Resilience Healthcare Weiss Memorial Hospital LLC
Resilience Healthcare Weiss Memorial Hospital LLC in Chicago, IL publishes cash prices for 39 common procedures listed here, from its own machine-readable price file updated Mar 17, 2025. Click a procedure to compare it with other hospitals nearby.
4646 N Marine Dr., Chicago, IL 60640 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 Chest/Abd/Pelvis w/ IV Only | $1,409.16 | $4,144.60 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV Contrast Only | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHI ABD/PEL W/ CONTRAST | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography w/ Contrast | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast BCE | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Chest/Abd/Pelvis w/ IV Only | $1,409.16 | $4,144.60 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast BCE | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV Contrast Only | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHI ABD/PEL W/ CONTRAST | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography w/ Contrast | $3,498.11 | $10,288.56 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST | $3,498.11 | $10,288.56 | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $1,133.86 | $3,334.88 | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast BCE | $1,133.86 | $3,334.88 | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Stroke Protocol w/o Contrast | $1,133.86 | $3,334.88 | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast BCE | $1,133.86 | $3,334.88 | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $1,133.86 | $3,334.88 | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Stroke Protocol w/o Contrast | $1,133.86 | $3,334.88 | 66% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast BCE | $1,559.33 | $4,586.26 | 66% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,559.33 | $4,586.26 | 66% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast BCE | $1,559.33 | $4,586.26 | 66% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $1,559.33 | $4,586.26 | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat BCE | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral BCE | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat BCE | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral BCE | $506.53 | $1,489.79 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left BCE | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right BCE | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Right | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 WMH DX MAMMO+CAD UNILAT RT | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 WMH DX MAMMO+CAD UNILAT LT | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Right BCE | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Left | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Left BCE | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right BCE | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left BCE | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Left BCE | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Left | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Right BCE | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Right | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 WMH DX MAMMO+CAD UNILAT LT | $388.55 | $1,142.79 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 WMH DX MAMMO+CAD UNILAT RT | $388.55 | $1,142.79 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Right BCE | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Left BCE | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Right BCE | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $1,579.43 | $4,645.37 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Left BCE | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $1,870.05 | $5,500.15 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Left BCE | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Right BCE | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Left BCE | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Right BCE | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | 66% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast BCE | $1,399.99 | $4,117.62 | 66% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $1,399.99 | $4,117.62 | 66% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast BCE | $1,399.99 | $4,117.62 | 66% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $1,399.99 | $4,117.62 | 66% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast BCE | $2,043.51 | $6,010.32 | 66% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $2,043.51 | $6,010.32 | 66% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast BCE | $2,043.51 | $6,010.32 | 66% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $2,043.51 | $6,010.32 | 66% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,425.49 | $4,192.62 | 66% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast BCE | $1,425.49 | $4,192.62 | 66% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast BCE | $1,425.49 | $4,192.62 | 66% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $1,425.49 | $4,192.62 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 Weeks Basic Anatomy | $403.68 | $1,187.30 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 weeks TA & TV | $552.89 | $1,626.15 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks BCE | $552.89 | $1,626.15 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $552.89 | $1,626.15 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 Weeks Basic Anatomy | $403.68 | $1,187.30 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $552.89 | $1,626.15 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 weeks TA & TV | $552.89 | $1,626.15 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks BCE | $552.89 | $1,626.15 | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral BCE | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Implant Digital Screening Bilat | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts CPT 77067 MG Mammo Digital Screening BCE | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Left | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Digital Screening Right | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Right | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Digital Screening Left | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral BCE | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Implant Digital Screening Bilat | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient CPT 77067 MG Mammo Digital Screening BCE | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Left | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Digital Screening Left | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Digital Screening Right | $408.85 | $1,202.51 | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Right | $408.85 | $1,202.51 | 66% |
| Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | 66% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+ parameters 95810 BCE | $1,132.80 | $3,331.76 | 66% |
| Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | 66% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+ parameters 95810 BCE | $1,132.80 | $3,331.76 | 66% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | 66% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 *Sleep Study Charges -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $396.22 | $1,165.36 | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB BCE | $396.22 | $1,165.36 | 66% |
