McLaren Oakland
McLaren Oakland in Pontiac, MI publishes cash prices for 72 common procedures listed here, from its own machine-readable price file updated Dec 31, 2025. Click a procedure to compare it with other hospitals nearby.
50 N PERRY ST, PONTIAC MI, 48342 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 CT Abdomen and Pelvis w/ Contrast | $1,347.95 | $2,695.90 | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abd/Pelvis w/Cont | $1,347.95 | $2,695.90 | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Add On - CT Abd/Pelvis w/ Contrast | $1,347.95 | $2,695.90 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Cont Stroke Protocol | $983.50 | $1,967.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $983.50 | $1,967.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,022.65 | $2,045.30 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Contrast Enhanced Bi - Report | $56.10 | $112.10 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral - Report | $56.10 | $112.10 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Add On - MG Mammo Diagnostic Bilat PRO | $56.10 | $112.10 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Post Clip/Wire Placement Bilateral - Report | $56.10 | $112.10 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Diagnostic Same Day Addl View Bilat - Report | $56.10 | $112.10 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Diagnostic Bilateral - Report | $56.10 | $112.10 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Diagnostic Bilateral | $325.65 | $651.30 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Add On - MG Mammo Diagnostic Bilat | $325.65 | $651.30 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Post Clip/Wire Placement Bilat | $325.65 | $651.30 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Diagnostic Same Day Addl View Bilat | $325.65 | $651.30 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral | $325.65 | $651.30 | 50% |
| Diagnostic mammogram, both breasts CPT 77066 MG Breast Tomo Post Clip/Wire Place Bil - Report | $56.10 | $112.10 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diagnostic Right - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Breast Tomo Post Clip/Wire Place LT - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Contrast Enhanced LT - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Contrast Enhanced RT - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Breast Tomo Post Clip/Wire Place RT - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Add On - MG Mammo Diagnostic Right PRO | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Add On - MG Mammo Diagnostic Left PRO | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Post Clip/WirePlacement Right - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Post Clip/Wire Placement Left - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Diagnostic Same Day Addl View Left - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Diagnostic Same Day Addl View Right - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diagnostic Left - Report | $45.20 | $90.30 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Add On - MG Mammo Diagnostic Right | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Add On - MG Mammo Diagnostic Left | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diagnostic Left | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diagnostic Right | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Diagnostic Same Day Addl View Right | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Diagnostic Same Day Addl View Left | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Post Clip/Wire Placement Left | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Post Clip/Wire Placement Right | $263.50 | $527.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left | $263.50 | $527.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hips w/o Contrast Bilateral | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Joint w/o Contrast Right | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Joint w/o Contrast Left | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Add On - MRI Hip w/o Contrast Right | $1,420.25 | $2,840.50 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Hips w/ + w/o Contrast Bilateral | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Add On - MRI Hip w/ + w/o Contrast RT | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Joint w/ + w/o Contrast Right | $2,727.45 | $5,454.90 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Joint w/ + w/o Contrast Left | $2,727.45 | $5,454.90 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI Pituitary w/o Contrast | $1,493.95 | $2,987.90 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $1,493.95 | $2,987.90 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast Stroke Protocol | $1,493.95 | $2,987.90 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI IAC w/o Contrast | $1,493.95 | $2,987.90 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Cont Hydrocephalus Screen | $1,493.95 | $2,987.90 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC w/ + w/o Contrast | $2,774.10 | $5,548.20 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $2,774.10 | $5,548.20 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary w/ + w/o Contrast | $2,774.10 | $5,548.20 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,526.40 | $3,052.80 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks - Report | $52.70 | $105.40 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 DP OB US Greater Than 14 weeks, Single, In Office 76805 | $52.70 | $105.40 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 WH OB US Greater Than 14 weeks, Single | $260.15 | $520.30 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $260.15 | $520.30 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screening Bilateral - Report | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 Add On - MG Mammo Screening Bilateral PRO | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Implant Screening Bilateral - Report | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 Add On - MG Mammo Screening Bilateral | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screening Bilateral | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Implant Screening Bilateral | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 Add On - MG Mammo Screening Left PRO | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts one side CPT 77067 Add On - MG Mammo Screening Right PRO | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Right - Report | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Left - Report | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Left - Report | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Right - Report | $45.20 | $90.30 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Right | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Left | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 Add On - MG Mammo Screening Left | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Right | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Left | $286.00 | $572.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 Add On - MG Mammo Screening Right | $286.00 | $572.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 DP Polysom 6/GrtrThn Yrs 4/GrtrThn Param 95810 | $542.20 | $1,084.30 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> Yrs 4/> Param | $1,105.95 | $2,211.90 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ADD ON - US Transvag AMB | $234.50 | $469.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 WH US Transvaginal | $243.85 | $487.70 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ADD ON - US Transvag | $243.85 | $487.70 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $243.85 | $487.70 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $270.35 | $540.70 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $183.70 | $367.40 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $120.55 | $241.10 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel Calculated | $50.95 | $101.90 | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W Differential WBC Count POC 85025 Downtime | $20.40 | $40.80 | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Diff POC | $20.40 | $40.80 | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC w Differential | $43.00 | $86.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC No Diff (Hemogram) | $20.50 | $41.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 White Blood Cell | $20.50 | $41.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $213.75 | $427.50 | 50% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $150.90 | $301.80 | 50% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $105.25 | $210.50 | 50% |
| Obstetric blood test panel CPT 80055 OB Panel | $92.90 | $185.80 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free | $58.90 | $117.80 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free | $58.90 | $117.80 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total | $90.75 | $181.50 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic | $90.75 | $181.50 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated PTT | $34.65 | $69.30 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $34.65 | $69.30 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT With Heparin | $34.65 | $69.30 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated Partial Thromboplastin | $34.65 | $69.30 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR Level POC | $11.25 | $22.50 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC | $13.10 | $26.20 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .PT/INR POC | $29.25 | $58.50 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $29.25 | $58.50 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .INR POC | $29.25 | $58.50 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $29.25 | $58.50 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $83.10 | $166.20 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone Reflex Free T4 | $83.10 | $166.20 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Urine Dipstick POC Amb | $37.75 | $75.50 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 UAWMICR | $37.75 | $75.50 | 50% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Dip Stick Non-Auto w/Microscopy POC 81000 | $6.70 | $13.40 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 .Urine Dipstick, POC | $12.45 | $24.90 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick POC Amb | $12.45 | $24.90 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 UAMicIf | $12.45 | $24.90 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 UACulIf | $12.45 | $24.90 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Ketone Urine | $12.45 | $24.90 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 UAPH | $12.45 | $24.90 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 UA ONLY | $12.45 | $24.90 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick POC Amb | $7.65 | $15.30 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dip Stick Non-Auto w/o Micro POC 81002 Downtime | $7.65 | $15.30 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 SP Cataract surgery w IOL prosthesis (1 stage procedure) 66984 | $1,398.70 | $2,797.40 | 50% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 SP Total Ob Care;Cesarean Delivery 59510 | $4,019.60 | $8,039.10 | 50% |
| Colonoscopy with endoscopic ultrasound CPT 45391 SP Colonoscopy w/endoscopr US 45391 | $313.70 | $627.40 | 50% |
| Colonoscopy with polyp removal CPT 45385 SP Lesion Removal Colonoscopy 45385 | $812.30 | $1,624.50 | 50% |
| Colonoscopy with polyp removal CPT 45385 Hospitalist SP 45385 Lesion Removal Colonoscopy | $812.30 | $1,624.50 | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,377.57 | $4,755.14 | 50% |
| Colonoscopy with tissue sample CPT 45380 Hospitalist SP 45380 Colonoscopy, flex; w biopsy, single/multiple | $679.60 | $1,359.10 | 50% |
| Colonoscopy with tissue sample CPT 45380 SP Colonoscopy, flexible; with biopsy, single or multiple 45380 | $679.60 | $1,359.10 | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,480.19 | $4,960.37 | 50% |
| Colonoscopy, diagnostic CPT 45378 SP Colonoscopy Flx Dx w/collect Spec when Pfrmd 45378 | $569.30 | $1,138.60 | 50% |
| Colonoscopy, diagnostic CPT 45378 Hospitalist SP 45378 Colonoscopy Flx Dx w/collect Spec when Pfrmd | $569.30 | $1,138.60 | 50% |
| Colonoscopy, diagnostic CPT 45378 Hospitalist BP 45378 Colonoscopy Flx Dx w/collect Spec when Pfrmd | $569.30 | $1,138.60 | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $3,254.98 | $6,509.95 | 50% |
| Gallbladder removal, laparoscopic CPT 47562 Hospitalist SP 47562 Laparoscopic Cholecystectomy | $1,406.30 | $2,812.50 | 50% |
| Gallbladder removal, laparoscopic CPT 47562 SP Laparoscopic Cholecystectomy 47562 | $1,406.30 | $2,812.50 | 50% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $14,645.89 | $29,291.78 | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 SP Repair initial inguinal hernia, age 5 years or older; reducible 49505 | $1,176.30 | $2,352.50 | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Hospitalist SP 49505 Repair initial inguinal hernia age 5yrs or older; reducible | $1,176.30 | $2,352.50 | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $7,335.12 | $14,670.24 | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 Hospitalist SP 29881 Knee Arthroscopy/Surg w/Meniscectomy - Med OR Lat w/ Debride/Shav Artic Cartil | $1,800.40 | $3,600.70 | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 SP Knee Arthroscopy/Surg w/Meniscect - Med OR Lat incl Debride/Shav Artic Cartlag 29881 | $1,800.40 | $3,600.70 | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $6,718.23 | $13,436.46 | 50% |
| Left heart catheterization, diagnostic CPT 93452 CCL Lv Gram Only | $3,915.10 | $7,830.20 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323- CT Injection Lmbr/Scrl Epidural | $970.65 | $1,941.30 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323- IR Inj Epid/Subarac Lum/Sacr w/ Img | $970.65 | $1,941.30 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 IR Inject non-neurolytic intrlaminar L/S | $970.65 | $1,941.30 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection Interlaminar Lumbar/Sacral w/ Guidance 62323 | $970.65 | $1,941.30 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323-XR Injection Lmbr/Scrl Epidural | $970.65 | $1,941.30 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $7,145.90 | $14,291.79 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 SP Injection Interlaminar Lumbar/Sacral w/o Guidance 62322 | $177.60 | $355.20 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection Interlaminar Lumbar/Sacral w/o Guidance 62322 | $681.75 | $1,363.50 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SP Injection Transforaminal Epidural W/Image; Lumbar or Sacral, Single 64483 | $544.70 | $1,089.30 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR Inj Foramen Epidural Lum/Sacr | $1,740.55 | $3,481.10 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection Anesthetic/Steroid Transforaminal w/Guide Lumbar/Sacral Single Lvl 64483 | $1,740.55 | $3,481.10 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483-CT Inject Lmbr/Scrl Foramina Epid | $1,740.55 | $3,481.10 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483-XR Inject Lmbr/Scrl Foramina Epid | $1,740.55 | $3,481.10 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 64483- IR Inj Foramen Epid Lum/Sacr LT | $1,740.55 | $3,481.10 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 64483- IR Inj Foramen Epid Lum/Sacr RT | $1,740.55 | $3,481.10 | 50% |
| Prostate biopsy CPT 55700 Hospitalist SP 55700 Prostate Biopsy, Needle/Punch-1 or more | $401.00 | $802.00 | 50% |
| Prostate biopsy CPT 55700 SP Prostate Biopsy, Needle/Punch - 1 or more 55700 | $401.00 | $802.00 | 50% |
| Prostate biopsy CPT 55700 BP Prostate Biopsy, Needle/Punch-1 or more 55700 | $1,876.35 | $3,752.70 | 50% |
| Prostate biopsy CPT 55700 55700-US Biopsy Prostate | $1,876.35 | $3,752.70 | 50% |
| Prostate biopsy CPT 55700 Prostate Biopsy, Needle/Punch-1 or more 55700 | $1,876.35 | $3,752.70 | 50% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $3,961.24 | $7,922.47 | 50% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Hospitalist SP 55866 Lap Prostatectomy Retropubic Radcl inc Nrv Sparing/Robotic assist | $3,316.70 | $6,633.40 | 50% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 SP Lap Prostatectomy Retropubic Radcl incl Nrv Sparing/Robotic assist 55866 | $3,316.70 | $6,633.40 | 50% |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Fibroadenoma/Tmr Breast Open Male/Female >=1 Lesions 19120 | $392.80 | $785.60 | 50% |
| Removal of a breast lump, open surgery CPT 19120 Hospitalist SP 19120 Exc Cyst/Fibroadenoma/Other Tumor Open male/Female 1+ Lesions | $628.20 | $1,256.40 | 50% |
| Removal of a breast lump, open surgery CPT 19120 SP Excision of cyst, fibroadenoma, or other tumor, open, male or female, 1+ lesions 19120 | $628.20 | $1,256.40 | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SP Arthroscopy, shoulder, surgical; decomp.of subacromial space w/ partial acromioplasty, 29826 | $444.80 | $889.50 | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Hospitalist SP 29826 Arthroscopy, shoulder, surg; decomp subacromial space w/ partl acromioplasty | $444.80 | $889.50 | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 SP Removal tonsils and adenoids, younger than age 12 42820 | $728.80 | $1,457.50 | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $4,743.89 | $9,487.78 | 50% |
| Total hip replacement CPT 27130 SP Arthroplasty, acetab and prox femoral prosthetic rplcmt, w/ or w/o autograft or allograft 27130 | $5,586.50 | $11,172.90 | 50% |
| Total hip replacement CPT 27130 Hospitalist SP 27130 Arthroplasty, acetab & prox femoral prosthet rplcmt, w/ or w/o auto/allograft | $5,586.50 | $11,172.90 | 50% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $29,514.36 | $59,028.72 | 50% |
| Total knee replacement CPT 27447 SP Total Knee Arthroplasty 27447 | $5,628.30 | $11,256.50 | 50% |
| Total knee replacement CPT 27447 Hospitalist SP 27447 Total Knee Arthroplasty | $5,628.30 | $11,256.50 | 50% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $28,720.45 | $57,440.90 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hospitalist SP 43239 EGD, flex transoral; w bx sngl/multi | $444.10 | $888.20 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 SP Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 43239 | $444.10 | $888.20 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple | $2,766.41 | $5,532.81 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hospitalist SP 43235 Esophagogastroduodenoscopy, flex, Transoral, Diagnostic (sep px) | $375.70 | $751.40 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 SP Esophagogastroduodenoscopy, flex, Transoral, Diagnostic (sep px) 43235 | $375.70 | $751.40 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 BP EGD flex transoral; diag inc collect specimen brush/wash when performed 43235 | $749.25 | $1,498.50 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash | $6,925.21 | $13,850.42 | 50% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 SP Routine Ob Care Incl antepartum care Vag Dlvry & Postpartum Care after prev C-sect 59610 | $3,815.60 | $7,631.10 | 50% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 SP Total Obstetrical Care W/ Vaginal Delivery 59400 | $3,808.80 | $7,617.50 | 50% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Hospitalist SP 59400 OB Care, Vaginal Delivery & Postpartum | $3,808.80 | $7,617.50 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 CV ECG Report | $17.10 | $34.20 | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Amb Electrocardiogram, Routine With at Least 12 leads 93000 | $17.10 | $34.20 | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 Family, Couples Psychotherapy With Patient 90847 | $100.60 | $201.20 | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 TMED Family Psych TX w pt 50min 90847 | $117.00 | $234.00 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 Family, Couples Psychotherapy W/O Patient 90846 | $100.60 | $201.20 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 TMED Family Psych TX wo pt 50min 90846 | $109.50 | $219.00 | 50% |
| Group psychotherapy session CPT 90853 Group Therapy 90853 | $58.45 | $116.90 | 50% |
| New patient office visit, about 30 minutes CPT 99203 Hospitalist 99203 Office Visit Level 3 New 30-44 Minutes | $69.00 | $138.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 New Patient Visit - Level 3 | $88.50 | $177.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 TeleStroke 99203 Office/Other Outpatient New 30-44 Minutes | $89.00 | $178.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 Office Visit Level 3 New Professional 30-44 Minutes 99203 | $89.00 | $178.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 New Patient Visit - Level 4 | $95.75 | $191.50 | 50% |
| New patient office visit, about 45 minutes CPT 99204 Office Visit Level 4 New Professional 45-59 Minutes 99204 | $96.00 | $192.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 Hospitalist 99204 Office Visit Level 4 New 45-59 Minutes | $120.50 | $241.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 TeleStroke 99204 Office/Other Outpatient New 45-59 Minutes | $134.00 | $268.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 Office Visit Level 5 New Professional 60-74 Minutes 99205 | $103.50 | $207.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 New Patient Visit - Level 5 | $103.50 | $207.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 Hospitalist 99205 Office Visit Level 5 New 60-74 Minutes | $150.00 | $300.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 TeleStroke 99205 Office/Other Outpatient New 60-74 Minutes | $169.50 | $339.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Ea 15 Min 97110 | $27.40 | $54.80 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $58.90 | $117.80 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $58.90 | $117.80 | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial Comp Preventive Med 18 to 39 years New 99385 | $106.00 | $212.00 | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial Comp Preventive Med 40 to 64 years New 99386 | $131.50 | $263.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 Mins 90832 | $100.60 | $201.20 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 Mins 90834 | $100.60 | $201.20 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 Mins 90837 | $100.60 | $201.20 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/Outpatient Consult >= 30 mins 99243 | $136.00 | $272.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Hospitalist 99243 Office/Outpatient Consult >= 30 mins | $136.00 | $272.00 | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 ED PRO CONSULTATION, OFFICE/OUTPATIENT, LEVEL III 99243 | $136.30 | $272.50 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ED PRO CONSULTATION, OFFICE/OUTPATIENT, LEVEL IV 99244 | $190.30 | $380.60 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/Outpatient Consult >= 40 mins 99244 | $190.50 | $381.00 | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Hospitalist 99244 Office/Outpatient Consult >= 40 mins | $190.50 | $381.00 | 50% |