Resilience Healthcare West Suburban Medical Center LLC
Resilience Healthcare West Suburban Medical Center LLC in Oak Park, IL publishes cash prices for 42 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.
3 Erie Court, Oak Park, IL 60302 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 | $1,224.50 | $3,601.48 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV Contrast Only | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast BCE | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHI ABD/PEL W/ CONTRAST | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography w/ Contrast | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Chest/Abd/Pelvis w/ IV Only | $1,224.50 | $3,601.48 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast BCE | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV Contrast Only | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography w/ Contrast | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHI ABD/PEL W/ CONTRAST | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast | $2,932.53 | $8,625.09 | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST | $2,932.53 | $8,625.09 | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast BCE | $1,173.11 | $3,450.31 | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $1,173.11 | $3,450.31 | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Stroke Protocol w/o Contrast | $1,173.11 | $3,450.31 | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Stroke Protocol w/o Contrast | $1,173.11 | $3,450.31 | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $1,173.11 | $3,450.31 | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast BCE | $1,173.11 | $3,450.31 | 66% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,097.76 | $3,228.72 | 66% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast BCE | $1,097.76 | $3,228.72 | 66% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $1,097.76 | $3,228.72 | 66% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast BCE | $1,097.76 | $3,228.72 | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 WSMC MG MAMMO IMPLANT DIGITAL BILAT | $425.79 | $1,252.31 | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat BCE | $425.79 | $1,252.31 | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $425.79 | $1,252.31 | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 WSMC MG MAMMO IMPLANT DIGITAL BILAT | $425.79 | $1,252.31 | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat BCE | $425.79 | $1,252.31 | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $425.79 | $1,252.31 | 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 Left | $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 WSMC MG MAMMO DIGITAL DIAGNOSTIC RT | $340.11 | $1,000.31 | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 WSMC MG MAMMO DIGITAL DIAGNOSTIC LT | $340.11 | $1,000.31 | 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 Digital Diagnostic Right 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 Left BCE | $172.02 | $505.95 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 WSMC MG MAMMO DIGITAL DIAGNOSTIC LT | $340.11 | $1,000.31 | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 WSMC MG MAMMO DIGITAL DIAGNOSTIC RT | $340.11 | $1,000.31 | 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 | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $1,552.84 | $4,567.19 | 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 | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $1,552.84 | $4,567.19 | 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 | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $1,552.84 | $4,567.19 | 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 | $1,552.84 | $4,567.19 | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $1,552.84 | $4,567.19 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 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 | $1,841.51 | $5,416.21 | 66% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $1,778.61 | $5,231.21 | 66% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast BCE | $1,778.61 | $5,231.21 | 66% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast BCE | $1,778.61 | $5,231.21 | 66% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $1,778.61 | $5,231.21 | 66% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $1,885.66 | $5,546.06 | 66% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast BCE | $1,885.66 | $5,546.06 | 66% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast BCE | $1,885.66 | $5,546.06 | 66% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $1,885.66 | $5,546.06 | 66% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast BCE | $1,597.73 | $4,699.22 | 66% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,597.73 | $4,699.22 | 66% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast BCE | $1,597.73 | $4,699.22 | 66% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $1,597.73 | $4,699.22 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks BCE | $403.68 | $1,187.30 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $403.68 | $1,187.30 | 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 | $403.68 | $1,187.30 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 weeks TA & TV | $403.68 | $1,187.30 | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks BCE | $403.68 | $1,187.30 | 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 | $403.68 | $1,187.30 | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral | $176.86 | $520.17 | 66% |
| Screening mammogram, both breasts both sides CPT 77067 WSMC MG MAMMO DIGITAL SCRN BILAT W/CAD | $377.11 | $1,109.14 | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral BCE | $377.11 | $1,109.14 | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral | $176.86 | $520.17 | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 WSMC MG MAMMO DIGITAL SCRN BILAT W/CAD | $377.11 | $1,109.14 | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral BCE | $377.11 | $1,109.14 | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB BCE | $400.69 | $1,178.49 | 66% |
