Ascension Seton
Ascension Seton in Kyle, TX publishes cash prices for 36 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
6001 Kyle Pkwy Kyle TX 78640 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 ABD/PEL W CONT | $2,625.75 | $7,293.75 | 64% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W CONT | $2,625.75 | $7,293.75 | 64% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL W CONT | $2,625.75 | $7,293.75 | 64% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT PEDI | $782.73 | $2,174.25 | 64% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT PEDI | $782.73 | $2,174.25 | 64% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT | $1,347.21 | $3,742.25 | 64% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT | $1,347.21 | $3,742.25 | 64% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONT PEDI | $782.73 | $2,174.25 | 64% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONT | $1,347.21 | $3,742.25 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS LTD W PEDI | $955.71 | $2,654.75 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT PEDI | $955.71 | $2,654.75 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT PEDI | $955.71 | $2,654.75 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS LTD W PEDI | $955.71 | $2,654.75 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT | $1,358.64 | $3,774.00 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS LTD W | $1,358.64 | $3,774.00 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS LTD W | $1,358.64 | $3,774.00 | 64% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT | $1,358.64 | $3,774.00 | 64% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS LTD W PEDI | $955.71 | $2,654.75 | 64% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT PEDI | $955.71 | $2,654.75 | 64% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT | $1,358.64 | $3,774.00 | 64% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS LTD W | $1,358.64 | $3,774.00 | 64% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAM DIR DIGITAL - BILAT | $178.65 | $496.25 | 64% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAM DIR DIGITAL - BILAT | $178.65 | $496.25 | 64% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT | $189.45 | $526.25 | 64% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT | $189.45 | $526.25 | 64% |
| Diagnostic mammogram, both breasts CPT 77066 MAM DIR DIG BIL CON | $189.45 | $526.25 | 64% |
| Diagnostic mammogram, both breasts CPT 77066 MAM DIR DIG BIL CON | $189.45 | $526.25 | 64% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAM DIR DIGITAL - BILAT | $178.65 | $496.25 | 64% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG BILAT | $189.45 | $526.25 | 64% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAM DIR DIG BIL CON | $189.45 | $526.25 | 64% |
| Diagnostic mammogram, one breast CPT 77065 DIAG MAM DIR DIGITAL - UNIL | $140.49 | $390.25 | 64% |
| Diagnostic mammogram, one breast CPT 77065 DIAG MAM DIR DIGITAL - UNIL | $140.49 | $390.25 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG UNI RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG UNI LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG UNI LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG UNI RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CON LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CON LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CON RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CON RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DIAG MAM DIR DIGITAL - UNIL | $140.49 | $390.25 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG CON LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG UNI LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG CON RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG CON RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG UNI LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG UNI RT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG CON LT | $146.88 | $408.00 | 64% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG UNI RT | $146.88 | $408.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L LTD | $652.05 | $1,811.25 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R LTD | $652.05 | $1,811.25 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R LTD | $652.05 | $1,811.25 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L LTD | $652.05 | $1,811.25 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L | $693.54 | $1,926.50 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L | $693.54 | $1,926.50 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R | $693.54 | $1,926.50 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R | $693.54 | $1,926.50 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,R,LTD PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,L,LTD PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,L,LTD PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,R,LTD PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J R LTD | $652.05 | $1,811.25 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J L LTD | $652.05 | $1,811.25 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J L | $693.54 | $1,926.50 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J R | $693.54 | $1,926.50 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J L PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J R PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LO EXTR,JNT,R,LTD PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LO EXTR,JNT,L,LTD PEDI | $1,205.64 | $3,349.00 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J R | $1,132.29 | $3,145.25 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J L | $1,132.29 | $3,145.25 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J L | $1,132.29 | $3,145.25 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J R | $1,132.29 | $3,145.25 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J L PEDI | $1,501.02 | $4,169.50 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J L PEDI | $1,501.02 | $4,169.50 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J R PEDI | $1,501.02 | $4,169.50 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J R PEDI | $1,501.02 | $4,169.50 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LW EXT WOW J R | $1,132.29 | $3,145.25 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LW EXT WOW J L | $1,132.29 | $3,145.25 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LW EXT WOW J R PEDI | $1,501.02 | $4,169.50 | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LW EXT WOW J L PEDI | $1,501.02 | $4,169.