Norton Hospitals INC
Norton Hospitals INC in Louisville, KY publishes cash prices for 41 common procedures listed here, from its own machine-readable price file updated Feb 11, 2026. Click a procedure to compare it with other hospitals nearby.
231 E Chestnut Street, Louisville, KY 40202-1821 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 HB CT ABDOMEN & PELVIS W/CONTRAST | $1,128.20 | $5,641.00 | 80% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB CT ABDOMEN & PELVIS W/CONTRAST | $1,128.20 | $5,641.00 | 80% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB CT HEAD W/O CONTRAST | $652.80 | $3,264.00 | 80% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB CT HEAD W/O CONTRAST | $652.80 | $3,264.00 | 80% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB CT PELVIS W CONTR | $833.40 | $4,167.00 | 80% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB CT PELVIS W CONTR | $833.40 | $4,167.00 | 80% |
| Diagnostic mammogram, both breasts CPT 77066 HB MAMMO DIAG BIL | $181.20 | $906.00 | 80% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HB MAMMO DIAG BIL | $181.20 | $906.00 | 80% |
| Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG RT | $106.60 | $533.00 | 80% |
| Diagnostic mammogram, one breast one side CPT 77065 HB MAMMO DIAG LT | $106.60 | $533.00 | 80% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG LT | $106.60 | $533.00 | 80% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HB MAMMO DIAG RT | $106.60 | $533.00 | 80% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT | $808.60 | $4,043.00 | 80% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT | $808.60 | $4,043.00 | 80% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST LT | $808.60 | $4,043.00 | 80% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HB MRI LOWER EXT JOINT W/O CONTRAST RT | $808.60 | $4,043.00 | 80% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT | $1,046.60 | $5,233.00 | 80% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT | $1,046.60 | $5,233.00 | 80% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT RT | $1,046.60 | $5,233.00 | 80% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HB MRI LOWER EXT JOINT WO & W CONT LT | $1,046.60 | $5,233.00 | 80% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN WO CONTR SHUNT | $724.60 | $3,623.00 | 80% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI FETAL BRAIN WO CONTRAST | $1,094.40 | $5,472.00 | 80% |
| MRI of the brain, no contrast dye CPT 70551 HB MRI BRAIN W/O CONTRAST | $1,094.40 | $5,472.00 | 80% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN WO CONTR SHUNT | $724.60 | $3,623.00 | 80% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI BRAIN W/O CONTRAST | $1,094.40 | $5,472.00 | 80% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB MRI FETAL BRAIN WO CONTRAST | $1,094.40 | $5,472.00 | 80% |
| MRI of the brain, with and without contrast dye CPT 70553 HB MRI BRAIN WO & W CONT | $1,260.80 | $6,304.00 | 80% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB MRI BRAIN WO & W CONT | $1,260.80 | $6,304.00 | 80% |
| MRI of the lower back, no contrast dye CPT 72148 HB MRI LUMBAR SPINE W/O CONTR | $1,189.60 | $5,948.00 | 80% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB MRI LUMBAR SPINE W/O CONTR | $1,189.60 | $5,948.00 | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PREG COMP SINGLE | $257.00 | $1,285.00 | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PELVIC OB >14WK 1ST | $257.00 | $1,285.00 | 80% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US PELVIC OB >14WK 1ST FETUS | $257.00 | $1,285.00 | 80% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PELVIC OB >14WK 1ST | $257.00 | $1,285.00 | 80% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PELVIC OB >14WK 1ST FETUS | $257.00 | $1,285.00 | 80% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HB US PREG COMP SINGLE | $257.00 | $1,285.00 | 80% |
| Screening mammogram, both breasts CPT 77067 HB MAMMO SCREEN BIL | $95.20 | $476.00 | 80% |
| Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN LT | $92.40 | $462.00 | 80% |
| Screening mammogram, both breasts one side CPT 77067 HB MAMMO SCREEN RT | $92.40 | $462.00 | 80% |
| Screening mammogram, both breasts inpatient CPT 77067 HB MAMMO SCREEN BIL | $95.20 | $476.00 | 80% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN RT | $92.40 | $462.00 | 80% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HB MAMMO SCREEN LT | $92.40 | $462.00 | 80% |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT | $387.80 | $1,939.00 | 80% |
| Sleep study in a lab (polysomnography) CPT 95810 HB POLYSOMNOGR 4/OVR PMTR | $774.00 | $3,870.00 | 80% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVER PMTR ABORT | $387.80 | $1,939.00 | 80% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB POLYSOMNOGR 4/OVR PMTR | $774.00 | $3,870.00 | 80% |
| Transvaginal pelvic ultrasound CPT 76830 HB INTRAUTERINE TRANS W US GUIDE | $255.00 | $1,275.00 | 80% |
| Transvaginal pelvic ultrasound CPT 76830 HB US TRANSVAGINAL | $259.20 | $1,296.00 | 80% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB INTRAUTERINE TRANS W US GUIDE | $255.00 | $1,275.00 | 80% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB US TRANSVAGINAL | $259.20 | $1,296.00 | 80% |
