient |
| HC ANOSCOPY W/FB REM | $2,551 | Outpatient |
| HC AO-ADDL PROCEDURE | $1,728 | Inpatient |
| HC APL LOW COST SKIN SUB FHF >=100 SQCM | $1,325 | Outpatient |
| HC APL LOW COST SKIN SUB FHF 1ST 25 SQCM | $1,325 | Outpatient |
| HC APL LOW COST SKIN SUB LAT >=100 SQCM | $4,443 | Outpatient |
| HC APL LOW COST SKIN SUB LAT 1ST 25 SQCM | $1,325 | Outpatient |
| HC APL LOW COST SKIN SUB LAT ADDL 100 SQCM | $2,220 | Inpatient |
| HC APL SKIN SUB FHF >=100 SQCM | $2,896 | Outpatient |
| HC APL SKIN SUB FHF 1ST 25 SQCM | $2,460 | Outpatient |
| HC APL SKIN SUB FHF ADDL 100 SQCM | $2,896 | Inpatient |
| HC APL SKIN SUB LAT >=100 SQCM | $4,514 | Outpatient |
| HC APL SKIN SUB LAT 1ST 25 SQCM | $2,460 | Outpatient |
| HC APL SKIN SUB LAT ADDL 100 SQCM | $1,772 | Inpatient |
| HC ARTERIO ADD VISCERAL ART | $1,366 | Outpatient |
| HC ARTERIO ADRENAL BILATERAL | $5,906 | Outpatient |
| HC ARTERIO EXT CAROTID BIL | $4,006 | Outpatient |
| HC ARTERIO EXT CAROTID UNI | $4,006 | Outpatient |
| HC ARTERIO INTERNAL MAMMARY | $5,906 | Outpatient |
| HC ARTERIO PELVIC ARTERY | $9,796 | Outpatient |
| HC ARTERIO PULMONARY BIL SEL | $5,906 | Outpatient |
| HC ARTERIO PULMONARY NON SEL | $3,476 | Outpatient |
| HC ARTERIO THORACIC AORTA | $9,796 | Outpatient |
| HC ARTERIO THORACIC W/O SERIAL | $5,906 | Outpatient |
| HC ARTERIO VISCERAL ARTERY | $9,796 | Outpatient |
| HC ARTERIOGRAM ABD AORTA | $5,906 | Outpatient |
| HC ARTERIOGRAM SPINAL SELECTIVE | $9,796 | Outpatient |
| HC ARTHRODESIS,INTPH JT W/W/O I F | $4,131 | Outpatient |
| HC ASPIRATE PLEURA W/O IMAGING | $1,861 | Outpatient |
| HC AUTO SV | $4,898 | Outpatient |
| HC AV NODE ABLATION | $8,922 | Outpatient |
| HC AXUMIN - FLUCICLOVINE F-18/MCI | $1,589 | Outpatient |
| HC BALLOON DILATE URTRL STRIX | $3,457 | Inpatient |
| HC BALO ANGIO CTR DIALYSIS SEG | $3,241 | Outpatient |
| HC BASIC EP STUDY | $6,361 | Outpatient |
| HC BEBTELOVIMAB INTRA INJ | $1,169 | Outpatient |
| HC BETA THALASSEMIA | $1,172 | Outpatient |
| HC BIL ENDO W/DIL STRIC W/ STENT | $18,827 | Outpatient |
| HC BIL ENDO W/DIL STRIC W/O STENT | $4,714 | Outpatient |
| HC BILE DUCT ENDOSCOPY ADD-ON | $7,502 | Inpatient |
| HC BILIARY ENDOSCOPY THRU SKIN | $11,429 | Outpatient |
| HC BIOPSY BONE OPEN; SUPERFICIAL | $5,981 | Outpatient |
| HC BIOPSY OF BIOPSY OF VAGINA | $5,680 | Outpatient |
| HC BLIND INTERATRIAL SHUNT IDE | $39,788 | Outpatient |
| HC BON MAR LIM | $1,229 | Outpatient |
| HC BON MAR MUL | $1,229 | Outpatient |
| HC BON MAR WHOL BOD | $1,229 | Outpatient |
| HC BONE BIOPSY OPEN DEEP | $8,070 | Outpatient |
| HC BONE BX TR/NDL; SUPERF | $2,461 | Outpatient |
| HC BONE LIMIT | $1,229 | Outpatient |
