Day Kimball Healthcare
Day Kimball Healthcare in Putnam, CT publishes cash prices for 42 common procedures listed here, from its own machine-readable price file updated Aug 1, 2026. Click a procedure to compare it with other hospitals nearby.
320 Pomfret Street Putnam, CT 06260 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 CT ABDOMEN & PELVIS W/CONTRAST | $878.57 | $2,305.95 | 62% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST | $878.57 | $2,305.95 | 62% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $457.30 | $1,200.25 | 62% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE W/O CONTRAST | $457.30 | $1,200.25 | 62% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD STROKE W/O CONTRAST | $457.30 | $1,200.25 | 62% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $457.30 | $1,200.25 | 62% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SAC/COCC W/CONTRA | $663.00 | $1,740.15 | 62% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $663.00 | $1,740.15 | 62% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SAC/COCC W/CONTRA | $663.00 | $1,740.15 | 62% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $663.00 | $1,740.15 | 62% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DNLSN MAMMO EXTRA VIEWS BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DNLSN MAMMO DIAG BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DKH MAMMO EXTRA VIEW BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DKH MAMMO DIAG BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO NEEDLE LOC ADD'L BILAT | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts both sides CPT 77066 PDC MAMMO EXTRA VIEWS BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts both sides CPT 77066 PDC MAMMO DIAG BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts CPT 77066 DKH MAMMO DIAGNOSTIC W/IMPLANTS | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 PDC MAMMO EXTRA VIEWS BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DKH MAMMO DIAG BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO NEEDLE LOC ADD'L BILAT | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DNLSN MAMMO DIAG BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DNLSN MAMMO EXTRA VIEWS BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 PDC MAMMO DIAG BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DKH MAMMO EXTRA VIEW BILATERAL | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 DKH MAMMO DIAGNOSTIC W/IMPLANTS | $317.41 | $833.10 | 62% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO NEEDLE LOC UNIL | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO EXTRA VIEWS LEFT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO DIAGNOSTIC LEFT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO DIAGNOSTIC RIGHT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO EXTRA VIEWS RIGHT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO DIAGNOSTIC LEFT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO DIAGNOSTIC RIGHT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO EXTRA VIEWS LEFT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO EXTRA VIEWS RIGHT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO DIAGNOSTIC RIGHT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO DIAGNOSTIC LEFT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO EXTRA VIEWS RIGHT | $151.30 | $397.10 | 62% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO EXTRA VIEWS LEFT | $151.30 | $397.10 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP WO CONTR-LT | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-ANKLE WO CON-RT PLF | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-ANKLE WO CON-LT PLF | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-KNEE WO CON RT PLF | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-KNEE WO CONT LT PLF | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-HIP WO CONT RT PLF | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-HIP WO CONT LT PLF | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WO CON RT | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WO CON LT | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT KNEE WO SHAPEMATCH TECH | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT KNEE WO SHAPEMATCH TECH | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WO CON RT | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WO CON LT | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP WO CONTR-RT | $1,068.63 | $2,804.80 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-KNEE W W/O CONT PLF | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W/WO CO RT | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W/WO CO LT | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W/WO CO RT | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-HIP W&WO CON LT | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-HIP W&WO CON RT PLF | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-KNEE W W/O CONT RT PLF | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-ANKLE W/WO CO-LT PLF | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-ANKLE W/WO CO-RT PLF | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W/WO CO LT | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W&WO CON-RT | $2,373.25 | $6,229.00 | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W&WO CON-LT | $2,373.25 | $6,229.00 | 62% |
| MRI of the brain, no contrast dye CPT 70551 *MRI HEAD STROKE NO CONTRAST | $1,033.58 | $2,712.80 | 62% |
| MRI of the brain, no contrast dye CPT 70551 MRI-HEAD W/O CONTRAST PLF | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD STROKE NO CONTRAST | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD W/O CONTRAS | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye CPT 70551 MRI IACS-WO | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye CPT 70551 MRI PIT/SELLA W/O CONTRAST | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye CPT 70551 MRI-IAC'S WO CONTRAST PLF | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye CPT 70551 MRI PIT/SELLA W/O CONTRAST PLF | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 *MRI HEAD STROKE NO CONTRAST | $1,033.58 | $2,712.80 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI-HEAD W/O CONTRAST PLF | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD STROKE NO CONTRAST | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD W/O CONTRAS | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI IACS-WO | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PIT/SELLA W/O CONTRAST | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PIT/SELLA W/O CONTRAST PLF | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI-IAC'S WO CONTRAST PLF | $1,085.26 | $2,848.45 | 62% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-IAC'S W/WO CONTRAST PLF | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-PIT/SELLA W/WO CONT PLF | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI-HEAD W/WO CONTRAST PLF | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PIT/SELLA W/WO CO | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/WO CONTRA | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC'S W/WO CONTRAST | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-HEAD W/WO CONTRAST PLF | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W/WO CONTRA | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC'S W/WO CONTRAST | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PIT/SELLA W/WO CO | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-PIT/SELLA W/WO CONT PLF | $2,411.27 | $6,328.80 | 62% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-IAC'S W/WO CONTRAST PLF | $2,411.27 | $6,328.80 | 62% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LS SPINE W/O CON | $1,204.19 | $3,160.60 | 62% |
| MRI of the lower back, no contrast dye CPT 72148 MRI-LS SPINE W/O CON PLF | $1,204.19 | $3,160.60 | 62% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LS SPINE W/O CON | $1,204.19 | $3,160.60 | 62% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-LS SPINE W/O CON PLF | $1,204.19 | $3,160.60 | 62% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB-2ND TRI 1 FETUS | $203.78 | $534.85 | 62% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB-3RD TRI 1 FETUS | $203.78 | $534.85 | 62% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB-3RD TRI 1 FETUS | $203.78 | $534.85 | 62% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB-2ND TRI 1 FETUS | $203.78 | $534.85 | 62% |
| Screening mammogram, both breasts both sides CPT 77067 PDC MAMMO SCREEN BILATERAL | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts both sides CPT 77067 DNLSN MAMMO SCREEN BILATERAL | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts CPT 77067 DKH MAMMO SCREENING IMPLANTS | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts CPT 77067 DNLSN MAMMO SCREEN IMPLANTS | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts CPT 77067 PDC MAMMO SCREENING IMPLANTS | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 PDC MAMMO SCREEN BILATERAL | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 DKH MAMMO SCREEN BILATERAL | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 DNLSN MAMMO SCREEN BILATERAL | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient CPT 77067 PDC MAMMO SCREENING IMPLANTS | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient CPT 77067 DNLSN MAMMO SCREEN IMPLANTS | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient CPT 77067 DKH MAMMO SCREENING IMPLANTS | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient one side CPT 77067 DNLSN MAMMO SCREEN RIGHT | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient one side CPT 77067 PDC MAMMO SCREEN RIGHT | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient one side CPT 77067 PDC MAMMO SCREEN LEFT | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient one side CPT 77067 DKH MAMMO SCREEN RIGHT | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient one side CPT 77067 DKH MAMMO SCREEN LEFT | $203.61 | $534.40 | 62% |
| Screening mammogram, both breasts inpatient one side CPT 77067 DNLSN MAMMO SCREEN LEFT | $203.61 | $534.40 | 62% |
| Sleep study in a lab (polysomnography) CPT 95810 FULL NIGHT POLYSOMNOGRAM > AGE 6 | $1,331.58 | $3,494.95 | 62% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM < 6 HRS > AGE 6 | $998.68 | $2,621.20 | 62% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 FULL NIGHT POLYSOMNOGRAM > AGE 6 | $1,331.58 | $3,494.95 | 62% |
| Transvaginal pelvic ultrasound CPT 76830 PELVIC-NON OB TRANSV | $159.16 | $417.75 | 62% |
| Transvaginal pelvic ultrasound CPT 76830 PELVIC NON OB TRANSVAGINAL | $159.16 | $417.75 | 62% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC NON OB TRANSVAGINAL | $159.16 | $417.75 | 62% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC-NON OB TRANSV | $159.16 | $417.75 | 62% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL ULTRASOUND | $191.09 | $501.55 | 62% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL ULTRASOUND | $191.09 | $501.55 | 62% |
| X-ray of the lower back, 4 or more views CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEW | $112.13 | $294.30 | 62% |
| X-ray of the lower back, 4 or more views CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEWS | $112.13 | $294.30 | 62% |
| X-ray of the lower back, 4 or more views CPT 72110 LS SPINE W UPRIGHT MIN 4 VIEWS | $112.13 | $294.30 | 62% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE W UPRIGHT MIN 4 VIEWS | $112.13 | $294.30 | 62% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEWS | $112.13 | $294.30 | 62% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEW | $112.13 | $294.30 | 62% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOL.PNL NF | $26.54 | $69.65 | 62% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOL FSTING | $26.54 | $69.65 | 62% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOL FSTING | $26.54 | $69.65 | 62% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOL.PNL NF | $26.54 | $69.65 | 62% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID W/TRIG/HDL-C | $8.14 | $21.37 | 62% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE | $37.30 | $97.90 | 62% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HDL PANEL | $38.04 | $99.85 | 62% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID W/TRIG/HDL-C | $8.14 | $21.37 | 62% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE | $37.30 | $97.90 | 62% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HDL PANEL | $38.04 | $99.85 | 62% |
