How many shoppable procedure prices are published for Temple University Hospital?

Temple University Hospital in Philadelphia, PA currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Temple University Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Temple University Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Temple University Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Temple University Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 761 Beds · rural Updated: 2026-04-13

Temple University Hospital

3401 North Broad Street, Philadelphia, PA 19140 · 119 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.07×vs. Fair Market Price

Typical commercial prices here are +7% above the fair benchmark (1.07×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Corroborated

70/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness51

Price Logic93

Peer Alignment72

Clean Billing81

Real Cash Discount50

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.07× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Temple University Hospital prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) in alignment with regional hospital peers (1.07× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#88 of 134 in PA · 64th State Percentile#1,596 of 3,385 in U.S. · 47th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (15.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.07× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.6×) & laboratory (3.7×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Specialty infusion drugs (J-codes) average 2.0× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 14.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 0.94× · Q50 1.05× · Q75 1.15×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.7× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Temple University Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$39,110	$30,775	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,936	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$25,301	$19,087	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,073	$17,936	1.2×
Total hip replacement CPT Code: `27130`	—	$14,034	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$14,034	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,817	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,672	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,321	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$4,064	$3,629	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,748	$3,446	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,714	$3,372	1.1×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,634	$2,540	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,572	$1,256	1.3×
Trauma team activation HCPCS Code: `G0390`	—	$1,471	$1,453	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,222	$981	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,192	$987	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$927	$855	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$948	$1,021	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$603	$583	1.0×
Blood transfusion CPT Code: `36430`	—	$487	$498	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$403	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$405	$511	0.8×
Psychological testing by technician CPT Code: `96138`	—	—	$395	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$276	$272	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$294	$322	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$276	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	—	$288	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	—	$288	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	—	$271	$369	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$287	$148	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	—	$242	$201	1.2×
Neurobehavioral status check CPT Code: `96116`	—	$238	$231	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	—	$231	$123	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$197	$166	1.2×
Family therapy session CPT Code: `90847`	—	$199	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$197	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$200	$185	1.1×
CT scan, head (with contrast) CPT Code: `70460`	—	$203	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$203	$258	0.8×
Psychological testing evaluation CPT Code: `96136`	—	$147	$128	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$144	$151	1.0×
Group therapy session CPT Code: `90853`	—	$114	$100	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$138	$126	1.1×
X-ray, lower back CPT Code: `72110`	—	$114	$112	1.0×
Ultrasound, pelvis CPT Code: `76856`	—	$121	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$121	$132	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$121	$134	0.9×
CT scan, head (no contrast) CPT Code: `70450`	—	$126	$160	0.8×
CT scan, pelvis CPT Code: `72192`	—	$126	$163	0.8×
CT scan, sinuses CPT Code: `70486`	—	$126	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	—	$126	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$126	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$126	$169	0.7×
X-ray, hip CPT Code: `73502`	—	$97	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	—	$95	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	—	$95	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$95	$93	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	—	$80	$86	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$98	$123	0.8×
X-ray, pelvis CPT Code: `72170`	—	$114	$110	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$83	$110	0.8×
X-ray, shoulder CPT Code: `73030`	—	$97	$92	unverified
X-ray, hand CPT Code: `73130`	—	$97	$93	unverified
X-ray, ankle CPT Code: `73610`	—	$97	$93	unverified
X-ray, foot CPT Code: `73630`	—	$97	$92	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$333	$347	1.0×
Drug screening test HCPCS Code: `G0480`	—	$125	$116	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$112	$203	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$62	$35	1.8×
Physical therapy (manual therapy) CPT Code: `97140`	—	$47	$34	1.4×
Orthotic fitting and training CPT Code: `97760`	—	$60	$51	1.2×
Prosthetic fitting and training CPT Code: `97761`	—	$52	$45	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	—	$42	$38	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	—	$52	$49	1.1×
Flu vaccine injection HCPCS Code: `G0008`	—	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$50	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$65	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$67	$87	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$39	$38	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$39	$40	1.0×
Physical therapy (gait training) CPT Code: `97116`	—	$31	$33	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$40	$56	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$65	$111	0.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$17	$14	1.2×
Blood test, vitamin D CPT Code: `82306`	—	$36	$31	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$39	$38	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$5	$4	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$23	$19	1.2×
Blood test, calcium CPT Code: `82310`	—	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	—	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	—	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	—	$18	$15	1.2×
Culture, blood CPT Code: `87040`	—	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$21	$18	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	—	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	—	$8	$7	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$16	$14	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	—	$10	$9	1.1×
Culture, bacterial CPT Code: `87070`	—	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$11	$10	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	—	$17	$16	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$21	$20	1.1×
Blood test, liver function panel CPT Code: `80076`	—	$9	$9	1.0×
Blood test, amylase CPT Code: `82150`	—	$7	$7	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$31	$35	0.9×
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Blood antibody screen CPT Code: `86850`	—	$11	$46	0.2×

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 15.0%

Audit a Bill or Quote at Temple University Hospital (Zero PHI Required)

CMS CCN: 390027

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $39,110

1. Amount on Your Bill or Quote ($) Pre-filled with Temple University Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $14,080 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $14,080

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (15.0% of gross = $14,080).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Temple University Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$63,089 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($93,864) is $63,089 above the denoised Fair BaseRate ($30,775) and 4.0× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 232825878

Filing Period: 199605

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (15.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait228 min

Left ER Before Seen11%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate4.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Temple University Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-02·administrative_or_closure
Closure Notice
Recorded
2025-05-21·cap_corrective_action
CAP Request
Recorded
2025-02-18·warning_notice
Warning Notice
Recorded
2023-08-18·administrative_or_closure
Closure Notice
Recorded
2023-05-18·cap_corrective_action
CAP Request
Recorded
2023-02-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (682 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Temple University Hospital.

Price Index: 1.11× regional baseline

Quality: 65/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

HealthPartners

-63.0%

AmeriHealth

-60.7%

Cigna

-41.6%

Geisinger

+76.2%

Median Household Income$60,698U.S. Census ACS

Local Uninsured Share7.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 70/100 · Corroborated CMS CCN 390027 EIN 232825878

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 390027) ↗ Verify IRS Form 990 (EIN 232825878) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-13

Validated Rate Rows6,717 (CMS v3.0.0)

File Integrity DigestVerified · CCN 390027

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy