Saint Thomas Rutherford Hospital
Saint Thomas Rutherford Hospital in Murfreesboro, TN publishes cash prices for 40 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1700 Medical Center Pkwy Murfreesboro TN 37129 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY ABD/PELVIS W | $1,692.89 | $5,642.95 | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMENPELVIS W CONTRAST | $1,692.89 | $5,642.95 | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $581.72 | $1,939.05 | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE PROTOCOL | $581.79 | $1,939.30 | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $818.49 | $2,728.30 | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIG ADD VIEW BILATERAL | $172.25 | $574.15 | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIG ADD VIEW BILATERAL | $172.25 | $574.15 | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIG ADD VIEW BILATERAL | $172.25 | $574.15 | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | 70% |
| Diagnostic mammogram, one breast CPT 77065 MAM MAMMO BIOPSY POST | $143.58 | $478.60 | 70% |
| Diagnostic mammogram, one breast CPT 77065 MAM MAMMO BIOPSY POST | $143.58 | $478.60 | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | 70% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAM MAMMO BIOPSY POST | $143.58 | $478.60 | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT ANKLE WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT KNEE WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT KNEE WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT KNEE WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT KNEE WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT HIP WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT HIP WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT HIP WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT HIP WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT ANKLE WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT ANKLE WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT ANKLE WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT ANKLE WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT HIP WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT KNEE WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT ANKLE WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT KNEE WO RIGHT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JOINT HIP WO LEFT | $735.74 | $2,452.45 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO LEFT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO LEFT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT KNEE W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT KNEE W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT KNEE W/WO LEFT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT KNEE W/WO LEFT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT HIP W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT HIP W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT ANKLE W/WO LEFT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT ANKLE W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT KNEE W/WO LEFT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT KNEE W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT HIP W/WO RIGHT | $972.87 | $3,242.90 | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI - BRAIN WO | $1,146.57 | $3,821.90 | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN IAC WO | $1,146.95 | $3,823.15 | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI STEALTH STERIO BRAIN | $1,516.35 | $5,054.50 | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI - BRAIN-W/WO C | $1,516.35 | $5,054.50 | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN IAC W/WO | $1,516.56 | $5,055.20 | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN PITUITARY W/WO | $1,516.56 | $5,055.20 | 70% |
| MRI of the lower back, no contrast dye CPT 72148 MRI - LUMBAR W/O | $1,001.88 | $3,339.60 | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $253.16 | $843.85 | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $253.16 | $843.85 | 70% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG AFTER 1ST TRI | $253.16 | $843.85 | 70% |
| Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | 70% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $195.29 | $650.95 | 70% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $195.29 | $650.95 | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $195.29 | $650.95 | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $226.28 | $754.25 | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $226.28 | $754.25 | 70% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $226.28 | $754.25 | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $180.05 | $600.15 | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $180.05 | $600.15 | 70% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE 4 + VIEWS | $180.05 | $600.15 | 70% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | 70% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | 70% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $11.10 | $37.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $11.10 | $37.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $101.43 | $338.10 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $101.43 | $338.10 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $11.10 | $37.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $101.43 | $338.10 | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $67.02 | $223.40 | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $67.02 | $223.40 | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $67.02 | $223.40 | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC- NO DIFFERENTIAL | $21.69 | $72.30 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC- NO DIFFERENTIAL | $21.69 | $72.30 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/PLT | $33.81 | $112.70 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/PLT | $33.81 | $112.70 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL | $33.81 | $112.70 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL | $33.81 | $112.70 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $52.43 | $174.75 | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $52.43 | $174.75 | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC- NO DIFFERENTIAL | $21.69 | $72.30 | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC-NO DIFFERENTIAL | $33.81 | $112.70 | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/PLT | $33.81 | $112.70 | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $52.43 | $174.75 | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHESIVE METABOLIC PANEL | $179.18 | $597.25 | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHESIVE METABOLIC PANEL | $179.18 | $597.25 | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHESIVE METABOLIC PANEL | $179.18 | $597.25 | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | 70% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | 70% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | 70% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | 70% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | 70% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | 70% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | 70% |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | 70% |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | 70% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $65.19 | $217.30 | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $65.19 | $217.30 | 70% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $65.19 | $217.30 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $61.53 | $205.10 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $61.53 | $205.10 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $65.19 | $217.30 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $65.19 | $217.30 | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $61.53 | $205.10 | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA | $65.19 | $217.30 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $34.04 | $113.45 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $34.04 | $113.45 | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $34.04 | $113.45 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR | $40.08 | $133.60 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT | $40.08 | $133.60 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT | $40.08 | $133.60 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR | $40.08 | $133.60 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CL PROTMIE/INR | $52.46 | $174.85 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CL PROTMIE/INR | $52.46 | $174.85 | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME-PT | $40.08 | $133.60 | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR | $40.08 | $133.60 | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CL PROTMIE/INR | $52.46 | $174.85 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $74.24 | $247.45 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $74.24 | $247.45 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $74.24 | $247.45 | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPICS | $48.14 | $160.45 | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $48.14 | $160.45 | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $48.14 | $160.45 | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPICS | $48.14 | $160.45 | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPICS | $48.14 | $160.45 | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $48.14 | $160.45 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE | $26.24 | $87.45 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE | $26.24 | $87.45 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $28.19 | $93.95 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $28.19 | $93.95 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WO MICROSCOPICS | $34.80 | $116.00 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WO MICROSCOPICS | $34.80 | $116.00 | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES-URINE | $26.24 | $87.45 | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $28.19 | $93.95 | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WO MICROSCOPICS | $34.80 | $116.00 | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/EUS | $1,261.31 | $4,204.35 | 70% |
| Colonoscopy with polyp removal CPT 45385 COLONSCOPY W/LESION RMVL SNARE | $1,261.31 | $4,204.35 | 70% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY | $1,261.31 | $4,204.35 | 70% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY W/WO BRUSH WASH | $1,261.31 | $4,204.35 | 70% |
| Colonoscopy, diagnostic CPT 45378 INCOMPLETE COLONOSCOPY | $1,261.31 | $4,204.35 | 70% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCBA | $1,261.31 | $4,204.35 | 70% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCAA | $1,261.31 | $4,204.35 | 70% |
| Left heart catheterization, diagnostic CPT 93452 LHC W/ LV ONLY | $6,832.68 | $22,775.60 | 70% |
| Left heart catheterization, diagnostic CPT 93452 LHC W/ LV ONLY | $6,832.68 | $22,775.60 | 70% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LHC W/ LV ONLY | $6,832.68 | $22,775.60 | 70% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR INJ TRNSFRMNL L/S W IMAG | $1,258.05 | $4,193.50 | 70% |
| Prostate biopsy CPT 55700 US BIOPSY PROSTATE | $845.97 | $2,819.90 | 70% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $1,093.16 | $3,643.85 | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCAA | $1,093.16 | $3,643.85 | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCBA | $1,093.16 | $3,643.85 | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLEX W/WO BRUSH/WASH | $1,093.16 | $3,643.85 | 70% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL OT THER EXER 1 UNIT 15 MIN | $39.26 | $130.85 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 1 UNIT 15MIN | $39.26 | $130.85 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 1 UNIT 15MIN | $39.26 | $130.85 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL OT THER EXER 1 UNIT 15 MIN | $39.26 | $130.85 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER UNIT2 15MIN | $50.00 | $166.65 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER UNIT2 15MIN | $50.00 | $166.65 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD OT THER EXER 15 MIN | $61.58 | $205.25 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD OT THER EXER 15 MIN | $61.58 | $205.25 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD PT THER EXER 15MIN | $62.37 | $207.90 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD PT THER EXER 15MIN | $62.37 | $207.90 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 3 UNIT 45MIN X | $106.61 | $355.35 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 3 UNIT 45MIN X | $106.61 | $355.35 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL PT THER EXER 1 UNIT 15MIN | $39.26 | $130.85 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL OT THER EXER 1 UNIT 15 MIN | $39.26 | $130.85 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL PT THER EXER UNIT2 15MIN | $50.00 | $166.65 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BD OT THER EXER 15 MIN | $61.58 | $205.25 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BD PT THER EXER 15MIN | $62.37 | $207.90 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL PT THER EXER 3 UNIT 45MIN X | $106.61 | $355.35 | 70% |