Swedish Health Services
Swedish Health Services in Seattle, WA publishes cash prices for 47 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.
500 17th Ave, Seattle, WA 98122 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 | $584.16 | $1,217.00 | 52% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $584.16 | $1,217.00 | 52% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $192.48 | $401.00 | 52% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $192.48 | $401.00 | 52% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $304.32 | $634.00 | 52% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $304.32 | $634.00 | 52% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $304.32 | $634.00 | 52% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $304.32 | $634.00 | 52% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $584.16 | $1,217.00 | 52% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $584.16 | $1,217.00 | 52% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,052.16 | $2,192.00 | 52% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $229.44 | $478.00 | 52% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $229.44 | $478.00 | 52% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $701.28 | $1,461.00 | 52% |
| Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD | $701.28 | $1,461.00 | 52% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $701.28 | $1,461.00 | 52% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD | $701.28 | $1,461.00 | 52% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $186.24 | $388.00 | 52% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $186.24 | $388.00 | 52% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $567.84 | $1,183.00 | 52% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD | $567.84 | $1,183.00 | 52% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $567.84 | $1,183.00 | 52% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD | $567.84 | $1,183.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $498.24 | $1,038.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $498.24 | $1,038.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,015.68 | $2,116.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,015.68 | $2,116.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,015.68 | $2,116.00 | 52% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST | $1,015.68 | $2,116.00 | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $1,108.32 | $2,309.00 | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $1,108.32 | $2,309.00 | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $2,259.36 | $4,707.00 | 52% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST | $2,259.36 | $4,707.00 | 52% |
| 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 | $2,259.36 | $4,707.00 | 52% |
| 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 | $2,259.36 | $4,707.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $538.56 | $1,122.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $538.56 | $1,122.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,038.24 | $2,163.00 | 52% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,038.24 | $2,163.00 | 52% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,038.24 | $2,163.00 | 52% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE | $1,038.24 | $2,163.00 | 52% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $1,151.52 | $2,399.00 | 52% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $1,151.52 | $2,399.00 | 52% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $2,218.56 | $4,622.00 | 52% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE | $2,218.56 | $4,622.00 | 52% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $2,218.56 | $4,622.00 | 52% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE | $2,218.56 | $4,622.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $518.88 | $1,081.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $518.88 | $1,081.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,057.44 | $2,203.00 | 52% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,057.44 | $2,203.00 | 52% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,057.44 | $2,203.00 | 52% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE | $1,057.44 | $2,203.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $338.40 | $705.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $338.40 | $705.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $617.28 | $1,286.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $617.28 | $1,286.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $617.28 | $1,286.00 | 52% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS | $617.28 | $1,286.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $174.24 | $363.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $174.24 | $363.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $174.24 | $363.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $174.24 | $363.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $533.76 | $1,112.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $533.76 | $1,112.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD | $533.76 | $1,112.00 | 52% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $533.76 | $1,112.00 | 52% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $533.76 | $1,112.00 | 52% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $533.76 | $1,112.00 | 52% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD | $533.76 | $1,112.00 | 52% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD | $533.76 | $1,112.00 | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $1,946.40 | $4,055.00 | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $1,946.40 | $4,055.00 | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $4,476.48 | $9,326.00 | 52% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $4,476.48 | $9,326.00 | 52% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $4,476.48 | $9,326.00 | 52% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE | $4,476.48 | $9,326.00 | 52% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $338.40 | $705.00 | 52% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $338.40 | $705.00 | 52% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $617.28 | $1,286.00 | 52% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB | $617.28 | $1,286.00 | 52% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $617.28 | $1,286.00 | 52% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB | $617.28 | $1,286.00 | 52% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $630.24 | $1,313.00 | 52% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $630.24 | $1,313.00 | 52% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,147.20 | $2,390.00 | 52% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,147.20 | $2,390.00 | 52% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,147.20 | $2,390.00 | 52% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,147.20 | $2,390.00 | 52% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $195.36 | $407.00 | 52% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $195.36 | $407.00 | 52% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $488.16 | $1,017.00 | 52% |
| X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $488.16 | $1,017.00 | 52% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $488.16 | $1,017.00 | 52% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS | $488.16 | $1,017.00 | 52% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $41.76 | $87.00 | 52% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $41.76 | $87.00 | 52% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $41.76 | $87.00 | 52% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $41.76 | $87.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL CDM | $85.92 | $179.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL CDM | $85.92 | $179.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL CDM | $85.92 | $179.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL CDM | $85.92 | $179.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB | $87.84 | $183.00 | 52% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $87.84 | $183.00 | 52% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC CDM | $47.52 | $99.00 | 52% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC CDM | $47.52 | $99.00 | 52% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO | $50.40 | $105.00 | 52% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $50.40 | $105.00 | 52% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO | $50.40 | $105.00 | 52% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $50.40 | $105.00 | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC CDM | $47.52 | $99.00 | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC CDM | $47.52 | $99.00 | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO | $50.40 | $105.00 | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $50.40 | $105.00 | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $50.40 | $105.00 | 52% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO | $50.40 | $105.00 | 52% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $36.48 | $76.00 | 52% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $36.48 | $76.00 | 52% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $42.24 | $88.00 | 52% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $42.24 | $88.00 | 52% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $36.48 | $76.00 | 52% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB | $36.48 | $76.00 | 52% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $42.24 | $88.00 | 52% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $42.24 | $88.00 | 52% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $55.68 | $116.00 | 52% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $55.68 | $116.00 | 52% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $55.68 | $116.00 | 52% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $55.68 | $116.00 | 52% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM | $41.76 | $87.00 | 52% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $125.28 | $261.00 | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $125.28 | $261.00 | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $125.28 | $261.00 | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB | $125.28 | $261.00 | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $132.96 | $277.00 | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM | $132.96 | $277.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA LAB | $36.00 | $75.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA LAB | $36.00 | $75.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA LAB | $36.00 | $75.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA LAB | $36.00 | $75.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $37.92 | $79.00 | 52% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL | $37.92 | $79.00 | 52% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $25.44 | $53.00 | 52% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $25.44 | $53.00 | 52% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $25.44 | $53.00 | 52% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB | $25.44 | $53.00 | 52% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $25.44 | $53.00 | 52% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $25.44 | $53.00 | 52% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB | $25.44 | $53.00 | 52% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $25.44 | $53.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $120.00 | $250.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 | $120.00 | $250.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $121.92 | $254.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $121.92 | $254.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $121.92 | $254.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $121.92 | $254.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $120.00 | $250.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 | $120.00 | $250.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $121.92 | $254.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $121.92 | $254.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB | $121.92 | $254.00 | 52% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $121.92 | $254.00 | 52% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $20.64 | $43.00 | 52% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $20.64 | $43.00 | 52% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $21.60 | $45.00 | 52% |
| Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $21.60 | $45.00 | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $20.64 | $43.00 | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB | $20.64 | $43.00 | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $21.60 | $45.00 | 52% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM | $21.60 | $45.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB | $12.48 | $26.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $15.36 | $32.00 | 52% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $15.84 | $33.00 | 52% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $15.84 | $33.00 | 52% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $18.72 | $39.00 | 52% |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $18.72 | $39.00 | 52% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $15.84 | $33.00 | 52% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM | $15.84 | $33.00 | 52% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $18.72 | $39.00 | 52% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $18.72 | $39.00 | 52% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,932.48 | $4,026.00 | 52% |
| Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,932.48 | $4,026.00 | 52% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,932.48 | $4,026.00 | 52% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM | $1,932.48 | $4,026.00 | 52% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $6,174.72 | $12,864.00 | 52% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $6,174.72 | $12,864.00 | 52% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $10,188.00 | $21,225.00 | 52% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $10,188.00 | $21,225.00 | 52% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $10,188.00 | $21,225.00 | 52% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $10,188.00 | $21,225.00 | 52% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,141.44 | $2,378.00 | 52% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $1,141.44 | $2,378.00 | 52% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $2,092.80 | $4,360.00 | 52% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $2,092.80 | $4,360.00 | 52% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $2,092.80 | $4,360.00 | 52% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG | $2,092.80 | $4,360.00 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,141.44 | $2,378.00 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,141.44 | $2,378.00 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,092.80 | $4,360.00 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,092.80 | $4,360.00 | 52% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,092.80 | $4,360.00 | 52% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $2,092.80 | $4,360.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $1,387.20 | $2,890.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $1,387.20 | $2,890.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $2,542.08 | $5,296.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $2,542.08 | $5,296.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $1,387.20 | $2,890.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $1,387.20 | $2,890.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $2,542.08 | $5,296.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $2,542.08 | $5,296.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $2,542.08 | $5,296.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL | $2,542.08 | $5,296.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $2,542.08 | $5,296.00 | 52% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S | $2,542.08 | $5,296.00 | 52% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $3,201.60 | $6,670.00 | 52% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $3,201.60 | $6,670.00 | 52% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $5,869.44 | $12,228.00 | 52% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE | $5,869.44 | $12,228.00 | 52% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE | $5,869.44 | $12,228.00 | 52% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE | $5,869.44 | $12,228.00 | 52% |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $4,877.28 | $10,161.00 | 52% |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $4,877.28 | $10,161.00 | 52% |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $8,940.48 | $18,626.00 | 52% |
| Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $8,940.48 | $18,626.00 | 52% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $8,940.48 | $18,626.00 | 52% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM | $8,940.48 | $18,626.00 | 52% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,828.80 | $3,810.00 | 52% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,828.80 | $3,810.00 | 52% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,828.80 | $3,810.00 | 52% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM | $1,828.80 | $3,810.00 | 52% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC DIAGNOSTIC GASTROSCOPE | $997.44 | $2,078.00 | 52% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC DIAGNOSTIC GASTROSCOPE | $997.44 | $2,078.00 | 52% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC DIAGNOSTIC GASTROSCOPE | $1,828.80 | $3,810.00 | 52% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC DIAGNOSTIC GASTROSCOPE | $1,828.80 | $3,810.00 | 52% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC DIAGNOSTIC GASTROSCOPE | $1,828.80 | $3,810.00 | 52% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC DIAGNOSTIC GASTROSCOPE | $1,828.80 | $3,810.00 | 52% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $335.52 | $699.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $335.52 | $699.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $375.84 | $783.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC | $375.84 | $783.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYTX FAMILY W PT 50 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYTX FAMILY W PT 50 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYTX FAMILY W PT 50 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PSYTX FAMILY W PT 50 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYTX FAMILY W PT 50 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYTX FAMILY W PT 50 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYTX FAMILY W PT 50 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM | $389.28 | $811.00 | 52% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYTX FAMILY W PT 50 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC | $203.04 | $423.00 | 52% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC | $203.04 | $423.00 | 52% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $335.52 | $699.00 | 52% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSTX FAMILY WO PT 50 MIN CDM | $335.52 | $699.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSY/PHP TX GROUP | $210.24 | $438.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYTX GROUP IOP CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYTX GROUP IOP CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSY/PHP TX GROUP | $210.24 | $438.00 | 52% |
| Group psychotherapy session CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSY/PHP TX GROUP | $210.24 | $438.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSYTX GROUP IOP CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSY/PHP TX GROUP | $210.24 | $438.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSYTX GROUP IOP CDM | $210.24 | $438.00 | 52% |
| Group psychotherapy session inpatient CPT 90853 HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM | $210.24 | $438.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $44.64 | $93.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $44.64 | $93.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN | $96.48 | $201.00 | 52% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM | $96.48 | $201.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $203.04 | $423.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $203.04 | $423.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $203.04 | $423.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $203.04 | $423.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $205.44 | $428.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $205.44 | $428.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN PHP/IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN PHP/IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $203.04 | $423.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC | $203.04 | $423.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN PHP/IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN PHP/IOP CDM | $210.24 | $438.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC | $375.84 | $783.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN IOP CDM | $389.28 | $811.00 | 52% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN PHP/IOP CDM | $389.28 | $811.00 | 52% |
Source file: https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center_standardcharges.json