Mercy Hospital Perry
Mercy Hospital Perry in Perryville, MO publishes cash prices for 52 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.
1508 EDGEMONT BOULEVARD Perryville Missouri 63775-1231 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material | $467.25 | $623.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal | $542.25 | $723.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation | $226.50 | $302.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views | $453.00 | $604.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total | $32.25 | $43.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total | $32.25 | $43.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $56.25 | $75.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel | $56.25 | $75.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff | $29.25 | $39.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN | $29.25 | $39.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated | $28.50 | $38.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $39.00 | $52.00 | 25% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $35.25 | $47.00 | 25% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $33.75 | $45.00 | 25% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel | $111.75 | $149.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free | $69.75 | $93.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total | $91.50 | $122.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic | $91.50 | $122.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood | $36.00 | $48.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC Prothrombin Time | $26.25 | $35.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh | $88.50 | $118.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy | $27.00 | $36.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $15.00 | $20.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ph Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Ketones Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Automated | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $26.25 | $35.00 | 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 | $4,557.75 | $6,077.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $4,557.75 | $6,077.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $4,557.75 | $6,077.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $4,557.75 | $6,077.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $4,557.75 | $6,077.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $4,557.75 | $6,077.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $4,557.75 | $6,077.00 | 25% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $4,557.75 | $6,077.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $994.50 | $1,326.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $852.00 | $1,136.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $695.25 | $927.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surg Cholecystectomy | $1,968.75 | $2,625.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $1,110.00 | $1,480.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg | $1,860.75 | $2,481.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $536.25 | $715.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $639.00 | $852.00 | 25% |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach | $231.00 | $308.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion | $884.25 | $1,179.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls | $1,704.75 | $2,273.00 | 25% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $558.75 | $745.00 | 25% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total hip replacement inpatient CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $5,023.50 | $6,698.00 | 25% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $4,551.00 | $6,068.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple | $627.75 | $837.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic | $556.50 | $742.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 25% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OB Care Antepartum Vag Dlvr & Postpartum | $3,840.75 | $5,121.00 | 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 | $54.75 | $73.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $54.75 | $73.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $54.75 | $73.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $54.75 | $73.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $54.75 | $73.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $54.75 | $73.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $54.75 | $73.00 | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R | $54.75 | $73.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins | $141.00 | $188.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins | $138.00 | $184.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes | $178.50 | $238.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes | $277.50 | $370.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes | $367.50 | $490.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Well Woman Exam New 18-39 | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs | $156.00 | $208.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Woman Exam New 40-64 | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs | $171.00 | $228.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes | $95.25 | $127.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes | $144.75 | $193.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes | $193.50 | $258.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes | $248.25 | $331.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes | $318.75 | $425.00 | 25% |