HealthAlliance - Clinton Hospital
HealthAlliance - Clinton Hospital in Leominster, MA publishes cash prices for 57 common procedures listed here, from its own machine-readable price file updated Mar 26, 2026. Click a procedure to compare it with other hospitals nearby.
60 Hospital Rd. Leominster, MA 01453 Collected Sep 22, 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 Abd & Pelvis W Contrast | $4,816.00 | $4,816.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelvis W Contrast | $7,842.56 | $7,842.56 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd & Pelvis W Contrast | $4,816.00 | $4,816.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head or Brain W/O Contrast | $2,744.00 | $2,744.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head or Brain W/O Contrast | $2,744.00 | $2,744.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast | $2,387.00 | $2,387.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W Contrast | $2,387.00 | $2,387.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Diagnostic Mammo Inc Computer Aided Detection Bilateral | $971.00 | $971.00 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Scr to Dx Inc Computer Aided Detection Bilat | $971.00 | $971.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Scr to Dx Inc Computer Aided Detection Bilat | $971.00 | $971.00 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Diagnostic Mammo Inc Computer Aided Detection Bilateral | $971.00 | $971.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Diagnostic Mammo Inc Computer Aided Detection Unilateral | $804.00 | $804.00 | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Scr to Dx Inc Computer Aided Detection Unilat | $804.00 | $804.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Diagnostic Mammo Inc Computer Aided Detection Unilateral | $804.00 | $804.00 | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Scr to Dx Inc Computer Aided Detection Unilat | $804.00 | $804.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Any Jt W/O Contrast | $3,400.00 | $3,400.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Any Jt W/O Contrast | $3,400.00 | $3,400.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Any Jt W/WO Con | $6,051.00 | $6,051.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Any Jt W/WO Con | $6,051.00 | $6,051.00 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $3,400.00 | $3,400.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $3,400.00 | $3,400.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O Fol W Contrast | $4,079.00 | $4,079.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O Fol W Contrast | $4,079.00 | $4,079.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast | $3,774.00 | $3,774.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast | $3,774.00 | $3,774.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Preg Uterus >or=14wks Basic | $1,237.00 | $1,237.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Preg Uterus >or=14wks Basic | $1,237.00 | $1,237.00 | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Screen Mammo Bilat 2 View Ea Breast Inc Cad | $734.00 | $734.00 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Screen Mammo Bilat 2 View Ea Breast Inc Cad | $734.00 | $734.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Transvaginal Ultrasound | $643.00 | $643.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Transvaginal Ultrasound | $1,254.00 | $1,254.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Transvaginal Ultrasound | $643.00 | $643.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC Abd US W Image Complete | $1,237.00 | $1,237.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC Abd US W Image Complete | $1,237.00 | $1,237.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Lumbosacral Spine W Obliques 4 Views | $575.00 | $575.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Lumbosacral Spine W Obliques 4 Views | $575.00 | $575.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Bmp Calcium Total Panel 8 Tests | $90.00 | $90.00 | — |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic | $90.00 | $90.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic | $90.00 | $90.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Bmp Calcium Total Panel 8 Tests | $90.00 | $90.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $133.00 | $133.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $133.00 | $133.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc W Auto Diff | $114.00 | $114.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W Auto Diff | $114.00 | $114.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc Auto | $45.00 | $45.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc | $49.00 | $49.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Cbc Auto | $45.00 | $45.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc | $49.00 | $49.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehesive Metabolic Panel | $130.00 | $130.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic | $130.00 | $130.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic | $130.00 | $130.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehesive Metabolic Panel | $130.00 | $130.00 | — |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel 10 Tests | $116.00 | $116.00 | — |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $125.00 | $125.00 | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel 10 Tests | $116.00 | $116.00 | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $125.00 | $125.00 | — |
