Childrens Hospital Colorado
Childrens Hospital Colorado in Aurora, CO publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated Apr 17, 2026. Click a procedure to compare it with other hospitals nearby.
13123 E. 16th Ave., Aurora, CO 80045 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 HB=CT ABDOMEN/PELVIS W CONTRAST | $2,232.10 | $3,434.00 | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB=CT ABDOMEN/PELVIS W CONTRAST | $2,232.10 | $3,434.00 | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 HB=CT HEAD BRAIN WO CONTRAST | $1,539.85 | $2,369.00 | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB=CT HEAD BRAIN WO CONTRAST | $1,539.85 | $2,369.00 | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 HB=CT PELVIS W CONTRAST | $1,811.55 | $2,787.00 | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB=CT PELVIS W CONTRAST | $1,811.55 | $2,787.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB=MRI LOWER EXT ANY JOINT WO CONTRAST | $2,773.55 | $4,267.00 | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB=MRI LOWER EXT ANY JOINT WO CONTRAST | $2,773.55 | $4,267.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB=MRI LOWER EXT ANY JOINT WO/W CONTRAST | $3,601.65 | $5,541.00 | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB=MRI LOWER EXT ANY JOINT WO/W CONTRAST | $3,601.65 | $5,541.00 | 35% |
| MRI of the brain, no contrast dye CPT 70551 HB=MRI BRAIN WO CONTRAST | $2,451.15 | $3,771.00 | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HB=MRI BRAIN WO CONTRAST | $2,451.15 | $3,771.00 | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 HB=MRI BRAIN WO/W CONTRAST | $3,182.40 | $4,896.00 | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HB=MRI BRAIN WO/W CONTRAST | $3,182.40 | $4,896.00 | 35% |
| MRI of the lower back, no contrast dye CPT 72148 HB=MRI LUMBAR SPINE WO CONTRAST | $2,773.55 | $4,267.00 | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HB=MRI LUMBAR SPINE WO CONTRAST | $2,773.55 | $4,267.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US > 14 WKS SINGLE FETUS | $926.25 | $1,425.00 | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US > 14 WKS SINGLE FETUS | $926.25 | $1,425.00 | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 HB=POLYSOM 6/> YRS 4/> PARAM | $4,963.40 | $7,636.00 | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HB=POLYSOM 6/> YRS 4/> PARAM | $4,963.40 | $7,636.00 | 35% |
| Transvaginal pelvic ultrasound CPT 76830 HB=US TRANSVAGINAL | $624.00 | $960.00 | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HB=US TRANSVAGINAL | $624.00 | $960.00 | 35% |
| Ultrasound of the abdomen, complete CPT 76700 HB=US ABDOMEN COMPLETE | $677.30 | $1,042.00 | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HB=US ABDOMEN COMPLETE | $677.30 | $1,042.00 | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 HB=XR SPINE LUMBOSACRAL 4+ VIEWS | $359.45 | $553.00 | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HB=XR SPINE LUMBOSACRAL 4+ VIEWS | $359.45 | $553.00 | 35% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HB=BASIC METABOLIC PANE | $74.75 | $115.00 | 35% |
| Basic metabolic panel (blood test) CPT 80048 HB=CSHB BASIC METABOLIC PANEL | $200.20 | $308.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB=BASIC METABOLIC PANE | $74.75 | $115.00 | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HB=CSHB BASIC METABOLIC PANEL | $200.20 | $308.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=CSHB LIPOPROTEIN LIPID PANEL | $29.90 | $46.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=LIPID PANEL. | $65.00 | $100.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=LIPID PANEL . | $68.25 | $105.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=CSHB LIPID PANEL | $162.50 | $250.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=CSHB LIPOPROTEIN LIPID PANEL | $29.90 | $46.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=LIPID PANEL. | $65.00 | $100.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=LIPID PANEL . | $68.25 | $105.00 | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=CSHB LIPID PANEL | $162.50 | $250.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HB=CBC PLATELET AUTO DI | $80.60 | $124.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HB=CSHB CBC WITH AUTO DIFF | $141.05 | $217.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HB=CSHB POCT CBC W/AUTO DIFF | $141.05 | $217.00 | 35% |
