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Hospital

Gaylord Hospital Inc

Gaylord Hospital Inc in Wallingford, CT publishes cash prices for 36 common procedures listed here, from its own machine-readable price file updated Apr 21, 2026. Click a procedure to compare it with other hospitals nearby.

50 Gaylord Farm Road, Wallingford, CT 06492 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen/Pelvis W/Contrast $1,005.79 $1,436.83 30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen/Pelvis W/Contrast $862.10 $1,436.83 40%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Or Brain W/O Dye $440.21 $628.87 30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Or Brain W/O Dye $377.33 $628.87 40%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Dye $641.99 $917.12 30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Dye $550.28 $917.12 40%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdominal Complete $432.64 $618.05 30%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Abdominal Complete $370.83 $618.05 40%
X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Min 4 Views $253.42 $362.02 30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Min 4 Views $217.22 $362.02 40%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 BMP(Basic Metablic Panel $41.01 $58.58 30%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP(Basic Metablic Panel $35.15 $58.58 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile $89.04 $127.19 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile $76.32 $127.19 40%
Complete blood count (CBC) with differential CPT 85025 CBC $63.88 $91.25 30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC $54.75 $91.25 40%
Complete blood count (CBC), no differential CPT 85027 CBC Without Diff $27.62 $39.45 30%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC Without Diff $23.67 $39.45 40%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic $66.25 $94.64 30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic $56.79 $94.64 40%
Liver function blood test panel CPT 80076 Hepatic Funct Panel $33.89 $48.41 30%
Liver function blood test panel inpatient CPT 80076 Hepatic Funct Panel $29.05 $48.41 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antige $96.15 $137.35 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antige $82.41 $137.35 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 Drvvt Interpretation $27.54 $39.34 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 P T T $29.99 $42.84 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Drvvt Interpretation $23.61 $39.34 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P T T $25.71 $42.84 40%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $29.99 $42.84 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $25.71 $42.84 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $114.29 $163.26 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $97.96 $163.26 40%
Urinalysis with microscope exam, automated CPT 81001 Urine Macro/Micro $24.48 $34.97 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urine Macro/Micro $20.99 $34.97 40%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis-Routine $19.89 $28.41 30%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis-Routine $17.05 $28.41 40%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis - Macroscopic $18.13 $25.89 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis - Macroscopic $15.54 $25.89 40%
Urinalysis without microscope exam, manual CPT 81002 Specific Gravity $10.71 $15.30 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity $9.18 $15.30 40%

Surgery and procedures

ProcedureCash price List priceOff list
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac PRO $213.01 $304.29 30%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Lumbar/Sacral W/Guid Pro $254.06 $362.93 30%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Lumbar/Sacral W/Guidance $1,295.15 $1,850.21 30%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac FAC $1,695.92 $2,422.73 30%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac $1,908.92 $2,727.02 30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac PRO $213.01 $304.29 30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Lumbar/Sacral W/Guid Pro $254.06 $362.93 30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Lumbar/Sacral W/Guidance $1,110.13 $1,850.21 40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac FAC $1,453.64 $2,422.73 40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac $1,908.92 $2,727.02 30%
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Lumbar/Sacral W/O Guid Pro $222.64 $318.05 30%
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Lumbar/Sacral W/O Guidance $1,295.15 $1,850.21 30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Lumbar/Sacral W/O Guid Pro $222.64 $318.05 30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Lumbar/Sacral W/O Guidance $1,110.13 $1,850.21 40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/std tfrm epi l/s 1 PRO $239.15 $341.64 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TFESI Lumbar Or Sacral - Pro $290.67 $415.23 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TFESI Lumbar Or Sacral $1,680.51 $2,400.72 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/std tfrm epi l/s 1 FAC $2,180.24 $3,114.62 30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1 $2,419.39 $3,456.26 30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx aa&/std tfrm epi l/s 1 PRO $239.15 $341.64 30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TFESI Lumbar Or Sacral - Pro $290.67 $415.23 30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TFESI Lumbar Or Sacral $1,440.44 $2,400.72 40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx aa&/std tfrm epi l/s 1 FAC $1,868.78 $3,114.62 40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx aa&/strd tfrm epi l/s 1 $2,419.39 $3,456.26 30%

