St. Joseph Hospital & Health Center, Inc.
St. Joseph Hospital & Health Center, Inc. in Kokomo, IN publishes cash prices for 42 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1907 W Sycamore St Kokomo IN 46901 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 AND PELVIS W/C | $542.40 | $904.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/C | $542.40 | $904.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W/C | $542.40 | $904.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C | $542.40 | $904.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C | $542.40 | $904.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO/C | $542.40 | $904.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $542.40 | $904.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $542.40 | $904.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C | $542.40 | $904.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO ADDL FFD W/WO CAD DX BI | $378.00 | $630.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO FFD W/WO CAD DX BI | $378.00 | $630.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO FFD W/WO CAD DX BI | $378.00 | $630.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO ADDL FFD W/WO CAD DX BI | $378.00 | $630.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO FFD W/WO CAD DX BI | $378.00 | $630.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO ADDL FFD W/WO CAD DX BI | $378.00 | $630.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO FFD W/WO CAD DX UNI | $276.60 | $461.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO FFD W/WO CAD DX UNI | $276.60 | $461.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO ADDL FFD W/WO CAD DX UNI | $276.60 | $461.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO ADDL FFD W/WO CAD DX UNI | $276.60 | $461.00 | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO FFD W/WO CAD DX UNI | $276.60 | $461.00 | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO ADDL FFD W/WO CAD DX UNI | $276.60 | $461.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI | $1,165.20 | $1,942.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI | $1,165.20 | $1,942.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTR ANY JNT W/O UNI | $582.60 | $971.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXTR ANY JNT W/O UNI | $582.60 | $971.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOW EXTR ANY JNT W/O BI | $1,165.20 | $1,942.00 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXTR ANY JNT W/O UNI | $582.60 | $971.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI | $1,165.20 | $1,942.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI | $1,165.20 | $1,942.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI | $582.60 | $971.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI | $582.60 | $971.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LOW EXTR ANY JNT WO/WC BI | $1,165.20 | $1,942.00 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXTR ANY JNT WO/WC UNI | $582.60 | $971.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY OR IAC WO/C(-XU) | $582.60 | $971.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C | $582.60 | $971.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C | $582.60 | $971.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY OR IAC WO/C(-XU) | $582.60 | $971.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO/C | $582.60 | $971.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY OR IAC WO/C(-XU) | $582.60 | $971.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITRY OR IAC WO/WC(-XU) | $582.60 | $971.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC | $582.60 | $971.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC | $582.60 | $971.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITRY OR IAC WO/WC(-XU) | $582.60 | $971.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITRY OR IAC WO/WC(-XU) | $582.60 | $971.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/WC | $582.60 | $971.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C | $582.60 | $971.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C | $582.60 | $971.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO/C | $582.60 | $971.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER>=14WK SNG/1STGEST | $531.00 | $885.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER>=14WK SNG/1STGEST | $531.00 | $885.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTER>=14WK SNG/1STGEST | $531.00 | $885.00 | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMO FFD W/WO CAD SCREENING | $249.60 | $416.00 | 40% |
| Screening mammogram, both breasts CPT 77067 MAMMO FFD W/WO CAD SCREENING | $249.60 | $416.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO FFD W/WO CAD SCREENING | $249.60 | $416.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 6/> 4+PARAM ABORT ADULT | $2,572.20 | $4,287.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 6/> 4+PARAM ABORT ADULT | $2,572.20 | $4,287.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING 4+ PARAM 6YR/> | $5,143.20 | $8,572.00 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING 4+ PARAM 6YR/> | $5,143.20 | $8,572.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 6/> 4+PARAM ABORT ADULT | $2,572.20 | $4,287.00 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STAGING 4+ PARAM 6YR/> | $5,143.20 | $8,572.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC | $330.60 | $551.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC | $330.60 | $551.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ULS TRANSVAGINAL NON-OBSTETRIC | $330.60 | $551.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $520.20 | $867.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $520.20 | $867.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $520.20 | $867.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $346.80 | $578.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $346.80 | $578.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $346.80 | $578.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $205.20 | $342.00 | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $205.20 | $342.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $205.20 | $342.