| Complete blood count (CBC) with differential CPT 85025 HB=POC CBC WITH AUTO DIFF | $148.85 | $229.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB=CBC PLATELET AUTO DI | $80.60 | $124.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB=CSHB POCT CBC W/AUTO DIFF | $141.05 | $217.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB=CSHB CBC WITH AUTO DIFF | $141.05 | $217.00 | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HB=POC CBC WITH AUTO DIFF | $148.85 | $229.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HB=CBC WITH NO DIFF | $81.25 | $125.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HB=CBC AUTOMATED WITHOU | $112.45 | $173.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HB=CSHB HEMOGRAM | $125.45 | $193.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HB=CSHB CBC WITHOUT AUTO DIFF | $125.45 | $193.00 | 35% |
| Complete blood count (CBC), no differential CPT 85027 HB=CBC PLATELET MANUAL | $167.05 | $257.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB=CBC WITH NO DIFF | $81.25 | $125.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB=CBC AUTOMATED WITHOU | $112.45 | $173.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB=CSHB HEMOGRAM | $125.45 | $193.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB=CSHB CBC WITHOUT AUTO DIFF | $125.45 | $193.00 | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HB=CBC PLATELET MANUAL | $167.05 | $257.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB=COMPREHENSIVE METABO | $115.70 | $178.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB=COMP METABOLIC ELTROMBOPAG | $115.70 | $178.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB=CSHB COMP METABOLIC PANEL | $249.60 | $384.00 | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 HB=CSHB POCT COMPREHENSIVE METABOLIC PANEL | $249.60 | $384.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=COMPREHENSIVE METABO | $115.70 | $178.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=COMP METABOLIC ELTROMBOPAG | $115.70 | $178.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=CSHB POCT COMPREHENSIVE METABOLIC PANEL | $249.60 | $384.00 | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=CSHB COMP METABOLIC PANEL | $249.60 | $384.00 | 35% |
| Kidney function blood test panel CPT 80069 HB=RENAL FUNCTION PANEL. | $103.35 | $159.00 | 35% |
| Kidney function blood test panel CPT 80069 HB=CSHB RENAL FUNCTION PANEL | $157.30 | $242.00 | 35% |
| Kidney function blood test panel inpatient CPT 80069 HB=RENAL FUNCTION PANEL. | $103.35 | $159.00 | 35% |
| Kidney function blood test panel inpatient CPT 80069 HB=CSHB RENAL FUNCTION PANEL | $157.30 | $242.00 | 35% |
| Liver function blood test panel CPT 80076 HB=HEPATIC FUNCTION PAN | $63.05 | $97.00 | 35% |
| Liver function blood test panel CPT 80076 HB=CSHB HEPATIC FUNCTION PANEL A | $156.00 | $240.00 | 35% |
| Liver function blood test panel CPT 80076 HB=CSHB POCT LIVER FUNCTION PANEL | $156.00 | $240.00 | 35% |
| Liver function blood test panel inpatient CPT 80076 HB=HEPATIC FUNCTION PAN | $63.05 | $97.00 | 35% |
| Liver function blood test panel inpatient CPT 80076 HB=CSHB POCT LIVER FUNCTION PANEL | $156.00 | $240.00 | 35% |
| Liver function blood test panel inpatient CPT 80076 HB=CSHB HEPATIC FUNCTION PANEL A | $156.00 | $240.00 | 35% |
| Obstetric blood test panel CPT 80055 HB=CSHB OBSTETRIC PANEL | $132.60 | $204.00 | 35% |
| Obstetric blood test panel inpatient CPT 80055 HB=CSHB OBSTETRIC PANEL | $132.60 | $204.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB=FREE PSA | $39.65 | $61.00 | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HB=CSHB L-PSA FREE | $68.25 | $105.00 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB=FREE PSA | $39.65 | $61.00 | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB=CSHB L-PSA FREE | $68.25 | $105.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB=TOTAL PSA | $39.65 | $61.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB=CSHB L-PSA TOTAL | $68.25 | $105.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB=PROSTATE-SPECIFIC AG, (PSA), S | $72.80 | $112.00 | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HB=CSHB PSA TOTAL DX | $101.40 | $156.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=TOTAL PSA | $39.65 | $61.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=CSHB L-PSA TOTAL | $68.25 | $105.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=PROSTATE-SPECIFIC AG, (PSA), S | $72.80 | $112.00 | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=CSHB PSA TOTAL DX | $101.40 | $156.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB=CSHB THROMBOPLASTIN TIME PARTIAL SENDOUT | $28.60 | $44.