| Complete blood count (CBC) with differential CPT 85025 CBC-ONCOLOGY | $21.66 | $56.85 | 62% |
| Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIFF | $21.66 | $56.85 | 62% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC-ONCOLOGY | $21.66 | $56.85 | 62% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIFF | $21.66 | $56.85 | 62% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $18.04 | $47.35 | 62% |
| Complete blood count (CBC), no differential CPT 85027 CBC/MANUAL DIFF | $32.10 | $84.25 | 62% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $18.04 | $47.35 | 62% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC/MANUAL DIFF | $32.10 | $84.25 | 62% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP.METABOL.PNL NF | $29.53 | $77.50 | 62% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP.METABOL.PNL FST | $29.53 | $77.50 | 62% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP.METABOL.PNL NF | $29.53 | $77.50 | 62% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP.METABOL.PNL FST | $29.53 | $77.50 | 62% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $34.92 | $91.65 | 62% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $34.92 | $91.65 | 62% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PNL | $28.33 | $74.35 | 62% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PNL | $28.33 | $74.35 | 62% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $83.93 | $220.30 | 62% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $83.93 | $220.30 | 62% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $14.33 | $37.60 | 62% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $51.24 | $134.50 | 62% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $14.33 | $37.60 | 62% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $51.24 | $134.50 | 62% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, POST PROSTATECTOMY | $21.93 | $57.55 | 62% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL, REFLEX PSA FREE | $21.93 | $57.55 | 62% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $38.27 | $100.45 | 62% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, ULTRASENSITIVE, W/O SERIAL | $51.24 | $134.50 | 62% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE | $51.24 | $134.50 | 62% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $51.24 | $134.50 | 62% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, POST PROSTATECTOMY | $21.93 | $57.55 | 62% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL, REFLEX PSA FREE | $21.93 | $57.55 | 62% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $38.27 | $100.45 | 62% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $51.24 | $134.50 | 62% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, ULTRASENSITIVE, W/O SERIAL | $51.24 | $134.50 | 62% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE | $51.24 | $134.50 | 62% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA W/REFLEX TO HEXAGONAL PHASE | $5.20 | $13.65 | 62% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA W/RFLX TO HEXAGONAL PHASE | $11.70 | $30.71 | 62% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $12.53 | $32.90 | 62% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA W/REFLEX TO HEXAGONAL PHASE | $5.20 | $13.65 | 62% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA W/RFLX TO HEXAGONAL PHASE | $11.70 | $30.71 | 62% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $12.53 | $32.90 | 62% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $8.93 | $23.45 | 62% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT-LABCORP | $16.73 | $43.90 | 62% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT-QUEST | $27.12 | $71.17 | 62% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $8.93 | $23.45 | 62% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME, ANTI COAG-DANIEL | $8.95 | $23.50 | 62% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-LABCORP | $16.73 | $43.90 | 62% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-QUEST | $27.12 | $71.17 | 62% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $36.52 | $95.85 | 62% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (3RD GENERATION) | $40.58 | $106.50 | 62% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $36.52 | $95.85 | 62% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (3RD GENERATION) | $40.58 | $106.50 | 62% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS/CIC | $13.58 | $35.65 | 62% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $13.58 | $35.65 | 62% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS/CIC | $13.58 | $35.65 | 62% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $13.58 | $35.65 | 62% |
| Urinalysis with microscope exam, manual CPT 81000 PROTEIN,URINE | $11.83 | $31.05 | 62% |
| Urinalysis with microscope exam, manual CPT 81000 URINE, DIP STICK | $12.04 | $31.60 | 62% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 PROTEIN,URINE | $11.83 | $31.05 | 62% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE, DIP STICK | $12.04 | $31.60 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 OCCULT BLOOD URINE | $4.74 | $12.45 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 SPEC.GRAVITY URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE, URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES - URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 CHALLENGE URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN, URINE | $6.23 | $16.35 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 NITRATE URINE | $6.23 | $16.35 | 62% |
