St. Mary Medical Center

Langhorne-Newtown Rd, Langhorne, PA 19047 · Acute care hospital · Emergency room

These are St. Mary Medical Center's own posted figures from its standard-charges file dated March 31, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

204 of the services we track have a posted price here. Tap a service to compare it with nearby hospitals. How to read these numbers.

Emergency room

Service	Cash price	Gross charge	Insurer rates (min – max)
Critical care, first 30 to 74 minutes CPT 99291	$2,585.05	$3,977.00	$151.63 – $3,778.15
Emergency room visit, level 1 (minor) CPT 99281	$186.55	$287.00	$16.19 – $1,636.00
Emergency room visit, level 2 CPT 99282	$308.75	$475.00	$26.85 – $1,636.00
Emergency room visit, level 3 (moderate) CPT 99283	$993.85		$35.00 – $1,636.00
Emergency room visit, level 4 CPT 99284	$2,507.54		$50.00 – $1,684.00
Emergency room visit, level 5 (most severe) CPT 99285	$2,585.05	$3,977.00	$50.00 – $3,778.15
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$570.05	$877.00	$28.18 – $3,742.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$100.00	$100.00	$32.21 – $95.42
New patient office visit, about 30 minutes CPT 99203	$240.00	$240.00	$54.25 – $240.00
New patient office visit, about 45 minutes CPT 99204	$285.00	$285.00	$90.37 – $272.07
New patient office visit, about 60 minutes CPT 99205	$388.00	$388.00	$117.54 – $373.59
Office visit, established patient, about 10 to 19 minutes CPT 99212	$75.00	$75.00	$24.25 – $72.23
Office visit, established patient, about 20 to 29 minutes CPT 99213	$1,959.59		$40.25 – $412.75
Office visit, established patient, about 30 to 39 minutes CPT 99214	$1,624.19		$62.58 – $412.75
Office visit, established patient, about 40 to 54 minutes CPT 99215	$306.00	$306.00	$78.05 – $291.71
Office visit, established patient, brief (often a nurse) CPT 99211	$542.75		$7.91 – $3,782.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	$199.00	$199.00	$20.00 – $190.51
Preventive checkup, new patient, age 40 to 64 CPT 99386	$241.00	$241.00	$20.00 – $231.59