| Liver function blood test panel CPT 80076 HC Hepatic Panel | $99.00 | $99.00 | — |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $213.00 | $213.00 | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Panel | $99.00 | $99.00 | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $213.00 | $213.00 | — |
| Obstetric blood test panel CPT 80055 HC Obstetric Prenatal Panel | $297.00 | $297.00 | — |
| Obstetric blood test panel inpatient CPT 80055 HC Obstetric Prenatal Panel | $297.00 | $297.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $178.00 | $178.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $178.00 | $178.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total | $171.00 | $171.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total | $171.00 | $171.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial Plasma or Whole Blood | $50.00 | $50.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial Plasma or Whole Blood | $50.00 | $50.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $33.20 | $33.20 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Inr | $40.00 | $40.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $43.00 | $43.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $33.20 | $33.20 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Inr | $40.00 | $40.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $43.00 | $43.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh | $44.00 | $44.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone (Tsh) | $324.00 | $324.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Tsh | $44.00 | $44.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone (Tsh) | $324.00 | $324.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Auto, W/Scope | $68.25 | $68.25 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W/Scope | $90.00 | $90.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Auto, W/Scope | $68.25 | $68.25 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Auto W/Scope | $90.00 | $90.00 | — |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Nonauto W Scope | $46.00 | $46.00 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis Nonauto W Scope | $46.00 | $46.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Dip Stick/ Tablet Reagent Automated W/O Microscopy | $30.00 | $30.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis | $49.00 | $49.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Dip Stick/ Tablet Reagent Automated W/O Microscopy | $30.00 | $30.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis | $49.00 | $49.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $7.49 | $7.49 | — |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non Auto W/O Microscopy | $27.00 | $27.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $7.49 | $7.49 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Non Auto W/O Microscopy | $27.00 | $27.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 HC Colonoscopy W Endosc Usexam | $4,004.00 | $4,004.00 | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC Colonoscopy W Endosc Usexam | $4,004.00 | $4,004.00 | — |
| Colonoscopy with polyp removal CPT 45385 HC Colonoscopy Bey Spl Flx W Plp Rm Snar | $4,644.00 | $4,644.00 | — |
| Colonoscopy with polyp removal CPT 45385 HC Colonoscopy Bey Spl Flx W Plp Rm Snar | $8,808.46 | $8,808.46 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC Colonoscopy Bey Spl Flx W Plp Rm Snar | $4,644.00 | $4,644.00 | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy Bey Spl Flx W Biopsy | $4,354.00 | $4,354.00 | — |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy Bey Spl Flx W Biopsy | $8,338.47 | $8,338.47 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy Bey Spl Flx W Biopsy | $4,354.00 | $4,354.00 | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $4,354.00 | $4,354.00 | — |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy | $7,770.94 | $7,770.94 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy | $4,354.00 | $4,354.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 Lap,Cholecystectomy | $21,592.72 | $21,592.72 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Repair Initial Inguinal Hernia >5 Yr | $12,177.00 | $12,177.00 | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC Repair Initial Inguinal Hernia >5 Yr | $12,177.00 | $12,177.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection Interlaminar Epi Lumbar/Sacral W /Img Guide | $2,837.00 | $2,837.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection Interlaminar Epi Lumbar/Sacral W /Img Guide | $3,817.16 | $3,817.16 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Injection Interlaminar Epi Lumbar/Sacral W /Img Guide | $2,837.00 | $2,837.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Injection Interlaminar Epi Lumbar/Sacral W/O Img Guide | $2,339.00 | $2,339.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Injection Interlaminar Epi Lumbar/Sacral W/O Img Guide | $2,339.00 | $2,339.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level | $2,923.00 | $2,923.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj Anes/Strd Lbr/Sac 1 Level | $2,923.00 | $2,923.00 | — |
| Prostate biopsy CPT 55700 HC Biopsy of Prostate | $4,406.00 | $4,406.00 | — |
| Prostate biopsy CPT 55700 HC Biopsy of Prostate | $24,059.13 | $24,059.13 | — |