| Ultrasound of the abdomen, complete CPT 76700 HB US ABDOMEN COMP | $388.40 | $1,942.00 | 80% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB US ABDOMEN COMP | $388.40 | $1,942.00 | 80% |
| X-ray of the lower back, 4 or more views CPT 72110 HB L SPINE COMP W OBLIQUES | $186.60 | $933.00 | 80% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB L SPINE COMP W OBLIQUES | $186.60 | $933.00 | 80% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HB BMP W TOTAL CALCIUM | $61.20 | $306.00 | 80% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB BMP W TOTAL CALCIUM | $61.20 | $306.00 | 80% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL-INHSE | $105.80 | $529.00 | 80% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB LIPID PANEL (SO) | $105.80 | $529.00 | 80% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL-INHSE | $105.80 | $529.00 | 80% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB LIPID PANEL (SO) | $105.80 | $529.00 | 80% |
| Complete blood count (CBC) with differential CPT 85025 HB CBC/PLT/AUTO DIFF | $51.40 | $257.00 | 80% |
| Complete blood count (CBC) with differential CPT 85025 HB HEMOGRAM WITH PLATELET | $51.40 | $257.00 | 80% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB CBC/PLT/AUTO DIFF | $51.40 | $257.00 | 80% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB HEMOGRAM WITH PLATELET | $51.40 | $257.00 | 80% |
| Complete blood count (CBC), no differential CPT 85027 HB CBC W/O DIFF | $34.00 | $170.00 | 80% |
| Complete blood count (CBC), no differential CPT 85027 HB H&H PLATELET CT | $34.00 | $170.00 | 80% |
| Complete blood count (CBC), no differential CPT 85027 HB CBC/PLT/NO DIFF | $34.00 | $170.00 | 80% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC W/O DIFF | $34.00 | $170.00 | 80% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB H&H PLATELET CT | $34.00 | $170.00 | 80% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB CBC/PLT/NO DIFF | $34.00 | $170.00 | 80% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB COMP METABOLIC PANEL | $77.00 | $385.00 | 80% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB COMP METABOLIC PANEL | $77.00 | $385.00 | 80% |
| Kidney function blood test panel CPT 80069 HB RENAL FUNCTION PANEL | $57.40 | $287.00 | 80% |
| Kidney function blood test panel inpatient CPT 80069 HB RENAL FUNCTION PANEL | $57.40 | $287.00 | 80% |
| Liver function blood test panel CPT 80076 HB HEPATIC FUNCTION PANEL | $63.60 | $318.00 | 80% |
| Liver function blood test panel inpatient CPT 80076 HB HEPATIC FUNCTION PANEL | $63.60 | $318.00 | 80% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB PSA FREE | $67.80 | $339.00 | 80% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB PSA FREE | $67.80 | $339.00 | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA TOTAL | $67.80 | $339.00 | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB PSA (SO) | $67.80 | $339.00 | 80% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA TOTAL | $67.80 | $339.00 | 80% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB PSA (SO) | $67.80 | $339.00 | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT LA | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT ACTIVATED | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB POCT APTT | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB HEPARIN NEUTRALIZATION PTT | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB PTT (PRISMA CIRCUIT) | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT LA | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT (PRISMA CIRCUIT) | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB POCT APTT | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB HEPARIN NEUTRALIZATION PTT | $95.40 | $477.00 | 80% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB PTT ACTIVATED | $95.40 | $477.00 | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB POCT PT | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PROTHROMBIN TIME | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PRO TIME INR | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB PT CAPILLARY | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB MSO-PT | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB MSO-PT | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PROTHROMBIN TIME | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PRO TIME INR | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB POCT PT | $40.40 | $202.00 | 80% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB PT CAPILLARY | $40.40 | $202.00 | 80% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB TSH | $84.00 | $420.00 | 80% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB TSH | $84.00 | $420.00 | 80% |
| Urinalysis with microscope exam, automated CPT 81001 HB UA AUTO W/MICRO | $36.80 | $184.00 | 80% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB UA AUTO W/MICRO | $36.80 | $184.00 | 80% |
| Urinalysis with microscope exam, manual CPT 81000 HB GM - UA NON AUTO W/ MICRO | $9.60 | $48.00 | 80% |
| Urinalysis with microscope exam, manual CPT 81000 HB UA NON AUTO W/MICRO | $33.40 | $167.00 | 80% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HB GM - UA NON AUTO W/ MICRO | $9.60 | $48.00 | 80% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HB UA NON AUTO W/MICRO | $33.40 | $167.00 | 80% |
