UPMC Pinnacle Hospitals
UPMC Pinnacle Hospitals in Harrisburg, PA publishes cash prices for 51 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
111 South Front Street, Harrisburg, PA 17101 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/CNTRST MD | $337.80 | $563.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN / PELVIS W/CNTRST | $2,985.60 | $4,976.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/ PELVIS W/CNTRST MD | $337.80 | $563.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN / PELVIS W/CNTRST | $2,985.60 | $4,976.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN W/O CONTRAST | $796.80 | $1,328.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN W/O CONTRAST | $796.80 | $1,328.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST MD | $224.40 | $374.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $1,424.40 | $2,374.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST MD | $224.40 | $374.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $1,424.40 | $2,374.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC BI DIAG MAMMO BILAT W/CAD | $310.20 | $517.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC BILAT DIGITAL MAMMOGRAPHY | $310.20 | $517.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC BI DIAG MAMMO BILAT W/CAD | $310.20 | $517.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC BILAT DIGITAL MAMMOGRAPHY | $310.20 | $517.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG MD | $85.20 | $142.00 | 40% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG UNIL | $349.80 | $583.00 | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG MD | $85.20 | $142.00 | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG UNIL | $349.80 | $583.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST MD | $175.80 | $293.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $1,741.80 | $2,903.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST MD | $175.80 | $293.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $1,741.80 | $2,903.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/Wo Contrast | $2,854.80 | $4,758.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/Wo Contrast | $2,854.80 | $4,758.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar W/O Contrast | $1,656.00 | $2,760.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar W/O Contrast | $1,656.00 | $2,760.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/=14 WKS SINGLE FETUS | $394.20 | $657.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >/=14 WKS SINGLE FETUS | $394.20 | $657.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO RIGHT W/CAD | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO BILAT W/CAD | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO LEFT W/CAD | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts CPT 77067 HC SCREENING DIG MAMMOGRAPHY MD | $116.40 | $194.00 | 40% |
| Screening mammogram, both breasts CPT 77067 HC SCREENING DIGITAL MAMMO W/IMPL | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts CPT 77067 HC SCREENING DIG MAMMOGRAPHY | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO RIGHT W/CAD | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO LEFT W/CAD | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO BILAT W/CAD | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIG MAMMOGRAPHY MD | $116.40 | $194.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIG MAMMOGRAPHY | $257.40 | $429.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIGITAL MAMMO W/IMPL | $257.40 | $429.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL MD | $73.80 | $123.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $394.20 | $657.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL MD | $73.80 | $123.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $394.20 | $657.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE MD | $183.60 | $306.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $394.20 | $657.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE MD | $183.60 | $306.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $394.20 | $657.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS MD | $46.20 | $77.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS | $262.80 | $438.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS MD | $46.20 | $77.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS | $262.80 | $438.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $55.20 | $92.00 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $55.20 | $92.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADV LIPID PN INFLAM, CARDIO IQ - A | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ A | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC CARDIO IQ ADVANCED LIPID PANEL-A | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROT FRACT, NMR W/LPID PNL A | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROT FRACT, NMR W/LPID PNL A | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC CARDIO IQ ADVANCED LIPID PANEL-A | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ A | $87.60 | $146.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC ADV LIPID PN INFLAM, CARDIO IQ - A | $87.60 | $146.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC & AUTO DIFFERENTIAL | $40.20 | $67.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC & AUTO DIFFERENTIAL | $40.20 | $67.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AND BUFFY COAT DIFF A | $32.40 | $54.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC (HEMOGRAM) | $32.40 | $54.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AND MANUAL DIFF A | $32.40 | $54.00 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC COMPLETE AUTOMATED | $37.80 | $63.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AND MANUAL DIFF A | $32.40 | $54.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AND BUFFY COAT DIFF A | $32.40 | $54.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC (HEMOGRAM) | $32.40 | $54.00 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC COMPLETE AUTOMATED | $37.80 | $63.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $68.40 | $114.