Deaconess Health System Gibson General Hospital
Deaconess Health System Gibson General Hospital in Princeton, IN publishes cash prices for 70 common procedures listed here, from its own machine-readable price file updated Feb 11, 2026. Click a procedure to compare it with other hospitals nearby.
1808 Sherman Dr, Princeton, IN 47670-1043 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 AND PELVIS WITH CONTRAST | $1,813.13 | $3,421.00 | 47% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST | $1,813.13 | $3,421.00 | 47% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $838.99 | $1,583.00 | 47% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $838.99 | $1,583.00 | 47% |
| CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $281.75 | $805.00 | 65% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $906.83 | $1,711.00 | 47% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $281.75 | $805.00 | 65% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $906.83 | $1,711.00 | 47% |
| Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $70.00 | $200.00 | 65% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD | $189.21 | $357.00 | 47% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $70.00 | $200.00 | 65% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD | $189.21 | $357.00 | 47% |
| Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $57.75 | $165.00 | 65% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD | $139.92 | $264.00 | 47% |
| Diagnostic mammogram, one breast inpatient CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $57.75 | $165.00 | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD | $139.92 | $264.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $431.20 | $1,232.00 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST | $984.21 | $1,857.00 | 47% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $431.20 | $1,232.00 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST | $984.21 | $1,857.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $795.20 | $2,272.00 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST | $1,378.00 | $2,600.00 | 47% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $795.20 | $2,272.00 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST | $1,378.00 | $2,600.00 | 47% |
| MRI of the brain, no contrast dye CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $402.85 | $1,151.00 | 65% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $1,078.55 | $2,035.00 | 47% |
| MRI of the brain, no contrast dye inpatient CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $402.85 | $1,151.00 | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $1,078.55 | $2,035.00 | 47% |
| MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $689.15 | $1,969.00 | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONTRAST | $1,189.85 | $2,245.00 | 47% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $689.15 | $1,969.00 | 65% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONTRAST | $1,189.85 | $2,245.00 | 47% |
| MRI of the lower back, no contrast dye CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $217.00 | $620.00 | 65% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $1,078.55 | $2,035.00 | 47% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $217.00 | $620.00 | 65% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $1,078.55 | $2,035.00 | 47% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $155.05 | $443.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST | $467.99 | $883.00 | 47% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $155.05 | $443.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST | $467.99 | $883.00 | 47% |
| Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $50.40 | $144.00 | 65% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD | $178.61 | $337.00 | 47% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $50.40 | $144.00 | 65% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD | $178.61 | $337.00 | 47% |
| Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $591.15 | $1,689.00 | 65% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $1,743.17 | $3,289.00 | 47% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $591.15 | $1,689.00 | 65% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $1,743.17 | $3,289.00 | 47% |
| Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL | $100.45 | $287.00 | 65% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $383.19 | $723.00 | 47% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL | $100.45 | $287.00 | 65% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $383.19 | $723.00 | 47% |
| Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $85.05 | $243.00 | 65% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $508.80 | $960.00 | 47% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $85.05 | $243.00 | 65% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $508.80 | $960.00 | 47% |
| X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $77.35 | $221.00 | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS | $209.35 | $395.00 | 47% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $77.35 | $221.00 | 65% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS | $209.35 | $395.00 | 47% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $17.15 | $49.00 | 65% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROF CHEM8 | $27.56 | $52.00 | 47% |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $17.15 | $49.00 | 65% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROF CHEM8 | $27.56 | $52.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $31.15 | $89.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $31.15 | $89.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE CORONARY RISK | $67.31 | $127.00 | 47% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $31.15 | $89.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL | $31.15 | $89.00 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE CORONARY RISK | $67.31 | $127.00 | 47% |