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $289.80 | $483.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $289.80 | $483.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $289.80 | $483.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $28.80 | $48.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $28.80 | $48.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $145.80 | $243.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $145.80 | $243.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $28.80 | $48.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $145.80 | $243.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $23.40 | $39.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $23.40 | $39.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $122.40 | $204.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $122.40 | $204.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $23.40 | $39.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $122.40 | $204.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 #COMPREHENSIVE METABOLIC PANEL | $37.80 | $63.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 #COMPREHENSIVE METABOLIC PANEL | $37.80 | $63.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $276.00 | $460.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $276.00 | $460.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 #COMPREHENSIVE METABOLIC PANEL | $37.80 | $63.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $276.00 | $460.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $266.40 | $444.00 | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $266.40 | $444.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $266.40 | $444.00 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $265.20 | $442.00 | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $265.20 | $442.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $265.20 | $442.00 | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $267.60 | $446.00 | 40% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $267.60 | $446.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $267.60 | $446.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $102.00 | $170.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $102.00 | $170.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $102.00 | $170.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $102.00 | $170.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $102.00 | $170.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $249.60 | $416.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $249.60 | $416.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $102.00 | $170.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $249.60 | $416.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $91.80 | $153.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $91.80 | $153.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $121.20 | $202.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $121.20 | $202.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $91.80 | $153.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $121.20 | $202.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 COAG CLINIC MONITORING-PT/INR | $12.00 | $20.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 COAG CLINIC MONITORING-PT/INR | $12.00 | $20.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $83.40 | $139.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $83.40 | $139.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME | $91.80 | $153.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME | $91.80 | $153.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 COAG CLINIC MONITORING-PT/INR | $12.00 | $20.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $83.40 | $139.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 #PROTHROMBIN TIME | $91.80 | $153.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 #THYROID STIMULAT HORMONE(TSH) | $78.60 | $131.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 #THYROID STIMULAT HORMONE(TSH) | $78.60 | $131.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) | $265.80 | $443.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) | $265.80 | $443.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 #THYROID STIMULAT HORMONE(TSH) | $78.60 | $131.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULAT HORMONE(TSH) | $265.80 | $443.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR | $115.20 | $192.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR | $115.20 | $192.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALS DIPSTICK AUTO W/MICR | $115.20 | $192.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 #URINALYSIS DIP STICK;AUTO | $9.00 | $15.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 #URINALYSIS DIP STICK;AUTO | $9.00 | $15.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $79.80 | $133.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $79.80 | $133.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 #URINALYSIS DIP STICK;AUTO | $9.00 | $15.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $79.80 | $133.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 #URINALYSIS DIP STICK;NON-AUTO | $9.60 | $16.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 #URINALYSIS DIP STICK;NON-AUTO | $9.60 | $16.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI | $46.80 | $78.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI | $46.80 | $78.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 #URINALYSIS DIP STICK;NON-AUTO | $9.60 | $16.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALS DIPSTICK NON-AUTOWO/MI | $46.80 | $78.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic CPT 93452 LHC/LV/IMAGING | $11,064.00 | $18,440.00 | 40% |