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $68.40 | $114.00 | 40% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $56.40 | $94.00 | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $56.40 | $94.00 | 40% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $54.00 | $90.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $54.00 | $90.00 | 40% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL WITHOUT HIV SCREEN | $310.80 | $518.00 | 40% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL WITHOUT HIV SCREEN | $310.80 | $518.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PHI REFLEX, PSA FREE | $93.60 | $156.00 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA % FREE & TOTAL - B | $93.60 | $156.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA % FREE & TOTAL - B | $93.60 | $156.00 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PHI REFLEX, PSA FREE | $93.60 | $156.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, POST-PROSTATECTOMY (2 DEC) | $109.80 | $183.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI) W/REF, SERUM | $109.80 | $183.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA % FREE & TOTAL - A | $109.80 | $183.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN | $109.80 | $183.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, POST-PROSTATECTOMY (2 DEC) | $109.80 | $183.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA % FREE & TOTAL - A | $109.80 | $183.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN | $109.80 | $183.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI) W/REF, SERUM | $109.80 | $183.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC VON WILLEBRAND COMPREHENSIVE PANEL-D | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD B | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT-LA WITH REF TO HEXAGONAL PHASE CONF | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG SCRN PROFILE D | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC VON WILLEBRAND'S PANEL - D | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD B | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG SCRN PROFILE D | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT-LA WITH REF TO HEXAGONAL PHASE CONF | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC VON WILLEBRAND COMPREHENSIVE PANEL-D | $30.60 | $51.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC VON WILLEBRAND'S PANEL - D | $30.60 | $51.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG SCRN PROFILE A | $22.20 | $37.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ISTAT PT INR (POC) | $22.20 | $37.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $22.20 | $37.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ISTAT PT INR POC | $22.20 | $37.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $22.20 | $37.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG SCRN PROFILE A | $22.20 | $37.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ISTAT PT INR POC | $22.20 | $37.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ISTAT PT INR (POC) | $22.20 | $37.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH T/F | $85.80 | $143.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH T/F | $85.80 | $143.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO | $23.40 | $39.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO | $23.40 | $39.00 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS DIPSTICK | $18.00 | $30.00 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS DIPSTICK | $18.00 | $30.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPEC GRAV URINE | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE DIP W/RFX TO MICROSCOPIC IF IND | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPEC GRAV URINE | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O MICRO | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE DIP W/RFX TO MICROSCOPIC IF IND | $17.40 | $29.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS | $7.20 | $12.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC PH URINE | $25.20 | $42.00 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC HEMOGLOBIN URINE | $25.20 | $42.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS | $7.20 | $12.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC PH URINE | $25.20 | $42.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC HEMOGLOBIN URINE | $25.20 | $42.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC C/SECTION | $10,034.40 | $16,724.00 | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC C/SECTION | $10,034.40 | $16,724.00 | 40% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/ LES REM MD | $990.00 | $1,650.00 | 40% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/ LES REM | $1,666.80 | $2,778.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/ LES REM MD | $990.00 | $1,650.00 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/ LES REM | $1,666.80 | $2,778.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DIAGNOSTIC MD | $443.40 | $739.00 | 40% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DIAGNOSTIC | $1,330.80 | $2,218.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY DIAGNOSTIC MD | $443.40 | $739.00 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY DIAGNOSTIC | $1,330.80 | $2,218.00 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY P/F | $2,270.40 | $3,784.00 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY MD | $2,270.40 | $3,784.00 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY | $8,289.60 | $13,816.00 | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY P/F | $2,270.40 | $3,784.00 | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY MD | $2,270.40 | $3,784.00 | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY | $8,289.60 | $13,816.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC REPR INITIAL ING HERNIA 5 OLDER REDUCIB P/F | $1,696.80 | $2,828.00 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC REPR INITIAL ING HERNIA 5 OLDER REDUCIB P/F | $1,696.80 | $2,828.00 | 40% |
| Left heart catheterization, diagnostic CPT 93452 HC COR ANGIO OR LHC | $5,240.40 | $8,734.00 | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC COR ANGIO OR LHC | $5,240.40 | $8,734.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLUML LMBR/SAC W/IMG INJ | $2,048.40 | $3,414.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLUML LMBR/SAC W/IMG INJ | $2,048.40 | $3,414.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ EPIDURAL L/S SINGLE | $2,647.20 | $4,412.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ EPIDURAL L/S SINGLE | $2,647.20 | $4,412.00 | 40% |
