SelfPayRates
Hospital Spokane-Spokane Valley, WA

Providence Health And Services - Washington

Providence Health And Services - Washington in Spokane, WA publishes cash prices for 48 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.

5633 N Lidgerwood, Spokane, WA 99208 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $954.80 $1,364.00 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $1,150.80 $1,644.00 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $2,472.12 $3,531.60 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $3,453.80 $4,934.00 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $5,028.10 $7,183.00 30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $2,472.12 $3,531.60 30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $3,453.80 $4,934.00 30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST $5,028.10 $7,183.00 30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $347.20 $496.00 30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $376.60 $538.00 30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $527.31 $753.30 30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $1,151.50 $1,645.00 30%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $1,221.50 $1,745.00 30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $527.31 $753.30 30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $1,151.50 $1,645.00 30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST $1,221.50 $1,745.00 30%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $609.70 $871.00 30%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $734.30 $1,049.00 30%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $1,436.40 $2,052.00 30%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST $1,779.40 $2,542.00 30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST $1,436.40 $2,052.00 30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST $1,779.40 $2,542.00 30%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD $160.30 $229.00 30%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD $580.30 $829.00 30%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD $917.00 $1,310.00 30%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD $580.30 $829.00 30%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD $917.00 $1,310.00 30%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD $593.60 $848.00 30%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD $593.60 $848.00 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $758.10 $1,083.00 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $955.08 $1,364.40 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $1,246.00 $1,780.00 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED $1,246.00 $1,780.00 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $2,683.80 $3,834.00 30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $2,808.40 $4,012.00 30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $955.08 $1,364.40 30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED $1,246.00 $1,780.00 30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $2,683.80 $3,834.00 30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST $2,808.40 $4,012.00 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST $1,267.70 $1,811.00 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST $2,022.30 $2,889.00 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST $4,011.00 $5,730.00 30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST $4,109.70 $5,871.00 30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST $4,011.00 $5,730.00 30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST $4,109.70 $5,871.00 30%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE $730.10 $1,043.00 30%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED $1,153.60 $1,648.00 30%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE $1,304.10 $1,863.00 30%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE $1,505.00 $2,150.00 30%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O DYE LIMITED $1,546.30 $2,209.00 30%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE $2,482.90 $3,547.00 30%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE $2,797.20 $3,996.00 30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED $1,153.60 $1,648.00 30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE $1,304.10 $1,863.00 30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O DYE LIMITED $1,546.30 $2,209.00 30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE $2,482.90 $3,547.00 30%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE $2,797.20 $3,996.00 30%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE $1,219.40 $1,742.00 30%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE $1,678.32 $2,397.60 30%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE $2,513.70 $3,591.00 30%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE $3,855.60 $5,508.00 30%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE $4,224.50 $6,035.00 30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE $1,678.32 $2,397.60 30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE $3,855.60 $5,508.00 30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE $4,224.50 $6,035.00 30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE $758.10 $1,083.00 30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED $924.70 $1,321.00 30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE $1,246.00 $1,780.00 30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE $1,401.12 $2,001.60 30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED $1,766.10 $2,523.00 30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE $2,968.70 $4,241.00 30%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE $3,532.20 $5,046.00 30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED $924.70 $1,321.00 30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE $1,401.12 $2,001.60 30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED $1,766.10 $2,523.00 30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE $2,968.70 $4,241.00 30%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE $3,532.20 $5,046.00 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $205.10 $293.00 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $256.20 $366.00 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $734.30 $1,049.00 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $1,539.30 $2,199.00 30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $734.30 $1,049.00 30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $1,539.30 $2,199.00 30%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD $325.50 $465.00 30%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD $325.50 $465.00 30%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD $325.50 $465.00 30%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD $325.50 $465.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM 1 ON 1 PT $1,698.20 $2,426.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE $1,698.20 $2,426.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC MED BASELINE SLEEP TEST $1,698.20 $2,426.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC MED MONTH 3 SLEEP TEST $1,698.20 $2,426.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC MED SLEEP RE-TEST $1,698.20 $2,426.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC MED MONTH 3 SLEEP TEST $2,271.50 $3,245.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC MED BASELINE SLEEP TEST $2,271.50 $3,245.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC MED SLEEP RE-TEST $2,271.50 $3,245.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE $2,703.40 $3,862.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE $2,703.40 $3,862.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE $3,244.50 $4,635.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE $3,244.50 $4,635.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM 1 ON 1 PT $3,572.10 $5,103.00 30%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAM 1 ON 1 PT $3,572.10 $5,103.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC MED SLEEP RE-TEST $2,271.50 $3,245.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC MED BASELINE SLEEP TEST $2,271.50 $3,245.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC MED MONTH 3 SLEEP TEST $2,271.50 $3,245.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE $2,703.40 $3,862.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM REDUCED SERVICE $2,703.40 $3,862.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE $3,244.50 $4,635.