NorCal HealthConnect LLC
NorCal HealthConnect LLC in Healdsburg, CA publishes cash prices for 56 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
1375 University Ave, Healdsburg, CA 95448 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 PR 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $693.60 | $1,360.00 | 49% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,707.59 | $5,309.00 | 49% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC PR 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $693.60 | $1,360.00 | 49% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,707.59 | $5,309.00 | 49% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC PR 70450 CT HEAD/BRAIN W/O DYE | $235.11 | $461.00 | 49% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $676.26 | $1,326.00 | 49% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC PR 70450 CT HEAD/BRAIN W/O DYE | $235.11 | $461.00 | 49% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $676.26 | $1,326.00 | 49% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC PR 72193 CT PELVIS W/CONTRAST MATERIAL | $527.85 | $1,035.00 | 49% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,728.39 | $3,389.00 | 49% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC PR 72193 CT PELVIS W/CONTRAST MATERIAL | $527.85 | $1,035.00 | 49% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,728.39 | $3,389.00 | 49% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $539.58 | $1,058.00 | 49% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $539.58 | $1,058.00 | 49% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $314.16 | $616.00 | 49% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $314.16 | $616.00 | 49% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC PR 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $456.45 | $895.00 | 49% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $1,788.57 | $3,507.00 | 49% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,788.57 | $3,507.00 | 49% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC PR 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $456.45 | $895.00 | 49% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,788.57 | $3,507.00 | 49% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $1,788.57 | $3,507.00 | 49% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC PR 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $886.38 | $1,738.00 | 49% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $2,993.70 | $5,870.00 | 49% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC PR 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $886.38 | $1,738.00 | 49% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $2,993.70 | $5,870.00 | 49% |
| MRI of the brain, no contrast dye CPT 70551 HC PR 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $438.09 | $859.00 | 49% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,708.50 | $3,350.00 | 49% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC PR 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $438.09 | $859.00 | 49% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,708.50 | $3,350.00 | 49% |
| MRI of the brain, with and without contrast dye CPT 70553 HC PR 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $717.06 | $1,406.00 | 49% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $3,564.39 | $6,989.00 | 49% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC PR 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $717.06 | $1,406.00 | 49% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $3,564.39 | $6,989.00 | 49% |
| MRI of the lower back, no contrast dye CPT 72148 HC PR 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $426.87 | $837.00 | 49% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,788.57 | $3,507.00 | 49% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,788.57 | $3,507.00 | 49% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC PR 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $426.87 | $837.00 | 49% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,788.57 | $3,507.00 | 49% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,788.57 | $3,507.00 | 49% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PR 76805 US OB AFTER 1ST TRIMEST 1/1ST FETUS | $293.25 | $575.00 | 49% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $467.16 | $916.00 | 49% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC PR 76805 US OB AFTER 1ST TRIMEST 1/1ST FETUS | $293.25 | $575.00 | 49% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $467.16 | $916.00 | 49% |
| Screening mammogram, both breasts both sides CPT 77067 HC PR MAMMO SCREEN BILAT INCL CAD | $279.48 | $548.00 | 49% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $349.86 | $686.00 | 49% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $349.86 | $686.00 | 49% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC PR MAMMO SCREEN BILAT INCL CAD | $279.48 | $548.00 | 49% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $349.86 | $686.00 | 49% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $349.86 | $686.00 | 49% |
| Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 US TRANSVAGINAL NON-OB | $262.65 | $515.00 | 49% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $467.16 | $916.00 | 49% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC PR 76830 US TRANSVAGINAL NON-OB | $262.65 | $515.00 | 49% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $467.16 | $916.00 | 49% |
| Ultrasound of the abdomen, complete CPT 76700 HC PR 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $252.45 | $495.00 | 49% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $467.16 | $916.00 | 49% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC PR 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $252.45 | $495.00 | 49% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $467.16 | $916.00 | 49% |
| X-ray of the lower back, 4 or more views CPT 72110 HC PR 72110 XR SPINE 4/PLUS VIEWS LUMBAR | $112.20 | $220.00 | 49% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $597.72 | $1,172.00 | 49% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC PR 72110 XR SPINE 4/PLUS VIEWS LUMBAR | $112.20 | $220.00 | 49% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $597.72 | $1,172.00 | 49% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $51.00 | $100.00 | 49% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $51.00 | $100.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $81.60 | $160.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $81.60 | $160.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL OF NMR | $81.60 | $160.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $81.60 | $160.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL OF NMR | $81.60 | $160.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $81.60 | $160.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $81.60 | $160.00 | 49% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $81.60 | $160.00 | 49% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $49.98 | $98.00 | 49% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $49.98 | $98.00 | 49% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $41.31 | $81.00 | 49% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $41.31 | $81.00 | 49% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $66.81 | $131.00 | 49% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $66.81 | $131.00 | 49% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $53.55 | $105.00 | 49% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $53.55 | $105.00 | 49% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $60.69 | $119.00 | 49% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $60.69 | $119.00 | 49% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $150.45 | $295.00 | 49% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $150.45 | $295.00 | 49% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $92.82 | $182.00 | 49% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $150.45 | $295.00 | 49% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $92.82 | $182.00 | 49% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $150.45 | $295.00 | 49% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $37.74 | $74.00 | 49% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $37.74 | $74.00 | 49% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM | $25.50 | $50.00 | 49% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610 | $25.50 | $50.00 | 49% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $25.50 | $50.00 | 49% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME CDM | $25.50 | $50.00 | 49% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610 | $25.50 | $50.00 | 49% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $25.50 | $50.00 | 49% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $137.70 | $270.00 | 49% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $137.70 | $270.00 | 49% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $137.70 | $270.00 | 49% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $137.70 | $270.00 | 49% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $137.70 | $270.00 | 49% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $137.70 | $270.00 | 49% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $35.70 | $70.00 | 49% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $35.70 | $70.00 | 49% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $35.70 | $70.00 | 49% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $35.70 | $70.00 | 49% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $23.46 | $46.00 | 49% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $23.46 | $46.00 | 49% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $23.46 | $46.00 | 49% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $23.46 | $46.00 | 49% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $23.46 | $46.00 | 49% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $23.46 | $46.00 | 49% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $26.01 | $51.00 | 49% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $26.01 | $51.00 | 49% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM | $854.25 | $1,675.00 | 49% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM | $854.25 | $1,675.00 | 49% |
| Colonoscopy with tissue sample CPT 45380 HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM | $760.92 | $1,492.00 | 49% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM | $760.92 | $1,492.00 | 49% |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM | $640.56 | $1,256.00 | 49% |
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $847.62 | $1,662.00 | 49% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM | $640.56 | $1,256.00 | 49% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $847.62 | $1,662.00 | 49% |
| Gallbladder removal, laparoscopic CPT 47562 HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $993.48 | $1,948.00 | 49% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $993.48 | $1,948.00 | 49% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE | $1,979.31 | $3,881.00 | 49% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $4,352.85 | $8,535.00 | 49% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE | $1,979.31 | $3,881.00 | 49% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $4,352.85 | $8,535.00 | 49% |
| Knee arthroscopy with meniscus trim CPT 29881 HC PR 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $856.80 | $1,680.00 | 49% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC PR 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $856.80 | $1,680.00 | 49% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,571.82 | $3,082.00 | 49% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,571.82 | $3,082.00 | 49% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,571.82 | $3,082.00 | 49% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,571.82 | $3,082.00 | 49% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,170.45 | $2,295.00 | 49% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $1,170.45 | $2,295.00 | 49% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $610.98 | $1,198.00 | 49% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PR 64483 NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $229.50 | $450.00 | 49% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $610.98 | $1,198.00 | 49% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC PR 64483 NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $229.50 | $450.00 | 49% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC PR 29826 ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE | $366.18 | $718.00 | 49% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC PR 29826 ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE | $366.18 | $718.00 | 49% |
| Total hip replacement CPT 27130 HC PR 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $2,032.86 | $3,986.00 | 49% |
| Total hip replacement inpatient CPT 27130 HC PR 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $2,032.86 | $3,986.00 | 49% |
| Total knee replacement CPT 27447 HC PR 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $2,101.20 | $4,120.00 | 49% |
| Total knee replacement inpatient CPT 27447 HC PR 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $2,101.20 | $4,120.00 | 49% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE | $678.81 | $1,331.00 | 49% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $842.01 | $1,651.00 | 49% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE | $678.81 | $1,331.00 | 49% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $842.01 | $1,651.00 | 49% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 EGD DIAGNOSTIC BRUSH WASH | $227.97 | $447.00 | 49% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $842.01 | $1,651.00 | 49% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC PR 43235 EGD DIAGNOSTIC BRUSH WASH | $227.97 | $447.00 | 49% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $842.01 | $1,651.00 | 49% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ECG 12 LEAD W/INTERP & REPORT | $65.79 | $129.00 | 49% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ECG 12 LEAD W/INTERP & REPORT | $65.79 | $129.00 | 49% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $191.25 | $375.00 | 49% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $343.23 | $673.00 | 49% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $191.25 | $375.00 | 49% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $343.23 | $673.00 | 49% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSYTX FAMILY WO PT 50 MIN IOP CDM | $241.23 | $473.00 | 49% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYTX FAMILY WO PT 50 MIN IOP CDM | $241.23 | $473.00 | 49% |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $234.60 | $460.00 | 49% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT VISIT - LEVEL 3 | $298.35 | $585.00 | 49% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $234.60 | $460.00 | 49% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT VISIT - LEVEL 3 | $298.35 | $585.00 | 49% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $292.74 | $574.00 | 49% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT VISIT - LEVEL 4 | $421.77 | $827.00 | 49% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $292.74 | $574.00 | 49% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT VISIT - LEVEL 4 | $421.77 | $827.00 | 49% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT VISIT - LEVEL 5 | $520.20 | $1,020.00 | 49% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $550.29 | $1,079.00 | 49% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT VISIT - LEVEL 5 | $520.20 | $1,020.00 | 49% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $550.29 | $1,079.00 | 49% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $84.66 | $166.00 | 49% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $84.66 | $166.00 | 49% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $84.66 | $166.00 | 49% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $84.66 | $166.00 | 49% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $84.66 | $166.00 | 49% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $84.66 | $166.00 | 49% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39 | $160.14 | $314.00 | 49% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39 | $160.14 | $314.00 | 49% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV VISIT NEW AGE 40-64 | $132.60 | $260.00 | 49% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64 | $197.37 | $387.00 | 49% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV VISIT NEW AGE 40-64 | $132.60 | $260.00 | 49% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64 | $197.37 | $387.00 | 49% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $191.25 | $375.00 | 49% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $288.15 | $565.00 | 49% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $191.25 | $375.00 | 49% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $288.15 | $565.00 | 49% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $212.16 | $416.00 | 49% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $344.25 | $675.00 | 49% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $212.16 | $416.00 | 49% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $344.25 | $675.00 | 49% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $212.16 | $416.00 | 49% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $399.84 | $784.00 | 49% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $212.16 | $416.00 | 49% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $399.84 | $784.00 | 49% |
Source file: https://pricetransparency.providence.org/norcal/live/852390012_healdsburg-hospital_standardcharges.json