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$58.50	$90.00	$9.90 – $121.08
Abdominal X-ray, 1 view CPT 74018	$410.15	$631.00	$15.84 – $599.45
Ankle X-ray, 3 or more views CPT 73610	$299.65	$461.00	$21.54 – $437.95
Bone density scan (DEXA), hips and spine CPT 77080	$473.20	$728.00	$69.13 – $691.60
Breast ultrasound, one breast, complete CPT 76641	$594.10	$914.00	$87.74 – $914.00
Breast ultrasound, one breast, limited CPT 76642	$915.85		$59.36 – $280.35
Chest X-ray, 1 view CPT 71045	$24,824.73		$9.33 – $9,538.08
Chest X-ray, 2 views CPT 71046	$204.75	$315.00	$17.08 – $299.25
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,313.00	$2,020.00	$151.27 – $1,919.00
CT angiogram of the head CPT 70496	$2,254.82		$290.29 – $1,701.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$2,891.20	$4,448.00	$221.64 – $4,225.60
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,056.95	$4,703.00	$300.88 – $4,467.85
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,896.40	$4,456.00	$116.23 – $4,233.20
CT scan of the abdomen, without contrast CPT 74150	$1,430.65	$2,201.00	$90.16 – $2,090.95
CT scan of the chest, with contrast CPT 71260	$4,588.97		$126.88 – $1,701.00
CT scan of the chest, without contrast CPT 71250	$1,430.65	$2,201.00	$90.16 – $2,090.95
CT scan of the head, without contrast CPT 70450	$1,682.85	$2,589.00	$89.13 – $2,459.55
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,430.65	$2,201.00	$90.16 – $2,090.95
CT scan of the pelvis, with contrast CPT 72193	$1,520.35	$2,339.00	$99.48 – $2,222.05
CT scan of the sinuses or face, without contrast CPT 70486	$1,936.35	$2,979.00	$89.13 – $2,830.05
Diagnostic mammogram, both breasts CPT 77066	$523.25	$805.00	$88.55 – $764.75
Diagnostic mammogram, one breast CPT 77065	$915.85		$71.81 – $255.61
Foot X-ray, 3 or more views CPT 73630	$299.65	$461.00	$13.23 – $437.95
Hand X-ray, 3 or more views CPT 73130	$299.65	$461.00	$13.23 – $437.95
Knee X-ray, 3 views CPT 73562	$332.80	$512.00	$27.10 – $486.40
Leg or arm vein ultrasound, both sides CPT 93970	$1,069.90	$1,646.00	$131.33 – $1,563.70
Leg or arm vein ultrasound, one side CPT 93971	$837.85	$1,289.00	$90.16 – $1,224.55
Lower back X-ray, 2 or 3 views CPT 72100	$332.80	$512.00	$25.88 – $486.40
MRI of the abdomen, without and with contrast CPT 74183	$2,768.35	$4,259.00	$300.88 – $4,046.05
MRI of the brain, without and with contrast CPT 70553	$2,768.35	$4,259.00	$300.88 – $4,046.05
MRI of the brain, without contrast CPT 70551	$2,143.05	$3,297.00	$205.78 – $3,132.15
MRI of the knee or other leg joint, without contrast CPT 73721	$3,214.90	$4,946.00	$205.78 – $4,698.70
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,143.05	$3,297.00	$205.78 – $3,132.15
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,143.05	$3,297.00	$205.78 – $3,132.15
MRI of the neck (cervical spine), without contrast CPT 72141	$2,143.05	$3,297.00	$205.78 – $3,132.15
MRI of the pelvis, without and with contrast CPT 72197	$2,768.35	$4,259.00	$300.88 – $4,046.05
MRI of the shoulder or other arm joint, without contrast CPT 73221	$3,214.90	$4,946.00	$205.78 – $4,698.70
Neck X-ray, 2 or 3 views CPT 72040	$332.80	$512.00	$27.10 – $486.40
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$815.10	$1,254.00	$53.48 – $1,191.30
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$482.95	$743.00	$76.36 – $705.85
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$406.90	$626.00	$44.15 – $594.70
Screening mammogram, both breasts CPT 77067	$523.90	$806.00	$75.98 – $765.70
Shoulder X-ray, 2 or more views CPT 73030	$319.15	$491.00	$18.98 – $466.45
Transvaginal pregnancy ultrasound CPT 76817	$815.10	$1,254.00	$60.98 – $1,191.30
Transvaginal ultrasound CPT 76830	$815.10	$1,254.00	$53.48 – $1,191.30
Ultrasound of the abdomen, complete CPT 76700	$568.75	$875.00	$66.13 – $831.25
Ultrasound of the neck or thyroid CPT 76536	$861.25	$1,325.00	$83.72 – $1,258.75
Wrist X-ray, 3 or more views CPT 73110	$299.65	$461.00	$13.23 – $437.95
X-ray of the lower back, 4 or more views CPT 72110	$390.65	$601.00	$36.95 – $570.95

