Baylor Scott & White Medical Center - Hillcrest
Baylor Scott & White Medical Center - Hillcrest in Waco, TX publishes cash prices for 56 common procedures listed here, from its own machine-readable price file updated Jun 13, 2026. Click a procedure to compare it with other hospitals nearby.
100 Hillcrest Medical Blvd., Waco, TX 76712 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 | $3,806.96 | $6,344.94 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST | $3,806.96 | $6,344.94 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST | $1,654.91 | $2,758.19 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST | $1,654.91 | $2,758.19 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC PELVIS CT SCAN,W/CONTRAST | $2,177.28 | $3,628.80 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC PELVIS CT SCAN,W/CONTRAST | $2,177.28 | $3,628.80 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL | $272.16 | $453.60 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL | $272.16 | $453.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI EXT LOWER JNT W/O CON | $2,159.09 | $3,598.48 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI EXT LOWER JNT W/O CON | $2,159.09 | $3,598.48 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI EXT LOWER JNT W/O&W C | $3,008.26 | $5,013.76 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI EXT LOWER JNT W/O&W C | $3,008.26 | $5,013.76 | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC BRAIN W/O DYE, MRI | $2,260.29 | $3,767.15 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC BRAIN W/O DYE, MRI | $2,260.29 | $3,767.15 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC BRAIN W/O&W DYE, MRI | $3,480.37 | $5,800.62 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC BRAIN W/O&W DYE, MRI | $3,480.37 | $5,800.62 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA | $2,288.05 | $3,813.42 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA | $2,288.05 | $3,813.42 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS | $652.36 | $1,087.27 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS | $652.36 | $1,087.27 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL | $238.14 | $396.90 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH | $4,658.81 | $7,764.68 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD | $4,658.81 | $7,764.68 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4OR MORE | $4,658.81 | $7,764.68 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD | $4,658.81 | $7,764.68 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH | $4,658.81 | $7,764.68 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4OR MORE | $4,658.81 | $7,764.68 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL | $604.78 | $1,007.97 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND, TRANSVAGINAL | $604.78 | $1,007.97 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL | $604.78 | $1,007.97 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ULTRASOUND, TRANSVAGINAL | $604.78 | $1,007.97 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $714.97 | $1,191.61 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $714.97 | $1,191.61 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS | $559.42 | $932.37 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS | $559.42 | $932.37 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM | $156.44 | $260.74 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM | $156.44 | $260.74 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF ARUP COMP 2013716 CPT 80061 | $24.00 | $40.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR | $28.08 | $46.80 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061 | $106.43 | $177.39 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $146.45 | $244.08 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE | $146.45 | $244.08 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF ARUP COMP 2013716 CPT 80061 | $24.00 | $40.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR | $28.08 | $46.80 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061 | $106.43 | $177.39 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $146.45 | $244.08 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE | $146.45 | $244.08 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF | $89.81 | $149.69 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF | $89.81 | $149.69 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM | $104.86 | $174.77 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF | $104.86 | $174.77 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM | $104.86 | $174.77 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF | $104.86 | $174.77 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $160.48 | $267.47 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION | $160.48 | $267.47 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $160.48 | $267.47 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION | $160.48 | $267.47 | 40% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $167.42 | $279.04 | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $167.42 | $279.04 | 40% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL POC | $149.95 | $249.92 | 40% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $149.95 | $249.92 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $149.95 | $249.92 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL POC | $149.95 | $249.92 | 40% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $252.96 | $421.60 | 40% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $252.96 | $421.60 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA - FREE | $128.21 | $213.68 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA - FREE | $128.21 | $213.68 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S | $37.83 | $63.05 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE | $137.80 | $229.67 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA,TOTAL | $137.80 | $229.67 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL | $137.80 | $229.67 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S | $37.83 | $63.05 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL | $137.80 | $229.67 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA,TOTAL | $137.80 | $229.67 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE | $137.80 | $229.67 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730 | $13.94 | $23.23 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730 | $40.25 | $67.08 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP APROL CPT 85730 | $67.77 | $112.95 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D) | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT) | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730 | $13.94 | $23.23 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730 | $40.25 | $67.08 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP APROL CPT 85730 | $67.77 | $112.95 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D) | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL | $115.22 | $192.03 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT) | $115.22 | $192.03 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610 | $9.93 | $16.55 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610 | $28.71 | $47.85 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP APROL CPT 85610 | $48.39 | $80.65 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $65.60 | $109.34 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME W/INR | $65.60 | $109.34 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL | $65.60 | $109.34 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME | $65.60 | $109.34 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610 | $9.93 | $16.55 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610 | $28.71 | $47.85 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP APROL CPT 85610 | $48.39 | $80.65 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL | $65.60 | $109.34 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME | $65.60 | $109.34 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME W/INR | $65.60 | $109.34 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $65.60 | $109.34 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC REF MEDFUSION, COMP 19537, 84443 | $36.00 | $60.