| Transvaginal pelvic ultrasound CPT 76830 CHI TRANSVAGINAL ULTRASOUND | $401.03 | $1,179.49 | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Pelvis Non-OB TV Only w/ Duplex Comp | $401.03 | $1,179.49 | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB BCE | $396.22 | $1,165.36 | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $396.22 | $1,165.36 | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHI TRANSVAGINAL ULTRASOUND | $401.03 | $1,179.49 | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Pelvis Non-OB TV Only w/ Duplex Comp | $401.03 | $1,179.49 | 66% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $871.23 | $2,562.44 | 66% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete BCE | $871.23 | $2,562.44 | 66% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $871.23 | $2,562.44 | 66% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete BCE | $871.23 | $2,562.44 | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $370.72 | $1,090.35 | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views BCE | $370.72 | $1,090.35 | 66% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $370.72 | $1,090.35 | 66% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views BCE | $370.72 | $1,090.35 | 66% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $128.24 | $377.18 | 66% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $128.24 | $377.18 | 66% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $144.44 | $424.81 | 66% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LP SO | $144.44 | $424.81 | 66% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $144.44 | $424.81 | 66% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LP SO | $144.44 | $424.81 | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC With Differential/Platelet SO | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC/Diff Ambiguous Default SO | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/Diff Ambiguous Default SO | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC With Differential/Platelet SO | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL | $103.33 | $303.91 | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC, Platelet, No Differential SO | $67.90 | $199.72 | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $67.90 | $199.72 | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $67.90 | $199.72 | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential | $67.90 | $199.72 | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet, No Differential SO | $67.90 | $199.72 | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential | $67.90 | $199.72 | 66% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp. Metabolic Panel (14) SO | $126.49 | $372.02 | 66% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $176.34 | $518.65 | 66% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp. Metabolic Panel (14) SO | $126.49 | $372.02 | 66% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $176.34 | $518.65 | 66% |
| Kidney function blood test panel CPT 80069 Renal Panel (10) SO | $42.81 | $125.90 | 66% |
| Kidney function blood test panel CPT 80069 Renal Pnl | $274.94 | $808.64 | 66% |
| Kidney function blood test panel inpatient CPT 80069 Renal Panel (10) SO | $42.81 | $125.90 | 66% |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $274.94 | $808.64 | 66% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $286.36 | $842.23 | 66% |
| Liver function blood test panel CPT 80076 Liver Fibrosis Risk Profile SO | $286.36 | $842.23 | 66% |
| Liver function blood test panel inpatient CPT 80076 Liver Fibrosis Risk Profile SO | $286.36 | $842.23 | 66% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $286.36 | $842.23 | 66% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA COMPLEXED DIRECT FREE | $57.38 | $168.76 | 66% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA COMPLEXED DIRECT FREE | $57.38 | $168.76 | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free SO | $127.98 | $376.40 | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen | $127.98 | $376.40 | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum SO | $127.98 | $376.40 | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen | $127.98 | $376.40 | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum SO | $127.98 | $376.40 | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free SO | $127.98 | $376.40 | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT Mixing Studies SO | $50.76 | $149.29 | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Check PTT | $50.76 | $149.29 | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated SO | $50.76 | $149.29 | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $66.86 | $196.64 | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT Mixing Studies SO | $50.76 | $149.29 | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated SO | $50.76 | $149.29 | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Check PTT | $50.76 | $149.29 | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $66.86 | $196.64 | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Heparin Check PT/INR | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (PT) SO | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Heparin Check PT/INR | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (PT) SO | $49.48 | $145.52 | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH reflex FT4 | $145.05 | $426.61 | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $145.05 | $426.61 | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 THYROID STIMULATING HORMONE TSH | $145.05 | $426.61 | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH reflex FT4 | $145.05 | $426.61 | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 THYROID STIMULATING HORMONE TSH | $145.05 | $426.61 | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $145.05 | $426.61 | 66% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Microscopic | $64.09 | $188.50 | 66% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Microscopic | $64.09 | $188.50 | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Bill Only Urinalysis Screen | $24.33 | $71.55 | 66% |
| Urinalysis without microscope exam, automated CPT 81003 .Urinalysis (POCT) | $24.33 | $71.55 | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Kidney Stone, Urine/Saturation SO | $24.33 | $71.55 | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis without Microscopic | $44.34 | $130.41 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Bill Only Urinalysis Screen | $24.33 | $71.55 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Urinalysis (POCT) | $24.33 | $71.55 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Kidney Stone, Urine/Saturation SO | $24.33 | $71.55 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis without Microscopic | $44.34 | $130.41 | 66% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CT LUMBAR SINGLE LEVEL INJ BCE | $1,088.00 | $3,200.00 | 66% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 CT LUMBAR SINGLE LEVEL INJ BCE | $1,088.00 | $3,200.00 | 66% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $187.00 | $550.00 | 66% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $187.00 | $550.