Meriter Hospital, Inc
Meriter Hospital, Inc in Madison, WI publishes cash prices for 70 common procedures listed here, from its own machine-readable price file updated Jan 28, 2026. Click a procedure to compare it with other hospitals nearby.
202 South Park Street, Madison, WI 53715-1596 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 HC CT ABDOMEN & PELVIS W CONTRAST | $4,905.25 | $6,131.56 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $4,905.25 | $6,131.56 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN WO CONTRAST | $1,930.44 | $2,413.04 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN WO CONTRAST | $1,930.44 | $2,413.04 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $4,905.25 | $6,131.56 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $4,905.25 | $6,131.56 | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $462.40 | $578.00 | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $462.40 | $578.00 | 20% |
| Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $367.20 | $459.00 | 20% |
| Diagnostic mammogram, one breast inpatient CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $367.20 | $459.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXTR ANY JOINT WO CONTRAST | $2,066.76 | $2,583.45 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXTR ANY JOINT WO CONTRAST | $2,066.76 | $2,583.45 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXTR ANY JOINT W WO CONTR | $3,306.07 | $4,132.58 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXTR ANY JOINT W WO CONTR | $3,306.07 | $4,132.58 | 20% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST | $2,124.55 | $2,655.68 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST | $2,124.55 | $2,655.68 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W WO CONTRAST | $3,169.68 | $3,962.09 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W WO CONTRAST | $3,169.68 | $3,962.09 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST | $2,118.84 | $2,648.54 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST | $2,118.84 | $2,648.54 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US, OB >/= 14 WKS, SNGL FETUS | $735.20 | $919.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB COMPLETE SNGL FETUS | $1,415.87 | $1,769.83 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US, OB >/= 14 WKS, SNGL FETUS | $735.20 | $919.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB COMPLETE SNGL FETUS | $1,415.87 | $1,769.83 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $372.80 | $466.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $372.80 | $466.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,001.60 | $2,502.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,001.60 | $2,502.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 PR ECHOGRAPHY,TRANSVAGINAL | $684.00 | $855.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 HC US NON OB TRANSVAG | $1,415.87 | $1,769.83 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PR ECHOGRAPHY,TRANSVAGINAL | $684.00 | $855.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US NON OB TRANSVAG | $1,415.87 | $1,769.83 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $689.60 | $862.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,660.97 | $2,076.21 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $689.60 | $862.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE | $1,660.97 | $2,076.21 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 CHG X-RAY LUMBAR SPINE 4 VW | $605.60 | $757.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBOSACR SPINE MIN 4 VIEWS | $925.86 | $1,157.32 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG X-RAY LUMBAR SPINE 4 VW | $605.60 | $757.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBOSACR SPINE MIN 4 VIEWS | $925.86 | $1,157.32 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $126.40 | $158.00 | 20% |
| Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CA | $146.82 | $183.52 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $126.40 | $158.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC METABOLIC PANEL TOTAL CA | $146.82 | $183.52 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $175.20 | $219.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $231.55 | $289.43 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL | $175.20 | $219.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $231.55 | $289.43 | 20% |
| Complete blood count (CBC) with differential CPT 85025 CHG COMPLETE CBC & AUTO DIFF WBC | $93.60 | $117.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF | $119.31 | $149.13 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHG COMPLETE CBC & AUTO DIFF WBC | $93.60 | $117.00 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF | $119.31 | $149.13 | 20% |