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$120.25	$185.00	$8.46 – $175.75
Blood culture CPT 87040	$384.80		$32.20 – $3,742.00
Blood draw (venipuncture) CPT 36415	$55.00	$55.00	$1.80 – $55.00
BNP test (heart failure) CPT 83880	$219.05	$337.00	$33.70 – $415.92
C-reactive protein (CRP) test CPT 86140	$33.15	$51.00	$3.45 – $71.03
Chlamydia test (DNA/NAAT) CPT 87491	$1,129.05		$26.67 – $425.31
Complete blood count (CBC) with differential CPT 85025	$603.20		$6.90 – $151.81
Complete blood count (CBC), automated CPT 85027	$727.35		$6.47 – $87.69
Comprehensive metabolic panel (blood test) CPT 80053	$707.85		$10.56 – $128.03
COVID-19 PCR test CPT 87635	$125.45	$193.00	$19.30 – $183.35
D-dimer test (blood clots) CPT 85379	$54.60	$84.00	$8.40 – $92.95
Drug screen, instrument chemistry CPT 80307	$644.15		$62.14 – $296.84
Ferritin (iron stores) test CPT 82728	$83.85	$129.00	$12.90 – $186.78
Free T4 (thyroid) test CPT 84439	$66.30	$102.00	$9.02 – $120.14
General health panel (blood tests) CPT 80050	$401.05	$617.00	$50.47 – $586.15
Glucose (blood sugar) test CPT 82947	$26.00	$40.00	$3.93 – $38.00
Gonorrhea test (DNA/NAAT) CPT 87591	$1,129.05		$26.67 – $425.31
Hemoglobin A1c test CPT 83036	$687.05		$8.05 – $129.78
Hepatitis C antibody test CPT 86803	$87.10	$134.00	$13.40 – $172.75
HIV-1/HIV-2 antigen and antibody test CPT 87389	$138.45	$213.00	$21.30 – $213.97
Iron test CPT 83540	$71.50	$110.00	$6.47 – $104.50
Kidney function panel CPT 80069	$37.05	$57.00	$5.70 – $105.23
Lipase test (pancreas) CPT 83690	$72.15	$111.00	$5.75 – $105.45
Lipid panel, cholesterol and triglycerides CPT 80061	$139.75	$215.00	$13.39 – $204.25
Liver function panel CPT 80076	$144.30	$222.00	$8.17 – $210.90
Magnesium test CPT 83735	$42.90	$66.00	$6.60 – $92.08
Partial thromboplastin time (PTT), clotting test CPT 85730	$42.25	$65.00	$6.01 – $82.43
Pregnancy blood test (hCG), quantitative CPT 84702	$106.60	$164.00	$15.05 – $166.61
Prothrombin time (PT/INR), clotting test CPT 85610	$26.00	$40.00	$4.00 – $49.11
PSA (prostate specific antigen), free CPT 84154	$100.10	$154.00	$15.40 – $222.74
PSA (prostate specific antigen), total CPT 84153	$213.85	$329.00	$18.39 – $312.55
Rapid strep test CPT 87880	$91.65	$141.00	$7.25 – $133.95
Thyroid stimulating hormone (TSH) CPT 84443	$137.15	$211.00	$16.80 – $229.75
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$214.50	$330.00	$10.35 – $526.15
Troponin test (heart damage) CPT 84484	$22,042.24		$11.35 – $9,538.08
Urinalysis, automated, with microscope CPT 81001	$256.10		$3.17 – $38.58
Urinalysis, automated, without microscope CPT 81003	$137.80		$3.57 – $171.97
Urinalysis, manual, without microscope CPT 81002	$9.75	$15.00	$1.50 – $43.85
Urine culture, colony count CPT 87086	$109.20	$168.00	$8.07 – $159.60
Urine pregnancy test CPT 81025	$150.80	$232.00	$4.60 – $220.40
Vitamin B12 test CPT 82607	$109.20	$168.00	$14.95 – $206.08
Vitamin D test CPT 82306	$310.05	$477.00	$29.60 – $453.15

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$940.55	$1,447.00	$170.04 – $1,374.65
ECG tracing only (no interpretation) CPT 93005	$358.80		$12.03 – $76,193.45
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,481.35	$2,279.00	$161.17 – $2,165.05
Left heart catheterization CPT 93452	$6,454.50	$9,930.00	$1,125.20 – $10,307.20
Left heart catheterization with coronary angiogram CPT 93458	$11,909.65		$1,125.20 – $10,307.20
Nuclear stress test (heart perfusion imaging) CPT 78452	$3,619.20	$5,568.00	$391.92 – $5,289.60

