HealthEast St John's Hospital
HealthEast St John's Hospital in Maplewood, MN publishes cash prices for 57 common procedures listed here, from its own machine-readable price file updated Feb 5, 2026. Click a procedure to compare it with other hospitals nearby.
1575 Beam Ave, Maplewood, MN 55109-1126 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $734.64 | $1,832.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $734.64 | $1,832.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $472.92 | $1,179.33 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $476.77 | $1,188.95 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $650.03 | $1,621.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $650.03 | $1,621.00 | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $231.00 | $576.03 | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD, BILATERAL | $231.00 | $576.03 | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $178.85 | $446.00 | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD, UNILATERAL | $178.85 | $446.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $1,206.13 | $3,007.78 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JNT W/O CONT | $806.01 | $2,010.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,146.46 | $2,859.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JNT WO&W CONT | $1,660.83 | $4,141.71 | 60% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $643.21 | $1,604.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $643.21 | $1,604.00 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO&W CONTRAST | $1,162.10 | $2,898.00 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO&W CONTRAST | $1,145.79 | $2,857.31 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $759.90 | $1,895.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $759.90 | $1,895.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $273.89 | $683.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $273.89 | $683.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $188.07 | $469.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $188.07 | $469.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $188.07 | $469.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO INCL CAD, BILATERAL | $188.07 | $469.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL, NON-OB | $223.38 | $557.04 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL, NON-OB | $196.09 | $489.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $278.30 | $694.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $278.30 | $694.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $205.32 | $512.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $205.32 | $512.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 PR BASIC METABOLIC PANEL CALCIUM TOTAL | $15.37 | $24.50 | 37% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE | $61.76 | $154.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 PR BASIC METABOLIC PANEL CALCIUM TOTAL | $15.37 | $24.50 | 37% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE | $58.55 | $146.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $37.94 | $94.60 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $39.04 | $97.33 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $41.01 | $102.25 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $37.94 | $94.60 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL, REFLEX TO DIRECT LDL | $38.50 | $96.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $38.50 | $96.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH PLATELETS, DIFF | $53.74 | $134.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH PLATELETS, DIFF | $43.00 | $107.23 | 60% |
| Complete blood count (CBC), no differential CPT 85027 PR BLOOD COUNT COMPLETE AUTOMATED | $11.60 | $18.50 | 37% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC WITH PLATELETS | $87.82 | $219.00 | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 PR BLOOD COUNT COMPLETE AUTOMATED | $11.60 | $18.50 | 37% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC WITH PLATELETS | $30.88 | $77.00 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $83.81 | $209.00 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $84.60 | $210.97 | 60% |
| Kidney function blood test panel CPT 80069 HC RENAL PANEL | $78.60 | $196.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PANEL | $78.60 | $196.00 | 60% |
| Liver function blood test panel CPT 80076 HC HEPATIC PANEL | $48.12 | $120.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PANEL | $48.14 | $120.03 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA | $22.46 | $56.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA | $22.46 | $56.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, ULTRASENSITIVE | $48.12 | $120.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $58.55 | $146.01 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, ULTRASENSITIVE | $48.12 | $120.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, DIAGNOSTIC (TUMOR MARKER) | $55.74 | $139.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $56.01 | $139.67 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS PTT AL | $58.95 | $147.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC HEPZYMED PTT | $58.95 | $147.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $56.01 | $139.67 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC HEPZYMED PTT | $58.95 | $147.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS PTT AL | $58.95 | $147.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME/INR | $22.46 | $56.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR SP COAG | $22.78 | $56.79 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT MIXING STUDIES | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT ISTAT | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC INR POCT | $31.33 | $78.12 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR SP COAG | $31.02 | $77.35 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME/INR | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT MIXING STUDIES | $31.28 | $78.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT ISTAT | $31.29 | $78.01 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC INR POCT | $31.33 | $78.12 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC MISC TEST | $29.58 | $73.75 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $36.09 | $89.98 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FREE T4 REFLEX | $36.09 | $90.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC MISC TEST | $29.58 | $73.75 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $36.09 | $90.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FREE T4 REFLEX | $36.10 | $90.02 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $33.29 | $83.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS WITH MICROSCOPIC | $33.53 | $83.59 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS OB SCREEN | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, MACROSCPOIC | $16.82 | $41.92 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $17.66 | $44.02 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE QUAL | $18.05 | $45.