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 OPWC New PT Visit Level 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 COLORECTAL NEW PT CLINIC VISIT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 *Wound Visit Levels -> New PT Wound Visit Level 3 | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 Neurology Visit Patient Levels -> New Pt Level III | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 BONE-JOINT OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 Neurology New Pt Level III BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 ENT NEW PT OFC VSIT LVEL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 ORTHO OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 Onc Facility Eval, New Patient Level 3 99203 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 PLASTIC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 WC New PT Visit Level 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 GYNE ONC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 PAIN CLINIC NEW PT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PLASTIC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 COLORECTAL NEW PT CLINIC VISIT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OPWC New PT Visit Level 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PAIN CLINIC NEW PT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ENT NEW PT OFC VSIT LVEL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 BONE-JOINT OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 *Wound Visit Levels -> New PT Wound Visit Level 3 | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ORTHO OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 GYNE ONC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Onc Facility Eval, New Patient Level 3 99203 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Neurology New Pt Level III BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Neurology Visit Patient Levels -> New Pt Level III | $132.60 | $390.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WC New PT Visit Level 3 BCE | $132.60 | $390.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 ENT NEW PT OFC VSIT LVEL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 Neurology Visit Patient Levels -> New Pt Level IV | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 PLASTIC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 GYNE ONC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 Onc Facility Eval, New Patient Level 4 99204 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 ORTHO OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 OPWC New PT Visit Level 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 WC New PT Visit Level 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 PAIN CLINIC NEW PT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4 | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 Neurology New Pt Level IV BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 BONE-JOINT OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 COLORECTAL NEW PT CLINIC VISIT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ENT NEW PT OFC VSIT LVEL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Onc Facility Eval, New Patient Level 4 99204 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Neurology New Pt Level IV BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 GYNE ONC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PLASTIC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 COLORECTAL NEW PT CLINIC VISIT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Neurology Visit Patient Levels -> New Pt Level IV | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ORTHO OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4 | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PAIN CLINIC NEW PT LVL 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WC New PT Visit Level 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OPWC New PT Visit Level 4 BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 BONE-JOINT OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 GYNE ONC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 PAIN CLINIC NEW PT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 COLORECTAL NEW PT CLINIC VISIT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 Neurology Visit Patient Levels -> New Pt Level V | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 PLASTIC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 ORTHO OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 BONE-JOINT OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5 | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 OPWC New PT Visit Level 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 Onc Facility Eval, New Patient Level 5 99205 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 WC New PT Visit Level 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 Neurology New Pt Level V BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 ENT NEW PT OFC VSIT LVEL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 BONE-JOINT OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OPWC New PT Visit Level 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 GYNE ONC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PAIN CLINIC NEW PT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ORTHO OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5 | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 COLORECTAL NEW PT CLINIC VISIT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Neurology New Pt Level V BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Onc Facility Eval, New Patient Level 5 99205 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PLASTIC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ENT NEW PT OFC VSIT LVEL 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 WC New PT Visit Level 5 BCE | $215.90 | $635.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Neurology Visit Patient Levels -> New Pt Level V | $215.90 | $635.00 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units BCE | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units BCE | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units BCE | $97.81 | $287.67 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units BCE | $97.81 | $287.67 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $97.81 | $287.67 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units | $97.81 | $287.67 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units BCE | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units BCE | $93.31 | $274.44 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units | $97.81 | $287.67 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $97.81 | $287.67 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units BCE | $97.81 | $287.67 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units BCE | $97.81 | $287.67 | 66% |
| Preventive checkup, new patient aged 18–39 CPT 99385 GYNE INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS BCE | $90.10 | $265.00 | 66% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 GYNE INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS BCE | $90.10 | $265.00 | 66% |
| Preventive checkup, new patient aged 40–64 CPT 99386 GYNE INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS BCE | $109.48 | $322.00 | 66% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 GYNE INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS BCE | $109.48 | $322.00 | 66% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCH W PT 30 MINUTES BCE | $89.19 | $262.32 | 66% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH W PT 30 MINUTES BCE | $89.19 | $262.32 | 66% |