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 OR MORE $3,244.50 $4,635.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM 1 ON 1 PT $3,572.10 $5,103.00 30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAM 1 ON 1 PT $3,572.10 $5,103.00 30%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB $205.10 $293.00 30%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB $256.20 $366.00 30%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB $816.20 $1,166.00 30%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB $1,089.20 $1,556.00 30%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB $816.20 $1,166.00 30%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB $1,089.20 $1,556.00 30%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE $205.10 $293.00 30%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE $256.20 $366.00 30%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE $706.23 $1,008.90 30%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE $1,127.00 $1,610.00 30%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE $1,633.80 $2,334.00 30%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE $706.23 $1,008.90 30%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE $1,127.00 $1,610.00 30%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE $1,633.80 $2,334.00 30%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS $104.30 $149.00 30%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS $256.20 $366.00 30%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS $836.50 $1,195.00 30%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS $917.00 $1,310.00 30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS $836.50 $1,195.00 30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS $917.00 $1,310.00 30%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL $20.30 $29.00 30%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL $103.60 $148.00 30%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL $108.50 $155.00 30%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL $156.87 $224.10 30%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL $103.60 $148.00 30%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL $108.50 $155.00 30%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL $156.87 $224.10 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL OF NMR $37.80 $54.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL $42.70 $61.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE $42.70 $61.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB $42.70 $61.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL OF NMR $44.80 $64.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE $51.10 $73.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL $51.10 $73.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB $51.10 $73.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE $76.23 $108.90 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - REFLEX $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL OF NMR $83.30 $119.00 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL $175.14 $250.20 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB $175.14 $250.20 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL OF NMR $44.80 $64.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB $51.10 $73.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL $51.10 $73.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE $51.10 $73.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE $76.23 $108.90 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - REFLEX $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL $77.70 $111.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL OF NMR $83.30 $119.00 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL $175.14 $250.20 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB $175.14 $250.20 30%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB $35.70 $51.00 30%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $35.70 $51.00 30%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO $35.70 $51.00 30%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $78.75 $112.50 30%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO $78.75 $112.50 30%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $81.90 $117.00 30%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO $81.90 $117.00 30%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB $81.90 $117.00 30%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO $96.60 $138.00 30%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB $96.60 $138.00 30%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $96.60 $138.00 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $78.75 $112.50 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO $78.75 $112.50 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB $81.90 $117.00 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO $81.90 $117.00 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $81.90 $117.00 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $96.60 $138.00 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO $96.60 $138.00 30%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC LAB $96.60 $138.00 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB $29.40 $42.00 30%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED $29.40 $42.00 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED $29.40 $42.00 30%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED $70.70 $101.00 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB $70.70 $101.00 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED $70.70 $101.00 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB $85.05 $121.50 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED $85.05 $121.50 30%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED $89.46 $127.80 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB $94.50 $135.00 30%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED $94.50 $135.00 30%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED $94.50 $135.00 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB $70.70 $101.00 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED $70.70 $101.00 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED $70.70 $101.00 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB $85.05 $121.50 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED $85.05 $121.50 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED $89.46 $127.80 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED $94.50 $135.00 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB $94.50 $135.00 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED $94.50 $135.00 30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL $27.30 $39.00 30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL $181.30 $259.00 30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL $183.40 $262.00 30%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL $248.22 $354.60 30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL $181.30 $259.00 30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL $183.40 $262.00 30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL $248.22 $354.60 30%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM $20.30 $29.00 30%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM $129.50 $185.00 30%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM $129.50 $185.00 30%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM $223.65 $319.50 30%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM $129.50 $185.00 30%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM $129.50 $185.00 30%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM $223.65 $319.50 30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM $20.30 $29.00 30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM $77.70 $111.00 30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM $91.70 $131.00 30%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM $119.07 $170.10 30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM $77.70 $111.00 30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM $91.70 $131.00 30%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM $119.07 $170.10 30%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL LAB $53.20 $76.00 30%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL LAB $53.20 $76.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE $72.80 $104.