| Prostate biopsy inpatient CPT 55700 HC Biopsy of Prostate | $4,406.00 | $4,406.00 | — |
| Removal of a breast lump, open surgery CPT 19120 HC Exc Breast Cyst/Other Lesions | $10,083.00 | $10,083.00 | — |
| Removal of a breast lump, open surgery CPT 19120 HC Exc Breast Cyst/Other Lesions | $10,273.31 | $10,273.31 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Exc Breast Cyst/Other Lesions | $10,083.00 | $10,083.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Esophagogastroduodenoscopy W/Biopsy | $3,805.00 | $3,805.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Esophagogastroduodenoscopy W/Biopsy | $8,154.03 | $8,154.03 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Esophagogastroduodenoscopy W/Biopsy | $3,805.00 | $3,805.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Flexible Transoral Diagnostic | $3,029.00 | $3,029.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Flexible Transoral Diagnostic | $8,377.23 | $8,377.23 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Flexible Transoral Diagnostic | $3,029.00 | $3,029.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC Ekg W/Interpr | $124.00 | $124.00 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC Ekg W/Interpr | $124.00 | $124.00 | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC Bh Family Therapy W Pt Present | $701.00 | $701.00 | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR Bh Family Therapy W Pt Present | $708.00 | $708.00 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Bh Family Therapy W Pt Present | $701.00 | $701.00 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR Bh Family Therapy W Pt Present | $708.00 | $708.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC Bh Family Therapy W/O Pt Present | $701.00 | $701.00 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC Bh Family Therapy W/O Pt Present | $701.00 | $701.00 | — |
| New patient office visit, about 30 minutes CPT 99203 New Pt. Labor Check 61-120 Minutes | $498.00 | $498.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC Level 3 Outpatient New Pt Visit | $528.00 | $528.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Pt. Labor Check 61-120 Minutes | $498.00 | $498.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC Level 3 Outpatient New Pt Visit | $528.00 | $528.00 | — |
| New patient office visit, about 45 minutes CPT 99204 New Pt. Labor Check 121-240 Minutes | $709.00 | $709.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC Level 4 Outpatient New Pt Visit | $773.00 | $773.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Pt. Labor Check 121-240 Minutes | $709.00 | $709.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC Level 4 Outpatient New Pt Visit | $773.00 | $773.00 | — |
| New patient office visit, about 60 minutes CPT 99205 New Pt. Labor Check 241-480 Minutes | $934.00 | $934.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC Level 5 Outpatient New Pt Visit | $1,017.00 | $1,017.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Pt. Labor Check 241-480 Minutes | $934.00 | $934.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC Level 5 Outpatient New Pt Visit | $1,017.00 | $1,017.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Thera Ex 15 Min Pt | $188.00 | $188.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercise 15 Min Ot | $188.00 | $188.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Therapeutic Exercise 15 Min Ot | $188.00 | $188.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Thera Ex 15 Min Pt | $188.00 | $188.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC Initial Preventive Medicine Exam, New Patient; Age 18-39yrs | $93.00 | $93.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC Initial Preventive Medicine Exam, New Patient; Age 18-39yrs | $93.00 | $93.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC Initial Preventive Medicine Exam, New Patient; Age 40-64 Yrs | $124.00 | $124.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC Initial Preventive Medicine Exam, New Patient; Age 40-64 Yrs | $124.00 | $124.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PR Bh Psychotherapy W/ Pt 30 Min | $461.00 | $461.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC Bh Psychotherapy W/ Pt 30 Min | $708.00 | $708.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR Bh Psychotherapy W/ Pt 30 Min | $461.00 | $461.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Bh Psychotherapy W/ Pt 30 Min | $708.00 | $708.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 HC Bh Psychotherapy W/ Pt 45 Min | $630.00 | $630.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 HC Bh Psychotherapy W/ Pt 45 Min | $630.00 | $630.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PR Bh Psychotherapy W/ Pt 45 Min | $630.00 | $630.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Bh Psychotherapy W/ Pt 45 Min | $630.00 | $630.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR Bh Psychotherapy W/ Pt 45 Min | $630.00 | $630.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PR Bh Psychotherapy W/ Pt 60 Min | $764.00 | $764.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 HC Bh Psychotherapy W/ Pt 60 Min | $911.00 | $911.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR Bh Psychotherapy W/ Pt 60 Min | $764.00 | $764.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Bh Psychotherapy W/ Pt 60 Min | $911.00 | $911.00 | — |