Allina Health Systems
Allina Health Systems in River Falls, WI publishes cash prices for 42 common procedures listed here, from its own machine-readable price file updated Jun 15, 2026. Click a procedure to compare it with other hospitals nearby.
1617 E Division St, River Falls, WI 54022 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 HCHG RAD CT ABDOMEN PELVIS W | $1,824.98 | $3,258.90 | 44% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG RAD CT ABDOMEN PELVIS W | $1,824.98 | $3,258.90 | 44% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG RAD CT HEAD BRAIN WO | $912.46 | $1,629.40 | 44% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT HEAD WO CONTRAST | $912.46 | $1,629.40 | 44% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG RAD CT HEAD BRAIN WO | $912.46 | $1,629.40 | 44% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT HEAD WO CONTRAST | $912.46 | $1,629.40 | 44% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG RAD CT PELVIS W | $1,368.81 | $2,444.30 | 44% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W CONTRAST | $1,368.81 | $2,444.30 | 44% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W CONTRAST | $1,368.81 | $2,444.30 | 44% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG RAD CT PELVIS W | $1,368.81 | $2,444.30 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC IMPLANT W ADDL VIE | $309.01 | $551.80 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC 3D WWO CAD | $332.08 | $593.00 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT ADDL VIEWS WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC W IMPLANT WWO CAD | $428.34 | $764.90 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC IMPLANT W ADDL VIE | $309.01 | $551.80 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC 3D WWO CAD | $332.08 | $593.00 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT ADDL VIEWS WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC W IMPLANT WWO CAD | $428.34 | $764.90 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC 3D WWO CAD | $332.08 | $593.00 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC ADDL VIEWS WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC W IMPLANT WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI IMPLANT W ADDL VIEWS WWO CAD | $385.45 | $688.30 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC 3D WWO CAD | $332.08 | $593.00 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC W IMPLANT WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC ADDL VIEWS WWO CAD | $342.55 | $611.70 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI IMPLANT W ADDL VIEWS WWO CAD | $385.45 | $688.30 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO LIMITED | $1,559.43 | $2,784.70 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO | $2,079.00 | $3,712.50 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO LIMITED | $1,559.43 | $2,784.70 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO | $2,079.00 | $3,712.50 | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG RAD MRI JOINT OF LOWER EXTREMITY WWO | $3,234.06 | $5,775.10 | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG RAD MRI JOINT OF LOWER EXTREMITY WWO | $3,234.06 | $5,775.10 | 44% |
| MRI of the brain, no contrast dye CPT 70551 HCHG RAD MRI HEAD BRAIN WO LIMITED | $1,039.42 | $1,856.10 | 44% |
| MRI of the brain, no contrast dye CPT 70551 HCHG RAD MRI HEAD BRAIN WO | $1,386.00 | $2,475.00 | 44% |
| MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN WO CONTRAST | $1,386.00 | $2,475.00 | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG RAD MRI HEAD BRAIN WO LIMITED | $1,039.42 | $1,856.10 | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG RAD MRI HEAD BRAIN WO | $1,386.00 | $2,475.00 | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN WO CONTRAST | $1,386.00 | $2,475.00 | 44% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG RAD MRI HEAD BRAIN WWO | $2,310.06 | $4,125.10 | 44% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG RAD MRI HEAD BRAIN WWO | $2,310.06 | $4,125.10 | 44% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG RAD MRI SPINE LUMBAR WO LIMITED | $1,240.46 | $2,215.10 | 44% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG RAD MRI SPINE LUMBAR WO | $1,386.00 | $2,475.00 | 44% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG RAD MRI SPINE LUMBAR WO LIMITED | $1,240.46 | $2,215.10 | 44% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG RAD MRI SPINE LUMBAR WO | $1,386.00 | $2,475.00 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SINGLE | $457.74 | $817.40 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US OB EQUAL OR GREATER THAN 14 WKS SINGLE GES | $457.74 | $817.40 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SNGL G | $659.68 | $1,178.00 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SINGLE | $457.74 | $817.40 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US OB EQUAL OR GREATER THAN 14 WKS SINGLE GES | $457.74 | $817.40 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SNGL G | $659.68 | $1,178.00 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING LTD WWO CAD | $214.09 | $382.30 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING 3D WWO CAD | $254.86 | $455.10 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING WWO CAD | $256.93 | $458.80 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING W IMPLANT WWO CAD | $342.55 | $611.70 | 44% |
| Screening mammogram, both breasts CPT 77067 HCHG RAD MAMMO UNI SCREENING 3D WWO CAD | $245.17 | $437.80 | 44% |
| Screening mammogram, both breasts CPT 77067 HCHG RAD MAMMO UNI SCREENING W IMPLANT WWO CAD | $256.93 | $458.80 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING LTD WWO CAD | $214.09 | $382.30 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING 3D WWO CAD | $254.86 | $455.10 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING WWO CAD | $256.93 | $458.80 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING W IMPLANT WWO CAD | $342.55 | $611.70 | 44% |
| Screening mammogram, both breasts inpatient CPT 77067 HCHG RAD MAMMO UNI SCREENING 3D WWO CAD | $245.17 | $437.80 | 44% |