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB $72.80 $104.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE $72.80 $104.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB $108.50 $155.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE $108.50 $155.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE $108.50 $155.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE $205.10 $293.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE $205.10 $293.00 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB $205.10 $293.00 30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE $72.80 $104.00 30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB $72.80 $104.00 30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE $72.80 $104.00 30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE $205.10 $293.00 30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE $205.10 $293.00 30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB $205.10 $293.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $79.10 $113.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB $107.10 $153.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $108.50 $155.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC AG $108.50 $155.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB $117.60 $168.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC AG $126.00 $180.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $126.00 $180.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $139.86 $199.80 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $149.80 $214.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB $193.20 $276.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC AG $196.00 $280.00 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $196.00 $280.00 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB $117.60 $168.00 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $126.00 $180.00 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC AG $126.00 $180.00 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $139.86 $199.80 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $149.80 $214.00 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB $193.20 $276.00 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $196.00 $280.00 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC AG $196.00 $280.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT POST 60 MIN INCUBATION $15.40 $22.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL $26.60 $38.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $26.60 $38.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $87.50 $125.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL $87.50 $125.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT POST 60 MIN INCUBATION $94.50 $135.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL $109.62 $156.60 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $109.62 $156.60 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL $121.80 $174.00 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $121.80 $174.00 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT POST 60 MIN INCUBATION $15.40 $22.00 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL $87.50 $125.00 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $87.50 $125.00 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT POST 60 MIN INCUBATION $94.50 $135.00 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $109.62 $156.60 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL $109.62 $156.60 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL $121.80 $174.00 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $121.80 $174.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM $11.90 $17.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME WHOLE BLOOD $11.90 $17.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $18.20 $26.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME WHOLE BLOOD $18.20 $26.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB $18.20 $26.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME $18.20 $26.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM $18.20 $26.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610 $18.20 $26.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610 $41.30 $59.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB $43.40 $62.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME $43.40 $62.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $43.40 $62.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM $62.37 $89.10 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610 $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC AC PROTIME $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME WHOLE BLOOD $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME $71.19 $101.70 30%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB $71.19 $101.70 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME CDM $11.90 $17.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME WHOLE BLOOD $11.90 $17.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610 $41.30 $59.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB $43.40 $62.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTIME $43.40 $62.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $43.40 $62.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME CDM $62.37 $89.10 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC AC PROTIME $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTIME $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610 $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME CDM $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME WHOLE BLOOD $69.30 $99.00 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB $71.19 $101.70 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME $71.19 $101.70 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 $85.05 $121.50 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC REFLEXIVE TSH $95.20 $136.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) $95.20 $136.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $95.20 $136.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH $95.20 $136.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH(THYROID STIMULATING HORMONE) $95.20 $136.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 $95.20 $136.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEXIVE $95.20 $136.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC REFLEXIVE TSH $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH(THYROID STIMULATING HORMONE) $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEXIVE $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) $126.70 $181.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH $146.79 $209.70 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $146.79 $209.70 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC REFLEXIVE TSH $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH(THYROID STIMULATING HORMONE) $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4 $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 $85.05 $121.50 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC REFLEXIVE TSH $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH(THYROID STIMULATING HORMONE) $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEXIVE $112.70 $161.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) $126.70 $181.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $146.79 $209.70 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH $146.79 $209.70 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH(THYROID STIMULATING HORMONE) $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4 $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $147.70 $211.00 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC REFLEXIVE TSH $147.70 $211.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $6.30 $9.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $6.30 $9.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $16.10 $23.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $16.10 $23.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $74.20 $106.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $74.20 $106.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $82.60 $118.00 30%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $82.60 $118.00 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $6.30 $9.00 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $6.30 $9.00 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $74.20 $106.00 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $74.20 $106.00 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $82.60 $118.00 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $82.60 $118.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY URINE $10.50 $15.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $10.50 $15.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE QUALITATIVE $11.20 $16.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE $11.20 $16.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE QUALITATIVE $11.20 $16.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE QUALITATIVE URINE $11.20 $16.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB $23.10 $33.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE QUALITATIVE $23.10 $33.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB $29.61 $42.30 30%
Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE QUALITATIVE URINE $30.10 $43.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY URINE $30.10 $43.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $30.10 $43.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC PROTEIN URINE QUALITATIVE $30.10 $43.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE QUALITATIVE $33.60 $48.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $39.06 $55.80 30%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE QUALITATIVE $43.47 $62.10 30%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE $49.70 $71.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE QUALITATIVE URINE $49.70 $71.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $51.80 $74.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC SPECIFIC GRAVITY URINE $51.80 $74.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE $54.60 $78.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE QUALITATIVE $56.70 $81.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB $56.70 $81.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE QUALITATIVE $56.70 $81.00 30%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE $68.04 $97.20 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE QUALITATIVE $23.10 $33.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB $23.10 $33.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB $29.61 $42.30 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PROTEIN URINE QUALITATIVE $30.10 $43.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE QUALITATIVE URINE $30.10 $43.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $30.10 $43.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY URINE $30.10 $43.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE QUALITATIVE $33.60 $48.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $39.06 $55.80 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE QUALITATIVE $43.47 $62.10 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE QUALITATIVE URINE $49.70 $71.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE $49.70 $71.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $51.80 $74.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPECIFIC GRAVITY URINE $51.80 $74.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE $54.60 $78.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB $56.70 $81.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE QUALITATIVE $56.70 $81.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE QUALITATIVE $56.70 $81.00 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE $68.04 $97.20 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB $10.50 $15.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $12.60 $18.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC SPECIFIC GRAVITY URINE $12.60 $18.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB $14.70 $21.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB $19.60 $28.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC SPECIFIC GRAVITY URINE $21.70 $31.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB $28.00 $40.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $43.40 $62.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $46.20 $66.00 30%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $61.11 $87.30 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB $14.70 $21.00 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC SPECIFIC GRAVITY URINE $21.70 $31.00 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB $28.00 $40.00 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $43.40 $62.00 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $46.20 $66.00 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $61.11 $87.30 30%

Surgery and procedures

ProcedureCash price List priceOff list
Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,621.20 $2,316.00 30%
Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,625.40 $2,322.00 30%
Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,621.20 $2,316.00 30%
Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $1,625.40 $2,322.00 30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM $8,385.30 $11,979.00 30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM $8,788.50 $12,555.00 30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM $8,385.30 $11,979.00 30%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM $8,788.50 $12,555.00 30%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY $6,090.70 $8,701.00 30%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY $6,557.60 $9,368.00 30%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY $9,333.10 $13,333.00 30%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY $10,225.60 $14,608.00 30%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY $9,333.10 $13,333.00 30%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY $10,225.60 $14,608.00 30%
Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM $1,655.50 $2,365.00 30%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG $1,655.50 $2,365.00 30%
Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM $1,903.30 $2,719.00 30%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG $1,903.30 $2,719.00 30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM $1,655.50 $2,365.00 30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG $1,655.50 $2,365.00 30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM $1,903.30 $2,719.00 30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG $1,903.30 $2,719.00 30%
Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM $1,607.90 $2,297.00 30%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $1,607.90 $2,297.00 30%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $1,903.30 $2,719.00 30%
Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM $1,903.30 $2,719.00 30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $1,607.90 $2,297.00 30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM $1,607.90 $2,297.00 30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM $1,903.30 $2,719.00 30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $1,903.30 $2,719.00 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S $1,548.40 $2,212.00 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ FORAMEN EPIDURAL L/S $2,083.90 $2,977.00 30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S $1,548.40 $2,212.00 30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ FORAMEN EPIDURAL L/S $2,083.90 $2,977.00 30%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE $3,086.30 $4,409.00 30%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE $3,735.20 $5,336.00 30%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE $3,735.20 $5,336.00 30%
Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,610.00 $2,300.00 30%
Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $2,057.30 $2,939.00 30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $1,610.00 $2,300.00 30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $2,057.30 $2,939.00 30%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM $1,583.40 $2,262.00 30%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM $1,610.00 $2,300.00 30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM $1,583.40 $2,262.00 30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM $1,610.00 $2,300.00 30%

Doctor visits and therapy

ProcedureCash price List priceOff list
Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM $206.50 $295.00 30%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN $206.50 $295.00 30%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN $258.30 $369.00 30%