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LTD | $611.10 | $1,697.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LTD | $611.10 | $1,697.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR IAC WO | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO PEDI | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO PEDI | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LTD PEDI | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LTD PEDI | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR IAC WO | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR PITUITARY WO | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR PITUITARY WO | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO | $1,422.09 | $3,950.25 | 64% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO | $1,422.09 | $3,950.25 | 64% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO LTD | $611.10 | $1,697.50 | 64% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO PEDI | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO LTD PEDI | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN FOR IAC WO | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN FOR PITUITARY WO | $1,358.46 | $3,773.50 | 64% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO | $1,422.09 | $3,950.25 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW LTD | $1,749.15 | $4,858.75 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW LTD | $1,749.15 | $4,858.75 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW LTD PEDI | $2,061.00 | $5,725.00 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW LTD PEDI | $2,061.00 | $5,725.00 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW PEDI | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR PITUITARY WOW | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR PITUITARY WOW | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR IAC WOW | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR IAC WOW | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW PEDI | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW | $2,581.92 | $7,172.00 | 64% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW | $2,581.92 | $7,172.00 | 64% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WOW LTD | $1,749.15 | $4,858.75 | 64% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WOW LTD PEDI | $2,061.00 | $5,725.00 | 64% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WOW PEDI | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN FOR IAC WOW | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN FOR PITUITARY WOW | $2,241.45 | $6,226.25 | 64% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WOW | $2,581.92 | $7,172.00 | 64% |
| MRI of the lower back, no contrast dye CPT 72148 MR L SPN CANL WO | $1,089.81 | $3,027.25 | 64% |
| MRI of the lower back, no contrast dye CPT 72148 MR L SPN CANL WO | $1,089.81 | $3,027.25 | 64% |
| MRI of the lower back, no contrast dye CPT 72148 MR L SPN CANL WO PEDI | $1,242.99 | $3,452.75 | 64% |
| MRI of the lower back, no contrast dye CPT 72148 MR L SPN CANL WO PEDI | $1,242.99 | $3,452.75 | 64% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPN CANL WO | $1,089.81 | $3,027.25 | 64% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPN CANL WO PEDI | $1,242.99 | $3,452.75 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS | $285.66 | $793.50 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 2/3 TRIMST PEDI | $285.66 | $793.50 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 2/3 TRIMST PEDI | $285.66 | $793.50 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS | $285.66 | $793.50 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 2/3 TRIMST | $571.23 | $1,586.75 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 2/3 TRIMST | $571.23 | $1,586.75 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG 2/3 TRIMST PEDI | $285.66 | $793.50 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS | $285.66 | $793.50 | 64% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG 2/3 TRIMST | $571.23 | $1,586.75 | 64% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BILAT | $135.18 | $375.50 | 64% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BILAT | $135.18 | $375.50 | 64% |
| Screening mammogram, both breasts both sides CPT 77067 SCRN MAM DIR DIGITAL - BILAT | $243.90 | $677.50 | 64% |
| Screening mammogram, both breasts both sides CPT 77067 SCRN MAM DIR DIGITAL - BILAT | $243.90 | $677.50 | 64% |
| Screening mammogram, both breasts one side CPT 77067 SCRN MAM DIR DIGITAL-UNILAT | $121.95 | $338.75 | 64% |
| Screening mammogram, both breasts one side CPT 77067 SCRN MAM DIR DIGITAL-UNILAT | $121.95 | $338.75 | 64% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREENING BILAT | $135.18 | $375.50 | 64% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCRN MAM DIR DIGITAL - BILAT | $243.90 | $677.50 | 64% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCRN MAM DIR DIGITAL-UNILAT | $121.95 | $338.75 | 64% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM PLUS 4 | $1,528.29 | $4,245.25 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 EDUS NON-OB TRNSVAG PEDI | $183.15 | $508.75 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG PEDI | $183.15 | $508.75 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG PEDI | $183.15 | $508.75 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 EDUS NON-OB TRNSVAG PEDI | $183.15 | $508.75 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 EDUS NON-OB TRANSVAG | $265.68 | $738.00 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG | $265.68 | $738.00 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG | $265.68 | $738.00 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 EDUS NON-OB TRANSVAG | $265.68 | $738.00 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG 59 | $331.29 | $920.25 | 64% |
| Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG 59 | $331.29 | $920.25 | 64% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 EDUS NON-OB TRNSVAG PEDI | $183.15 | $508.75 | 64% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRSVAG NONPREG PEDI | $183.15 | $508.75 | 64% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRSVAG NONPREG | $265.68 | $738.00 | 64% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 EDUS NON-OB TRANSVAG | $265.68 | $738.00 | 64% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRSVAG NONPREG 59 | $331.29 | $920.25 | 64% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPLT PEDI | $415.71 | $1,154.75 | 64% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPLT PEDI | $415.71 | $1,154.75 | 64% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPLT | $415.71 | $1,154.75 | 64% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPLT | $415.71 | $1,154.75 | 64% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMPLT PEDI | $415.71 | $1,154.75 | 64% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMPLT | $415.71 | $1,154.75 | 64% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SP COMP LUMB PEDI MIN 4 VWS | $222.66 | $618.50 | 64% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SP COMP LUMB PEDI MIN 4 VWS | $222.66 | $618.50 | 64% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SP COMP LUMB MIN 4 VWS | $514.71 | $1,429.75 | 64% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SP COMP LUMB MIN 4 VWS | $514.71 | $1,429.75 | 64% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SP COMP LUMB PEDI MIN 4 VWS | $222.66 | $618.50 | 64% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SP COMP LUMB MIN 4 VWS | $514.71 | $1,429.75 | 64% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $228.42 | $634.50 | 64% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $228.42 | $634.50 | 64% |
| Basic metabolic panel (blood test) CPT 80048 BASIC MET PANEL CA TOTL | $237.51 | $659.75 | 64% |
| Basic metabolic panel (blood test) CPT 80048 BASIC MET PANEL CA TOTL | $237.51 | $659.75 | 64% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $228.42 | $634.50 | 64% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC MET PANEL CA TOTL | $237.51 | $659.75 | 64% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $149.85 | $416.25 | 64% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $149.85 | $416.25 | 64% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $149.85 | $416.25 | 64% |
| Complete blood count (CBC) with differential CPT 85025 CBC (COMPLETE BLOOD COUNT) | $33.84 | $94.00 | 64% |
| Complete blood count (CBC) with differential CPT 85025 EOSINOPHIL COUNT | $33.84 | $94.00 | 64% |
| Complete blood count (CBC) with differential CPT 85025 CBC (COMPLETE BLOOD COUNT) | $33.84 | $94.00 | 64% |
| Complete blood count (CBC) with differential CPT 85025 EOSINOPHIL COUNT | $33.84 | $94.00 | 64% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $35.28 | $98.00 | 64% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $35.28 | $98.00 | 64% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC (COMPLETE BLOOD COUNT) | $33.84 | $94.00 | 64% |
| Complete blood count (CBC) with differential inpatient CPT 85025 EOSINOPHIL COUNT | $33.84 | $94.00 | 64% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $35.28 | $98.00 | 64% |
| Complete blood count (CBC), no differential CPT 85027 FETAL HEMOGRAM | $39.15 | $108.75 | 64% |
| Complete blood count (CBC), no differential CPT 85027 FETAL HEMOGRAM | $39.15 | $108.75 | 64% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $59.94 | $166.50 | 64% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $59.94 | $166.50 | 64% |
| Complete blood count (CBC), no differential inpatient CPT 85027 FETAL HEMOGRAM | $39.15 | $108.75 | 64% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $59.94 | $166.50 | 64% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $91.44 | $254.00 | 64% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $91.44 | $254.00 | 64% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METABOLIC PANEL | $95.13 | $264.25 | 64% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METABOLIC PANEL | $95.13 | $264.25 | 64% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $91.44 | $254.00 | 64% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREH METABOLIC PANEL | $95.13 | $264.25 | 64% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $141.66 | $393.50 | 64% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $141.66 | $393.50 | 64% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $141.66 | $393.50 | 64% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $157.14 | $436.50 | 64% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $157.14 | $436.50 | 64% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $157.14 | $436.50 | 64% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE | $53.28 | $148.00 | 64% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE | $53.28 | $148.00 | 64% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $54.99 | $152.75 | 64% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $54.99 | $152.75 | 64% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $213.03 | $591.75 | 64% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $213.03 | $591.75 | 64% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA,FREE | $53.28 | $148.00 | 64% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $54.99 | $152.75 | 64% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $213.03 | $591.75 | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL AND FREE | $36.63 | $101.75 | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL AND FREE | $36.63 | $101.75 | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $85.95 | $238.75 | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL | $85.95 | $238.75 | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL | $85.95 | $238.75 | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $85.95 | $238.75 | 64% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL AND FREE | $36.63 | $101.75 | 64% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA,TOTAL | $85.95 | $238.75 | 64% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $85.95 | $238.75 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN REFLEX | $10.71 | $29.75 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN REFLEX | $10.71 | $29.75 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 F-VIII INH COMPREHENSIVE-85730 | $31.68 | $88.00 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 F-VIII INH COMPREHENSIVE-85730 | $31.68 | $88.00 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR IX INHIBITOR-85730 | $36.00 | $100.00 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR IX INHIBITOR-85730 | $36.00 | $100.00 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR IX INHIBITOR PNL-85730 | $39.60 | $110.00 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR IX INHIBITOR PNL-85730 | $39.60 | $110.00 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REFLEX PTT HEP NEUTRAL(LUPSC) | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT 1:1 MIX STUDY | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT 1:1 MIX STUDY | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME (PTT) | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME (PTT) | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REFLEX PTT HEP NEUTRAL(LUPSC) | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $81.81 | $227.25 | 64% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $81.81 | $227.25 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D HEPARIN REFLEX | $10.71 | $29.75 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 F-VIII INH COMPREHENSIVE-85730 | $31.68 | $88.00 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 FACTOR IX INHIBITOR-85730 | $36.00 | $100.00 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 FACTOR IX INHIBITOR PNL-85730 | $39.60 | $110.00 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME (PTT) | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT 1:1 MIX STUDY | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REFLEX PTT HEP NEUTRAL(LUPSC) | $78.57 | $218.25 | 64% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $81.81 | $227.25 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT 1:1 MIX STUDY | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT 1:1 MIX STUDY | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $70.92 | $197.00 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT 1:1 MIX STUDY | $70.92 | $197.00 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $70.92 | $197.00 | 64% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT 1:1 MIX STUDY | $70.92 | $197.00 | 64% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT 1:1 MIX STUDY | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT) | $68.13 | $189.25 | 64% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT 1:1 MIX STUDY | $70.92 | $197.00 | 64% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $70.92 | $197.00 | 64% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $44.82 | $124.50 | 64% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $44.82 | $124.50 | 64% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $44.82 | $124.50 | 64% |
| Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO | $86.85 | $241.25 | 64% |
| Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO | $86.85 | $241.25 | 64% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/MICRO | $86.85 | $241.25 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/4HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/4HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/5HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/5HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/4HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/4HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT,EA ADDL URINE | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT,EA ADDL URINE | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 ACETONE UR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 ACETONE UR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 UA CHEM ONLY | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 UA CHEM ONLY | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 UA-CHEM ONLY | $50.49 | $140.25 | 64% |
| Urinalysis without microscope exam, automated CPT 81003 UA-CHEM ONLY | $50.49 | $140.25 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ACETONE UR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT,EA ADDL URINE | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPEC GRAV UR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/4HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/4HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT3HR/GLU/U/2HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT3HR/GLU/U/3HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/5HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GTT3HR/GLU/U/1HR | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA CHEM ONLY | $48.51 | $134.75 | 64% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA-CHEM ONLY | $50.49 | $140.25 | 64% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST | $14.13 | $39.25 | 64% |
| Urinalysis without microscope exam, manual CPT 81002 KETONE GLUCOSE SCRN | $14.13 | $39.25 | 64% |
| Urinalysis without microscope exam, manual CPT 81002 KETONE GLUCOSE SCRN | $14.13 | $39.25 | 64% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST | $14.13 | $39.25 | 64% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP/NON-AUTO | $20.52 | $57.00 | 64% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP/NON-AUTO | $20.52 | $57.00 | 64% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST | $14.13 | $39.25 | 64% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 KETONE GLUCOSE SCRN | $14.13 | $39.25 | 64% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP/NON-AUTO | $20.52 | $57.00 | 64% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic CPT 93452 HRT-LHC (INC LV-NO CORS) | $3,701.79 | $10,282.75 | 64% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PAIN EPIDRL INJ L/S W IMG | $636.30 | $1,767.50 | 64% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PAIN EPIDRL INJ L/S W IMG | $636.30 | $1,767.50 | 64% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PAIN EPIDRL INJ L/S W IMG | $636.30 | $1,767.50 | 64% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PAIN EPIDRL INJ TRNS L/S | $922.68 | $2,563.00 | 64% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PAIN EPIDRL INJ TRNS L/S | $922.68 | $2,563.00 | 64% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PAIN EPIDRL INJ TRNS L/S | $922.68 | $2,563.00 | 64% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Group psychotherapy session CPT 90853 GRP PSYCHOTHERAPY PM IOP ADOL | $126.27 | $350.75 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BTE TRNG PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BTE TRNG PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ISOKIN TRNG PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ISOKIN TRNG PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WD EXRCS PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WD EXRCS PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-EXERCISE/15MIN | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-EXERCISE/15MIN | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EX/15MIN | $63.27 | $175.75 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EX/15MIN | $63.27 | $175.75 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ISOKIN TRNG PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WD EXRCS PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-EXERCISE/15MIN | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BTE TRNG PER 15 | $57.24 | $159.00 | 64% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EX/15MIN | $63.27 | $175.75 | 64% |