Kaiser Foundation Hospital - Redwood City
Kaiser Foundation Hospital - Redwood City in Redwood City, CA publishes cash prices for 64 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
"1100 Veterans Blvd, Redwood City, CA 94063" 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 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $4,754.40 | $8,490.00 | 44% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $4,754.40 | $8,490.00 | 44% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL | $2,682.40 | $4,790.00 | 44% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL | $2,682.40 | $4,790.00 | 44% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST MATERIAL | $4,760.00 | $8,500.00 | 44% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST MATERIAL | $4,760.00 | $8,500.00 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $504.00 | $900.00 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $504.00 | $900.00 | 44% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $375.20 | $670.00 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $375.20 | $670.00 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $3,438.40 | $6,140.00 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $3,438.40 | $6,140.00 | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $6,199.20 | $11,070.00 | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $6,199.20 | $11,070.00 | 44% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $3,628.80 | $6,480.00 | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $3,628.80 | $6,480.00 | 44% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $5,499.20 | $9,820.00 | 44% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $5,499.20 | $9,820.00 | 44% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $3,281.60 | $5,860.00 | 44% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $3,281.60 | $5,860.00 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $946.40 | $1,690.00 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $946.40 | $1,690.00 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $375.20 | $670.00 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $375.20 | $670.00 | 44% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $4,888.80 | $8,730.00 | 44% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $4,888.80 | $8,730.00 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $716.80 | $1,280.00 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $716.80 | $1,280.00 | 44% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $991.20 | $1,770.00 | 44% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $991.20 | $1,770.00 | 44% |
| X-ray of the lower back, 4 or more views CPT 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $588.00 | $1,050.00 | 44% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $588.00 | $1,050.00 | 44% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CALCIUM TOTAL | $193.20 | $345.00 | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL CALCIUM TOTAL | $193.20 | $345.00 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $156.24 | $279.00 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $156.24 | $279.00 | 44% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $123.20 | $220.00 | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $123.20 | $220.00 | 44% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED | $89.60 | $160.00 | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED | $89.60 | $160.00 | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $255.36 | $456.00 | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $255.36 | $456.00 | 44% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $142.24 | $254.00 | 44% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $142.24 | $254.00 | 44% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $133.84 | $239.00 | 44% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $133.84 | $239.00 | 44% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $431.20 | $770.00 | 44% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $431.20 | $770.00 | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $127.68 | $228.00 | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $127.68 | $228.00 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $130.48 | $233.00 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $130.48 | $233.00 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $141.68 | $253.00 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $141.68 | $253.00 | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $89.60 | $160.00 | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $89.60 | $160.00 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY OF THYROID STIMULATING HORMONE TSH | $155.12 | $277.00 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY OF THYROID STIMULATING HORMONE TSH | $155.12 | $277.00 | 44% |
| Urinalysis with microscope exam, automated CPT 81001 URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $82.88 | $148.00 | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $82.88 | $148.00 | 44% |
| Urinalysis with microscope exam, manual CPT 81000 URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $165.76 | $296.00 | 44% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $165.76 | $296.00 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $56.00 | $100.00 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $56.00 | $100.00 | 44% |
| Urinalysis without microscope exam, manual CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $36.40 | $65.00 | 44% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $36.40 | $65.00 | 44% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $8,624.00 | $15,400.00 | 44% |
| Cataract surgery with lens implant inpatient CPT 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $8,624.00 | $15,400.00 | 44% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $2,906.40 | $5,190.00 | 44% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $2,906.40 | $5,190.00 | 44% |