| Left heart catheterization, diagnostic CPT 93452 LHC/LV/IMAGING | $11,064.00 | $18,440.00 | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LHC/LV/IMAGING | $11,064.00 | $18,440.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 PSYCHOLOGIST- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 CLIN SOC WORK- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 LMFT & LMHC- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCHOLOGIST- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 LMFT & LMHC- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 CLIN SOC WORK- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 LMFT & LMHC- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 CLIN SOC WORK- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSYCHOLOGIST- FAMILY TX W/PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 CSW- FAMILY THERAPY W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCHOL- FAMILY THERAPY W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCHOL- FAMILY THERAPY W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 CSW- FAMILY THERAPY W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 LMFT & LMHC- FAMILY TX W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 LMFT & LMHC- FAMILY TX W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 CSW- FAMILY THERAPY W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 LMFT & LMHC- FAMILY TX W/O PT | $309.00 | $515.00 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCHOL- FAMILY THERAPY W/O PT | $309.00 | $515.00 | 40% |
| Group psychotherapy session CPT 90853 ANGER MANAGEMENT/RELAPSE GROUP | $75.60 | $126.00 | 40% |
| Group psychotherapy session CPT 90853 ANGER MANAGEMENT/RELAPSE GROUP | $75.60 | $126.00 | 40% |
| Group psychotherapy session CPT 90853 IOP CONTINUING CARE | $177.00 | $295.00 | 40% |
| Group psychotherapy session CPT 90853 IOP CONTINUING CARE | $177.00 | $295.00 | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $249.60 | $416.00 | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $249.60 | $416.00 | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY; PART HOSP | $261.00 | $435.00 | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY; PART HOSP | $261.00 | $435.00 | 40% |
| Group psychotherapy session CPT 90853 IOP CD GR | $347.40 | $579.00 | 40% |
| Group psychotherapy session CPT 90853 IOP CD GR | $347.40 | $579.00 | 40% |
| Group psychotherapy session CPT 90853 IOP PSYCH GR | $347.40 | $579.00 | 40% |
| Group psychotherapy session CPT 90853 IOP PSYCH GR | $347.40 | $579.00 | 40% |
| Group psychotherapy session inpatient CPT 90853 ANGER MANAGEMENT/RELAPSE GROUP | $75.60 | $126.00 | 40% |
| Group psychotherapy session inpatient CPT 90853 IOP CONTINUING CARE | $177.00 | $295.00 | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $249.60 | $416.00 | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY; PART HOSP | $261.00 | $435.00 | 40% |
| Group psychotherapy session inpatient CPT 90853 IOP PSYCH GR | $347.40 | $579.00 | 40% |
| Group psychotherapy session inpatient CPT 90853 IOP CD GR | $347.40 | $579.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW | $404.40 | $674.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW | $404.40 | $674.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW W/PROC | $404.40 | $674.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW W/PROC | $404.40 | $674.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP VISIT LEVEL 3 NEW W/PROC | $404.40 | $674.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP VISIT LEVEL 3 NEW | $404.40 | $674.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW W/PROC | $485.40 | $809.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW | $485.40 | $809.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW W/PROC | $485.40 | $809.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW | $485.40 | $809.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT LEVEL 4 NEW | $485.40 | $809.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT LEVEL 4 NEW W/PROC | $485.40 | $809.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW W/PROC | $748.20 | $1,247.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW W/PROC | $748.20 | $1,247.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW | $748.20 | $1,247.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW | $748.20 | $1,247.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT LEVEL 5 NEW W/PROC | $748.20 | $1,247.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT LEVEL 5 NEW | $748.20 | $1,247.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN | $71.40 | $119.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES 1-15 | $71.40 | $119.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN | $71.40 | $119.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES 1-15 | $71.40 | $119.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISES 1-15 | $71.40 | $119.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT TX EXERCISES EA 15MIN | $71.40 | $119.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 LMFT&LMHC PSYTX PT/FAMILY30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 LMFT&LMHC PSYTX PT/FAMILY30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 CL SOC WORK - PSYTX PT 30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 CL SOC WORK - PSYTX PT 30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOL PSYTX PT/FAMILY 30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOL PSYTX PT/FAMILY 30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 CL SOC WORK - PSYTX PT 30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 LMFT&LMHC PSYTX PT/FAMILY30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOL PSYTX PT/FAMILY 30MIN | $225.00 | $375.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOLOGIST - PSYTX PT 45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT&FAM 45 MIN UBH | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT&FAM 45 MIN UBH | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 LMFT&LMHC-PSYTX PT&FAMILY45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 CLIN SOC WORK - PSYTX PT 45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 LMFT&LMHC-PSYTX PT&FAMILY45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 CLIN SOC WORK - PSYTX PT 45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOLOGIST - PSYTX PT 45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 LMFT&LMHC-PSYTX PT&FAMILY45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT&FAM 45 MIN UBH | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 CLIN SOC WORK - PSYTX PT 45MIN | $295.20 | $492.00 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOLOGIST - PSYTX PT 45MIN | $295.20 | $492.00 | 40% |