Mercy Hospital Lincoln
Mercy Hospital Lincoln in Elsberry, MO publishes cash prices for 25 common procedures listed here, from its own machine-readable price file updated Jun 12, 2026. Click a procedure to compare it with other hospitals nearby.
106 Broadway Ste 3C Elsberry Missouri 63343-1345 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material | $213.00 | $284.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $1,156.50 | $1,542.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $8.25 | $11.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $8.25 | $11.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $6.00 | $8.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $6.00 | $8.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $3.75 | $5.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non Automated WO Micro | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ketones Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Ph Nonautomated | $45.00 | $60.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $3,546.75 | $4,729.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routine OB Care Vag Dlvry & Postpartum Care Vb | $2,712.00 | $3,616.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $2,939.25 | $3,919.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $22.50 | $30.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $183.00 | $244.00 | 25% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 Group Psychotherapy | $56.25 | $75.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $156.75 | $209.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $212.25 | $283.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $267.00 | $356.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $184.50 | $246.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $195.00 | $260.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $195.00 | $260.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $132.75 | $177.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $183.00 | $244.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $257.25 | $343.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $150.75 | $201.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $223.50 | $298.00 | 25% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Dental implant, surgical placement inpatient CDT D6010 Odontics Endosteal Implant | $1,240.50 | $1,654.00 | 25% |
| Porcelain crown CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown inpatient CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown inpatient CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown inpatient CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown inpatient CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |
| Porcelain crown inpatient CDT D2740 Crown Porcelain/Ceramic Subs | $726.00 | $968.00 | 25% |