| Transvaginal pelvic ultrasound CPT 76830 CHI TRANSVAGINAL ULTRASOUND | $400.69 | $1,178.49 | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $400.69 | $1,178.49 | 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 CHI TRANSVAGINAL ULTRASOUND | $400.69 | $1,178.49 | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $400.69 | $1,178.49 | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB BCE | $400.69 | $1,178.49 | 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 BCE | $493.49 | $1,451.45 | 66% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $493.49 | $1,451.45 | 66% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $493.49 | $1,451.45 | 66% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete BCE | $493.49 | $1,451.45 | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $379.23 | $1,115.38 | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views BCE | $379.23 | $1,115.38 | 66% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views BCE | $379.23 | $1,115.38 | 66% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $379.23 | $1,115.38 | 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 LP SO | $126.74 | $372.77 | 66% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $144.44 | $424.81 | 66% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LP SO | $126.74 | $372.77 | 66% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $144.44 | $424.81 | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC/Diff Ambiguous Default SO | $74.35 | $218.68 | 66% |
| Complete blood count (CBC) with differential CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL | $74.35 | $218.68 | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC With Differential/Platelet SO | $74.35 | $218.68 | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $103.33 | $303.91 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC With Differential/Platelet SO | $74.35 | $218.68 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL | $74.35 | $218.68 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/Diff Ambiguous Default SO | $74.35 | $218.68 | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $103.33 | $303.91 | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $51.40 | $151.17 | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC, Platelet, No Differential SO | $51.40 | $151.17 | 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, Platelet, No Differential SO | $51.40 | $151.17 | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential | $51.40 | $151.17 | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual 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 Pnl | $274.94 | $808.64 | 66% |
| Kidney function blood test panel CPT 80069 Renal Panel (10) SO | $274.94 | $808.64 | 66% |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $274.94 | $808.64 | 66% |
| Kidney function blood test panel inpatient CPT 80069 Renal Panel (10) SO | $274.94 | $808.64 | 66% |
| Liver function blood test panel CPT 80076 Liver Fibrosis Risk Profile SO | $286.36 | $842.23 | 66% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $286.43 | $842.43 | 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 | $286.43 | $842.43 | 66% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA COMPLEXED DIRECT FREE | $26.44 | $77.76 | 66% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA COMPLEXED DIRECT FREE | $26.44 | $77.76 | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum SO | $77.35 | $227.50 | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free SO | $77.35 | $227.50 | 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 inpatient CPT 84153 Prostate-Specific Ag, Serum SO | $77.35 | $227.50 | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free SO | $77.35 | $227.50 | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen | $127.98 | $376.40 | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $66.86 | $196.64 | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT Mixing Studies SO | $66.86 | $196.64 | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated SO | $66.86 | $196.64 | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT Mixing Studies SO | $66.86 | $196.64 | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated SO | $66.86 | $196.64 | 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 85610 PROTHROMBIN TIME | $43.42 | $127.70 | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (PT) SO | $43.42 | $127.70 | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $49.48 | $145.52 | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (PT) SO | $43.42 | $127.70 | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $43.42 | $127.70 | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $49.48 | $145.52 | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 THYROID STIMULATING HORMONE TSH | $129.74 | $381.59 | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH reflex FT4 | $129.74 | $381.59 | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $145.05 | $426.61 | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 THYROID STIMULATING HORMONE TSH | $129.74 | $381.59 | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH reflex FT4 | $129.74 | $381.59 | 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 .Urinalysis (POCT) | $44.34 | $130.41 | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis without Microscopic | $44.34 | $130.41 | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Bill Only Urinalysis Screen | $44.34 | $130.41 | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Kidney Stone, Urine/Saturation SO | $46.90 | $137.94 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis without Microscopic | $44.34 | $130.41 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Urinalysis (POCT) | $44.34 | $130.41 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Bill Only Urinalysis Screen | $44.34 | $130.41 | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Kidney Stone, Urine/Saturation SO | $46.90 | $137.94 | 66% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 WSMC INJ SNGL DIG/THERP SUB LMB/SCRL | $340.29 | $1,000.85 | 66% |
| Lower-back epidural injection, with imaging guidance CPT 62323 WSMC INJ SNGL DIAG/THERAP SUB LUMB/SACRL BCE | $340.29 | $1,000.85 | 66% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PAIN INJ EPID LUMB/CAUD BCE | $1,056.77 | $3,108.16 | 66% |
| Lower-back epidural injection, with imaging guidance CPT 62323 WSMC INJ EPID DUBARAC L/S W/ IMG | $1,170.04 | $3,441.28 | 66% |
| Lower-back epidural injection, with imaging guidance CPT 62323 WSMC INJ EPID DUBARAC L/S W/ IMG BCE | $1,170.04 | $3,441.28 | 66% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 WSMC INJ SNGL DIAG/THERAP SUB LUMB/SACRL BCE | $340.29 | $1,000.85 | 66% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 WSMC INJ SNGL DIG/THERP SUB LMB/SCRL | $340.29 | $1,000.85 | 66% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PAIN INJ EPID LUMB/CAUD BCE | $1,056.77 | $3,108.16 | 66% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 WSMC INJ EPID DUBARAC L/S W/ IMG | $1,170.04 | $3,441.28 | 66% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 WSMC INJ EPID DUBARAC L/S W/ IMG BCE | $1,170.04 | $3,441.28 | 66% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 PAIN LUMBAR SINGLE LEVEL BILATERAL BCE | $993.39 | $2,921.74 | 66% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PAIN LUMBAR SINGLE LEVEL INJ BCE | $993.39 | $2,921.74 | 66% |
| 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 both sides CPT 64483 PAIN LUMBAR SINGLE LEVEL BILATERAL BCE | $993.39 | $2,921.74 | 66% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PAIN LUMBAR SINGLE LEVEL INJ BCE | $993.39 | $2,921.74 | 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% |
| Prostate biopsy CPT 55700 US Biopsy Prostate | $602.77 | $1,772.86 | 66% |
| Prostate biopsy CPT 55700 US Biopsy Prostate BCE | $602.77 | $1,772.86 | 66% |
| Prostate biopsy inpatient CPT 55700 US Biopsy Prostate | $602.77 | $1,772.86 | 66% |
| Prostate biopsy inpatient CPT 55700 US Biopsy Prostate BCE | $602.77 | $1,772.86 | 66% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 SC FAM PSYCTX W/PT PRESENT BCE | $101.32 | $298.00 | 66% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 SC FAM PSYCTX W/PT PRESENT BCE | $101.32 | $298.00 | 66% |
| 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 *Wound Visit Levels -> New PT Wound Visit Level 3 | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 PAIN CLINIC NEW PT LVL 3 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 OPWC New PT Visit Level 3 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 WC New PT Visit Level 3 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 Onc Facility Eval, New Patient Level 3 99203 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes CPT 99203 SC FACILITY EVAL NEW PATIENT LEVEL 3 99203 BCE | $139.74 | $411.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WC New PT Visit Level 3 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OPWC New PT Visit Level 3 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 *Wound Visit Levels -> New PT Wound Visit Level 3 | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Onc Facility Eval, New Patient Level 3 99203 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PAIN CLINIC NEW PT LVL 3 BCE | $131.58 | $387.00 | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 SC FACILITY EVAL NEW PATIENT LEVEL 3 99203 BCE | $139.74 | $411.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 SC FACILITY EVAL NEW PATIENT LEVEL 4 99204 BCE | $165.92 | $488.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 OPWC New PT Visit Level 4 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 Onc Facility Eval, New Patient Level 4 99204 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 WC New PT Visit Level 4 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4 | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes CPT 99204 PAIN CLINIC NEW PT LVL 4 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 SC FACILITY EVAL NEW PATIENT LEVEL 4 99204 BCE | $165.92 | $488.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OPWC New PT Visit Level 4 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4 | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PAIN CLINIC NEW PT LVL 4 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Onc Facility Eval, New Patient Level 4 99204 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WC New PT Visit Level 4 BCE | $176.46 | $519.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 SC FACILITY EVAL NEW PATIENT LEVEL 5 99205 BCE | $202.64 | $596.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 WC New PT Visit Level 5 BCE | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 PAIN CLINIC NEW PT LVL 5 BCE | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 OPWC New PT Visit Level 5 BCE | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5 | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes CPT 99205 Onc Facility Eval, New Patient Level 5 99205 BCE | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 SC FACILITY EVAL NEW PATIENT LEVEL 5 99205 BCE | $202.64 | $596.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 WC New PT Visit Level 5 BCE | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PAIN CLINIC NEW PT LVL 5 BCE | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5 | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OPWC New PT Visit Level 5 BCE | $232.56 | $684.00 | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Onc Facility Eval, New Patient Level 5 99205 BCE | $232.56 | $684.00 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units BCE | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units BCE | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units BCE | $83.57 | $245.79 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units BCE | $83.57 | $245.79 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $83.57 | $245.79 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units | $83.57 | $245.79 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units BCE | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units BCE | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units | $66.86 | $196.64 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units | $83.57 | $245.79 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units BCE | $83.57 | $245.79 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units BCE | $83.57 | $245.79 | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $83.57 | $245.79 | 66% |
| Preventive checkup, new patient aged 18–39 CPT 99385 SC PREVENTIVE CARE VISIT NEW 18-39 YEARS BCE | $127.16 | $374.00 | 66% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 SC PREVENTIVE CARE VISIT NEW 18-39 YEARS BCE | $127.16 | $374.00 | 66% |
| Preventive checkup, new patient aged 40–64 CPT 99386 SC PREVENTIVE CARE VISIT NEW 40-64 YEARS BCE | $130.56 | $384.00 | 66% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 SC PREVENTIVE CARE VISIT NEW 40-64 YEARS BCE | $130.56 | $384.00 | 66% |
| Psychotherapy session, 30 minutes CPT 90832 SC PSYCH TX WITH PT 30 MINUTES 90832 BCE | $89.19 | $262.32 | 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% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 SC PSYCH TX WITH PT 30 MINUTES 90832 BCE | $89.19 | $262.32 | 66% |
| Psychotherapy session, 45 minutes CPT 90834 SC PSYCHOTHERAPY, 45 MIN W/PATIENT | $80.58 | $237.00 | 66% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 SC PSYCHOTHERAPY, 45 MIN W/PATIENT | $80.58 | $237.00 | 66% |