| Urinalysis without microscope exam, automated CPT 81003 PH, URINE | $8.02 | $21.05 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 OCCULT BLOOD URINE | $4.74 | $12.45 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES - URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHALLENGE URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPEC.GRAVITY URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE, URINE | $6.04 | $15.85 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 NITRATE URINE | $6.23 | $16.35 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN, URINE | $6.23 | $16.35 | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH, URINE | $8.02 | $21.05 | 62% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY | $215.09 | $564.55 | 62% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY | $215.09 | $564.55 | 62% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 TELEHLTH FAMILY THERAPY | $215.09 | $564.55 | 62% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 TELEHLTH GT FAMILY THERAPY | $215.09 | $564.55 | 62% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT | $212.45 | $557.60 | 62% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 TELEHLTH GT FMLY THERAPY WO PT | $212.45 | $557.60 | 62% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 TELEHLTH FAMILY PSYCHOTHERAPY WO PT | $212.45 | $557.60 | 62% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT | $212.45 | $557.60 | 62% |
| Group psychotherapy session CPT 90853 GROUP THERAPY | $88.75 | $232.95 | 62% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY | $88.75 | $232.95 | 62% |
| New patient office visit, about 30 minutes CPT 99203 HEM ONC PRO FEE CLINIC NEW PT LVL 3 | $109.96 | $288.60 | 62% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HEM ONC TELEHLTH NEW PT LVL 3 | $109.96 | $288.60 | 62% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HEM ONC PRO FEE CLINIC NEW PT LVL 3 | $109.96 | $288.60 | 62% |
| New patient office visit, about 45 minutes CPT 99204 HEM ONC PRO FEE CLINIC NEW PT LVL 4 | $164.95 | $432.95 | 62% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HEM ONC PRO FEE CLINIC NEW PT LVL 4 | $164.95 | $432.95 | 62% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HEM ONC TELEHLTH NEW PT LVL 4 | $164.95 | $432.95 | 62% |
| New patient office visit, about 60 minutes CPT 99205 HEM ONC PRO FEE CLINIC NEW PT LVL 5 | $219.93 | $577.25 | 62% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HEM ONC PRO FEE CLINIC NEW PT LVL 5 | $219.93 | $577.25 | 62% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HEM ONC TELEHLTH NEW PT LVL 5 | $219.93 | $577.25 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA EXERCISE EA 15 MIN DKH | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 DKH-THERAPEUTIC EX PER 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 DKH- CPM SET UP | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EX EA 15 MIN DKH | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 DKH-OT EXERCISE PER 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 DKH-THERAPEUTIC EX PER 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROC EA 15 MIN PLF | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROC EA 15 MIN DLS | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROCEDURE PER 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELEHLTH OT EXERCISE 15MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA EXERCISE EA 15 MIN DKH | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 DKH-OT EXERCISE PER 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA EXERCISE EA 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE PER 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELEHLTH THER EX 15MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN DKH | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 DKH- CPM SET UP | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CPM SET UP | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX PER 15 MIN | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN PLF | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE PER 15MIN PLF | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN DLS | $36.77 | $96.50 | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX PER 15 MIN DLS | $36.77 | $96.50 | 62% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN | $135.73 | $356.25 | 62% |
| Psychotherapy session, 30 minutes CPT 90832 ED PSYCHOTHERAPY 16-37 MINS | $135.73 | $356.25 | 62% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MIN | $135.73 | $356.25 | 62% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 TELEHLTH GT INDV THERAPY 30MIN | $135.73 | $356.25 | 62% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 ED PSYCHOTHERAPY 16-37 MINS | $135.73 | $356.25 | 62% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 TELEHLTH INDV THERAPY 30MIN | $135.73 | $356.25 | 62% |
| Psychotherapy session, 45 minutes CPT 90834 ED PSYCHOTHERAPY 38-52 MINS | $183.36 | $481.25 | 62% |
| Psychotherapy session, 45 minutes CPT 90834 INDIV THERAPY 45 MIN | $183.36 | $481.25 | 62% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 TELEHLTH INDV THERAPY 45MIN | $183.36 | $481.25 | 62% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIV THERAPY 45 MIN | $183.36 | $481.25 | 62% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 TELEHLTH GT INDIV THERAPY 45MIN | $183.36 | $481.25 | 62% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 ED PSYCHOTHERAPY 38-52 MINS | $183.36 | $481.25 | 62% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL PSYCHOTHERAPY 60 MIN | $219.21 | $575.35 | 62% |
| Psychotherapy session, 60 minutes CPT 90837 ED PSYCHOTHERAPY >53MINS | $219.21 | $575.35 | 62% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL PSYCHOTHERAPY 60 MIN | $219.21 | $575.35 | 62% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 ED PSYCHOTHERAPY >53MINS | $219.21 | $575.35 | 62% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 TELEHLTH GT PSYCHOTHERAPY 60MIN | $219.21 | $575.35 | 62% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 TELEHLTH PSYCHOTHERAPY 60MIN | $219.21 | $575.35 | 62% |
Source file: https://daykimball.pt.panaceainc.com/MRFDownload/daykimball/daykimball/