Providence Health and Services - Oregon
Providence Health and Services - Oregon in Oregon City, OR publishes cash prices for 52 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.
1500 Division St, Oregon City, OR 97045 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 ABDOMEN & PELVIS W CONTRAST | $2,220.75 | $2,961.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,220.75 | $2,961.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $492.00 | $656.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $492.00 | $656.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $910.50 | $1,214.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $910.50 | $1,214.00 | 25% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $428.25 | $571.00 | 25% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $428.25 | $571.00 | 25% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $341.25 | $455.00 | 25% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $341.25 | $455.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,408.50 | $1,878.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $1,408.50 | $1,878.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED | $1,408.50 | $1,878.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,408.50 | $1,878.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $1,803.75 | $2,405.00 | 25% |
| 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 | $1,803.75 | $2,405.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,486.50 | $1,982.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $1,486.50 | $1,982.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $1,486.50 | $1,982.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,486.50 | $1,982.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $1,898.25 | $2,531.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $1,898.25 | $2,531.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,283.25 | $1,711.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,283.25 | $1,711.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,283.25 | $1,711.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,283.25 | $1,711.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $561.00 | $748.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $561.00 | $748.00 | 25% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $336.00 | $448.00 | 25% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $336.00 | $448.00 | 25% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $336.00 | $448.00 | 25% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $336.00 | $448.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $2,838.75 | $3,785.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $3,942.75 | $5,257.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM 1 ON 1 PT | $3,942.75 | $5,257.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE | $2,838.75 | $3,785.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM 1 ON 1 PT | $3,942.75 | $5,257.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $3,942.75 | $5,257.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $549.75 | $733.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $549.75 | $733.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $594.75 | $793.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $594.75 | $793.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $362.25 | $483.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $362.25 | $483.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $36.00 | $48.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $36.00 | $48.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL OF NMR | $57.75 | $77.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $57.75 | $77.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $57.75 | $77.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - REFLEX | $57.75 | $77.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL OF NMR | $57.75 | $77.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $57.75 | $77.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - REFLEX | $57.75 | $77.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $57.75 | $77.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO DIF WBC | $31.50 | $42.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $31.50 | $42.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $31.50 | $42.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO | $31.50 | $42.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $31.50 | $42.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO DIF WBC | $31.50 | $42.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO | $31.50 | $42.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $31.50 | $42.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $12.75 | $17.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED | $12.75 | $17.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $12.75 | $17.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED | $12.75 | $17.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $42.75 | $57.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $42.75 | $57.00 | 25% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $48.00 | $64.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $48.00 | $64.00 | 25% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $34.50 | $46.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $34.50 | $46.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $87.00 | $116.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $87.00 | $116.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $80.25 | $107.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $80.25 | $107.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $80.25 | $107.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $80.25 | $107.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $80.25 | $107.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $80.25 | $107.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $65.25 | $87.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC ZPTT-D (PANL) | $65.25 | $87.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $65.25 | $87.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ZPTT-D (PANL) | $65.25 | $87.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $65.25 | $87.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $65.25 | $87.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610 | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ZPT-D (PANL) | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610 | $41.25 | $55.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ZPT-D (PANL) | $41.25 | $55.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $70.50 | $94.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $70.50 | $94.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE TSH | $70.50 | $94.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $70.50 | $94.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $70.50 | $94.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $70.50 | $94.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $70.50 | $94.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE TSH | $70.50 | $94.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $39.00 | $52.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $39.00 | $52.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $39.00 | $52.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $39.00 | $52.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY URINE | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY URINE | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $19.50 | $26.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $19.50 | $26.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $2,103.75 | $2,805.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $2,103.75 | $2,805.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $10,554.00 | $14,072.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $10,554.00 | $14,072.00 | 25% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $8,417.25 | $11,223.00 | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $8,417.25 | $11,223.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $3,228.75 | $4,305.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $3,228.75 | $4,305.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $3,228.75 | $4,305.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $3,228.75 | $4,305.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $2,538.75 | $3,385.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $2,538.75 | $3,385.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $2,832.75 | $3,777.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $2,832.75 | $3,777.00 | 25% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $3,816.00 | $5,088.00 | 25% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE | $3,816.00 | $5,088.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESION 1OR MORE LESION | $7,905.75 | $10,541.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESION 1OR MORE LESION | $7,905.75 | $10,541.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,548.00 | $2,064.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,548.00 | $2,064.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,548.00 | $2,064.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,548.00 | $2,064.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 TOTAL OB/VAGINAL DELIVERY/PP CARE | $6,990.75 | $9,321.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC PR 59400 TOTAL OB/VAGINAL DELIVERY/PP CARE | $6,990.75 | $9,321.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 30 MIN | $133.50 | $178.