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX | $144.32 | $240.54 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $144.32 | $240.54 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FT4 REFLEX | $144.32 | $240.54 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE | $144.32 | $240.54 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC REF MEDFUSION, COMP 19537, 84443 | $36.00 | $60.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX | $144.32 | $240.54 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FT4 REFLEX | $144.32 | $240.54 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $144.32 | $240.54 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE | $144.32 | $240.54 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE | $34.20 | $57.00 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE | $34.20 | $57.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC REF MAYO SKETC KETONE QL, U | $96.30 | $160.50 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC REF MAYO SKETC KETONE QL, U | $96.30 | $160.50 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, REAGENT STRIP | $19.38 | $32.30 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $19.38 | $32.30 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $19.38 | $32.30 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS, REAGENT STRIP | $19.38 | $32.30 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 HC CATARACT SURG W/IOL, | $2,351.77 | $3,919.61 | 40% |
| Cataract surgery with lens implant inpatient CPT 66984 HC CATARACT SURG W/IOL, | $2,351.77 | $3,919.61 | 40% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC FULL ROUT OBSTE CARE,CESAREAN DELIV | $4,155.91 | $6,926.51 | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC FULL ROUT OBSTE CARE,CESAREAN DELIV | $4,155.91 | $6,926.51 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PRP I/HERN INIT REDU | $6,707.58 | $11,179.30 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PRP I/HERN INIT REDU | $6,707.58 | $11,179.30 | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY | $5,896.44 | $9,827.40 | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY | $5,896.44 | $9,827.40 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC AFTER CATARACT LASER | $1,324.46 | $2,207.43 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC AFTER CATARACT LASER | $1,324.46 | $2,207.43 | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATHETER | $12,231.53 | $20,385.89 | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATHETER | $12,231.53 | $20,385.89 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID | $2,070.82 | $3,451.36 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID | $2,070.82 | $3,451.36 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE | $1,616.30 | $2,693.83 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE | $1,616.30 | $2,693.83 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL | $2,284.54 | $3,807.56 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION EPI L/S 1 LEVEL | $2,284.54 | $3,807.56 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL | $2,284.54 | $3,807.56 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION EPI L/S 1 LEVEL | $2,284.54 | $3,807.56 | 40% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $3,030.85 | $5,051.42 | 40% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE | $3,030.85 | $5,051.42 | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LE | $6,026.81 | $10,044.69 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LE | $6,026.81 | $10,044.69 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC SHOULDER ARTHROSCOPY | $3,803.01 | $6,338.35 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC SHOULDER ARTHROSCOPY | $3,803.01 | $6,338.35 | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC REMOVE TONSILS/ADENO | $4,783.52 | $7,972.53 | 40% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC REMOVE TONSILS/ADENO | $4,783.52 | $7,972.53 | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 HC ROUT OB CARE,VAG DELIV,PREV C-SEC | $7,970.66 | $13,284.44 | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 HC ROUT OB CARE,VAG DELIV,PREV C-SEC | $7,970.66 | $13,284.44 | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC FULL ROUT OBSTE CARE,VAGINAL DELIV | $2,680.40 | $4,467.33 | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC FULL ROUT OBSTE CARE,VAGINAL DELIV | $2,680.40 | $4,467.33 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ELECTROCARDIOGRAM, COMPLETE | $142.72 | $237.87 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ELECTROCARDIOGRAM, COMPLETE | $142.72 | $237.87 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT | $230.36 | $383.94 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT | $230.36 | $383.94 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT | $245.24 | $408.73 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT | $245.24 | $408.73 | 40% |
| Group psychotherapy session CPT 90853 HC DRUG AND ALCOHOL IOP/HALF DAY | $157.94 | $263.23 | 40% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $157.94 | $263.23 | 40% |
| Group psychotherapy session CPT 90853 HC PSYCHIATRIC HALF DAY IOP | $157.94 | $263.23 | 40% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHIATRIC HALF DAY IOP | $157.94 | $263.23 | 40% |
| Group psychotherapy session inpatient CPT 90853 HC DRUG AND ALCOHOL IOP/HALF DAY | $157.94 | $263.23 | 40% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $157.94 | $263.23 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110) | $149.57 | $249.28 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110) | $149.57 | $249.28 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPUETIC EXERCISES | $149.57 | $249.28 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110) | $149.57 | $249.28 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110) | $149.57 | $249.28 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPUETIC EXERCISES | $149.57 | $249.28 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT | $247.59 | $412.65 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT | $247.59 | $412.65 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT | $247.59 | $412.65 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT | $247.59 | $412.65 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT | $275.02 | $458.37 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT | $275.02 | $458.37 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT | $275.02 | $458.37 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT | $275.02 | $458.37 | 40% |