| Screening mammogram, both breasts inpatient CPT 77067 HCHG RAD MAMMO UNI SCREENING W IMPLANT WWO CAD | $256.93 | $458.80 | 44% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS REDUCE | $2,312.97 | $4,130.30 | 44% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS | $3,084.09 | $5,507.30 | 44% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS REDUCE | $2,312.97 | $4,130.30 | 44% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS | $3,084.09 | $5,507.30 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US PELVIS COMPLETE TV ADD ON | $152.60 | $272.50 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG US PELVIS TRANSVAGINAL NON OB | $304.47 | $543.70 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US TRANSVAGINAL FOLLICLE STUDY | $305.09 | $544.80 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US TRANSVAGINAL | $305.09 | $544.80 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US PELVIS COMPLETE TV PORTABLE | $661.19 | $1,180.70 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US PELVIS COMPLETE TV ADD ON | $152.60 | $272.50 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US PELVIS TRANSVAGINAL NON OB | $304.47 | $543.70 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US TRANSVAGINAL | $305.09 | $544.80 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US TRANSVAGINAL FOLLICLE STUDY | $305.09 | $544.80 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US PELVIS COMPLETE TV PORTABLE | $661.19 | $1,180.70 | 44% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG US ABDOMEN COMPLETE | $405.89 | $724.80 | 44% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG RAD US ABDOMEN COMPLETE | $406.90 | $726.60 | 44% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG RAD US ABDOMEN COMPLETE PORTABLE | $610.34 | $1,089.90 | 44% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABDOMEN COMPLETE | $405.89 | $724.80 | 44% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG RAD US ABDOMEN COMPLETE | $406.90 | $726.60 | 44% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG RAD US ABDOMEN COMPLETE PORTABLE | $610.34 | $1,089.90 | 44% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG RAD XRAY LUMBOSACRAL MINIMUM OF 4 VIEWS | $139.33 | $248.80 | 44% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG RAD XRAY LUMBOSACRAL MINIMUM OF 4 VIEWS | $139.33 | $248.80 | 44% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL QUEST | $16.80 | $30.00 | 44% |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC RTR | $111.61 | $199.30 | 44% |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL | $111.61 | $199.30 | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL QUEST | $16.80 | $30.00 | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC RTR | $111.61 | $199.30 | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL | $111.61 | $199.30 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL LCC | $15.40 | $27.50 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL QUEST | $19.15 | $34.20 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL | $30.91 | $55.20 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL LCC | $15.40 | $27.50 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL QUEST | $19.15 | $34.20 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL | $30.91 | $55.20 | 44% |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC (INCLUDES DIFFERENTIAL AND PLATELETS) QUE | $19.15 | $34.20 | 44% |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC W/DIFF | $43.01 | $76.80 | 44% |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC/DIFF RTR | $126.67 | $226.20 | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC (INCLUDES DIFFERENTIAL AND PLATELETS) QUE | $19.15 | $34.20 | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC W/DIFF | $43.01 | $76.80 | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC/DIFF RTR | $126.67 | $226.20 | 44% |
| Complete blood count (CBC), no differential CPT 85027 HCHG CBC QUEST | $17.81 | $31.80 | 44% |
| Complete blood count (CBC), no differential CPT 85027 HCHG CBC RTR | $111.94 | $199.90 | 44% |
| Complete blood count (CBC), no differential CPT 85027 HCHG CBC | $134.23 | $239.70 | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC QUEST | $17.81 | $31.80 | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC RTR | $111.94 | $199.90 | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC | $134.23 | $239.70 | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL QUEST | $17.47 | $31.20 | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANE | $203.17 | $362.80 | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMP METABOLIC RTR | $203.17 | $362.80 | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL QUEST | $17.47 | $31.20 | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANE | $203.17 | $362.80 | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMP METABOLIC RTR | $203.17 | $362.80 | 44% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL QUEST | $24.19 | $43.20 | 44% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL RTR | $109.82 | $196.10 | 44% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL | $129.47 | $231.20 | 44% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL QUEST | $24.19 | $43.20 | 44% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL RTR | $109.82 | $196.10 | 44% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL | $129.47 | $231.20 | 44% |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL QUEST | $16.63 | $29.70 | 44% |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL | $106.90 | $190.90 | 44% |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL QUEST | $16.63 | $29.70 | 44% |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL | $106.90 | $190.90 | 44% |
| Obstetric blood test panel CPT 80055 HCHG OBSTETRIC PANEL | $280.84 | $501.50 | 44% |