Family therapy with the patient, 50 minutes CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM $258.30 $369.00 30%
Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 FAMILY PSYTX W/PATIENT 45-50 MIN $333.90 $477.00 30%
Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $333.90 $477.00 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM $206.50 $295.00 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN $206.50 $295.00 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PATIENT 60 MIN $258.30 $369.00 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM $258.30 $369.00 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 FAMILY PSYTX W/PATIENT 45-50 MIN $333.90 $477.00 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $333.90 $477.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 15 MIN $117.60 $168.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 30 MIN $186.90 $267.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN $187.60 $268.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN $208.60 $298.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 60 MIN $228.20 $326.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 60 MIN $255.50 $365.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 75 MIN $287.00 $410.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 75 MIN $320.60 $458.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $333.90 $477.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 FAMILY PSYTX W/O PATIENT 45-50 MIN $333.90 $477.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 90 MIN $345.10 $493.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 105 MIN $361.90 $517.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 90 MIN $386.40 $552.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 120 MIN $415.80 $594.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 105 MIN $450.80 $644.00 30%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PATIENT 120 MIN $520.10 $743.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 15 MIN $117.60 $168.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 30 MIN $186.90 $267.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN $187.60 $268.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 45 MIN $208.60 $298.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 60 MIN $228.20 $326.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 60 MIN $255.50 $365.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 75 MIN $287.00 $410.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 75 MIN $320.60 $458.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PR 90846 FAMILY PSYTX W/O PATIENT 45-50 MIN $333.90 $477.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PR 90846 FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $333.90 $477.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 90 MIN $345.10 $493.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 105 MIN $361.90 $517.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 90 MIN $386.40 $552.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 120 MIN $415.80 $594.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 105 MIN $450.80 $644.00 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PATIENT 120 MIN $520.10 $743.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 15 MIN $51.80 $74.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 15 MIN $58.10 $83.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 30 MIN $104.30 $149.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 30 MIN $116.20 $166.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 45 MIN $156.10 $223.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 45 MIN $173.60 $248.00 30%
Group psychotherapy session CPT 90853 HC PR 90853 GROUP PSYCHOTHERAPY 60 MIN $179.90 $257.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN $216.30 $309.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 75 MIN $257.60 $368.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN $258.30 $369.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 75 MIN $287.70 $411.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN $324.10 $463.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN $387.80 $554.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 120 MIN $434.70 $621.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 105 MIN $444.50 $635.00 30%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY 120 MIN $520.10 $743.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 15 MIN $51.80 $74.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 15 MIN $58.10 $83.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 30 MIN $104.30 $149.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 30 MIN $116.20 $166.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 45 MIN $156.10 $223.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 45 MIN $173.60 $248.00 30%
Group psychotherapy session inpatient CPT 90853 HC PR 90853 GROUP PSYCHOTHERAPY 60 MIN $179.90 $257.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN $216.30 $309.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 75 MIN $257.60 $368.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 60 MIN $258.30 $369.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 75 MIN $287.70 $411.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN $324.10 $463.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 90 MIN $387.80 $554.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 120 MIN $434.70 $621.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 105 MIN $444.50 $635.00 30%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY 120 MIN $520.10 $743.00 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $49.00 $70.00 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $84.00 $120.00 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $90.92 $129.89 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $107.10 $153.00 30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $84.00 $120.00 30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $90.92 $129.89 30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $107.10 $153.00 30%
Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC $97.30 $139.00 30%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM $104.30 $149.00 30%
Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC $112.70 $161.00 30%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM $129.50 $185.00 30%
Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES $218.40 $312.00 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC $97.30 $139.00 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM $104.30 $149.00 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC $112.70 $161.00 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN CDM $129.50 $185.00 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES $218.40 $312.00 30%
Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC $145.60 $208.00 30%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM $156.10 $223.00 30%
Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC $168.70 $241.00 30%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM $193.90 $277.00 30%
Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES $296.80 $424.00 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC $145.60 $208.00 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM $156.10 $223.00 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC $168.70 $241.00 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN CDM $193.90 $277.00 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES $296.80 $424.00 30%
Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC $193.20 $276.00 30%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM $206.50 $295.00 30%
Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC $224.70 $321.00 30%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM $258.30 $369.00 30%
Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES $311.50 $445.00 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC $193.20 $276.00 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM $206.50 $295.00 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC $224.70 $321.00 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN CDM $258.30 $369.00 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES $311.50 $445.00 30%

Source file: https://pricetransparency.providence.org/wamt/live/352345508_providence-holy-family-hospital_standardcharges.json