Baylor Scott & White Medical Center - Austin
Baylor Scott & White Medical Center - Austin in Austin, TX publishes cash prices for 56 common procedures listed here, from its own machine-readable price file updated Jun 13, 2026. Click a procedure to compare it with other hospitals nearby.
5245 W. Highway 290, Austin, TX 78735-8963 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 | $3,842.06 | $6,403.43 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST | $3,842.06 | $6,403.43 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST | $1,974.63 | $3,291.05 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST | $1,974.63 | $3,291.05 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC PELVIS CT SCAN,W/CONTRAST | $2,721.60 | $4,536.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC PELVIS CT SCAN,W/CONTRAST | $2,721.60 | $4,536.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $340.20 | $567.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL | $272.16 | $453.60 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL | $272.16 | $453.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI EXT LOWER JNT W/O CON | $2,257.48 | $3,762.47 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI EXT LOWER JNT W/O CON | $2,257.48 | $3,762.47 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI EXT LOWER JNT W/O&W C | $3,008.26 | $5,013.76 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI EXT LOWER JNT W/O&W C | $3,008.26 | $5,013.76 | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC BRAIN W/O DYE, MRI | $2,556.77 | $4,261.28 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC BRAIN W/O DYE, MRI | $2,556.77 | $4,261.28 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC BRAIN W/O&W DYE, MRI | $3,969.34 | $6,615.56 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC BRAIN W/O&W DYE, MRI | $3,969.34 | $6,615.56 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA | $2,065.69 | $3,442.81 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA | $2,065.69 | $3,442.81 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS | $607.12 | $1,011.87 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS | $607.12 | $1,011.87 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT | $238.14 | $396.90 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL | $238.14 | $396.90 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH | $4,141.16 | $6,901.94 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD | $4,141.16 | $6,901.94 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4OR MORE | $4,141.16 | $6,901.94 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD | $4,141.16 | $6,901.94 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH | $4,141.16 | $6,901.94 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4OR MORE | $4,141.16 | $6,901.94 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL | $543.02 | $905.03 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND, TRANSVAGINAL | $543.02 | $905.03 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL | $543.02 | $905.03 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ULTRASOUND, TRANSVAGINAL | $543.02 | $905.03 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $537.43 | $895.71 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $537.43 | $895.71 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS | $626.63 | $1,044.39 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS | $626.63 | $1,044.39 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM | $156.44 | $260.74 | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM | $156.44 | $260.74 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF ARUP COMP 2013716 CPT 80061 | $24.00 | $40.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR | $28.08 | $46.80 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061 | $106.43 | $177.39 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $185.75 | $309.58 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE | $185.75 | $309.58 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF ARUP COMP 2013716 CPT 80061 | $24.00 | $40.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR | $28.08 | $46.80 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061 | $106.43 | $177.39 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $185.75 | $309.58 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE | $185.75 | $309.58 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF | $67.31 | $112.18 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF | $67.31 | $112.18 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM | $93.57 | $155.95 | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF | $93.57 | $155.95 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM | $93.57 | $155.95 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF | $93.57 | $155.95 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $214.33 | $357.21 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION | $214.33 | $357.21 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $214.33 | $357.21 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION | $214.33 | $357.21 | 40% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $128.89 | $214.81 | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $128.89 | $214.81 | 40% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL POC | $161.95 | $269.91 | 40% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $161.95 | $269.91 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $161.95 | $269.91 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL POC | $161.95 | $269.91 | 40% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $252.96 | $421.60 | 40% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $252.96 | $421.60 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA - FREE | $113.17 | $188.62 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA - FREE | $113.17 | $188.62 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S | $37.83 | $63.05 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE | $150.97 | $251.62 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA,TOTAL | $150.97 | $251.62 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL | $150.97 | $251.62 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S | $37.83 | $63.05 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL | $150.97 | $251.62 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA,TOTAL | $150.97 | $251.62 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE | $150.97 | $251.62 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730 | $13.94 | $23.23 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730 | $40.25 | $67.08 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP APROL CPT 85730 | $67.77 | $112.95 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D) | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT) | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730 | $13.94 | $23.23 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730 | $40.25 | $67.08 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP APROL CPT 85730 | $67.77 | $112.95 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D) | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL | $118.76 | $197.93 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT) | $118.76 | $197.93 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610 | $9.93 | $16.55 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610 | $28.71 | $47.85 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP APROL CPT 85610 | $48.39 | $80.65 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $71.17 | $118.62 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME W/INR | $71.17 | $118.62 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL | $71.17 | $118.62 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME | $71.17 | $118.62 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610 | $9.93 | $16.55 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610 | $28.71 | $47.85 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP APROL CPT 85610 | $48.39 | $80.65 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL | $71.17 | $118.62 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME | $71.17 | $118.62 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME W/INR | $71.17 | $118.62 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $71.17 | $118.62 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC REF MEDFUSION, COMP 19537, 84443 | $36.00 | $60.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX | $177.40 | $295.66 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $177.40 | $295.66 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FT4 REFLEX | $177.40 | $295.66 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE | $177.40 | $295.66 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC REF MEDFUSION, COMP 19537, 84443 | $36.00 | $60.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX | $177.40 | $295.66 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FT4 REFLEX | $177.40 | $295.66 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $177.40 | $295.66 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE | $177.40 | $295.66 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE | $77.87 | $129.78 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE | $33.17 | $55.29 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE | $33.17 | $55.29 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC REF MAYO SKETC KETONE QL, U | $96.30 | $160.50 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $35.98 | $59.97 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC REF MAYO SKETC KETONE QL, U | $96.30 | $160.50 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, REAGENT STRIP | $24.61 | $41.01 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $24.61 | $41.01 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $24.61 | $41.01 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS, REAGENT STRIP | $24.61 | $41.01 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 HC CATARACT SURG W/IOL, | $4,301.64 | $7,169.40 | 40% |
| Cataract surgery with lens implant inpatient CPT 66984 HC CATARACT SURG W/IOL, | $4,301.64 | $7,169.40 | 40% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC FULL ROUT OBSTE CARE,CESAREAN DELIV | $4,155.91 | $6,926.51 | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC FULL ROUT OBSTE CARE,CESAREAN DELIV | $4,155.91 | $6,926.51 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PRP I/HERN INIT REDU | $8,365.41 | $13,942.35 | 40% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PRP I/HERN INIT REDU | $8,365.41 | $13,942.35 | 40% |
| Knee arthroscopy with meniscus trim CPT 29881 HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY | $8,186.99 | $13,644.99 | 40% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY | $8,186.99 | $13,644.99 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC AFTER CATARACT LASER | $1,637.51 | $2,729.18 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC AFTER CATARACT LASER | $1,637.51 | $2,729.18 | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATHETER | $9,848.25 | $16,413.75 | 40% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATHETER | $9,848.25 | $16,413.75 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID | $1,824.76 | $3,041.26 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID | $1,824.76 | $3,041.26 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE | $1,255.99 | $2,093.32 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE | $1,255.99 | $2,093.32 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL | $2,284.54 | $3,807.56 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION EPI L/S 1 LEVEL | $2,284.54 | $3,807.56 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL | $2,284.54 | $3,807.56 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION EPI L/S 1 LEVEL | $2,284.54 | $3,807.56 | 40% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $3,139.32 | $5,232.20 | 40% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE | $3,139.32 | $5,232.20 | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LE | $5,165.63 | $8,609.38 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LE | $5,165.63 | $8,609.38 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC SHOULDER ARTHROSCOPY | $5,243.73 | $8,739.55 | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC SHOULDER ARTHROSCOPY | $5,243.73 | $8,739.55 | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC REMOVE TONSILS/ADENO | $4,555.73 | $7,592.89 | 40% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC REMOVE TONSILS/ADENO | $4,555.73 | $7,592.89 | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 HC ROUT OB CARE,VAG DELIV,PREV C-SEC | $7,970.66 | $13,284.44 | 40% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 HC ROUT OB CARE,VAG DELIV,PREV C-SEC | $7,970.66 | $13,284.44 | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC FULL ROUT OBSTE CARE,VAGINAL DELIV | $2,756.98 | $4,594.97 | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC FULL ROUT OBSTE CARE,VAGINAL DELIV | $2,756.98 | $4,594.97 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ELECTROCARDIOGRAM, COMPLETE | $140.07 | $233.45 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ELECTROCARDIOGRAM, COMPLETE | $140.07 | $233.45 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT | $155.45 | $259.08 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT | $155.45 | $259.08 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT | $165.49 | $275.81 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT | $165.49 | $275.81 | 40% |
| Group psychotherapy session CPT 90853 HC DRUG AND ALCOHOL IOP/HALF DAY | $97.39 | $162.32 | 40% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $97.39 | $162.32 | 40% |
| Group psychotherapy session CPT 90853 HC PSYCHIATRIC HALF DAY IOP | $97.39 | $162.32 | 40% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHIATRIC HALF DAY IOP | $97.39 | $162.32 | 40% |
| Group psychotherapy session inpatient CPT 90853 HC DRUG AND ALCOHOL IOP/HALF DAY | $97.39 | $162.32 | 40% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $97.39 | $162.32 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110) | $143.44 | $239.06 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110) | $143.44 | $239.06 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPUETIC EXERCISES | $143.44 | $239.06 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110) | $143.44 | $239.06 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110) | $143.44 | $239.06 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPUETIC EXERCISES | $143.44 | $239.06 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT | $189.14 | $315.24 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT | $216.61 | $361.01 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT | $216.61 | $361.01 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT | $216.61 | $361.01 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT | $216.61 | $361.01 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT | $216.61 | $361.01 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT | $216.61 | $361.01 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT | $216.61 | $361.01 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT | $216.61 | $361.01 | 40% |