| Complete blood count (CBC), no differential CPT 85027 CHG COMPLETE CBC | $85.60 | $107.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPL AUTOM CBC W PLT | $99.26 | $124.07 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHG COMPLETE CBC | $85.60 | $107.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPL AUTOM CBC W PLT | $99.26 | $124.07 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHG METABOLIC PANEL,COMPREHENSIVE | $134.40 | $168.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $182.63 | $228.28 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG METABOLIC PANEL,COMPREHENSIVE | $134.40 | $168.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $182.63 | $228.28 | 20% |
| Kidney function blood test panel CPT 80069 CHG RENAL FUNCTION PANEL | $112.00 | $140.00 | 20% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $150.38 | $187.97 | 20% |
| Kidney function blood test panel inpatient CPT 80069 CHG RENAL FUNCTION PANEL | $112.00 | $140.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $150.38 | $187.97 | 20% |
| Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL | $92.80 | $116.00 | 20% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $142.04 | $177.55 | 20% |
| Liver function blood test panel inpatient CPT 80076 CHG HEPATIC FUNCTION PANEL | $92.80 | $116.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $142.04 | $177.55 | 20% |
| Obstetric blood test panel CPT 80055 CHG OBSTETRIC PANEL | $293.60 | $367.00 | 20% |
| Obstetric blood test panel inpatient CPT 80055 CHG OBSTETRIC PANEL | $293.60 | $367.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA; FREE | $165.64 | $207.04 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 CHG PROSTATE SPECIFIC ANTIGEN,FREE | $186.40 | $233.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA; FREE | $165.64 | $207.04 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHG PROSTATE SPECIFIC ANTIGEN,FREE | $186.40 | $233.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG PROSTATE SPECIFIC ANTIGEN,TOTAL | $136.00 | $170.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA; TOTAL | $206.07 | $257.58 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG PROSTATE SPECIFIC ANTIGEN,TOTAL | $136.00 | $170.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA; TOTAL | $206.07 | $257.58 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CHG THROMBOPLAS TIME PARTIAL | $58.40 | $73.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT; PLASMA OR WHOLE BLOOD | $92.89 | $116.11 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG THROMBOPLAS TIME PARTIAL | $58.40 | $73.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT; PLASMA OR WHOLE BLOOD | $92.89 | $116.11 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $45.60 | $57.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $61.24 | $76.54 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $45.60 | $57.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $61.24 | $76.54 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY THYROID STIM HORMONE | $138.40 | $173.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $181.64 | $227.05 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY THYROID STIM HORMONE | $138.40 | $173.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $181.64 | $227.05 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 HC AUTOM URINE DIP W MICRO | $45.30 | $56.62 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 CHG URINALYSIS, AUTO, W/SCOPE | $63.20 | $79.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC AUTOM URINE DIP W MICRO | $45.30 | $56.62 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URINALYSIS, AUTO, W/SCOPE | $63.20 | $79.00 | 20% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINALYSIS, NONAUTO, W/SCOPE | $43.20 | $54.00 | 20% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINALYSIS, NONAUTO, W/SCOPE | $43.20 | $54.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 HC AUTOM URINALYSIS WO MICRO | $31.84 | $39.80 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 CHG URINALYSIS, AUTO, W/O SCOPE | $38.40 | $48.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC AUTOM URINALYSIS WO MICRO | $31.84 | $39.80 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URINALYSIS, AUTO, W/O SCOPE | $38.40 | $48.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 HC N-AUTOM URINALYS WO MICRO | $36.64 | $45.80 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URINALYSIS NONAUTO W/O SCOPE | $76.00 | $95.00 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC N-AUTOM URINALYS WO MICRO | $36.64 | $45.80 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URINALYSIS NONAUTO W/O SCOPE | $76.00 | $95.