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY UR | $19.25 | $48.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE QUAL URINE | $20.05 | $50.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE QUAL | $20.05 | $50.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE QUAL | $21.26 | $53.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 HC KETONES URINE QUAL | $28.07 | $70.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE POCT INSTRUMENT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS OB SCREEN | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY POCT | $14.84 | $37.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, MACROSCPOIC | $16.82 | $41.92 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $17.65 | $44.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE QUAL | $18.05 | $45.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY UR | $19.25 | $48.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE QUAL URINE | $20.05 | $50.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PROTEIN URINE QUAL | $20.05 | $50.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE QUAL | $21.26 | $53.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONES URINE QUAL | $28.07 | $70.00 | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM | $1,182.95 | $2,950.00 | 60% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM | $1,182.95 | $2,950.00 | 60% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,164.24 | $2,903.33 | 60% |
| Colonoscopy with polyp removal CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,175.63 | $1,875.00 | 37% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,164.24 | $2,903.33 | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $1,175.63 | $1,875.00 | 37% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W BIOPSY | $1,131.74 | $1,805.00 | 37% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY | $1,134.59 | $2,829.38 | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W BIOPSY | $1,131.74 | $1,805.00 | 37% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY | $1,133.15 | $2,825.80 | 60% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $879.69 | $1,403.00 | 37% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,207.82 | $3,012.00 | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY W/WO BRUSH/WASH | $879.69 | $1,403.00 | 37% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY W/WO BRUSH/WASH | $1,051.83 | $2,623.01 | 60% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,590.75 | $2,537.07 | 37% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $1,590.75 | $2,537.07 | 37% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC YAG LASER CAPSULOTOMY | $1,791.67 | $4,468.00 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC YAG LASER CAPSULOTOMY | $1,795.48 | $4,477.49 | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $3,548.05 | $8,848.00 | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $3,548.05 | $8,848.00 | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $678.42 | $1,082.00 | 37% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $752.11 | $1,875.57 | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $678.42 | $1,082.00 | 37% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $751.88 | $1,875.00 | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $357.39 | $570.00 | 37% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $1,164.91 | $2,905.00 | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $357.39 | $570.00 | 37% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL LUMBAR/SACRAL, W/O IMAGING | $1,164.91 | $2,905.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,513.38 | $3,774.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,008.92 | $2,516.00 | 60% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $2,145.76 | $5,351.00 | 60% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE/PUNCH | $2,145.76 | $5,351.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $835.29 | $2,083.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM) | $835.29 | $2,083.00 | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $986.00 | $1,572.56 | 37% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM) | $835.29 | $2,083.00 | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI ENDOSCOPY DIAG W BIOPSY | $837.25 | $2,087.89 | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR UGI ENDOSCOPY DIAG W BIOPSY | $986.00 | $1,572.56 | 37% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $754.91 | $1,204.00 | 37% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $818.64 | $2,041.49 | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $754.91 | $1,204.00 | 37% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $818.64 | $2,041.49 | 60% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,951.67 | $9,492.29 | 37% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,951.67 | $9,492.29 | 37% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $5,754.27 | $9,177.45 | 37% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $5,754.27 | $9,177.45 | 37% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ELECTROCARDIOGRAM, COMP W/READ | $37.00 | $59.00 | 37% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ELECTROCARDIOGRAM, COMP W/READ | $37.00 | $59.00 | 37% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $182.93 | $456.17 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $183.54 | $457.68 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $285.92 | $713.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $288.52 | $719.50 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN | $183.54 | $457.68 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $203.57 | $507.63 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $285.92 | $713.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $288.52 | $719.50 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY,W/O PT, 50 MINS | $215.69 | $344.00 | 37% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN | $228.17 | $569.00 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP | $234.99 | $586.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY,W/O PT, 50 MINS | $215.69 | $344.00 | 37% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN | $228.17 | $569.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP | $234.99 | $586.00 | 60% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS | $46.52 | $116.00 | 60% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG) | $46.70 | $116.44 | 60% |
| Group psychotherapy session CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD | $50.93 | $127.00 | 60% |
| Group psychotherapy session CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL | $77.50 | $193.25 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP | $86.22 | $215.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR, IOP | $126.32 | $315.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY (30+ MIN) | $138.75 | $346.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD/IOP | $139.22 | $347.17 | 60% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY 1HR CD | $148.78 | $371.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1HR (DRUG) | $155.19 | $386.99 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 0.5HR CD | $156.39 | $390.00 | 60% |