| Complete blood count (CBC) with differential CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $13.65 | $39.00 | 65% |
| Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFFERENTIAL | $13.65 | $39.00 | 65% |
| Complete blood count (CBC) with differential CPT 85025 MANUAL DIFFERENTIAL | $13.65 | $39.00 | 65% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF | $21.73 | $41.00 | 47% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF CLINIC | $51.41 | $97.00 | 47% |
| Complete blood count (CBC) with differential inpatient CPT 85025 MANUAL DIFFERENTIAL | $13.65 | $39.00 | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $13.65 | $39.00 | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W MANUAL DIFFERENTIAL | $13.65 | $39.00 | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF | $21.73 | $41.00 | 47% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF CLINIC | $51.41 | $97.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $13.30 | $38.00 | 65% |
| Complete blood count (CBC), no differential CPT 85027 CBC W AUTO DIFF | $13.65 | $39.00 | 65% |
| Complete blood count (CBC), no differential CPT 85027 POCT CBC W AUTO DIFF | $13.65 | $39.00 | 65% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTOMATED CLINIC | $17.49 | $33.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC W/ REFLEX | $18.02 | $34.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC W MANUAL DIFF | $18.02 | $34.00 | 47% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC W/ REFLEX FERRITIN IRON TIBC | $23.85 | $45.00 | 47% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $13.30 | $38.00 | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 POCT CBC W AUTO DIFF | $13.65 | $39.00 | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W AUTO DIFF | $13.65 | $39.00 | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTOMATED CLINIC | $17.49 | $33.00 | 47% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/ REFLEX | $18.02 | $34.00 | 47% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W MANUAL DIFF | $18.02 | $34.00 | 47% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/ REFLEX FERRITIN IRON TIBC | $23.85 | $45.00 | 47% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $23.45 | $67.00 | 65% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $27.30 | $78.00 | 65% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE | $33.92 | $64.00 | 47% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $23.45 | $67.00 | 65% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL | $27.30 | $78.00 | 65% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE | $33.92 | $64.00 | 47% |
| Kidney function blood test panel CPT 80069 RENAL PROFILE | $15.75 | $45.00 | 65% |
| Kidney function blood test panel CPT 80069 CHG RENAL FUNCTION PANEL | $18.90 | $54.00 | 65% |
| Kidney function blood test panel CPT 80069 HC RENAL PROFILE | $83.74 | $158.00 | 47% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE | $15.75 | $45.00 | 65% |
| Kidney function blood test panel inpatient CPT 80069 CHG RENAL FUNCTION PANEL | $18.90 | $54.00 | 65% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE | $83.74 | $158.00 | 47% |
| Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL | $16.10 | $46.00 | 65% |
| Liver function blood test panel CPT 80076 HEPATIC (LIVER) FUNCTION PANEL | $16.10 | $46.00 | 65% |
| Liver function blood test panel CPT 80076 HC LIVER HEPATIC PROFILE | $82.15 | $155.00 | 47% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC (LIVER) FUNCTION PANEL | $16.10 | $46.00 | 65% |
| Liver function blood test panel inpatient CPT 80076 CHG HEPATIC FUNCTION PANEL | $16.10 | $46.00 | 65% |
| Liver function blood test panel inpatient CPT 80076 HC LIVER HEPATIC PROFILE | $82.15 | $155.00 | 47% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL | $33.60 | $96.00 | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $33.60 | $96.00 | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $50.35 | $95.00 | 47% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL | $33.60 | $96.00 | 65% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $33.60 | $96.00 | 65% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $50.35 | $95.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $17.50 | $50.00 | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL, DIAGNOSTIC | $42.00 | $120.00 | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $50.35 | $95.00 | 47% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC | $75.26 | $142.00 | 47% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $17.50 | $50.00 | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL, DIAGNOSTIC | $42.00 | $120.00 | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $50.35 | $95.00 | 47% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC | $75.26 | $142.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $11.55 | $33.00 | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $11.55 | $33.00 | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT RATIO | $37.10 | $70.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC ANTIPHOSPHOLIPID SYN THROMBOPLASTIN TIME PARTIAL | $47.70 | $90.00 | 47% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG THROMBOPLASTIN TIME PARTIAL | $47.70 | $90.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $11.55 | $33.00 | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $11.55 | $33.00 | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT RATIO | $37.10 | $70.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ANTIPHOSPHOLIPID SYN THROMBOPLASTIN TIME PARTIAL | $47.70 | $90.00 | 47% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG THROMBOPLASTIN TIME PARTIAL | $47.70 | $90.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $9.10 | $26.00 | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME POC | $11.66 | $22.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ANTIPHOSPHOLIPID SYN PROTHROMBIN TIME | $12.72 | $24.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG PROTHROMBIN TIME | $46.64 | $88.00 | 47% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $46.64 | $88.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $9.10 | $26.00 | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME POC | $11.66 | $22.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ANTIPHOSPHOLIPID SYN PROTHROMBIN TIME | $12.72 | $24.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG PROTHROMBIN TIME | $46.64 | $88.00 | 47% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $46.64 | $88.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 POCT THYROID STIMULATING HORMONE (TSH) | $33.60 | $96.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $33.60 | $96.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH THIRD GENERATION | $65.72 | $124.00 | 47% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 POCT THYROID STIMULATING HORMONE (TSH) | $33.60 | $96.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $33.60 | $96.00 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH THIRD GENERATION | $65.72 | $124.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $8.05 | $23.00 | 65% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS (UA) | $8.05 | $23.00 | 65% |
| Urinalysis with microscope exam, automated CPT 81001 HC UA AUTO WITH MICRO 81001 | $30.21 | $57.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO CULTURE | $31.80 | $60.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HC UA | $31.80 | $60.00 | 47% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W MICRO | $31.80 | $60.00 | 47% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $8.05 | $23.00 | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS (UA) | $8.05 | $23.00 | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA AUTO WITH MICRO 81001 | $30.21 | $57.00 | 47% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA | $31.80 | $60.00 | 47% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO CULTURE | $31.80 | $60.00 | 47% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W MICRO | $31.80 | $60.00 | 47% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $8.05 | $23.00 | 65% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $8.05 | $23.00 | 65% |
| Urinalysis without microscope exam, automated CPT 81003 POCT KETONE, URINE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE | $27.03 | $51.00 | 47% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS CLINIC | $28.09 | $53.00 | 47% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POCT KETONE, URINE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE | $27.03 | $51.00 | 47% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS CLINIC | $28.09 | $53.00 | 47% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK BLOOD | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK NITRITE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK BILIRUBIN | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK CHEMISTRIES | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK ASCORBIC ACID | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK GLUCOSE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK UROBILINOGEN | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK PROTEIN | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK PH | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK CREATININE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK LEUKOCYTES | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 POCT URINE QUALITATIVE DIPSTICK SPECIFIC GRAVITY | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK CHEMISTRIES | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK UROBILINOGEN | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK PROTEIN | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK PH | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK NITRITE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK BLOOD | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK BILIRUBIN | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK CREATININE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK ASCORBIC ACID | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK LEUKOCYTES | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK GLUCOSE | $6.30 | $18.00 | 65% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POCT URINE QUALITATIVE DIPSTICK SPECIFIC GRAVITY | $6.30 | $18.00 | 65% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $1,344.35 | $3,841.00 | 65% |
| Cataract surgery with lens implant inpatient CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $1,344.35 | $3,841.00 | 65% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $2,520.00 | $7,200.00 | 65% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | $2,520.00 | $7,200.00 | 65% |
| Colonoscopy with endoscopic ultrasound CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $420.70 | $1,202.00 | 65% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $420.70 | $1,202.00 | 65% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $594.30 | $1,698.00 | 65% |
| Colonoscopy with polyp removal inpatient CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $594.30 | $1,698.00 | 65% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $530.95 | $1,517.00 | 65% |
| Colonoscopy with tissue sample inpatient CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $530.95 | $1,517.00 | 65% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $444.15 | $1,269.00 | 65% |
| Colonoscopy, diagnostic inpatient CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $444.15 | $1,269.00 | 65% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $1,017.10 | $2,906.00 | 65% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $1,017.10 | $2,906.00 | 65% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $616.35 | $1,761.00 | 65% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $616.35 | $1,761.00 | 65% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,190.00 | $3,400.00 | 65% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $1,190.00 | $3,400.00 | 65% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY | $459.90 | $1,314.00 | 65% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 PR POST-CATARACT LASER SURGERY | $459.90 | $1,314.00 | 65% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $234.50 | $670.00 | 65% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $234.50 | $670.00 | 65% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $192.50 | $550.00 | 65% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $192.50 | $550.00 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $255.50 | $730.00 | 65% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $255.50 | $730.00 | 65% |
| Prostate biopsy CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $233.45 | $667.00 | 65% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI | $1,908.00 | $3,600.00 | 47% |
| Prostate biopsy inpatient CPT 55700 PR PROSTATE NEEDLE BIOPSY ANY APPROACH | $233.45 | $667.00 | 65% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI | $1,908.00 | $3,600.00 | 47% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $2,485.00 | $7,100.00 | 65% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $2,485.00 | $7,100.00 | 65% |
| Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $663.25 | $1,895.00 | 65% |
| Removal of a breast lump, open surgery inpatient CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $663.25 | $1,895.00 | 65% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $1,356.60 | $3,876.00 | 65% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $1,356.60 | $3,876.00 | 65% |
| Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $2,154.95 | $6,157.00 | 65% |
| Total hip replacement inpatient CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $2,154.95 | $6,157.00 | 65% |
| Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $2,132.90 | $6,094.00 | 65% |
| Total knee replacement inpatient CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $2,132.90 | $6,094.00 | 65% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $455.00 | $1,300.00 | 65% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $455.00 | $1,300.00 | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $316.75 | $905.00 | 65% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $316.75 | $905.00 | 65% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $2,109.10 | $6,026.00 | 65% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | $2,109.10 | $6,026.00 | 65% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $2,345.00 | $6,700.00 | 65% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | $2,345.00 | $6,700.00 | 65% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $28.70 | $82.00 | 65% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $28.70 | $82.00 | 65% |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $82.60 | $236.00 | 65% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $82.60 | $236.00 | 65% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $85.05 | $243.00 | 65% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $85.05 | $243.00 | 65% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $42.00 | $120.00 | 65% |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $42.00 | $120.00 | 65% |
| New patient office visit, about 30 minutes CPT 99203 PR MEDICAID- 99244=RVU--> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes CPT 99203 PR MEDICAID- 99204= RVU --> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes CPT 99203 PR MEDICAID- 99205= RVU --> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes CPT 99203 PR MEDICAID- 99245=RVU--> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR MEDICAID- 99245=RVU--> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR MEDICAID- 99205= RVU --> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR MEDICAID- 99204= RVU --> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR MEDICAID- 99244=RVU--> BILL 99203 | $87.15 | $249.00 | 65% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $87.15 | $249.00 | 65% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $129.15 | $369.00 | 65% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $129.15 | $369.00 | 65% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $157.85 | $451.00 | 65% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $157.85 | $451.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $22.75 | $65.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN | $84.27 | $159.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN | $84.27 | $159.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $22.75 | $65.00 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN | $84.27 | $159.00 | 47% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN | $84.27 | $159.00 | 47% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $91.00 | $260.00 | 65% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | $91.00 | $260.00 | 65% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $108.15 | $309.00 | 65% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | $108.15 | $309.00 | 65% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $55.65 | $159.00 | 65% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $55.65 | $159.00 | 65% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $65.80 | $188.00 | 65% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCH W/PATIENT 45 MINUTES | $128.79 | $243.00 | 47% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $65.80 | $188.00 | 65% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCH W/PATIENT 45 MINUTES | $128.79 | $243.00 | 47% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $104.30 | $298.00 | 65% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $104.30 | $298.00 | 65% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $87.50 | $250.00 | 65% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $87.50 | $250.00 | 65% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $127.75 | $365.00 | 65% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | $127.75 | $365.00 | 65% |