Natchitoches Parish Hospital Service District
Natchitoches Parish Hospital Service District in Natchitoches, LA publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Mar 18, 2026. Click a procedure to compare it with other hospitals nearby.
501 Keyser Ave, Natchitoches, LA 71457 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 ABD & PELVIS W/CONTRAST M | $1,425.20 | $3,563.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 LECH CT ABD & PELVIS W/CONTRAS | $2,116.40 | $5,291.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST M | $1,425.20 | $3,563.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 LECH CT ABD & PELVIS W/CONTRAS | $2,116.40 | $5,291.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CODE PURPLE | $604.80 | $1,512.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN/HEAD W/O CONTRAST | $604.80 | $1,512.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 LECH CT BRAIN/HEAD W/O CONTRAS | $898.00 | $2,245.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN/HEAD W/O CONTRAST | $604.80 | $1,512.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CODE PURPLE | $604.80 | $1,512.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 LECH CT BRAIN/HEAD W/O CONTRAS | $898.00 | $2,245.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT | $733.60 | $1,834.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONT | $733.60 | $1,834.00 | 60% |
| Diagnostic mammogram, both breasts CPT 77066 3-D MAMMOGRAM DIAGNOSTIC BIL | $213.20 | $533.00 | 60% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAGNOSTIC BIL M | $249.20 | $623.00 | 60% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAGNOSTIC BIL | $249.20 | $623.00 | 60% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 3-D MAMMOGRAM DIAGNOSTIC BIL | $213.20 | $533.00 | 60% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAGNOSTIC BIL | $249.20 | $623.00 | 60% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAGNOSTIC BIL M | $249.20 | $623.00 | 60% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN W/O CONTRAST | $1,555.60 | $3,889.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN W/O CONTRAST | $1,555.60 | $3,889.00 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN W/WO CONTRAST | $2,147.60 | $5,369.00 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W/WO CONTRAST | $2,147.60 | $5,369.00 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 LUMBAR W/O CONTRAST | $1,646.40 | $4,116.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 LUMBAR W/O CONTRAST | $1,646.40 | $4,116.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US GREATER THAN 14WK TRIPLM | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US GREATER THAN 14WKS-TWINM | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US GREATER THAN 14WK-TWINSA | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US GREATER THAN 14WK-TRIPLA | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US COMP GREATER THAN 14 WKS | $286.00 | $715.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US GREATER THAN 14 WKSM | $293.20 | $733.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US GREATER THAN 14WK-TWINSA | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US GREATER THAN 14WK TRIPLM | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US GREATER THAN 14WKS-TWINM | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US GREATER THAN 14WK-TRIPLA | $276.40 | $691.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US COMP GREATER THAN 14 WKS | $286.00 | $715.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US GREATER THAN 14 WKSM | $293.20 | $733.00 | 60% |
| Screening mammogram, both breasts CPT 77067 MAMMOGRAM SCREENING BIL | $186.00 | $465.00 | 60% |
| Screening mammogram, both breasts CPT 77067 3-D MAMMOGRAM SCREENING BIL | $213.20 | $533.00 | 60% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM SCREENING BIL | $186.00 | $465.00 | 60% |
| Screening mammogram, both breasts inpatient CPT 77067 3-D MAMMOGRAM SCREENING BIL | $213.20 | $533.00 | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $1,417.60 | $3,544.00 | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM | $2,089.60 | $5,224.00 | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $1,417.60 | $3,544.00 | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM | $2,089.60 | $5,224.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON - OB | $46.80 | $117.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON OB | $237.20 | $593.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON - OB | $46.80 | $117.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON OB | $237.20 | $593.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM,ABDOM,COMPLETE | $397.20 | $993.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 LECH US EXAM,ABDOM,COMPLETE | $589.60 | $1,474.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM,ABDOM,COMPLETE | $397.20 | $993.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 LECH US EXAM,ABDOM,COMPLETE | $589.60 | $1,474.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 LS SPINE, MIN 4 VWS | $181.60 | $454.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 LECH LS SPINE, MIN 4 VWS | $269.60 | $674.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE, MIN 4 VWS | $181.60 | $454.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LECH LS SPINE, MIN 4 VWS | $269.60 | $674.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $92.00 | $230.00 | 60% |
| Basic metabolic panel (blood test) CPT 80048 LECH BASIC METABOLIC PANEL | $136.40 | $341.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $92.00 | $230.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 LECH BASIC METABOLIC PANEL | $136.40 | $341.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $80.00 | $200.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LECH LIPID PANEL | $118.80 | $297.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $80.00 | $200.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LECH LIPID PANEL | $118.80 | $297.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF | $73.20 | $183.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 LECH CBC W/ AUTO DIFF | $108.00 | $270.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ AUTO DIFF | $73.20 | $183.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 LECH CBC W/ AUTO DIFF | $108.00 | $270.00 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $97.60 | $244.00 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 LECH COMP METABOLIC PANEL | $144.80 | $362.00 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $97.60 | $244.00 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 LECH COMP METABOLIC PANEL | $144.80 | $362.00 | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $66.00 | $165.00 | 60% |