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $7,655.20 | $9,569.00 | 20% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $7,655.20 | $9,569.00 | 20% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $2,172.80 | $2,716.00 | 20% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/LESION REMOVAL BY SNARE | $3,477.30 | $4,346.62 | 20% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $2,172.80 | $2,716.00 | 20% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/LESION REMOVAL BY SNARE | $3,477.30 | $4,346.62 | 20% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,929.60 | $2,412.00 | 20% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,929.60 | $2,412.00 | 20% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,615.20 | $2,019.00 | 20% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,615.20 | $2,019.00 | 20% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAP,CHOLECYSTECTOMY | $5,469.60 | $6,837.00 | 20% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPY CHOLECYSTECOMY | $19,655.76 | $24,569.70 | 20% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAP,CHOLECYSTECTOMY | $5,469.60 | $6,837.00 | 20% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPY CHOLECYSTECOMY | $19,655.76 | $24,569.70 | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $2,812.00 | $3,515.00 | 20% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $2,812.00 | $3,515.00 | 20% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $5,788.80 | $7,236.00 | 20% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $5,788.80 | $7,236.00 | 20% |
| Left heart catheterization, diagnostic CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $4,068.80 | $5,086.00 | 20% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $14,557.76 | $18,197.19 | 20% |
| Left heart catheterization, diagnostic inpatient CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $4,068.80 | $5,086.00 | 20% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $14,557.76 | $18,197.19 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,100.00 | $1,375.00 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ INTERLAM L/S W IMG | $2,258.07 | $2,822.58 | 20% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,100.00 | $1,375.00 | 20% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ INTERLAM L/S W IMG | $2,258.07 | $2,822.58 | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ INTERLAM L/S WO IMG | $2,258.07 | $2,822.58 | 20% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ INTERLAM L/S WO IMG | $2,258.07 | $2,822.58 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC INJ(S) FORAMEN EPID L/S SGL LEV BILAT | $4,671.49 | $5,839.36 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,721.60 | $2,152.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV | $2,335.75 | $2,919.68 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HC INJ(S) FORAMEN EPID L/S SGL LEV BILAT | $4,671.49 | $5,839.36 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $1,721.60 | $2,152.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV | $2,335.75 | $2,919.68 | 20% |
| Prostate biopsy CPT 55700 PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $1,755.20 | $2,194.00 | 20% |
| Prostate biopsy CPT 55700 HC BX PROSTATE NDLE PUNCH | $4,723.50 | $5,904.37 | 20% |
| Prostate biopsy inpatient CPT 55700 PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $1,755.20 | $2,194.00 | 20% |
| Prostate biopsy inpatient CPT 55700 HC BX PROSTATE NDLE PUNCH | $4,723.50 | $5,904.37 | 20% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE | $8,436.00 | $10,545.00 | 20% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE | $8,436.00 | $10,545.00 | 20% |
| Removal of a breast lump, open surgery CPT 19120 PR REMOVAL OF BREAST LESION | $1,784.80 | $2,231.00 | 20% |
| Removal of a breast lump, open surgery inpatient CPT 19120 PR REMOVAL OF BREAST LESION | $1,784.80 | $2,231.00 | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SHOULDER SCOPE BONE SHAVING | $877.60 | $1,097.00 | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SHOULDER SCOPE BONE SHAVING | $877.60 | $1,097.00 | 20% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS/ADENOIDS,<12 Y/O | $1,285.60 | $1,607.00 | 20% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS/ADENOIDS,<12 Y/O | $1,285.60 | $1,607.00 | 20% |
| Total hip replacement CPT 27130 PR TOTAL HIP ARTHROPLASTY | $6,408.80 | $8,011.00 | 20% |
| Total hip replacement inpatient CPT 27130 PR TOTAL HIP ARTHROPLASTY | $6,408.80 | $8,011.00 | 20% |
| Total knee replacement CPT 27447 PR TOTAL KNEE ARTHROPLASTY | $13,542.40 | $16,928.00 | 20% |
| Total knee replacement inpatient CPT 27447 PR TOTAL KNEE ARTHROPLASTY | $13,542.40 | $16,928.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,414.40 | $1,768.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UGI W BX SGL/MULTIPLE | $3,541.46 | $4,426.82 | 20% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,414.40 | $1,768.00 | 20% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UGI W BX SGL/MULTIPLE | $3,541.46 | $4,426.82 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,218.40 | $1,523.00 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UGI DIAGNOSTIC | $3,541.46 | $4,426.82 | 20% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,218.40 | $1,523.00 | 20% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UGI DIAGNOSTIC | $3,541.46 | $4,426.82 | 20% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,845.60 | $7,307.00 | 20% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,845.60 | $7,307.00 | 20% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $5,561.60 | $6,952.00 | 20% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $5,561.60 | $6,952.