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT REHAB 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC CD PHP TX FAMILY W PATIENT | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT REHAB 60 MIN | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYTX FAMILY W PT 50 MIN IOP CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYTX FAMILY W PT 50 MIN PHP/IOP CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC CD IOP TX FAMILY W PATIENT | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC CRISIS TELEH 90847 FAM PSYC THER WITH PT PRESENT 50 MIN CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 120 MIN | $290.25 | $387.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $304.50 | $406.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 75 MIN | $332.25 | $443.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 90 MIN | $398.25 | $531.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 105 MIN | $445.50 | $594.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 30 MIN | $133.50 | $178.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT REHAB 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYTX FAMILY W PT 50 MIN PHP/IOP CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYTX FAMILY W PT 50 MIN IOP CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC CD PHP TX FAMILY W PATIENT | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT REHAB 60 MIN | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC CD IOP TX FAMILY W PATIENT | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC CRISIS TELEH 90847 FAM PSYC THER WITH PT PRESENT 50 MIN CDM | $265.50 | $354.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 120 MIN | $290.25 | $387.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $304.50 | $406.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 75 MIN | $332.25 | $443.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 90 MIN | $398.25 | $531.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 105 MIN | $445.50 | $594.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 30 MIN | $133.50 | $178.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT REHAB 30 MIN | $133.50 | $178.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT REHAB 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 60 MIN | $265.50 | $354.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSYTX FAMILY WO PT 50 MIN PHP/IOP CDM | $265.50 | $354.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $265.50 | $354.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC | $291.75 | $389.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 30 MIN | $133.50 | $178.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT REHAB 30 MIN | $133.50 | $178.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT REHAB 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN | $199.50 | $266.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 60 MIN | $265.50 | $354.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYTX FAMILY WO PT 50 MIN PHP/IOP CDM | $265.50 | $354.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $265.50 | $354.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC | $291.75 | $389.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 15 MIN | $51.75 | $69.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 30 MIN | $105.00 | $140.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 45 MIN | $162.00 | $216.00 | 25% |
| Group psychotherapy session CPT 90853 HC TELEH PSYCHOTHERAPY GROUP BY HOSP EMPLYED QMP CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC CRISIS TELEH 90853 GROUP PSYCHOTHERAPY CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC PSY/PHP TX GROUP | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC CD IOP TX GROUP | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC PSYTX GROUP IOP CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC CD PHP TX GROUP | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC PSY TX GROUP NON PHP | $245.25 | $327.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 60 MIN | $264.00 | $352.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN | $285.00 | $380.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 90 MIN | $322.50 | $430.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 120 MIN | $327.00 | $436.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 120 MIN | $413.25 | $551.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 15 MIN | $51.75 | $69.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 30 MIN | $105.00 | $140.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 45 MIN | $162.00 | $216.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC CRISIS TELEH 90853 GROUP PSYCHOTHERAPY CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC TELEH PSYCHOTHERAPY GROUP BY HOSP EMPLYED QMP CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PSY TX GROUP NON PHP | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC CD PHP TX GROUP | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PSYTX GROUP IOP CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC CD IOP TX GROUP | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PSY/PHP TX GROUP | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $245.25 | $327.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 60 MIN | $264.00 | $352.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN | $285.00 | $380.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 90 MIN | $322.50 | $430.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 120 MIN | $327.00 | $436.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 120 MIN | $413.25 | $551.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $235.50 | $314.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $235.50 | $314.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $383.25 | $511.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $383.25 | $511.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $521.25 | $695.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $521.25 | $695.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $122.25 | $163.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $126.75 | $169.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $126.75 | $169.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $122.25 | $163.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $126.75 | $169.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $126.75 | $169.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN PHP/IOP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTH IND 30 MIN IOP CD/SA | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC CRISIS PHONE 90832 PSYCHOTHERAPY W/PT 30 MIN CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC TELEH PSYCHOTHERAPY W PT 15-29 MIN BY HOSP EMPLYED QMP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC TELEH PSYCHOTHERAPY W PT 30 MIN BY HOSP EMPLYED QMP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $204.75 | $273.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTH IND 30 MIN IOP CD/SA | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN PHP/IOP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC CRISIS PHONE 90832 PSYCHOTHERAPY W/PT 30 MIN CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC TELEH PSYCHOTHERAPY W PT 30 MIN BY HOSP EMPLYED QMP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC CRISIS TELEH 90832 PSYCHOTHERAPY W/PT 30 MIN CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC TELEH PSYCHOTHERAPY W PT 15-29 MIN BY HOSP EMPLYED QMP CDM | $118.50 | $158.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $204.75 | $273.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC TELEH PSYCHOTHERAPY W PT 45 MIN BY HOSP EMPLYED QMP CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC CRISIS PHONE 90834 PSYCHOTHERAPY W/PT 45 MIN CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTH IND 45 MIN IOP CD/SA | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN PHP/IOP CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC CRISIS TELEH 90834 PSYCHOTHERAPY W/PT 45 MIN CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $270.00 | $360.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN PHP/IOP CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC CRISIS TELEH 90834 PSYCHOTHERAPY W/PT 45 MIN CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC CRISIS PHONE 90834 PSYCHOTHERAPY W/PT 45 MIN CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTH IND 45 MIN IOP CD/SA | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC TELEH PSYCHOTHERAPY W PT 45 MIN BY HOSP EMPLYED QMP CDM | $180.00 | $240.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $270.00 | $360.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTH IND 60 MIN IOP CD/SA | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC CRISIS PHONE 90837 PSYCHOTHERAPY W/PT 60 MIN CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC TELEH PSYCHOTHERAPY W PT 60 MIN BY HOSP EMPLYED QMP CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $399.00 | $532.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $399.00 | $532.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC TELEH PSYCHOTHERAPY W PT 60 MIN BY HOSP EMPLYED QMP CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC CRISIS TELEH 90837 PSYCHOTHERAPY W/PT 60 MIN CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTH IND 60 MIN IOP CD/SA | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC CRISIS PHONE 90837 PSYCHOTHERAPY W/PT 60 MIN CDM | $239.25 | $319.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $399.00 | $532.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $399.00 | $532.00 | 25% |