| HC BONE MARROW ASPIRATION | $2,081 | Outpatient |
| HC BONE MARROW ASPIRATION AND BIOPSY | $4,645 | Outpatient |
| HC BONE MARROW BX, NDL OR TROCAR | $2,081 | Outpatient |
| HC BONE MARROW INTER ONLY | $3,125 | Outpatient |
| HC BONE MULTI | $1,229 | Outpatient |
| HC BONE SPECT | $4,243 | Outpatient |
| HC BONE THREE PHASE | $1,229 | Outpatient |
| HC BONE WHOLE BOD | $1,229 | Outpatient |
| HC BOWEL IMAG | $1,229 | Outpatient |
| HC BRAIN C VAS FLO | $1,229 | Outpatient |
| HC BRAIN COMP | $1,574 | Outpatient |
| HC BRAIN COMP C VAS FLO | $1,574 | Outpatient |
| HC BRAIN LIMIT | $1,229 | Outpatient |
| HC BRAIN SPECT | $4,243 | Outpatient |
| HC BRAIN VAS FLO ONLY | $1,574 | Outpatient |
| HC BRONCH EBUS SAMPLING 1/2 NODES | $4,452 | Outpatient |
| HC BRONCH EBUS SAMPLING 3/> NODES | $8,557 | Outpatient |
| HC BRONCH EBUS SAMPLNG 3/> NODE | $8,557 | Outpatient |
| HC BRONCH W/ ALVEOLAR LAVAGE | $2,168 | Outpatient |
| HC BRONCH W/TRACH DIL & STNT | $8,246 | Outpatient |
| HC BRONCH W/WO FL W SNGL-MULT BX | $2,168 | Outpatient |
| HC BRONCH W/WO FLUORO OR WASHING | $2,168 | Outpatient |
| HC BRONCH W/WO FLUORO W BRUSHING | $2,168 | Outpatient |
| HC BRONCHOSCOPY W/ BRUSHINGS | $2,168 | Outpatient |
| HC BRONCHOSCPY W/ FB REMOVAL | $3,848 | Outpatient |
| HC BRONCHSCPY W NDLASPBIO INTLOBE | $4,452 | Outpatient |
| HC BRONCHSCPY WTRBR LNG BIO SNG | $4,452 | Outpatient |
| HC BRUSH, ALWAYS-ON TIP TRACKED | $1,274 | Inpatient |
| HC BURN DRG/DB INT/SUB W/OANS LGE | $1,324 | Outpatient |
| HC BX PELVIS/HIP SUPERFCL | $4,162 | Outpatient |
| HC BX BONE TROCAR/NDL DEEP | $2,459 | Outpatient |
| HC BX BONE TROCAR/NDL SUPERFIC | $2,461 | Outpatient |
| HC BX TEMPORAL ARTERY | $4,490 | Outpatient |
| HC BX VAG MUCOSA | $1,452 | Outpatient |
| HC BX VULVA/PR, 1 LES | $1,452 | Outpatient |
| HC C MOTOR EVOKED LWR LIMBS | $1,259 | Outpatient |
| HC C MOTOR EVOKED UPPR LIMBS | $1,259 | Outpatient |
| HC C MOTOR EVOKED UPR&LWR LIMBS | $2,029 | Outpatient |
| HC C/SECTION | $10,034 | Inpatient |
| HC CANTHOTOMY | $3,228 | Outpatient |
| HC CAP PEN / DS PROSTASCINT | $16,004 | Inpatient |
| HC CARDIAC MRI FOR MORPH W/DYE | $2,714 | Outpatient |
| HC CARDIAC SHUNT | $1,229 | Outpatient |
| HC CARDIOVERSION, ELECT, EXTRN | $2,001 | Outpatient |
| HC CATH DIALYSIS TBA, PERIPH SEG | $12,151 | Outpatient |
| HC CATH PL COR ANG | $4,739 | Outpatient |
| HC CATH PL COR ANG RT/LT INJLV | $6,550 | Outpatient |
| HC CATH PL COR ANG RT/LT/LVSVGIMA | $7,637 | Outpatient |
| HC CATH PL COR ANG SVG IMA | $5,554 | Outpatient |
| HC CATH PL COR ANG SVG IMARHC | $6,686 | Outpatient |
| HC CATH PL COR ANG W/LHC INJLV | $4,655 | Inpatient |
| HC CATH PL COR ANG W/LHC INJLV CP | $6,234 | Outpatient |