Doctor visits and therapy

ProcedureCash price List priceOff list
Family therapy with the patient, 50 minutes CPT 90847 LCSW OP Family Ther W/Pt 50Min $196.89 $281.26 30%
Family therapy with the patient, 50 minutes CPT 90847 Family Therapy W/Pt 50 Min Pro $262.53 $375.03 30%
Family therapy with the patient, 50 minutes CPT 90847 Family Therapy W/Pt 50 Min Fac $331.44 $473.48 30%
Family therapy with the patient, 50 minutes CPT 90847 LCSW OP Family Ther W/Pt 50Min $528.32 $754.74 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 LCSW OP Family Ther W/Pt 50Min $196.89 $281.26 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy W/Pt 50 Min Pro $262.53 $375.03 30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy W/Pt 50 Min Fac $284.09 $473.48 40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 LCSW OP Family Ther W/Pt 50Min $452.85 $754.74 40%
Family therapy without the patient, 50 minutes CPT 90846 LCSW OP Family Ther W/O Pt 50M $189.63 $270.89 30%
Family therapy without the patient, 50 minutes CPT 90846 Family Therpy W/O Pt 50Min Pro $252.89 $361.26 30%
Family therapy without the patient, 50 minutes CPT 90846 Family Therpy W/O Pt 50Min Fac $331.44 $473.48 30%
Family therapy without the patient, 50 minutes CPT 90846 LCSW OP Family Ther W/O Pt 50M $521.06 $744.37 30%
Family therapy without the patient, 50 minutes CPT 90846 Family Thrpy W/O Pt 50 Min Fac $584.32 $834.73 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 LCSW OP Family Ther W/O Pt 50M $189.63 $270.89 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therpy W/O Pt 50Min Pro $252.89 $361.26 30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therpy W/O Pt 50Min Fac $284.09 $473.48 40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 LCSW OP Family Ther W/O Pt 50M $446.63 $744.37 40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Thrpy W/O Pt 50 Min Fac $500.84 $834.73 40%
Group psychotherapy session CPT 90853 LCSW OP Group Therapy $47.12 $67.31 30%
Group psychotherapy session CPT 90853 Group Therapy - O/P Pro $62.80 $89.71 30%
Group psychotherapy session CPT 90853 Group Therapy - Pro $62.80 $89.71 30%
Group psychotherapy session CPT 90853 LCSW OP Group Therapy $231.93 $331.32 30%
Group psychotherapy session CPT 90853 Group Therapy Fac $231.93 $331.32 30%
Group psychotherapy session CPT 90853 Group Therapy $247.60 $353.71 30%
Group psychotherapy session inpatient CPT 90853 LCSW OP Group Therapy $47.12 $67.31 30%
Group psychotherapy session inpatient CPT 90853 Group Therapy - O/P Pro $62.80 $89.71 30%
Group psychotherapy session inpatient CPT 90853 Group Therapy - Pro $62.80 $89.71 30%
Group psychotherapy session inpatient CPT 90853 LCSW OP Group Therapy $198.80 $331.32 40%
Group psychotherapy session inpatient CPT 90853 Group Therapy Fac $198.80 $331.32 40%
Group psychotherapy session inpatient CPT 90853 Group Therapy $212.23 $353.71 40%
New patient office visit, about 30 minutes CPT 99203 TH-New Pt Detailed Low Comp 99 $174.05 $248.64 30%
New patient office visit, about 30 minutes CPT 99203 Office o/p new low 30 min PRO $175.33 $250.47 30%
New patient office visit, about 30 minutes CPT 99203 Initial Exam - 30 Minutes $195.89 $279.84 30%
New patient office visit, about 30 minutes CPT 99203 Initial Exam, Hi Complex, Tech $272.26 $388.93 30%
New patient office visit, about 30 minutes CPT 99203 Office o/p new low 30 min $490.92 $701.31 30%
New patient office visit, about 30 minutes inpatient CPT 99203 TH-New Pt Detailed Low Comp 99 $174.05 $248.64 30%
New patient office visit, about 30 minutes inpatient CPT 99203 Office o/p new low 30 min PRO $175.33 $250.47 30%
New patient office visit, about 30 minutes inpatient CPT 99203 Initial Exam - 30 Minutes $195.89 $279.84 30%
New patient office visit, about 30 minutes inpatient CPT 99203 Initial Exam, Hi Complex, Tech $233.36 $388.93 40%
New patient office visit, about 30 minutes inpatient CPT 99203 Office o/p new low 30 min $490.92 $701.31 30%
New patient office visit, about 45 minutes CPT 99204 Office o/p new mod 45 min PRO $285.39 $407.70 30%