| Obstetric blood test panel inpatient CPT 80055 HCHG OBSTETRIC PANEL | $280.84 | $501.50 | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA FREE QUEST | $11.59 | $20.70 | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSAFREE LCC | $17.75 | $31.70 | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSAFREE | $31.86 | $56.90 | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA FREE QUEST | $11.59 | $20.70 | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSAFREE LCC | $17.75 | $31.70 | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSAFREE | $31.86 | $56.90 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSATOTAL LCC | $17.75 | $31.70 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA TOTAL DIAGNOSTIC LCC | $22.01 | $39.30 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA-DIAGNOSTIC | $29.01 | $51.80 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA TOTAL DIAGNOSTIC QUEST | $29.23 | $52.20 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSATOTAL LCC | $17.75 | $31.70 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA TOTAL DIAGNOSTIC LCC | $22.01 | $39.30 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA-DIAGNOSTIC | $29.01 | $51.80 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA TOTAL DIAGNOSTIC QUEST | $29.23 | $52.20 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PARTIAL THROMBOPLASTIN TIME ACTIVATED QUEST | $27.55 | $49.20 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT-LA SCREEN QUEST | $27.55 | $49.20 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG SCT SCREEN AND CONFIRM EACH | $43.01 | $76.80 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG ACTIVATED PTT | $43.01 | $76.80 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT LA BASELINE QUEST | $85.68 | $153.00 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PARTIAL THROMBOPLASTIN TIME ACTIVATED QUEST | $27.55 | $49.20 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT-LA SCREEN QUEST | $27.55 | $49.20 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG ACTIVATED PTT | $43.01 | $76.80 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG SCT SCREEN AND CONFIRM EACH | $43.01 | $76.80 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT LA BASELINE QUEST | $85.68 | $153.00 | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHROMBIN TIME QUEST | $20.83 | $37.20 | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHOMBIN TIME | $43.01 | $76.80 | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG INR POCT | $80.86 | $144.40 | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHROMBIN TIME QUEST | $20.83 | $37.20 | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHOMBIN TIME | $43.01 | $76.80 | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG INR POCT | $80.86 | $144.40 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH LCC | $15.51 | $27.70 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG HYPOTHYROIDISM WISC | $18.93 | $33.80 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH QUEST | $19.15 | $34.20 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH | $25.03 | $44.70 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG CONGENITAL HYPOTHYROIDISM | $28.90 | $51.60 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSHBL30 OR 60 | $31.70 | $56.60 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH LCC | $15.51 | $27.70 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG HYPOTHYROIDISM WISC | $18.93 | $33.80 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH QUEST | $19.15 | $34.20 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH | $25.03 | $44.70 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG CONGENITAL HYPOTHYROIDISM | $28.90 | $51.60 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSHBL30 OR 60 | $31.70 | $56.60 | 44% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS COMPLETE QUEST | $21.34 | $38.10 | 44% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG UA COMPLETE RTR | $72.91 | $130.20 | 44% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS COMPLETE | $72.91 | $130.20 | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS COMPLETE QUEST | $21.34 | $38.10 | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG UA COMPLETE RTR | $72.91 | $130.20 | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS COMPLETE | $72.91 | $130.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS MACROSCOPIC QUEST | $17.47 | $31.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS WITH REFLEX TO MICROSCOPIC QUEST | $17.47 | $31.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG PH URINE NOVUS QUEST | $19.15 | $34.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG GLUCOSE (U) QL QUEST | $27.55 | $49.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG UA MULTI | $30.30 | $54.10 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG SPECIFIC GRAVITY (U) QUEST | $30.91 | $55.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS RTR | $32.42 | $57.90 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG OCCULT BLOOD URINE | $32.42 | $57.90 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG BILIRUBIN URINE | $32.42 | $57.90 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG SPECIFIC GRAVITY URINE | $37.58 | $67.10 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG GLUCOSE QUAL URINE | $37.69 | $67.30 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG PH URINE | $38.42 | $68.60 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG PROTEIN QUAL URINE | $38.81 | $69.30 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS | $38.81 | $69.30 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG KETONES URINE | $38.81 | $69.30 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS MACROSCOPIC QUEST | $17.47 | $31.20 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS WITH REFLEX TO MICROSCOPIC QUEST | $17.47 | $31.20 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG PH URINE NOVUS QUEST | $19.15 | $34.20 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG GLUCOSE (U) QL QUEST | $27.55 | $49.20 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG UA MULTI | $30.30 | $54.10 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG SPECIFIC GRAVITY (U) QUEST | $30.91 | $55.20 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS RTR | $32.42 | $57.90 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG OCCULT BLOOD URINE | $32.42 | $57.90 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG BILIRUBIN URINE | $32.42 | $57.90 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG SPECIFIC GRAVITY URINE | $37.58 | $67.10 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG GLUCOSE QUAL URINE | $37.69 | $67.30 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG PH URINE | $38.42 | $68.60 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS | $38.81 | $69.30 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG PROTEIN QUAL URINE | $38.81 | $69.30 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG KETONES URINE | $38.81 | $69.30 | 44% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT | $1,423.30 | $2,541.60 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT U | $1,871.35 | $3,341.70 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT B | $2,170.78 | $3,876.40 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT | $1,423.30 | $2,541.60 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT U | $1,871.35 | $3,341.70 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT B | $2,170.78 | $3,876.40 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG RAD INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG IR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG CT INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG XR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG RAD INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG IR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG XR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG CT INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $855.74 | $1,528.10 | 44% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ EPIDURAL INTERLAM SUBA LUMB SACRAL WO GUI | $486.02 | $867.90 | 44% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL WO GUIDE | $610.57 | $1,090.30 | 44% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ EPIDURAL INTERLAM SUBA LUMB SACRAL WO GUI | $486.02 | $867.90 | 44% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL WO GUIDE | $610.57 | $1,090.30 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG IR INJ TRANS EPIDURAL LUMBAR W FLUORO | $1,293.26 | $2,309.40 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG RAD INJ TRANS EPIDURAL LUMBAR/SACRAL ONE LEVE | $1,300.26 | $2,321.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG XR INJ TRANSFORAMINAL LUMBAR OR SACRAL SINGLE | $1,300.26 | $2,321.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG CT TRANSFORAMINAL LUMB OR SACRAL SNGL W CT GU | $1,300.26 | $2,321.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ TRANSFORAMINAL EPIDURAL LMBR/SAC 1 LVL W | $1,379.50 | $2,463.40 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG IR INJ TRANS EPIDURAL LUMBAR W FLUORO | $1,293.26 | $2,309.40 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG XR INJ TRANSFORAMINAL LUMBAR OR SACRAL SINGLE | $1,300.26 | $2,321.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG RAD INJ TRANS EPIDURAL LUMBAR/SACRAL ONE LEVE | $1,300.26 | $2,321.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG CT TRANSFORAMINAL LUMB OR SACRAL SNGL W CT GU | $1,300.26 | $2,321.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ TRANSFORAMINAL EPIDURAL LMBR/SAC 1 LVL W | $1,379.50 | $2,463.40 | 44% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HCHG PSYCHOTHERAPY FAMILY W PATIENT 50 MIN | $207.76 | $371.00 | 44% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HCHG PSYCHOTHERAPY FAMILY W PATIENT 50 MIN | $207.76 | $371.00 | 44% |
| Family therapy without the patient, 50 minutes CPT 90846 HCHG PSYCHOTHERAPY FAMILY WO PATIENT 50 MIN | $173.66 | $310.10 | 44% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HCHG PSYCHOTHERAPY FAMILY WO PATIENT 50 MIN | $173.66 | $310.10 | 44% |
| Group psychotherapy session CPT 90853 HCHG GROUP PSYCHOTHERAPY CK OR HBC ONLY | $99.85 | $178.30 | 44% |
| Group psychotherapy session inpatient CPT 90853 HCHG GROUP PSYCHOTHERAPY CK OR HBC ONLY | $99.85 | $178.30 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XU | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XS | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XE | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XP | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XE | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XS | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XP | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XU | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XE | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XS | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XP | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XU | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE 15MIN | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE 59 | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE 59 | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE 15MIN | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE 15MIN | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE 59 | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XS | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XE | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XS | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XP | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XU | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE 15MIN | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE 15MIN | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XU | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XE | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE 15MIN | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE 59 | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XP | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XS | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XE | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XU | $81.48 | $145.50 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XP | $81.48 | $145.50 | 44% |
| Psychotherapy session, 30 minutes CPT 90832 HCHG PSYCHOTHERAPY 30 MIN PATIENT CK OR HBC ONLY | $114.97 | $205.30 | 44% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HCHG PSYCHOTHERAPY 30 MIN PATIENT CK OR HBC ONLY | $114.97 | $205.30 | 44% |
| Psychotherapy session, 45 minutes CPT 90834 HCHG PSYCHOTHERAPY 45 MIN PATIENT CK OR HBC ONLY | $114.97 | $205.30 | 44% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HCHG PSYCHOTHERAPY 45 MIN PATIENT CK OR HBC ONLY | $114.97 | $205.30 | 44% |
| Psychotherapy session, 60 minutes CPT 90837 HCHG PSYCHOTHERAPY 60 MIN PATIENT CK OR HBC ONLY | $114.97 | $205.30 | 44% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HCHG PSYCHOTHERAPY 60 MIN PATIENT CK OR HBC ONLY | $114.97 | $205.30 | 44% |