| HC CATH PL COR ANG W/RHC | $5,873 | Outpatient |
| HC CATHETER, SPINPERC | $1,805 | Inpatient |
| HC CERE FLU SHT DECT | $4,243 | Outpatient |
| HC CERE FLU SHT EVAL | $1,462 | Outpatient |
| HC CEREB FLU CIST | $1,574 | Outpatient |
| HC CERIANNA FLUOROESTRADIOL F18 DX/MCI | $1,491 | Outpatient |
| HC CERIBELL EEG HEADBAND | $1,429 | Inpatient |
| HC CERV COLLAR THORA EXT MULT POST OCCIP/MANDIB SUP | $1,598 | Outpatient |
| HC CERV MYELO VIA LUMB INJ RS&I | $1,496 | Outpatient |
| HC CERVICAL DISKOGRAM EA LEVEL | $4,030 | Outpatient |
| HC CERVICAL MYELOGRAM | $1,451 | Outpatient |
| HC CESSATION TX CATH REMOVAL | $5,324 | Outpatient |
| HC CHANGE EXT/INT URETER STENT | $4,905 | Outpatient |
| HC CHANGE OF PREC DRAIN TUBE | $2,120 | Outpatient |
| HC CHANGE URETER STENT PERC | $4,697 | Outpatient |
| HC CHC | $8,719 | Outpatient |
| HC CHEMICAL PLEURODESIS | $2,147 | Outpatient |
| HC CHEMO INTO CNS, INTRATHECAL | $2,903 | Outpatient |
| HC CHEMO INTRAART PUSH | $2,377 | Outpatient |
| HC CHEST TUBE INSERTION | $2,472 | Outpatient |
| HC CHG CYSTOSTOMY TUBE SIM | $1,620 | Outpatient |
| HC CHG OF CYSTO TUBE;SIMPLE | $1,728 | Outpatient |
| HC CHG URET TB/STNT VIA IL CNDUIT | $3,457 | Outpatient |
| HC CHNG PERC DRAIN CATH W/CON | $2,120 | Outpatient |
| HC CHOLNGSCOPY PRC W/WO BRSH WASH | $9,769 | Outpatient |
| HC CHORIONIC VILLUS SAMPLING | $1,511 | Outpatient |
| HC CHROMOSOMAL MICROARRAY, POSTNATAL, OLIGO SNP | $6,701 | Outpatient |
| HC CIRCUMCISION | $1,219 | Outpatient |
| HC CIRCUMCISION W/REGIONL BLOCK | $1,219 | Outpatient |
| HC CL LAC VESTBL MOUTH <2.5CM CMP | $1,664 | Outpatient |
| HC CL RX FX ORBIT(NO BLOOUT)W/OMN | $1,664 | Outpatient |
| HC CL RX SUP/TRCOND HUM FX W/ MN | $2,055 | Outpatient |
| HC CL TR PST HIP ARTHPL DSLW/OANS | $1,273 | Outpatient |
| HC CL TRT BIMALL ANKLE FX W/MAN | $2,055 | Outpatient |
| HC CL TRT GTR HUM TUB FX W/ MN | $2,055 | Outpatient |
| HC CL TRT HUM SHFT FX W/MAN | $2,055 | Outpatient |
| HC CL TRT MED MALL FX W/MAN | $2,267 | Outpatient |
| HC CL TRT PELVIC RING FX W/O MN | $1,732 | Inpatient |
| HC CL TRT RAD SHAFT FX W/MAN | $2,055 | Outpatient |
| HC CL TRT SHLDR DSL W/NECKFX W/MN | $2,055 | Outpatient |
| HC CL TX ACLAV DISLOC; W MANIP | $1,961 | Outpatient |
| HC CL TX ARTFX MCP/IP JNT; W MANIP | $2,055 | Outpatient |
| HC CL TX CARPL BONE FX W/MN EA BN | $2,185 | Outpatient |
| HC CL TX CARPL SCAPHOID FX W/MAN | $2,441 | Outpatient |
| HC CL TX EC HUMERUS FX W/MANIP | $2,055 | Outpatient |
| HC CL TX FEMORAL SHAFT FX W/MAN | $2,319 | Outpatient |
| HC CL TX FEMUR FX OR EPIPHYS SEP | $2,055 | Outpatient |
| HC CL TX LUNATE DISLOC W/MANIP | $2,055 | Outpatient |