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$34,319.87		$9.64 – $21,152.31
Appendix removal, laparoscopic CPT 44970	$27,907.45		$13.44 – $17,623.08
Breast biopsy with ultrasound guidance CPT 19083	$2,875.60	$4,424.00	$159.72 – $8,467.42
Carpal tunnel release CPT 64721	$9,968.07		$345.00 – $5,692.31
Colonoscopy with biopsy CPT 45380	$4,180.57		$78.20 – $4,966.89
Colonoscopy with polyp removal (snare) CPT 45385	$4,153.01		$117.30 – $4,966.89
Colonoscopy, diagnostic CPT 45378	$2,810.37		$207.58 – $4,966.89
Colposcopy with biopsy CPT 57454	$289.00	$289.00	$42.82 – $274.55
Cystoscopy (bladder scope) CPT 52000	$10,051.87		$86.25 – $4,110.00
Ear tubes, under general anesthesia CPT 69436	$22,142.69		$113.28 – $9,664.76
Flexible sigmoidoscopy, diagnostic CPT 45330	$2,599.71		$1,002.55 – $3,782.00
Gallbladder removal, laparoscopic CPT 47562	$27,105.98		$19.01 – $17,623.08
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$3,769.00	$3,769.00	$37.48 – $3,580.55
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$31,655.22		$236.95 – $30,986.61
Hysteroscopy with biopsy or polyp removal CPT 58558	$15,329.00		$274.59 – $9,436.42
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$28,013.47		$11.35 – $17,623.08
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$28,756.52		$365.13 – $10,437.09
Kidney stone shock-wave lithotripsy CPT 50590	$9,332.05	$14,357.00	$286.93 – $13,639.15
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$14,766.23		$625.03 – $9,538.08
Nasal endoscopy, diagnostic CPT 31231	$282.34		$15.67 – $434.77
Prostate biopsy CPT 55700	$12,005.31		$102.93 – $10,275.53
Prostate removal, laparoscopic or robotic CPT 55866	$44,962.60		$104.65 – $30,986.61
Removal of a breast lump, open surgery CPT 19120	$12,209.53		$198.95 – $11,413.73
Rotator cuff repair, arthroscopic CPT 29827	$29,379.56		$625.03 – $21,152.31
Screening colonoscopy, average risk HCPCS G0121	$4,892.58		$78.98 – $4,966.89
Screening colonoscopy, high risk HCPCS G0105	$2,731.43		$1,002.55 – $4,966.89
Septoplasty (nasal septum repair) CPT 30520	$17,404.91		$43.70 – $9,664.76
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$29,252.79		$625.03 – $21,152.31
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$36,100.84		$78.98 – $7,224.56
Total hip replacement CPT 27130	$54,172.66		$40.25 – $37,425.54
Total knee replacement CPT 27447	$38,707.92		$28.22 – $37,425.54
Upper endoscopy (EGD) with biopsy CPT 43239	$4,619.80		$39.10 – $5,593.73
Upper endoscopy (EGD), diagnostic CPT 43235	$3,492.64		$144.00 – $2,581.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$5,860.00	$5,860.00	$893.00 – $5,567.00
Fetal non-stress test CPT 59025	$788.45		$7.75 – $589.34
IUD insertion CPT 58300	$23,000.89		$19.84 – $9,436.42
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$5,936.96		$742.12 – $5,640.11
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$5,277.00	$5,277.00	$893.00 – $5,013.15