| Kidney function blood test panel CPT 80069 LECH RENAL FUNCTION PANEL | $97.20 | $243.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $66.00 | $165.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 LECH RENAL FUNCTION PANEL | $97.20 | $243.00 | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $58.00 | $145.00 | 60% |
| Liver function blood test panel CPT 80076 LECH HEPATIC FUNCTION PANEL | $86.00 | $215.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $58.00 | $145.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 LECH HEPATIC FUNCTION PANEL | $86.00 | $215.00 | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $55.60 | $139.00 | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $55.60 | $139.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $76.80 | $192.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $76.80 | $192.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $38.00 | $95.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LECH PTT | $56.00 | $140.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $38.00 | $95.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LECH PTT | $56.00 | $140.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - D | $33.60 | $84.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $33.60 | $84.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LECH PROTIME | $49.20 | $123.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME - D | $33.60 | $84.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $33.60 | $84.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LECH PROTIME | $49.20 | $123.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (THYR STIM HORM) | $52.80 | $132.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 LECH TSH (THYR STIM HORM) | $77.60 | $194.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (THYR STIM HORM) | $52.80 | $132.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LECH TSH (THYR STIM HORM) | $77.60 | $194.00 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 U/A AUTO W/SCOPE | $4.40 | $11.00 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS DIPSTICK W/MICRO | $28.40 | $71.00 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 LECH URINALYSIS DIPSTICK W/MIC | $42.40 | $106.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 U/A AUTO W/SCOPE | $4.40 | $11.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS DIPSTICK W/MICRO | $28.40 | $71.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 LECH URINALYSIS DIPSTICK W/MIC | $42.40 | $106.00 | 60% |
| Urinalysis with microscope exam, manual CPT 81000 U/A NON AUTO W/SCOPE | $4.40 | $11.00 | 60% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 U/A NON AUTO W/SCOPE | $4.40 | $11.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINE DIP STICK W/O | $3.20 | $8.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 UA | $4.00 | $10.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto | $4.40 | $11.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO | $6.00 | $15.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK | $14.00 | $35.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 LECH URINALYSIS DIPSTICK | $20.40 | $51.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIP STICK W/O | $3.20 | $8.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA | $4.00 | $10.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto | $4.40 | $11.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICRO | $6.00 | $15.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIPSTICK | $14.00 | $35.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 LECH URINALYSIS DIPSTICK | $20.40 | $51.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK | $3.60 | $9.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 U/A NON AUTO W/O SCOPE | $4.40 | $11.00 | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK | $3.60 | $9.00 | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 U/A NON AUTO W/O SCOPE | $4.40 | $11.00 | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $842.00 | $2,105.00 | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC | $842.00 | $2,105.00 | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE L/S (CD) | $842.00 | $2,105.00 | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECT SPINE L/S (CD) | $842.00 | $2,105.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,091.60 | $2,729.00 | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,091.60 | $2,729.00 | 60% |
| Prostate biopsy CPT 55700 PROSTATE NEEDLE PUNCH BX | $2,009.20 | $5,023.00 | 60% |
| Prostate biopsy inpatient CPT 55700 PROSTATE NEEDLE PUNCH BX | $2,009.20 | $5,023.00 | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 12 LEAD EKG GLOBAL | $15.60 | $39.00 | 60% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 12 LEAD EKG GLOBAL | $15.60 | $39.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY PER HOUR | $64.00 | $160.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $153.20 | $383.00 | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PT | $153.20 | $383.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY PER HOUR | $64.00 | $160.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $153.20 | $383.00 | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PT | $153.20 | $383.00 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PT | $153.20 | $383.00 | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $153.20 | $383.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $153.20 | $383.00 | 60% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PT | $153.20 | $383.00 | 60% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $97.60 | $244.00 | 60% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $97.60 | $244.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW LEVEL 3 | $46.80 | $117.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 Office Outpatient New 30 Minut | $115.20 | $288.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30-44 MIN | $126.80 | $317.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 level 3 new patient office vis | $135.20 | $338.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT/NEW/LVL 3 | $148.80 | $372.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT - LEVEL 3 WCC | $190.80 | $477.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $210.40 | $526.00 | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30-44MIN | $220.40 | $551.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT NEW LEVEL 3 | $46.80 | $117.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office Outpatient New 30 Minut | $115.20 | $288.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30-44 MIN | $126.80 | $317.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 level 3 new patient office vis | $135.20 | $338.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT/NEW/LVL 3 | $148.80 | $372.