| Urinalysis without microscope exam, automated CPT 81003 HB HEMASTIX | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated CPT 81003 HB POC AUTO UA | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated CPT 81003 HB UR KETONE DIPSTICK | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated CPT 81003 HB URINALYSIS AUTO W/O MICRO | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated CPT 81003 HB US AUTO W/O MICRO | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB US AUTO W/O MICRO | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB UR KETONE DIPSTICK | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB URINALYSIS AUTO W/O MICRO | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB HEMASTIX | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB POC AUTO UA | $13.20 | $66.00 | 80% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINE ACETONE | $31.60 | $158.00 | 80% |
| Urinalysis without microscope exam, manual CPT 81002 HB PH PAPER POCT | $31.60 | $158.00 | 80% |
| Urinalysis without microscope exam, manual CPT 81002 HB URINE DIPSTICK POCT | $31.60 | $158.00 | 80% |
| Urinalysis without microscope exam, manual CPT 81002 HB PH UR | $33.40 | $167.00 | 80% |
| Urinalysis without microscope exam, manual CPT 81002 HB TOTAL PROTEIN URINE NCI | $46.60 | $233.00 | 80% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINE DIPSTICK POCT | $31.60 | $158.00 | 80% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB PH PAPER POCT | $31.60 | $158.00 | 80% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB URINE ACETONE | $31.60 | $158.00 | 80% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB PH UR | $33.40 | $167.00 | 80% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB TOTAL PROTEIN URINE NCI | $46.60 | $233.00 | 80% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 HB COLONOSCOPY W/ EUS | $952.80 | $4,764.00 | 80% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HB COLONOSCOPY W/ EUS | $952.80 | $4,764.00 | 80% |
| Left heart catheterization, diagnostic CPT 93452 HB LHRT CATH W/WO VENTRCLGRPHY | $4,181.20 | $20,906.00 | 80% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HB LHRT CATH W/WO VENTRCLGRPHY | $4,181.20 | $20,906.00 | 80% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB INJ EPIDURAL L/S WITH IMG | $745.20 | $3,726.00 | 80% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB INJ EPIDURAL L/S WITH IMG | $745.20 | $3,726.00 | 80% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB INJ EPIDURAL L/S W/O IMG | $411.20 | $2,056.00 | 80% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB INJ EPIDURAL L/S W/O IMG | $411.20 | $2,056.00 | 80% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HB E&M NEW PATIENT LEVEL 3 | $99.80 | $499.00 | 80% |
| New patient office visit, about 30 minutes CPT 99203 HB OP VISIT NEW PT LEVEL III | $99.80 | $499.00 | 80% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HB E&M NEW PATIENT LEVEL 3 | $99.80 | $499.00 | 80% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HB OP VISIT NEW PT LEVEL III | $99.80 | $499.00 | 80% |
| New patient office visit, about 45 minutes CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN | $103.00 | $515.00 | 80% |
| New patient office visit, about 45 minutes CPT 99204 HB OP VISIT NEW PT LEVEL IV | $112.60 | $563.00 | 80% |
| New patient office visit, about 45 minutes CPT 99204 HB E&M NEW PATIENT LEVEL 4 | $112.60 | $563.00 | 80% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB NEW OP VISIT W/RD 47-60 MIN | $103.00 | $515.00 | 80% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB E&M NEW PATIENT LEVEL 4 | $112.60 | $563.00 | 80% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB OP VISIT NEW PT LEVEL IV | $112.60 | $563.00 | 80% |
| New patient office visit, about 60 minutes CPT 99205 HB NEW OP VISIT W/RD 61-75 MIN | $137.20 | $686.00 | 80% |
| New patient office visit, about 60 minutes CPT 99205 HB OP VISIT NEW PT LEVEL V | $149.80 | $749.00 | 80% |
| New patient office visit, about 60 minutes CPT 99205 HB E&M NEW PATIENT LEVEL 5 | $149.80 | $749.00 | 80% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB NEW OP VISIT W/RD 61-75 MIN | $137.20 | $686.00 | 80% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB E&M NEW PATIENT LEVEL 5 | $149.80 | $749.00 | 80% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB OP VISIT NEW PT LEVEL V | $149.80 | $749.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN SLP | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB THER EX EACH 15 MIN OT | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THER EX EACH 15 MIN OT | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN PT | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN PT | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE @ 15 MIN SLP | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXERCISE 15 MIN | $46.80 | $234.00 | 80% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB THERAPEUTIC EXRCISE @ 15 MN PT | $46.80 | $234.00 | 80% |
| Psychotherapy session, 60 minutes CPT 90837 HB INDIV PSY-THERAPY 60MIN | $96.40 | $482.00 | 80% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB INDIV PSY-THERAPY 60MIN | $96.40 | $482.00 | 80% |