| Group psychotherapy session CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD | $159.90 | $398.73 | 60% |
| Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD | $165.36 | $412.36 | 60% |
| Group psychotherapy session CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR | $166.50 | $415.20 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR | $169.63 | $423.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1 HR | $178.45 | $445.00 | 60% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP | $193.69 | $483.00 | 60% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $266.27 | $664.00 | 60% |
| Group psychotherapy session CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $272.28 | $679.00 | 60% |
| Group psychotherapy session CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR | $285.92 | $713.00 | 60% |
| Group psychotherapy session CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $292.73 | $730.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS | $46.52 | $116.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, 45+ MINS, (DRUG) | $46.70 | $116.44 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC TRAIN & EDUC SERV PER SESS, PARTIAL TX, 45+ MINS, CHILD | $50.93 | $127.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC SUBSTANCE USE DISORDER GROUP, 0.5 HR RESIDENTIAL | $77.50 | $193.25 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5 HR, IOP | $86.22 | $215.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY (30+ MIN) | $138.75 | $346.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD/IOP | $148.78 | $371.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY 1HR CD | $148.78 | $371.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1HR (DRUG) | $155.19 | $386.99 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 0.5HR CD | $156.39 | $390.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PARTIAL GROUP THERAPY, PER HR, CHILD | $159.90 | $398.73 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR, CHILD | $165.36 | $412.36 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC MH OT GROUP THERAPY, PARTIAL TX, 1 HR | $166.50 | $415.20 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY-PARTIAL, PER HOUR | $169.63 | $423.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR, IOP | $178.45 | $445.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1 HR | $178.45 | $445.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY, 1.5 HR, IOP | $193.69 | $483.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $266.27 | $664.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD | $272.28 | $679.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC MULTI FAM GROUP THERAPY-PARTIAL, PER HOUR | $285.92 | $713.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 HC FAMILY THERAPY W PATIENT 1HR (DRUG) | $292.73 | $730.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $285.08 | $454.66 | 37% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $285.08 | $454.66 | 37% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $423.23 | $675.00 | 37% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $423.23 | $675.00 | 37% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $557.64 | $889.37 | 37% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $557.64 | $889.37 | 37% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $69.23 | $172.64 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $69.67 | $173.74 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPY PROC, EA 15 MIN | $69.39 | $173.03 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPY PROC, EA 15 MIN | $69.78 | $174.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP | $69.38 | $173.01 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $158.80 | $396.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $160.81 | $401.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 16- 37 MINUTES | $171.18 | $273.00 | 37% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $218.55 | $545.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $125.95 | $314.09 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT, PARTIAL TX, 30-37 MINUTES, CHILD | $140.35 | $350.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $158.80 | $396.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP | $160.81 | $401.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 16- 37 MINUTES | $171.18 | $273.00 | 37% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $218.55 | $545.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $151.18 | $377.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $167.06 | $416.60 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $175.79 | $438.36 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $206.12 | $514.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG) | $210.13 | $524.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $226.59 | $361.38 | 37% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG) | $151.18 | $377.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $175.64 | $438.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $206.12 | $514.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC INDIVIDUAL THERAPY 38-52MIN (DRUG) | $210.13 | $524.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP | $224.97 | $561.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $226.59 | $361.38 | 37% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG) | $283.51 | $707.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP | $290.94 | $725.52 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $291.13 | $726.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $297.95 | $743.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG) | $317.20 | $791.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W PATIENT 53 OR > MINUTES | $333.26 | $531.50 | 37% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP | $200.10 | $499.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP | $267.87 | $668.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG) | $283.51 | $707.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 53 OR > MIN | $291.13 | $726.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PATIENT 53 OR > MINUTES, IOP | $291.13 | $726.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVIDUAL THERAPY 53 OR > MIN, (DRUG) | $317.20 | $791.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W PATIENT 53 OR > MINUTES | $333.26 | $531.50 | 37% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN | $256.96 | $409.82 | 37% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN | $256.96 | $409.82 | 37% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $371.08 | $591.83 | 37% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN | $371.08 | $591.83 | 37% |
Source file: https://requiredlearning.fairview.org/price_transparency/411456897_healtheast-st-johns-hospital_standardcharges.csv