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT - LEVEL 3 WCC | $190.80 | $477.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 | $210.40 | $526.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30-44MIN | $220.40 | $551.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW LEVEL 4 | $74.00 | $185.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT/NEW/LVL 4 | $162.00 | $405.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 Office Outpatient New 45 Minut | $166.40 | $416.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45-59 MIN | $180.80 | $452.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 level 4 new patient office vis | $204.00 | $510.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT - LEVEL 4 WCC | $252.00 | $630.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $306.00 | $765.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45-49MIN | $320.40 | $801.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT NEW LEVEL 4 | $74.00 | $185.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT/NEW/LVL 4 | $162.00 | $405.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office Outpatient New 45 Minut | $166.40 | $416.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45-59 MIN | $180.80 | $452.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 level 4 new patient office vis | $204.00 | $510.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT - LEVEL 4 WCC | $252.00 | $630.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $306.00 | $765.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45-49MIN | $320.40 | $801.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW LEVEL 5 | $90.80 | $227.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 Office Outpatient New 60 Minut | $166.40 | $416.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT/NEW/LVL 5 | $175.60 | $439.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 level 5 new patient office vis | $266.40 | $666.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $306.00 | $765.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60-74 MIN | $320.40 | $801.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT - LEVEL 5 WCC | $345.20 | $863.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT NEW LEVEL 5 | $90.80 | $227.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office Outpatient New 60 Minut | $166.40 | $416.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT/NEW/LVL 5 | $175.60 | $439.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 level 5 new patient office vis | $266.40 | $666.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 | $306.00 | $765.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60-74 MIN | $320.40 | $801.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT - LEVEL 5 WCC | $345.20 | $863.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 LECH OT THERAPEUTIC EXER EA 15 | $60.00 | $150.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 LECH PT THERAPEUTIC EXER EA 15 | $60.00 | $150.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 LECH OT THERAPEUTIC EXER EA 15 | $60.00 | $150.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 LECH PT THERAPEUTIC EXER EA 15 | $60.00 | $150.00 | 60% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine Ne | $130.80 | $327.00 | 60% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Int Preventive Med New Pat 18- | $137.20 | $343.00 | 60% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $137.20 | $343.00 | 60% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine Ne | $130.80 | $327.00 | 60% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Int Preventive Med New Pat 18- | $137.20 | $343.00 | 60% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39 | $137.20 | $343.00 | 60% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine Ne | $142.80 | $357.00 | 60% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Int Preventive Med New Pat 40- | $150.00 | $375.00 | 60% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $150.00 | $375.00 | 60% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine Ne | $142.80 | $357.00 | 60% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Int Preventive Med New Pat 40- | $150.00 | $375.00 | 60% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64 | $150.00 | $375.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 IND PSYCHOTHERAPY 20-30 MIN. | $140.40 | $351.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 INDIVIDAUL PSYCHOTHERAPY 20-30 | $153.20 | $383.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MIN | $153.20 | $383.00 | 60% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $154.40 | $386.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 IND PSYCHOTHERAPY 20-30 MIN. | $140.40 | $351.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDAUL PSYCHOTHERAPY 20-30 | $153.20 | $383.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MIN | $153.20 | $383.00 | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES | $154.40 | $386.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MIN | $153.20 | $383.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PSYCHOTHERAPY 45-50 | $153.20 | $383.00 | 60% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $183.20 | $458.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL PSYCHOTHERAPY 45-50 | $153.20 | $383.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MIN | $153.20 | $383.00 | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES | $183.20 | $458.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL PSYCHOTHERAPY 75-80 | $153.20 | $383.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MIN | $153.20 | $383.00 | 60% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $183.20 | $458.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL PSYCHOTHERAPY 75-80 | $153.20 | $383.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MIN | $153.20 | $383.00 | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES | $183.20 | $458.00 | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consultation New/Estab | $99.20 | $248.00 | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consult New/Est 45 min | $135.20 | $338.00 | 60% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consultation New/Estab | $99.20 | $248.00 | 60% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consult New/Est 45 min | $135.20 | $338.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consultation New/Estab | $138.80 | $347.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consult MDM 40 Min | $204.00 | $510.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consultation New/Estab | $138.80 | $347.00 | 60% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consult MDM 40 Min | $204.00 | $510.00 | 60% |