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB=CSHB SILICA CLITTING TIME SCREEN | $64.51 | $99.24 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB=PARTIAL THROMBO (PTT | $118.30 | $182.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB=CSHB PTT ACTIVATED | $120.25 | $185.00 | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HB=ACTIVATED PARTIAL THROMBOPLASTIN TIME PLASMA | $188.50 | $290.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=CSHB THROMBOPLASTIN TIME PARTIAL SENDOUT | $28.60 | $44.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=CSHB SILICA CLITTING TIME SCREEN | $64.51 | $99.24 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=PARTIAL THROMBO (PTT | $118.30 | $182.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=CSHB PTT ACTIVATED | $120.25 | $185.00 | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=ACTIVATED PARTIAL THROMBOPLASTIN TIME PLASMA | $188.50 | $290.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB=CSHB PROTHROMBIN TIME SENDOUT | $30.55 | $47.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB=PT MIXING PROTHROMBIN TIME | $44.85 | $69.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB=PROTHROMBIN TIME. | $76.70 | $118.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB=CSHB PROTHROMBIN TIME INR | $100.75 | $155.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB=CSHB POCT PT/INR | $100.75 | $155.00 | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HB=PROTHROMBIN TIME (PT) PLASMA | $102.05 | $157.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=CSHB PROTHROMBIN TIME SENDOUT | $30.55 | $47.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=PT MIXING PROTHROMBIN TIME | $44.85 | $69.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=PROTHROMBIN TIME. | $76.70 | $118.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=CSHB PROTHROMBIN TIME INR | $100.75 | $155.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=CSHB POCT PT/INR | $100.75 | $155.00 | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=PROTHROMBIN TIME (PT) PLASMA | $102.05 | $157.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=TSH ULTRASENSITIVE | $59.15 | $91.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=TSH/THYROID STIMULAT | $62.40 | $96.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=THYROID STIMULATING HORMONE- SENSITIVE | $134.55 | $207.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=CU INDEX-TSH | $157.95 | $243.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=CSHB TSH HORMONE ULTRASENSITIVE | $180.05 | $277.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=TSH ULTRASENSITIVE | $59.15 | $91.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=TSH/THYROID STIMULAT | $62.40 | $96.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=THYROID STIMULATING HORMONE- SENSITIVE | $134.55 | $207.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=CU INDEX-TSH | $157.95 | $243.00 | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=CSHB TSH HORMONE ULTRASENSITIVE | $180.05 | $277.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HB=URINALYSIS ROUTINE & | $124.80 | $192.00 | 35% |
| Urinalysis with microscope exam, automated CPT 81001 HB=CSHB URINALYSIS AUTO W/MICRO | $135.20 | $208.00 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB=URINALYSIS ROUTINE & | $124.80 | $192.00 | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HB=CSHB URINALYSIS AUTO W/MICRO | $135.20 | $208.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB=UA DIPSTICK (POC) | $40.30 | $62.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB=UA DIP STICK | $45.50 | $70.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB=CSHB POCT UA AUTO W/O MICRO | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB=CSHB URINALYSIS CHEM AUTO | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB=CSHB URINALYSIS AUTO W/O MISCROSCOPY | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, automated CPT 81003 HB=CSHB POCT UA AUTO WITHOUT MICROSCOPY | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB=UA DIPSTICK (POC) | $40.30 | $62.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB=UA DIP STICK | $45.50 | $70.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB POCT UA AUTO WITHOUT MICROSCOPY | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB POCT UA AUTO W/O MICRO | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB URINALYSIS AUTO W/O MISCROSCOPY | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB URINALYSIS CHEM AUTO | $68.90 | $106.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 HB=CSHB URINALYSIS NON AUTO W/O MICROSCOPY | $77.35 | $119.00 | 35% |
| Urinalysis without microscope exam, manual CPT 81002 HB=CSHB POCT URINALYSIS W/O MICROSCOPY | $77.35 | $119.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB=CSHB URINALYSIS NON AUTO W/O MICROSCOPY | $77.35 | $119.00 | 35% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HB=CSHB POCT URINALYSIS W/O MICROSCOPY | $77.35 | $119.00 | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HB=LEFT HEART CATH ONLY | $14,565.85 | $22,409.00 | 35% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HB=LEFT HEART CATH ONLY | $14,565.85 | $22,409.00 | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HB=INJECT LUMB/SACR W IMG | $1,606.80 | $2,472.00 | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB=INJECT LUMB/SACR W IMG | $1,606.80 | $2,472.00 | 35% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HB=INJECT DX/TX SUBS L/S WO IMAGING | $570.05 | $877.00 | 35% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB=INJECT DX/TX SUBS L/S WO IMAGING | $570.05 | $877.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB=INJECT ANES LUMB/SACR SGL LEVEL | $1,028.95 | $1,583.00 | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB=INJECT ANES LUMB/SACR SGL LEVEL | $1,028.95 | $1,583.00 | 35% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HB=ENDO UPPER GI DX BRUSH/WASH | $2,307.50 | $3,550.00 | 35% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HB=ENDO UPPER GI DX BRUSH/WASH | $2,307.50 | $3,550.00 | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $118.30 | $182.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $182.00 | $182.00 | — |
| Family therapy with the patient, 50 minutes CPT 90847 HB=FAMILY PSYTX W/PATIENT NONGLOBAL | $405.60 | $624.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 HB=FAMILY PSYTX W/PT GLOBAL | $661.70 | $1,018.00 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $118.30 | $182.00 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $182.00 | $182.00 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB=FAMILY PSYTX W/PATIENT NONGLOBAL | $405.60 | $624.00 | 35% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HB=FAMILY PSYTX W/PT GLOBAL | $661.70 | $1,018.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 HB=FAMILY PSYTX W/O PT NONGLOBAL | $354.25 | $545.00 | 35% |
| Family therapy without the patient, 50 minutes CPT 90846 HB=FAMILY PSYTX W/O PT GLOBAL | $508.30 | $782.00 | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB=FAMILY PSYTX W/O PT NONGLOBAL | $354.25 | $545.00 | 35% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HB=FAMILY PSYTX W/O PT GLOBAL | $508.30 | $782.00 | 35% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $49.40 | $76.00 | 35% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $76.00 | $76.00 | — |
| Group psychotherapy session CPT 90853 HB=GROUP PSYCHOTHERAPY NONGLOBAL | $222.95 | $343.00 | 35% |
| Group psychotherapy session CPT 90853 HB=GROUP PSYCHOTHERAPY GLOBAL | $352.30 | $542.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $49.40 | $76.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $76.00 | $76.00 | — |
| Group psychotherapy session inpatient CPT 90853 HB=GROUP PSYCHOTHERAPY NONGLOBAL | $222.95 | $343.00 | 35% |
| Group psychotherapy session inpatient CPT 90853 HB=GROUP PSYCHOTHERAPY GLOBAL | $352.30 | $542.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $45.50 | $70.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $70.00 | $70.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HB=E&M LEVEL III NEW GLOBAL | $220.35 | $339.00 | 35% |
| New patient office visit, about 30 minutes CPT 99203 HB=E&M LEVEL III NEW NONGLOBAL | $235.95 | $363.00 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $45.50 | $70.00 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $70.00 | $70.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HB=E&M LEVEL III NEW GLOBAL | $220.35 | $339.00 | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HB=E&M LEVEL III NEW NONGLOBAL | $235.95 | $363.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $120.25 | $185.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $185.00 | $185.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HB=E&M LEVEL IV NEW NONGLOBAL | $408.85 | $629.00 | 35% |
| New patient office visit, about 45 minutes CPT 99204 HB=E&M LEVEL IV NEW GLOBAL | $493.35 | $759.00 | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $120.25 | $185.00 | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES | $185.00 | $185.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB=E&M LEVEL IV NEW NONGLOBAL | $408.85 | $629.00 | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HB=E&M LEVEL IV NEW GLOBAL | $493.35 | $759.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $339.30 | $522.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $522.00 | $522.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HB=E&M LEVEL V NEW NONGLOBAL | $589.55 | $907.00 | 35% |
| New patient office visit, about 60 minutes CPT 99205 HB=E&M LEVEL V NEW GLOBAL | $817.05 | $1,257.00 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $339.30 | $522.00 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $522.00 | $522.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB=E&M LEVEL V NEW NONGLOBAL | $589.55 | $907.00 | 35% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HB=E&M LEVEL V NEW GLOBAL | $817.05 | $1,257.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB=PT THERAPEUTIC PROCEDURE EA 15 MIN | $88.40 | $136.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB=OT THERAPEUTIC PROCEDURE EA 15 MIN | $88.40 | $136.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB=PT THERAPEUTIC PROCEDURE EA 15 MIN | $88.40 | $136.00 | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB=OT THERAPEUTIC PROCEDURE EA 15 MIN | $88.40 | $136.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $84.50 | $130.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $130.00 | $130.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 HB=PSYTX PT 30 MIN NONMD NONGLOBAL | $231.40 | $356.00 | 35% |
| Psychotherapy session, 30 minutes CPT 90832 HB=PSYTX PT 30 MIN NONMD GLOBAL | $397.15 | $611.00 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $84.50 | $130.00 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $130.00 | $130.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB=PSYTX PT 30 MIN NONMD NONGLOBAL | $231.40 | $356.00 | 35% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HB=PSYTX PT 30 MIN NONMD GLOBAL | $397.15 | $611.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $117.65 | $181.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $181.00 | $181.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 HB=PSYTX PT 45 MIN NONMD NONGLOBAL | $227.50 | $350.00 | 35% |
| Psychotherapy session, 45 minutes CPT 90834 HB=PSYTX PT 45 MIN NONMD GLOBAL | $490.10 | $754.00 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $117.65 | $181.00 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $181.00 | $181.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB=PSYTX PT 45 MIN NONMD NONGLOBAL | $227.50 | $350.00 | 35% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HB=PSYTX PT 45 MIN NONMD GLOBAL | $490.10 | $754.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $158.60 | $244.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $244.00 | $244.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 HB=PSYTX PT 60 MINUTES NONGLOBAL | $370.50 | $570.00 | 35% |
| Psychotherapy session, 60 minutes CPT 90837 HB=PSYTX PT 60 MINUTES GLOBAL | $539.50 | $830.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $158.60 | $244.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $244.00 | $244.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB=PSYTX PT 60 MINUTES NONGLOBAL | $370.50 | $570.00 | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HB=PSYTX PT 60 MINUTES GLOBAL | $539.50 | $830.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HB=PSYCH CONSULT OP 30-39 MIN | $235.95 | $363.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $243.75 | $375.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $375.00 | $375.00 | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HB=PSYCH CONSULT OP 30-39 MIN | $235.95 | $363.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $243.75 | $375.00 | 35% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | $375.00 | $375.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HB=PSYCH CONSULT OP 40-54 MIN | $302.90 | $466.00 | 35% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HB=PSYCH CONSULT OP 40-54 MIN | $302.90 | $466.00 | 35% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT | $1,431.95 | $2,203.00 | 35% |
| Dental implant, surgical placement inpatient CDT D6010 SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT | $1,431.95 | $2,203.00 | 35% |
| Porcelain crown CDT D2740 CROWN - PORCELAIN/CERAMIC | $772.20 | $1,188.00 | 35% |
| Porcelain crown inpatient CDT D2740 CROWN - PORCELAIN/CERAMIC | $772.20 | $1,188.00 | 35% |