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$15,478.19	$4,581.00 – $19,882.42
C-section, without complications MS-DRG 788	$13,448.37	$7,048.02 – $21,594.09
Chest pain MS-DRG 313	$10,887.20	$3,796.00 – $16,904.22
COPD flare-up, with major complications MS-DRG 190	$16,300.15	$3,796.00 – $24,947.62
COPD flare-up, without complications MS-DRG 192	$9,399.13	$3,796.00 – $15,325.51
Fainting (syncope) MS-DRG 312	$16,827.88	$3,796.00 – $19,767.09
Gastrointestinal bleeding, with complications MS-DRG 378	$19,076.33	$3,796.00 – $22,696.43
Heart failure, with major complications MS-DRG 291	$17,840.94	$4,581.00 – $29,223.70
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$172,676.00	$68,611.82 – $220,328.22
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$50,068.45	$13,816.24 – $43,442.69
Irregular heartbeat, without complications MS-DRG 310	$8,889.11	$4,308.19 – $13,091.46
Kidney failure, with complications MS-DRG 683	$16,345.48	$4,581.00 – $20,701.44
Kidney or urinary tract infection, without major complications MS-DRG 690	$14,250.18	$246.00 – $5,578.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	$67,779.71	$17,391.19 – $57,017.87
Normal newborn care MS-DRG 795	$3,395.14	? – $4,603.32
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$14,464.68	$3,796.00 – $17,940.44
Pneumonia, with complications MS-DRG 194	$13,348.56	$3,796.00 – $19,490.37
Pneumonia, with major complications MS-DRG 193	$17,045.90	$3,796.00 – $29,642.17
Pneumonia, without complications MS-DRG 195	$10,283.26	$3,796.00 – $15,097.52
Psychoses (inpatient psychiatric stay) MS-DRG 885	$10,272.11	$5,587.00 – $31,458.73
Sepsis, with major complications MS-DRG 871	$25,455.85	$4,581.00 – $44,222.37
Sepsis, without major complications MS-DRG 872	$16,540.32	$3,796.00 – $23,648.50
Skin infection (cellulitis), without major complications MS-DRG 603	$12,977.48	$3,796.00 – $20,411.44
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$15,190.11	$5,797.75 – $18,325.70
Stroke, with complications or clot-busting drug MS-DRG 65	$20,488.45	$3,796.00 – $23,391.66
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$27,834.34	$3,796.00 – $27,943.05
Vaginal delivery, without complications MS-DRG 807	$9,321.71	$5,062.39 – $15,184.33
Weight loss surgery, without complications MS-DRG 621	$40,648.95	$3,796.00 – $35,317.07

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,201.20	$1,848.00	$27.03 – $3,782.00
Lower back nerve root injection with imaging guidance CPT 64483	$3,131.70	$4,818.00	$109.30 – $4,577.10
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$1,634.75	$2,515.00	$93.52 – $3,782.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$204.75	$315.00	$14.78 – $629.43

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$1,475.50		$22.86 – $358.00
Physical therapy evaluation, low complexity CPT 97161	$375.70	$578.00	$75.14 – $549.10
Physical therapy evaluation, moderate complexity CPT 97162	$375.70	$578.00	$41.60 – $549.10
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$1,275.95		$19.27 – $358.00
Therapeutic activities, 15 minutes CPT 97530	$126.75	$195.00	$14.95 – $358.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$8,136.31		$14.61 – $209.89
IV hydration, each additional hour CPT 96361	$647.40		$20.70 – $136.50
IV hydration, first hour CPT 96360	$364.00	$560.00	$36.37 – $620.04
IV push injection of a drug, first CPT 96374	$1,465.03		$35.67 – $620.04
IV push injection, each additional drug CPT 96375	$10,375.66		$29.92 – $136.50

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$111.60	$111.60	$14.51 – $106.02
Dexamethasone injection, per 1 mg HCPCS J1100	$28.30	$28.30	$1.11 – $26.89
Fentanyl injection, per 0.1 mg HCPCS J3010	$181.30	$181.30	$23.57 – $172.24
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$52.80	$52.80	$1.86 – $50.16
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$5.90	$5.90	? – $5.61
Morphine injection, up to 10 mg HCPCS J2270	$70.00	$70.00	$9.10 – $66.50
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$5.75	$5.75	? – $5.46
Propofol injection, per 10 mg HCPCS J2704	$65.10	$65.10	$8.46 – $61.85
Saline IV solution, 1000 ml HCPCS J7030	$28.00	$28.00	$2.78 – $26.60

Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.

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