New patient office visit, about 45 minutes CPT 99204 New Pt Ex-Mod Comp,45 Min Pro $330.75 $472.49 30%
New patient office visit, about 45 minutes CPT 99204 TH-New Pt Comp., Mod Complex $330.75 $472.49 30%
New patient office visit, about 45 minutes CPT 99204 Office o/p new mod 45 min $600.98 $858.54 30%
New patient office visit, about 45 minutes inpatient CPT 99204 Office o/p new mod 45 min PRO $285.39 $407.70 30%
New patient office visit, about 45 minutes inpatient CPT 99204 TH-New Pt Comp., Mod Complex $330.75 $472.49 30%
New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Ex-Mod Comp,45 Min Pro $330.75 $472.49 30%
New patient office visit, about 45 minutes inpatient CPT 99204 Office o/p new mod 45 min $600.98 $858.54 30%
New patient office visit, about 60 minutes CPT 99205 Office o/p new hi 60 min PRO $388.69 $555.27 30%
New patient office visit, about 60 minutes CPT 99205 New Pt Ex-Hi Comp, 60 Min Pro $430.81 $615.43 30%
New patient office visit, about 60 minutes CPT 99205 TH-New Pt High Complex, 60+Min $430.81 $615.43 30%
New patient office visit, about 60 minutes CPT 99205 MCR New Pat Annual Exam 40-64 $473.64 $676.62 30%
New patient office visit, about 60 minutes CPT 99205 MCR New Pat Annual Exam 65+ $473.64 $676.62 30%
New patient office visit, about 60 minutes CPT 99205 MCR New Pat Annual Exam 18-39 $473.64 $676.62 30%
New patient office visit, about 60 minutes CPT 99205 Office o/p new hi 60 min $704.28 $1,006.11 30%
New patient office visit, about 60 minutes inpatient CPT 99205 Office o/p new hi 60 min PRO $388.69 $555.27 30%
New patient office visit, about 60 minutes inpatient CPT 99205 MCR New Pat Annual Exam 40-64 $405.98 $676.62 40%
New patient office visit, about 60 minutes inpatient CPT 99205 MCR New Pat Annual Exam 18-39 $405.98 $676.62 40%
New patient office visit, about 60 minutes inpatient CPT 99205 MCR New Pat Annual Exam 65+ $405.98 $676.62 40%
New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Ex-Hi Comp, 60 Min Pro $430.81 $615.43 30%
New patient office visit, about 60 minutes inpatient CPT 99205 TH-New Pt High Complex, 60+Min $430.81 $615.43 30%
New patient office visit, about 60 minutes inpatient CPT 99205 Office o/p new hi 60 min $704.28 $1,006.11 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH-OT Therapeutic Ex $81.69 $116.70 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therpeutic Exercise-15 M $81.69 $116.70 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH-PT Therapeutic Ex $81.69 $116.70 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise-Ea 15 Min $85.14 $121.62 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeut Exercise-15 M $85.14 $121.62 30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH-OT Therapeutic Ex $70.02 $116.70 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therpeutic Exercise-15 M $70.02 $116.70 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH-PT Therapeutic Ex $70.02 $116.70 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeut Exercise-15 M $72.98 $121.62 40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise-Ea 15 Min $72.98 $121.62 40%
Preventive checkup, new patient aged 18–39 CPT 99385 MCR New Pat Annl Ex 18-39 Pro $55.15 $78.78 30%
Preventive checkup, new patient aged 18–39 CPT 99385 New Pat Annl Ex Age 18-39 Pro $252.12 $360.16 30%
Preventive checkup, new patient aged 18–39 CPT 99385 New Pat Annual Exam Age 18-39 $500.33 $714.75 30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 MCR New Pat Annl Ex 18-39 Pro $55.15 $78.78 30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Pat Annl Ex Age 18-39 Pro $252.12 $360.16 30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Pat Annual Exam Age 18-39 $428.85 $714.75 40%
Preventive checkup, new patient aged 40–64 CPT 99386 MCR New Pat Annl Ex 40-64 Pro $94.55 $135.06 30%
Preventive checkup, new patient aged 40–64 CPT 99386 New Pat Annl Ex Age 40-64 Pro $291.51 $416.44 30%
Preventive checkup, new patient aged 40–64 CPT 99386 New Pat Annual Exam Age 40-64 $500.33 $714.75 30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 MCR New Pat Annl Ex 40-64 Pro $94.55 $135.06 30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 New Pat Annl Ex Age 40-64 Pro $291.51 $416.44 30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 New Pat Annual Exam Age 40-64 $428.85 $714.75 40%
