Prime Healthcare Services · Philadelphia, PA
28
In-network payers
154
Disclosed rate categories
131
Beds
4
Care quality
Roxborough Memorial Hospital is a 131-bed proprietary hospital in Philadelphia, PA, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 154 disclosed rate categories.
CCN (Medicare provider number)
390304
NPI
1083986129
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
131
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Roxborough Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$684 - $843
from 3 insurers · median $772
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$965 - $1,714
from 3 insurers · median $1,321
Typical for a hospital with this service line
Gynecology
CPT 58571
$6,569 - $25,103
from 3 insurers · median $17,693
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,585 - $2,523
from 3 insurers · median $2,193
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,072 - $2,893
from 3 insurers · median $2,523
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$10,042 - $18,980
from 3 insurers · median $12,937
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$44,588 - $63,041
from 3 insurers · median $49,790
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$2,072 - $2,893
from 3 insurers · median $2,261
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$4,113 - $5,756
from 3 insurers · median $5,499
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$10,042 - $29,516
from 2 insurers · median $19,779
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 473
$18,500 - $32,896
from 3 insurers · median $32,068
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 42820
$10,245 - $14,264
from 2 insurers · median $12,254
Typical for a hospital with this service line
CT imaging
CPT 70450
$202 - $565
from 3 insurers · median $253
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,241 - $3,130
from 3 insurers · median $2,506
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 74176
$443 - $687
from 3 insurers · median $577
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$135 - $210
from 3 insurers · median $165
Typical for a hospital with this service line
MRI imaging
CPT 70553
$684 - $2,061
from 3 insurers · median $843
Typical for a hospital with this service line
Gynecology
CPT 58661
$4,317 - $10,042
from 3 insurers · median $8,493
Typical for a hospital with this service line
Mammography
CPT 77067
$95 - $146
from 3 insurers · median $101
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,672 - $7,827
from 3 insurers · median $5,445
Typical for a hospital with this service line
CT imaging
CPT 71275
$340 - $1,012
from 3 insurers · median $424
Typical for a hospital with this service line
Urology
CPT 50590
$6,126 - $9,123
from 3 insurers · median $7,772
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,906 - $10,042
from 2 insurers · median $6,974
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,233 - $3,572
from 3 insurers · median $2,665
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 237% | 18 | 3 |
| Insurer B* | 23 | 217% | 8 | 12 |
| Insurer C* | 24 | 170% | 11 | 12 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Roxborough Memorial Hospital.
5800 Ridge Avenue, Philadelphia, PA 19128
(215) 483-9900
The nearest hospitals of similar type and size. Their rates are compared with Roxborough Memorial Hospital for the same insurers and services above.
Chestnut Hill Hospital
▼ Rates typically 36% lower than Roxborough Memorial Hospital (24 services)
Mercy Catholic Medical Center
▲ Rates typically 27% higher than Roxborough Memorial Hospital (24 services)
Temple University Hospital – Jeanes Campus
▲ Rates typically 14% higher than Roxborough Memorial Hospital (24 services)
Delaware County Memorial Hospital
Rates about the same as Roxborough Memorial Hospital (24 services)
Holy Redeemer Hospital
▼ Rates typically 19% lower than Roxborough Memorial Hospital (24 services)
Nazareth Hospital - Pa
▲ Rates typically 13% higher than Roxborough Memorial Hospital (24 services)
Fox Chase Cancer Center
Temple University Hospital – Main Campus
Hospital Of The University Of Pennsylvania
About Roxborough Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Roxborough Memorial Hospital range from $684 to $2,061 across 3 insurers. Cigna's rate is $843. The median at nearby comparable hospitals is $798. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Roxborough Memorial Hospital range from $684 to $843 across 3 insurers. Blue Cross Blue Shield's rate is $772. The median at nearby comparable hospitals is $798. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Roxborough Memorial Hospital range from $2,072 to $2,893 across 3 insurers. Blue Cross Blue Shield's rate is $2,523. The median at nearby comparable hospitals is $2,043. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Roxborough Memorial Hospital range from $95 to $146 across 3 insurers. UnitedHealthcare's rate is $101. The median at nearby comparable hospitals is $150. What a patient pays depends on their plan's deductible, coinsurance and network status.
Roxborough Memorial Hospital has 131 beds. Facility type: Short Term Acute Care Hospital.
Roxborough Memorial Hospital is located at 5800 Ridge Avenue, Philadelphia, PA 19128. Its main phone number is (215) 483-9900.
Roxborough Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390304.
The National Provider Identifier (NPI) on file for Roxborough Memorial Hospital is 1083986129.
Roxborough Memorial Hospital is affiliated with Prime Healthcare Services.
Roxborough Memorial Hospital lists 28 in-network payers, including Ambetter, Ameri Health, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
154 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers