Allina Health Systems
Allina Health Systems in N New Ulm, MN publishes cash prices for 36 common procedures listed here, from its own machine-readable price file updated Jun 16, 2026. Click a procedure to compare it with other hospitals nearby.
1324 5th St N. New Ulm, MN 56073 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 HCHG RAD CT ABDOMEN PELVIS W | $1,589.34 | $2,838.10 | 44% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG RAD CT ABDOMEN PELVIS W | $1,589.34 | $2,838.10 | 44% |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG RAD CT HEAD BRAIN WO | $794.70 | $1,419.10 | 44% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG RAD CT HEAD BRAIN WO | $794.70 | $1,419.10 | 44% |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG RAD CT PELVIS W | $1,192.13 | $2,128.80 | 44% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG RAD CT PELVIS W | $1,192.13 | $2,128.80 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC 3D WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT ADDL VIEWS WWO CAD | $310.97 | $555.30 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC W IMPLANT WWO CAD | $358.46 | $640.10 | 44% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC IMPLANT W ADDL VIE | $358.57 | $640.30 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC 3D WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT ADDL VIEWS WWO CAD | $310.97 | $555.30 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC W IMPLANT WWO CAD | $358.46 | $640.10 | 44% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG RAD MAMMO BILAT DIAGNOSTIC IMPLANT W ADDL VIE | $358.57 | $640.30 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC ADDL VIEWS WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC 3D WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, one breast CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC W IMPLANT WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC W IMPLANT WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC ADDL VIEWS WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC 3D WWO CAD | $286.83 | $512.20 | 44% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HCHG RAD MAMMO UNI DIAGNOSTIC WWO CAD | $286.83 | $512.20 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO LIMITED | $1,362.54 | $2,433.10 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO | $1,816.70 | $3,244.10 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO LIMITED | $1,362.54 | $2,433.10 | 44% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG RAD MRI JOINT LOWER EXTREMITY WO | $1,816.70 | $3,244.10 | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG RAD MRI JOINT OF LOWER EXTREMITY WWO | $2,825.93 | $5,046.30 | 44% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG RAD MRI JOINT OF LOWER EXTREMITY WWO | $2,825.93 | $5,046.30 | 44% |
| MRI of the brain, no contrast dye CPT 70551 HCHG RAD MRI HEAD BRAIN WO LIMITED | $908.26 | $1,621.90 | 44% |
| MRI of the brain, no contrast dye CPT 70551 HCHG RAD MRI HEAD BRAIN WO | $1,211.06 | $2,162.60 | 44% |
| MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN WO CONTRAST | $1,301.89 | $2,324.80 | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG RAD MRI HEAD BRAIN WO LIMITED | $908.26 | $1,621.90 | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG RAD MRI HEAD BRAIN WO | $1,211.06 | $2,162.60 | 44% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN WO CONTRAST | $1,301.89 | $2,324.80 | 44% |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG RAD MRI HEAD BRAIN WWO | $2,018.46 | $3,604.40 | 44% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG RAD MRI HEAD BRAIN WWO | $2,018.46 | $3,604.40 | 44% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG RAD MRI SPINE LUMBAR WO LIMITED | $908.32 | $1,622.00 | 44% |
| MRI of the lower back, no contrast dye CPT 72148 HCHG RAD MRI SPINE LUMBAR WO | $1,211.06 | $2,162.60 | 44% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG RAD MRI SPINE LUMBAR WO LIMITED | $908.32 | $1,622.00 | 44% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG RAD MRI SPINE LUMBAR WO | $1,211.06 | $2,162.60 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SINGLE | $425.21 | $759.30 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SNGL G | $614.21 | $1,096.80 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SINGLE | $425.21 | $759.30 | 44% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SNGL G | $614.21 | $1,096.80 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING LTD WWO CAD | $179.26 | $320.10 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING 3D WWO CAD | $215.15 | $384.20 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING WWO CAD | $215.15 | $384.20 | 44% |
| Screening mammogram, both breasts both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING W IMPLANT WWO CAD | $286.83 | $512.20 | 44% |
| Screening mammogram, both breasts CPT 77067 HCHG RAD MAMMO UNI SCREENING 3D WWO CAD | $170.18 | $303.90 | 44% |
| Screening mammogram, both breasts CPT 77067 HCHG RAD MAMMO UNI SCREENING W IMPLANT WWO CAD | $215.15 | $384.20 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING LTD WWO CAD | $179.26 | $320.10 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING WWO CAD | $215.15 | $384.20 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING 3D WWO CAD | $215.15 | $384.20 | 44% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG RAD MAMMO BILAT SCREENING W IMPLANT WWO CAD | $286.83 | $512.20 | 44% |
| Screening mammogram, both breasts inpatient CPT 77067 HCHG RAD MAMMO UNI SCREENING 3D WWO CAD | $170.18 | $303.90 | 44% |
| Screening mammogram, both breasts inpatient CPT 77067 HCHG RAD MAMMO UNI SCREENING W IMPLANT WWO CAD | $215.15 | $384.20 | 44% |
| Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS | $3,030.33 | $5,411.30 | 44% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS | $3,030.33 | $5,411.30 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US PELVIS COMPLETE TV ADD ON | $141.68 | $253.00 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US TRANSVAGINAL FOLLICLE STUDY | $283.53 | $506.30 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG US PELVIS TRANSVAGINAL NON OB | $283.53 | $506.30 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US TRANSVAGINAL | $283.53 | $506.30 | 44% |
| Transvaginal pelvic ultrasound CPT 76830 HCHG RAD US PELVIS COMPLETE TV PORTABLE | $614.26 | $1,096.90 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US PELVIS COMPLETE TV ADD ON | $141.68 | $253.00 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US PELVIS TRANSVAGINAL NON OB | $283.53 | $506.30 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US TRANSVAGINAL | $283.53 | $506.30 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US TRANSVAGINAL FOLLICLE STUDY | $283.53 | $506.30 | 44% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG RAD US PELVIS COMPLETE TV PORTABLE | $614.26 | $1,096.90 | 44% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG RAD US ABDOMEN COMPLETE | $378.00 | $675.00 | 44% |
| Ultrasound of the abdomen, complete CPT 76700 HCHG RAD US ABDOMEN COMPLETE PORTABLE | $566.94 | $1,012.40 | 44% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG RAD US ABDOMEN COMPLETE | $378.00 | $675.00 | 44% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG RAD US ABDOMEN COMPLETE PORTABLE | $566.94 | $1,012.40 | 44% |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG RAD XRAY LUMBOSACRAL MINIMUM OF 4 VIEWS | $163.69 | $292.30 | 44% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG RAD XRAY LUMBOSACRAL MINIMUM OF 4 VIEWS | $163.69 | $292.30 | 44% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL QUEST | $18.14 | $32.40 | 44% |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL | $118.22 | $211.10 | 44% |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC RTR | $146.10 | $260.90 | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL QUEST | $18.14 | $32.40 | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL | $118.22 | $211.10 | 44% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC RTR | $146.10 | $260.90 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL QUEST | $20.66 | $36.90 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL LCC | $21.17 | $37.80 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL | $27.78 | $49.60 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL QUEST | $20.66 | $36.90 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL LCC | $21.17 | $37.80 | 44% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL | $27.78 | $49.60 | 44% |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC (INCLUDES DIFFERENTIAL AND PLATELETS) QUE | $20.66 | $36.90 | 44% |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC W/DIFF | $70.06 | $125.10 | 44% |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC/DIFF RTR | $74.70 | $133.40 | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC (INCLUDES DIFFERENTIAL AND PLATELETS) QUE | $20.66 | $36.90 | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC W/DIFF | $70.06 | $125.10 | 44% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC/DIFF RTR | $74.70 | $133.40 | 44% |
| Complete blood count (CBC), no differential CPT 85027 HCHG CBC QUEST | $19.21 | $34.30 | 44% |
| Complete blood count (CBC), no differential CPT 85027 HCHG CBC | $48.89 | $87.30 | 44% |
| Complete blood count (CBC), no differential CPT 85027 HCHG CBC RTR | $52.14 | $93.10 | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC QUEST | $19.21 | $34.30 | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC | $48.89 | $87.30 | 44% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC RTR | $52.14 | $93.10 | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL QUEST | $18.87 | $33.70 | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANE | $211.96 | $378.50 | 44% |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMP METABOLIC RTR | $242.98 | $433.90 | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL QUEST | $18.87 | $33.70 | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANE | $211.96 | $378.50 | 44% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMP METABOLIC RTR | $242.98 | $433.90 | 44% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL QUEST | $26.15 | $46.70 | 44% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL RTR | $143.64 | $256.50 | 44% |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL | $154.84 | $276.50 | 44% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL QUEST | $26.15 | $46.70 | 44% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL RTR | $143.64 | $256.50 | 44% |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL | $154.84 | $276.50 | 44% |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL QUEST | $17.98 | $32.10 | 44% |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL | $127.79 | $228.20 | 44% |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL QUEST | $17.98 | $32.10 | 44% |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL | $127.79 | $228.20 | 44% |
| Obstetric blood test panel CPT 80055 HCHG OBSTETRIC PANEL | $151.93 | $271.30 | 44% |
| Obstetric blood test panel inpatient CPT 80055 HCHG OBSTETRIC PANEL | $151.93 | $271.30 | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA FREE QUEST | $12.54 | $22.40 | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSAFREE LCC | $23.91 | $42.70 | 44% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSAFREE | $38.14 | $68.10 | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA FREE QUEST | $12.54 | $22.40 | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSAFREE LCC | $23.91 | $42.70 | 44% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSAFREE | $38.14 | $68.10 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSATOTAL LCC | $23.91 | $42.70 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA TOTAL DIAGNOSTIC LCC | $29.62 | $52.90 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA TOTAL DIAGNOSTIC QUEST | $31.58 | $56.40 | 44% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA-DIAGNOSTIC | $87.36 | $156.00 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSATOTAL LCC | $23.91 | $42.70 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA TOTAL DIAGNOSTIC LCC | $29.62 | $52.90 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA TOTAL DIAGNOSTIC QUEST | $31.58 | $56.40 | 44% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA-DIAGNOSTIC | $87.36 | $156.00 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT-LA SCREEN QUEST | $29.74 | $53.10 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PARTIAL THROMBOPLASTIN TIME ACTIVATED QUEST | $29.74 | $53.10 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG ACTIVATED PTT | $51.35 | $91.70 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG SCT SCREEN AND CONFIRM EACH | $51.35 | $91.70 | 44% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT LA BASELINE QUEST | $92.51 | $165.20 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PARTIAL THROMBOPLASTIN TIME ACTIVATED QUEST | $29.74 | $53.10 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT-LA SCREEN QUEST | $29.74 | $53.10 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG SCT SCREEN AND CONFIRM EACH | $51.35 | $91.70 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG ACTIVATED PTT | $51.35 | $91.70 | 44% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT LA BASELINE QUEST | $92.51 | $165.20 | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG INR POCT | $19.82 | $35.40 | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHOMBIN TIME | $19.82 | $35.40 | 44% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHROMBIN TIME QUEST | $22.51 | $40.20 | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG INR POCT | $19.82 | $35.40 | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHOMBIN TIME | $19.82 | $35.40 | 44% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHROMBIN TIME QUEST | $22.51 | $40.20 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH QUEST | $20.66 | $36.90 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH LCC | $20.89 | $37.30 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG CONGENITAL HYPOTHYROIDISM | $44.07 | $78.70 | 44% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH | $65.46 | $116.90 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH QUEST | $20.66 | $36.90 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH LCC | $20.89 | $37.30 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG CONGENITAL HYPOTHYROIDISM | $44.07 | $78.70 | 44% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH | $65.46 | $116.90 | 44% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS COMPLETE QUEST | $21.95 | $39.20 | 44% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS COMPLETE | $25.48 | $45.50 | 44% |
| Urinalysis with microscope exam, automated CPT 81001 HCHG UA COMPLETE RTR | $83.10 | $148.40 | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS COMPLETE QUEST | $21.95 | $39.20 | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS COMPLETE | $25.48 | $45.50 | 44% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG UA COMPLETE RTR | $83.10 | $148.40 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS RTR | $12.77 | $22.80 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG PH URINE | $12.77 | $22.80 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG KETONES URINE | $12.77 | $22.80 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG GLUCOSE QUAL URINE | $13.05 | $23.30 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS | $13.72 | $24.50 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS WITH REFLEX TO MICROSCOPIC QUEST | $17.98 | $32.10 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS MACROSCOPIC QUEST | $17.98 | $32.10 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG PH URINE NOVUS QUEST | $19.71 | $35.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG GLUCOSE (U) QL QUEST | $28.39 | $50.70 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG SPECIFIC GRAVITY (U) QUEST | $31.86 | $56.90 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG UA MULTI | $33.71 | $60.20 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG PROTEIN QUAL URINE | $44.24 | $79.00 | 44% |
| Urinalysis without microscope exam, automated CPT 81003 HCHG SPECIFIC GRAVITY URINE | $47.66 | $85.10 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG PH URINE | $12.77 | $22.80 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG KETONES URINE | $12.77 | $22.80 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS RTR | $12.77 | $22.80 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG GLUCOSE QUAL URINE | $13.05 | $23.30 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS | $13.72 | $24.50 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS WITH REFLEX TO MICROSCOPIC QUEST | $17.98 | $32.10 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS MACROSCOPIC QUEST | $17.98 | $32.10 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG PH URINE NOVUS QUEST | $19.71 | $35.20 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG GLUCOSE (U) QL QUEST | $28.39 | $50.70 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG SPECIFIC GRAVITY (U) QUEST | $31.86 | $56.90 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG UA MULTI | $33.71 | $60.20 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG PROTEIN QUAL URINE | $44.24 | $79.00 | 44% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG SPECIFIC GRAVITY URINE | $47.66 | $85.10 | 44% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT | $702.30 | $1,254.10 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT U | $823.31 | $1,470.20 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT B | $891.86 | $1,592.60 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT | $702.30 | $1,254.10 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT U | $823.31 | $1,470.20 | 44% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT B | $891.86 | $1,592.60 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG XR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG RAD INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG CT INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG IR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG IR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG XR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG RAD INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG CT INJ EPIDURAL LUMBAR OR SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL W GUIDE | $949.48 | $1,695.50 | 44% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ EPIDURAL INTERLAM SUBA LUMB SACRAL WO GUI | $493.19 | $880.70 | 44% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL WO GUIDE | $658.50 | $1,175.90 | 44% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ EPIDURAL INTERLAM SUBA LUMB SACRAL WO GUI | $493.19 | $880.70 | 44% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL WO GUIDE | $658.50 | $1,175.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG CT TRANSFORAMINAL LUMB OR SACRAL SNGL W CT GU | $986.38 | $1,761.40 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG XR INJ TRANSFORAMINAL LUMBAR OR SACRAL SINGLE | $986.38 | $1,761.40 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG RAD INJ TRANS EPIDURAL LUMBAR/SACRAL ONE LEVE | $1,034.26 | $1,846.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ TRANSFORAMINAL EPIDURAL LMBR/SAC 1 LVL W | $1,380.46 | $2,465.10 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG CT TRANSFORAMINAL LUMB OR SACRAL SNGL W CT GU | $986.38 | $1,761.40 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG XR INJ TRANSFORAMINAL LUMBAR OR SACRAL SINGLE | $986.38 | $1,761.40 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG RAD INJ TRANS EPIDURAL LUMBAR/SACRAL ONE LEVE | $1,034.26 | $1,846.90 | 44% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ TRANSFORAMINAL EPIDURAL LMBR/SAC 1 LVL W | $1,380.46 | $2,465.10 | 44% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XS | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XP | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XU | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XS | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XE | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE 15MIN | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE 15MIN | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE 59 | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE 59 | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XE | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XU | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XS | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG OT THERAPEUTIC EXERCISE XP | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XP | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG PT THERAPEUTIC EXERCISE XU | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XE | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE 15MIN | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XU | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XE | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XS | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XP | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE XU | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XE | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XS | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XP | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG SLP THERAPEUTIC EXERCISE XU | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XS | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XE | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE 59 | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG PT THERAPEUTIC EXERCISE 59 | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE 15MIN | $65.46 | $116.90 | 44% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG OT THERAPEUTIC EXERCISE XP | $65.46 | $116.90 | 44% |