Psychotherapy session, 30 minutes CPT 90832 TH-Lcsw OP Psychotherapy 30 Mi $117.27 $167.52 30%
Psychotherapy session, 30 minutes CPT 90832 LCSW OP Psychotherapy 30 Min $117.27 $167.52 30%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Min O/P Pro $156.36 $223.36 30%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Min $156.36 $223.36 30%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Min - Fac $184.81 $264.01 30%
Psychotherapy session, 30 minutes CPT 90832 LCSW OP Psychotherapy 30 Min $302.07 $431.52 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 LCSW OP Psychotherapy 30 Min $117.27 $167.52 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 TH-Lcsw OP Psychotherapy 30 Mi $117.27 $167.52 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 30 Min $156.36 $223.36 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 30 Min O/P Pro $156.36 $223.36 30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 30 Min - Fac $158.41 $264.01 40%
Psychotherapy session, 30 minutes inpatient CPT 90832 LCSW OP Psychotherapy 30 Min $258.92 $431.52 40%
Psychotherapy session, 45 minutes CPT 90834 LCSW OP Psychotherapy 45 Min $156.36 $223.36 30%
Psychotherapy session, 45 minutes CPT 90834 TH-Lcsw OP Psychotherapy 45 Mi $156.36 $223.36 30%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 Min $208.44 $297.77 30%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 Min O/P Pro $208.44 $297.77 30%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 Min - Fac $331.44 $473.48 30%
Psychotherapy session, 45 minutes CPT 90834 LCSW OP Psychotherapy 45 Min $487.79 $696.83 30%
Psychotherapy session, 45 minutes CPT 90834 LCSW OP Psychthr Crisis 1St Hr $576.59 $823.69 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 TH-Lcsw OP Psychotherapy 45 Mi $156.36 $223.36 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 LCSW OP Psychotherapy 45 Min $156.36 $223.36 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45 Min $208.44 $297.77 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45 Min O/P Pro $208.44 $297.77 30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45 Min - Fac $284.09 $473.48 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 LCSW OP Psychotherapy 45 Min $418.10 $696.83 40%
Psychotherapy session, 45 minutes inpatient CPT 90834 LCSW OP Psychthr Crisis 1St Hr $494.22 $823.69 40%
Psychotherapy session, 60 minutes CPT 90837 LCSW OP Psychotherapy 60 Min $235.29 $336.12 30%
Psychotherapy session, 60 minutes CPT 90837 TH-Lcsw Psychotherapy 60 Min $235.29 $336.12 30%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min O/P Pro $313.69 $448.12 30%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min $313.69 $448.12 30%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min - Fac $331.44 $473.48 30%
Psychotherapy session, 60 minutes CPT 90837 LCSW OP Psythr Crisis Ea Add30 $401.43 $573.46 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 LCSW OP Psychotherapy 60 Min $235.29 $336.12 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 TH-Lcsw Psychotherapy 60 Min $235.29 $336.12 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60 Min - Fac $284.09 $473.48 40%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60 Min O/P Pro $313.69 $448.12 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60 Min $313.69 $448.12 30%
Psychotherapy session, 60 minutes inpatient CPT 90837 LCSW OP Psythr Crisis Ea Add30 $344.08 $573.46 40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Consult-Detailed,Low Complex $345.75 $493.92 30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Consult-Detailed,Low Complex $345.75 $493.92 30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consult-Comp, Mod Complex $554.10 $791.57 30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Consult-Comp, Mod Complex $554.10 $791.57 30%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8046/060646649-1730137753_gaylord-hospital-inc_standardcharges.csv