| Prostate biopsy CPT 55700 HC NEEDLE BX PROSTATE MD | $441.00 | $735.00 | 40% |
| Prostate biopsy CPT 55700 HC NEEDLE BX PROSTATE | $3,295.80 | $5,493.00 | 40% |
| Prostate biopsy inpatient CPT 55700 HC NEEDLE BX PROSTATE MD | $441.00 | $735.00 | 40% |
| Prostate biopsy inpatient CPT 55700 HC NEEDLE BX PROSTATE | $3,295.80 | $5,493.00 | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC RMVL OF BREAST LESION, 1 OR MORE LESIONS P/F | $1,078.20 | $1,797.00 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC RMVL OF BREAST LESION, 1 OR MORE LESIONS P/F | $1,078.20 | $1,797.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY W/BIOPSY | $2,019.60 | $3,366.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE | $2,083.20 | $3,472.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UPPER GI ENDOSCOPY W/BIOPSY | $2,019.60 | $3,366.00 | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE | $2,083.20 | $3,472.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY EGD/EGJ | $1,509.00 | $2,515.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD P/F | $1,909.80 | $3,183.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY EGD/EGJ | $1,509.00 | $2,515.00 | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD P/F | $1,909.80 | $3,183.00 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG W INTERP & REPORT MD | $45.60 | $76.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG & INTERP REPORT | $247.80 | $413.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PED EKG & INTERP REPORT | $247.80 | $413.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG W INTERP & REPORT MD | $45.60 | $76.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG & INTERP REPORT | $247.80 | $413.00 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PED EKG & INTERP REPORT | $247.80 | $413.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 TELEHLTH CONSULT OUTPT D/LC P/F | $84.60 | $141.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC CONSULT OUTPT D/LC P/F | $84.60 | $141.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC DETAILED VISIT NP P/F | $117.60 | $196.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 TELEHLTH VST DETAILED NEW PT P/F | $202.20 | $337.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC VST DETAILED NEW PT P/F | $202.20 | $337.00 | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC VST DETAILED NEW PT MD | $441.00 | $735.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 TELEHLTH CONSULT OUTPT D/LC P/F | $84.60 | $141.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC CONSULT OUTPT D/LC P/F | $84.60 | $141.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC DETAILED VISIT NP P/F | $117.60 | $196.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 TELEHLTH VST DETAILED NEW PT P/F | $202.20 | $337.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC VST DETAILED NEW PT P/F | $202.20 | $337.00 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC VST DETAILED NEW PT MD | $441.00 | $735.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC COMPR MOD VISIT NP P/F | $126.00 | $210.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 TELEHLTH VST COMP MOD NEW PT P/F | $271.80 | $453.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VST COMP MOD NEW PT P/F | $271.80 | $453.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT OP NEW PT | $319.80 | $533.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT NEW PT COMPR MOD | $373.20 | $622.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT NEW PT COMPR MOD MD | $447.60 | $746.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT OP NEW PT MD | $610.80 | $1,018.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC COMPR MOD VISIT NP P/F | $126.00 | $210.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 TELEHLTH VST COMP MOD NEW PT P/F | $271.80 | $453.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VST COMP MOD NEW PT P/F | $271.80 | $453.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT OP NEW PT | $319.80 | $533.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT NEW PT COMPR MOD | $373.20 | $622.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT NEW PT COMPR MOD MD | $447.60 | $746.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT OP NEW PT MD | $610.80 | $1,018.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC VST COMP HIGH NEW PT MD | $799.80 | $1,333.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC VST COMP HIGH NEW PT P/F | $814.80 | $1,358.00 | 40% |
| New patient office visit, about 60 minutes CPT 99205 TELEHLTH VST COMP HIGH NEW PT P/F | $814.80 | $1,358.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC VST COMP HIGH NEW PT MD | $799.80 | $1,333.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 TELEHLTH VST COMP HIGH NEW PT P/F | $814.80 | $1,358.00 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC VST COMP HIGH NEW PT P/F | $814.80 | $1,358.00 | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV MED - NP 18-39 YR | $154.80 | $258.00 | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREV MED - NP 18-39 YR | $154.80 | $258.00 | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV MED - NP 40-64 YR | $154.80 | $258.00 | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV MED - NP 40-64 YR | $154.80 | $258.00 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVID PSYCHO 60MIN MD | $302.40 | $504.00 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVID PSYCHO 60MIN MD | $302.40 | $504.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC CONSULT OUTPT D/LC | $489.00 | $815.00 | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC CONSULT OUTPT D/LC | $489.00 | $815.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC RAPE EXAM P/F | $385.20 | $642.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC CONSULT OUTPT C/MC | $693.60 | $1,156.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC RAPE EXAM P/F | $385.20 | $642.00 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC CONSULT OUTPT C/MC | $693.60 | $1,156.00 | 40% |