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ELECTROCARDIOGRAM, COMPLETE | $272.00 | $340.00 | 20% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ELECTROCARDIOGRAM, COMPLETE | $272.00 | $340.00 | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $234.40 | $293.00 | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PT 50 MIN | $322.06 | $402.57 | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $234.40 | $293.00 | 20% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PT 50 MIN | $322.06 | $402.57 | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $221.60 | $277.00 | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY WO PT 50 MIN | $322.06 | $402.57 | 20% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $221.60 | $277.00 | 20% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY WO PT 50 MIN | $322.06 | $402.57 | 20% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $84.00 | $105.00 | 20% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY NOT MULTI-FAMILY | $317.18 | $396.47 | 20% |
| Group psychotherapy session CPT 90853 PR GROUP THERAPY NOT MULTI-FAMILY | $317.92 | $397.39 | 20% |
| Group psychotherapy session CPT 90853 HC IOP PSYCH ADOL/YA | $660.17 | $825.21 | 20% |
| Group psychotherapy session CPT 90853 HC CHEM DEPENDENCY GROUP IOP | $813.24 | $1,016.54 | 20% |
| Group psychotherapy session CPT 90853 HC A/D TX PROG PER DIEM MODERATE ADOL/YA | $1,344.88 | $1,681.10 | 20% |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $84.00 | $105.00 | 20% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY NOT MULTI-FAMILY | $317.18 | $396.47 | 20% |
| Group psychotherapy session inpatient CPT 90853 PR GROUP THERAPY NOT MULTI-FAMILY | $317.92 | $397.39 | 20% |
| Group psychotherapy session inpatient CPT 90853 HC IOP PSYCH ADOL/YA | $660.17 | $825.21 | 20% |
| Group psychotherapy session inpatient CPT 90853 HC CHEM DEPENDENCY GROUP IOP | $813.24 | $1,016.54 | 20% |
| Group psychotherapy session inpatient CPT 90853 HC A/D TX PROG PER DIEM MODERATE ADOL/YA | $1,344.88 | $1,681.10 | 20% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $256.80 | $321.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $256.80 | $321.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $381.60 | $477.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $381.60 | $477.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $497.60 | $622.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $497.60 | $622.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC EXERCISES | $92.80 | $116.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAP EXERCISE ROM EA 15M | $171.85 | $214.81 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PR THERAPEUTIC EXERCISES | $92.80 | $116.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAP EXERCISE ROM EA 15M | $171.85 | $214.81 | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR PREVENTIVE VISIT,NEW,18-39 | $356.00 | $445.00 | 20% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR PREVENTIVE VISIT,NEW,18-39 | $356.00 | $445.00 | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR PREVENTIVE VISIT,NEW,40-64 | $370.40 | $463.00 | 20% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR PREVENTIVE VISIT,NEW,40-64 | $370.40 | $463.00 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYTX W PT 30 MINUTES | $185.09 | $231.36 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MIN (16-37 MIN) | $224.45 | $280.56 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $245.60 | $307.00 | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYTX W PT 30 MINUTES | $185.09 | $231.36 | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MIN (16-37 MIN) | $224.45 | $280.56 | 20% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $245.60 | $307.00 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYTX W PT 45 MINUTES | $246.80 | $308.49 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX W PT 45 MIN (38-52 MIN) | $297.02 | $371.27 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $340.00 | $425.00 | 20% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYTX W PT 45 MINUTES | $246.80 | $308.49 | 20% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX W PT 45 MIN (38-52 MIN) | $297.02 | $371.27 | 20% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $340.00 | $425.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYTX W PT 60 MINUTES | $394.26 | $492.82 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MIN (>53 MIN) | $439.89 | $549.86 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $493.60 | $617.00 | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYTX W PT 60 MINUTES | $394.26 | $492.82 | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MIN (>53 MIN) | $439.89 | $549.86 | 20% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $493.60 | $617.00 | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $404.80 | $506.00 | 20% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $404.80 | $506.00 | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $544.00 | $680.00 | 20% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $544.00 | $680.00 | 20% |