Providence Health and Services - Oregon
Providence Health and Services - Oregon in Hood River, OR publishes cash prices for 61 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
810 12th St, Hood River, OR 97031 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 | $2,124.75 | $2,833.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,124.75 | $2,833.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $972.75 | $1,297.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $972.75 | $1,297.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,403.25 | $1,871.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,403.25 | $1,871.00 | 25% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $399.00 | $532.00 | 25% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $399.00 | $532.00 | 25% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $321.00 | $428.00 | 25% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $321.00 | $428.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,706.25 | $2,275.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,706.25 | $2,275.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $4,090.50 | $5,454.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $4,090.50 | $5,454.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,801.50 | $2,402.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $1,801.50 | $2,402.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,801.50 | $2,402.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED | $1,801.50 | $2,402.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $3,135.75 | $4,181.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $3,135.75 | $4,181.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,972.50 | $2,630.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,972.50 | $2,630.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,972.50 | $2,630.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED | $1,972.50 | $2,630.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PR 76805 US OB AFTER 1ST TRIMEST 1/1ST FETUS | $386.25 | $515.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $822.00 | $1,096.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $822.00 | $1,096.00 | 25% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $321.00 | $428.00 | 25% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $321.00 | $428.00 | 25% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $321.00 | $428.00 | 25% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $321.00 | $428.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 US TRANSVAGINAL NON-OB | $339.00 | $452.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $378.75 | $505.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $378.75 | $505.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $652.50 | $870.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $652.50 | $870.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $465.00 | $620.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $465.00 | $620.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $27.75 | $37.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $27.75 | $37.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $51.75 | $69.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $51.75 | $69.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL OF NMR | $51.75 | $69.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - REFLEX | $51.75 | $69.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $51.75 | $69.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $51.75 | $69.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - REFLEX | $51.75 | $69.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL OF NMR | $51.75 | $69.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO DIF WBC | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO DIF WBC | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB | $29.25 | $39.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $11.25 | $15.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED | $11.25 | $15.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED | $11.25 | $15.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $11.25 | $15.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $38.25 | $51.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $38.25 | $51.00 | 25% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $35.25 | $47.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $35.25 | $47.00 | 25% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $38.25 | $51.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $38.25 | $51.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $73.50 | $98.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $73.50 | $98.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $79.50 | $106.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $79.50 | $106.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $79.50 | $106.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $79.50 | $106.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $79.50 | $106.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $79.50 | $106.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC ZPTT-D (PANL) | $54.00 | $72.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $54.00 | $72.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $54.00 | $72.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $54.00 | $72.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $54.00 | $72.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ZPTT-D (PANL) | $54.00 | $72.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $21.00 | $28.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ZPT-D (PANL) | $21.00 | $28.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610 | $21.00 | $28.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $21.00 | $28.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $21.00 | $28.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ZPT-D (PANL) | $21.00 | $28.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610 | $21.00 | $28.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $21.00 | $28.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $68.25 | $91.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE TSH | $68.25 | $91.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $68.25 | $91.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $68.25 | $91.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE TSH | $68.25 | $91.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $68.25 | $91.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $68.25 | $91.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $68.25 | $91.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $34.50 | $46.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $34.50 | $46.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $34.50 | $46.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $34.50 | $46.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $17.25 | $23.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $17.25 | $23.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $24.00 | $32.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $24.00 | $32.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $24.00 | $32.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $24.00 | $32.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $24.00 | $32.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $24.00 | $32.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC PR ED 81002 URINALYSIS COMPLETE CDM | $15.75 | $21.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $23.25 | $31.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $23.25 | $31.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC PR 59510 TOTAL OB/CESAREAN DELIVERY/PP CAR | $7,765.50 | $10,354.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC PR 59510 OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $7,765.50 | $10,354.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC PR 59510 TOTAL OB/CESAREAN DELIVERY/PP CAR | $7,765.50 | $10,354.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC PR 59510 TOTAL OB/CESAREAN DELIVERY/PP CAR | $7,765.50 | $10,354.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC PR 59510 OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $7,765.50 | $10,354.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM | $1,292.25 | $1,723.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM | $1,230.75 | $1,641.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM | $525.75 | $701.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM | $972.75 | $1,297.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,745.25 | $2,327.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM | $525.75 | $701.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,745.25 | $2,327.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $1,926.00 | $2,568.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE | $1,530.00 | $2,040.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $7,053.75 | $9,405.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM | $7,053.75 | $9,405.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 HC PR 29881 KNEE ARTHROSCOPY/SURGERY MENISECTOMY | $1,597.50 | $2,130.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 HC PR 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,597.50 | $2,130.00 | 25% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC PR 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,597.50 | $2,130.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,515.00 | $2,020.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM | $1,515.00 | $2,020.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC PR 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG | $225.00 | $300.00 | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $2,004.00 | $2,672.