| HC CL TX MALLET FINGER | $3,354 | Outpatient |
| HC CL TX MONTEGGIA ELB FX W/MANIP | $2,055 | Outpatient |
| HC CL TX NASAL SEPTAL FX | $3,971 | Outpatient |
| HC CL TX POST ANKLE FX | $1,643 | Outpatient |
| HC CL TX PROX FIB/SHAFT FX W/MAN | $2,323 | Outpatient |
| HC CL TX RADIAL HD/NK FX W/MAN | $2,055 | Outpatient |
| HC CL TX SHLDR DISL W/MN W/ANES | $2,185 | Outpatient |
| HC CL TX TALUS FX W/MANIP | $2,441 | Outpatient |
| HC CL TX WB DSTL TIB FX W/MAN | $2,319 | Outpatient |
| HC CLL PROGNOSTIC PANEL, COMPREHENSIVE-B | $1,703 | Outpatient |
| HC CLOSED TX NOSE FX W/O STABLIZ | $2,458 | Outpatient |
| HC CLRX CARPOMETA DISL THMB W/ MN | $1,421 | Outpatient |
| HC CLRX DST/FIB FX(LAT MAL)W/ MN | $1,225 | Outpatient |
| HC CLRX DST/FIB FX(LAT MAL)W/O MN | $1,212 | Outpatient |
| HC CLRX SHL DIS&FX GRT HUM TUB MN | $2,055 | Outpatient |
| HC CLSD RX BIMALL FX W/O MAN | $1,212 | Outpatient |
| HC CLSD RX DIST RAD FX W/ MAN | $2,055 | Outpatient |
| HC CLSD RX HIP DISL TRAUM W/O ANS | $1,249 | Outpatient |
| HC CLSD RX KNEE DISLOC W/O ANES | $1,961 | Outpatient |
| HC CLSD RX PATELLAR DISL W/O ANES | $1,225 | Outpatient |
| HC CLSD RX PROX HUM FX W/ MAN | $2,055 | Outpatient |
| HC CLSD RX RAD/ULN SHFT FX W/ MN | $2,055 | Outpatient |
| HC CLSD RX STERNOCL DISL W/O MAN | $2,055 | Outpatient |
| HC CLSD RX TIB SHAFT FX W/ MAN | $2,055 | Outpatient |
| HC CLSD RX TIB SHAFT FX W/O MAN | $1,408 | Outpatient |
| HC CLSD RX TMJ DISL INT/SUB | $1,225 | Outpatient |
| HC CLSD TX HIP DISLOC WITH ANES | $2,055 | Outpatient |
| HC CNTRST INJ DRAIN CATH ABSC/CYST | $1,304 | Outpatient |
| HC CNTRST INJ EVAL GI TB W/IMAG | $1,728 | Outpatient |
| HC COLPO VAG W/BX | $1,452 | Outpatient |
| HC COMP REP E/N/E/L 1.1-2.5 CM | $1,333 | Outpatient |
| HC COMP REP E/N/E/L 2.6-7.5 CM | $1,212 | Outpatient |
| HC COMP REP F/C/C/M/N/H/F 2.6-7.5 | $1,212 | Outpatient |
| HC COMP REP S/A/L 1.1-2.5 CM | $1,928 | Outpatient |
| HC COMP REP S/A/L 2.6-7.5 CM | $1,664 | Outpatient |
| HC COMP REP TRUNK 1.1-2.5 CM | $1,928 | Outpatient |
| HC COMP REP TRUNK 2.6-7.5 CM | $1,357 | Outpatient |
| HC COMPLICATED POST-PARTUM | $5,001 | Inpatient |
| HC CONTROL NASAL HEMOR POST SUBSQ | $1,853 | Outpatient |
| HC CONTROL THROAT BLEEDING | $1,349 | Outpatient |
| HC CONVER PERC GTUBE TO JTUBE | $3,848 | Outpatient |
| HC CONVERSION EXT BIL DRG CATH | $7,502 | Outpatient |
| HC CONVERT NEPHROSTOMY CATH | $4,953 | Outpatient |
| HC COR ANGIO OR LHC | $5,240 | Outpatient |
| HC CORNEAL TISSUE PROCESSING | $21,790 | Outpatient |
| HC CORONARY THROMBOLYSIS | $1,274 | Inpatient |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in Pennsylvania or browse all procedures.