| Colonoscopy with polyp removal CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $3,466.40 | $6,190.00 | 44% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $3,466.40 | $6,190.00 | 44% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $3,550.40 | $6,340.00 | 44% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $3,550.40 | $6,340.00 | 44% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $3,679.20 | $6,570.00 | 44% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $3,679.20 | $6,570.00 | 44% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY | $19,219.20 | $34,320.00 | 44% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY | $19,219.20 | $34,320.00 | 44% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $18,726.40 | $33,440.00 | 44% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $18,726.40 | $33,440.00 | 44% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $7,324.80 | $13,080.00 | 44% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $7,324.80 | $13,080.00 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 POST-CATARACT LASER SURGERY | $2,704.80 | $4,830.00 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 POST-CATARACT LASER SURGERY | $2,704.80 | $4,830.00 | 44% |
| Left heart catheterization, diagnostic CPT 93452 L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $15,612.80 | $27,880.00 | 44% |
| Left heart catheterization, diagnostic inpatient CPT 93452 L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $15,612.80 | $27,880.00 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $3,662.40 | $6,540.00 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $3,662.40 | $6,540.00 | 44% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,402.40 | $4,290.00 | 44% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,402.40 | $4,290.00 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $3,365.60 | $6,010.00 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $3,365.60 | $6,010.00 | 44% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING | $38,337.60 | $68,460.00 | 44% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING | $38,337.60 | $68,460.00 | 44% |
| Removal of a breast lump, open surgery CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $8,041.60 | $14,360.00 | 44% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $8,041.60 | $14,360.00 | 44% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $5,241.60 | $9,360.00 | 44% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $5,241.60 | $9,360.00 | 44% |
| Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $10,634.40 | $18,990.00 | 44% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $10,634.40 | $18,990.00 | 44% |
| Total hip replacement CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $9,161.60 | $16,360.00 | 44% |
| Total hip replacement inpatient CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $9,161.60 | $16,360.00 | 44% |
| Total knee replacement CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $25,760.00 | $46,000.00 | 44% |
| Total knee replacement inpatient CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $25,760.00 | $46,000.00 | 44% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,354.40 | $5,990.00 | 44% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,354.40 | $5,990.00 | 44% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,707.20 | $6,620.00 | 44% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,707.20 | $6,620.00 | 44% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $89.60 | $160.00 | 44% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $89.60 | $160.00 | 44% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $593.60 | $1,060.00 | 44% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $593.60 | $1,060.00 | 44% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $476.00 | $850.00 | 44% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $476.00 | $850.00 | 44% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $532.00 | $950.00 | 44% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $532.00 | $950.00 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 "PT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." | $129.36 | $231.00 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 "OT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." | $129.36 | $231.00 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $145.04 | $259.00 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 "PT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." | $129.36 | $231.00 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 "OT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." | $129.36 | $231.00 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $145.04 | $259.00 | 44% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $442.96 | $791.00 | 44% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $442.96 | $791.00 | 44% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $582.40 | $1,040.00 | 44% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $582.40 | $1,040.00 | 44% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $403.20 | $720.00 | 44% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $403.20 | $720.00 | 44% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 IMPLANT STRAIGHT NP 3.5MM X 13MM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement CDT D6010 IMPLANT DENTAL 11.5MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement CDT D6010 IMPLANT DENTAL 13MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement CDT D6010 IMPLANT STRAIGHT NP 3.5MM X 15MM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement CDT D6010 IMPLANT STRAIGHT NP 3.5MM X 11.5MM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement CDT D6010 "SURGICAL PLACEMENT OF IMPLANT BODY, ENDOSTEAL IMPLANT" | $1,355.20 | $2,420.00 | 44% |
| Dental implant, surgical placement inpatient CDT D6010 IMPLANT STRAIGHT NP 3.5MM X 11.5MM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement inpatient CDT D6010 IMPLANT STRAIGHT NP 3.5MM X 13MM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement inpatient CDT D6010 IMPLANT DENTAL 13MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement inpatient CDT D6010 IMPLANT STRAIGHT NP 3.5MM X 15MM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement inpatient CDT D6010 IMPLANT DENTAL 11.5MM 3.5MM NOBELREPLACE STRAIGHT GROOVY NARROW PLATFORM | $808.64 | $1,444.00 | 44% |
| Dental implant, surgical placement inpatient CDT D6010 "SURGICAL PLACEMENT OF IMPLANT BODY, ENDOSTEAL IMPLANT" | $1,355.20 | $2,420.00 | 44% |
| Porcelain crown CDT D2740 CROWN PORCELAIN/CERAMIC SUBS | $2,850.40 | $5,090.00 | 44% |
| Porcelain crown inpatient CDT D2740 CROWN PORCELAIN/CERAMIC SUBS | $2,850.40 | $5,090.00 | 44% |