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC PR 62322 INJ INTERLAMINAR LMBR/SAC W/O IMG | $225.00 | $300.00 | 25% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM | $2,004.00 | $2,672.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 HC PR 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $1,224.75 | $1,633.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 HC PR 19120 REMOVAL OF BREAST LESION 1 OR MORE LESIONS | $1,515.00 | $2,020.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC PR 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $1,224.75 | $1,633.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC PR 29826 SHOULDER ARTHROSCOPY/SURGERY SUBACRMIAL DCMP | $494.25 | $659.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC PR 29826 ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE | $494.25 | $659.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC PR 29826 ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE | $494.25 | $659.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC PR 29826 SHOULDER ARTHROSCOPY/SURGERY SUBACRMIAL DCMP | $494.25 | $659.00 | 25% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC PR 42820 REMOVAL OF TONSILLS AND ADENOIDS/YOUNGER THAN 12 YRS | $853.50 | $1,138.00 | 25% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC PR 42820 REMOVAL OF TONSILLS AND ADENOIDS/YOUNGER THAN 12 YRS | $853.50 | $1,138.00 | 25% |
| Total hip replacement CPT 27130 HC PR 27130 TOTAL HIP ARTHROPLASTY | $3,737.25 | $4,983.00 | 25% |
| Total hip replacement inpatient CPT 27130 HC PR 27130 TOTAL HIP ARTHROPLASTY | $3,737.25 | $4,983.00 | 25% |
| Total knee replacement CPT 27447 HC PR 27447 TOTAL KNEE ARTHROPLASTY | $3,732.75 | $4,977.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,059.75 | $1,413.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,548.00 | $2,064.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,548.00 | $2,064.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 EGD DIAGNOSTIC BRUSH WASH | $819.75 | $1,093.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,548.00 | $2,064.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM | $1,548.00 | $2,064.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $6,990.75 | $9,321.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 TOTAL OB/VAGINAL DELIVERY/PP CARE | $6,990.75 | $9,321.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 TOTAL OB/VAGINAL DELIVERY/PP CARE | $6,990.75 | $9,321.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC PR 59400 TOTAL OB/VAGINAL DELIVERY/PP CARE | $6,990.75 | $9,321.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC PR 59400 OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $6,990.75 | $9,321.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 ECG 12 LEAD W/INTERP & REPORT | $41.25 | $55.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PR 93000 ECG 12 LEAD W/INTERP & REPORT | $41.25 | $55.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 45 MIN | $291.75 | $389.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $291.75 | $389.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $304.50 | $406.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $305.25 | $407.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $291.75 | $389.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 45 MIN | $291.75 | $389.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $304.50 | $406.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN | $291.75 | $389.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC | $291.75 | $389.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $291.75 | $389.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $292.50 | $390.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC | $291.75 | $389.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $291.75 | $389.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN | $291.75 | $389.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 15 MIN | $60.00 | $80.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 30 MIN | $120.00 | $160.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 60 MIN | $236.25 | $315.00 | 25% |
| Group psychotherapy session CPT 90853 HC TELEH PSYCHOTHERAPY GROUP BY HOSP EMPLYED QMP CDM | $246.00 | $328.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN | $246.00 | $328.00 | 25% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $356.25 | $475.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN | $356.25 | $475.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 15 MIN | $60.00 | $80.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 30 MIN | $120.00 | $160.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY REHAB 60 MIN | $236.25 | $315.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN | $246.00 | $328.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC TELEH PSYCHOTHERAPY GROUP BY HOSP EMPLYED QMP CDM | $246.00 | $328.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $356.25 | $475.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN | $356.25 | $475.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $235.50 | $314.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT VISIT - LEVEL 3 | $293.25 | $391.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC L&D TRIAGE NEW PATIENT LVL 3 CDM | $293.25 | $391.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $323.25 | $431.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3 | $235.50 | $314.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC L&D TRIAGE NEW PATIENT LVL 3 CDM | $293.25 | $391.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT VISIT - LEVEL 3 | $293.25 | $391.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT VISIT - LEVEL 4 | $371.25 | $495.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC L&D TRIAGE NEW PATIENT LVL 4 CDM | $371.25 | $495.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $383.25 | $511.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $484.50 | $646.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT VISIT - LEVEL 4 | $371.25 | $495.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC L&D TRIAGE NEW PATIENT LVL 4 CDM | $371.25 | $495.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4 | $383.25 | $511.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC L&D TRIAGE NEW PATIENT LVL 5 CDM | $387.00 | $516.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT VISIT - LEVEL 5 | $434.25 | $579.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $521.25 | $695.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $640.50 | $854.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC L&D TRIAGE NEW PATIENT LVL 5 CDM | $387.00 | $516.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT VISIT - LEVEL 5 | $434.25 | $579.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5 | $521.25 | $695.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $62.25 | $83.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $62.25 | $83.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $62.25 | $83.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $62.25 | $83.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39 | $268.50 | $358.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39 | $268.50 | $358.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64 | $325.50 | $434.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64 | $325.50 | $434.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC TELEH PSYCHOTHERAPY W PT 30 MIN BY HOSP EMPLYED QMP CDM | $168.75 | $225.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $168.75 | $225.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $204.75 | $273.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $204.75 | $273.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $234.00 | $312.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $168.75 | $225.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC TELEH PSYCHOTHERAPY W PT 30 MIN BY HOSP EMPLYED QMP CDM | $168.75 | $225.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $204.75 | $273.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES | $204.75 | $273.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC TELEH PSYCHOTHERAPY W PT 45 MIN BY HOSP EMPLYED QMP CDM | $253.50 | $338.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $253.50 | $338.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $270.00 | $360.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $270.00 | $360.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $309.00 | $412.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $253.50 | $338.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC TELEH PSYCHOTHERAPY W PT 45 MIN BY HOSP EMPLYED QMP CDM | $253.50 | $338.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $270.00 | $360.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES | $270.00 | $360.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $336.00 | $448.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC TELEH PSYCHOTHERAPY W PT 60 MIN BY HOSP EMPLYED QMP CDM | $336.00 | $448.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $399.00 | $532.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $399.00 | $532.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $458.25 | $611.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $336.00 | $448.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC TELEH PSYCHOTHERAPY W PT 60 MIN BY HOSP EMPLYED QMP CDM | $336.00 | $448.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $399.00 | $532.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES | $399.00 | $532.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC PR 99244 OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES CDM | $462.00 | $616.00 | 25% |