University Hospitals Health System
University Hospitals Health System in Cleveland, OH publishes cash prices for 54 common procedures listed here, from its own machine-readable price file updated Jul 14, 2026. Click a procedure to compare it with other hospitals nearby.
11100 Euclid Avenue, Cleveland OH 44106 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 ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $2,446.50 | $3,262.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $2,446.50 | $3,262.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $2,446.50 | $3,262.00 | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $2,446.50 | $3,262.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,233.00 | $1,644.00 | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,233.00 | $1,644.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,233.00 | $1,644.00 | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,233.00 | $1,644.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $1,678.50 | $2,238.00 | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $1,678.50 | $2,238.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $1,678.50 | $2,238.00 | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $1,678.50 | $2,238.00 | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $520.50 | $694.00 | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $520.50 | $694.00 | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $520.50 | $694.00 | 25% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $520.50 | $694.00 | 25% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $371.25 | $495.00 | 25% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $371.25 | $495.00 | 25% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $371.25 | $495.00 | 25% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $371.25 | $495.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $2,577.75 | $3,437.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $2,577.75 | $3,437.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $2,577.75 | $3,437.00 | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $2,577.75 | $3,437.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $2,928.75 | $3,905.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $2,928.75 | $3,905.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $2,928.75 | $3,905.00 | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $2,928.75 | $3,905.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,243.25 | $2,991.00 | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,243.25 | $2,991.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,243.25 | $2,991.00 | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $2,243.25 | $2,991.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,614.50 | $3,486.00 | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,614.50 | $3,486.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,614.50 | $3,486.00 | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,614.50 | $3,486.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST | $2,244.00 | $2,992.00 | 25% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST | $2,244.00 | $2,992.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST | $2,244.00 | $2,992.00 | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST | $2,244.00 | $2,992.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $855.75 | $1,141.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $855.75 | $1,141.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $855.75 | $1,141.00 | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $855.75 | $1,141.00 | 25% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $377.25 | $503.00 | 25% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $377.25 | $503.00 | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $377.25 | $503.00 | 25% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL | $377.25 | $503.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $6,070.50 | $8,094.00 | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $6,070.50 | $8,094.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $6,070.50 | $8,094.00 | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $6,070.50 | $8,094.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL | $921.00 | $1,228.00 | 25% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL | $921.00 | $1,228.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL | $921.00 | $1,228.00 | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL | $921.00 | $1,228.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,114.50 | $1,486.00 | 25% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,114.50 | $1,486.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,114.50 | $1,486.00 | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,114.50 | $1,486.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $513.00 | $684.00 | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $513.00 | $684.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $513.00 | $684.00 | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $513.00 | $684.00 | 25% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $122.25 | $163.00 | 25% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $122.25 | $163.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $122.25 | $163.00 | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $122.25 | $163.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN METABOLISM PROFILE - MAYO - 1 OF 3 | $45.75 | $61.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROTEIN METABOLISM PROFILE - MAYO - 1 OF 3 | $45.75 | $61.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $143.25 | $191.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $143.25 | $191.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN METABOLISM PROFILE - MAYO - 1 OF 3 | $45.75 | $61.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROTEIN METABOLISM PROFILE - MAYO - 1 OF 3 | $45.75 | $61.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $143.25 | $191.00 | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $143.25 | $191.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $98.25 | $131.00 | 25% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $98.25 | $131.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $98.25 | $131.00 | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $98.25 | $131.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC | $90.75 | $121.00 | 25% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC | $90.75 | $121.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC | $90.75 | $121.00 | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC | $90.75 | $121.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $198.00 | $264.00 | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $198.00 | $264.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $198.00 | $264.00 | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $198.00 | $264.00 | 25% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $188.25 | $251.00 | 25% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $188.25 | $251.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $188.25 | $251.00 | 25% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $188.25 | $251.00 | 25% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $141.75 | $189.00 | 25% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $141.75 | $189.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $141.75 | $189.00 | 25% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $141.75 | $189.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN - PSA FREE | $184.50 | $246.00 | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN - PSA FREE | $184.50 | $246.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN - PSA FREE | $184.50 | $246.00 | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN - PSA FREE | $184.50 | $246.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $139.50 | $186.00 | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $139.50 | $186.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $139.50 | $186.00 | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $139.50 | $186.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $69.00 | $92.00 | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $69.00 | $92.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $69.00 | $92.00 | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $69.00 | $92.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $69.00 | $92.00 | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $69.00 | $92.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $69.00 | $92.00 | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $69.00 | $92.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $184.50 | $246.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $184.50 | $246.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH) | $184.50 | $246.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH) | $184.50 | $246.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH) | $184.50 | $246.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH) | $184.50 | $246.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $184.50 | $246.00 | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $184.50 | $246.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $93.00 | $124.00 | 25% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $93.00 | $124.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $93.00 | $124.00 | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $93.00 | $124.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $69.75 | $93.00 | 25% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $69.75 | $93.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $69.75 | $93.00 | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $69.75 | $93.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $51.00 | $68.00 | 25% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $51.00 | $68.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $51.00 | $68.00 | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $51.00 | $68.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $34.50 | $46.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $34.50 | $46.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $34.50 | $46.00 | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $34.50 | $46.00 | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) | $3,201.00 | $4,268.00 | 25% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) | $3,201.00 | $4,268.00 | 25% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) | $3,201.00 | $4,268.00 | 25% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) | $3,201.00 | $4,268.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $2,571.75 | $3,429.00 | 25% |
| Colonoscopy with polyp removal CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $2,571.75 | $3,429.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $2,571.75 | $3,429.00 | 25% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $2,571.75 | $3,429.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $2,640.00 | $3,520.00 | 25% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $2,640.00 | $3,520.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $2,640.00 | $3,520.00 | 25% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $2,640.00 | $3,520.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY | $2,602.50 | $3,470.00 | 25% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY | $2,602.50 | $3,470.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY | $2,602.50 | $3,470.00 | 25% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY | $2,602.50 | $3,470.00 | 25% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCISSION,2ND CATARACT,LASER | $1,459.50 | $1,946.00 | 25% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCISSION,2ND CATARACT,LASER | $1,459.50 | $1,946.00 | 25% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC DISCISSION,2ND CATARACT,LASER | $1,459.50 | $1,946.00 | 25% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC DISCISSION,2ND CATARACT,LASER | $1,459.50 | $1,946.00 | 25% |
| Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $15,714.75 | $20,953.00 | 25% |
| Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $15,714.75 | $20,953.00 | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $15,714.75 | $20,953.00 | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $15,714.75 | $20,953.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,709.25 | $2,279.00 | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,709.25 | $2,279.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,709.25 | $2,279.00 | 25% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,709.25 | $2,279.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $1,876.50 | $2,502.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $1,876.50 | $2,502.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $1,876.50 | $2,502.00 | 25% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $1,876.50 | $2,502.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD | $2,846.25 | $3,795.00 | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD | $2,846.25 | $3,795.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD | $2,846.25 | $3,795.00 | 25% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD | $2,846.25 | $3,795.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $2,624.25 | $3,499.00 | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $2,624.25 | $3,499.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $2,624.25 | $3,499.00 | 25% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $2,624.25 | $3,499.00 | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PHYS | $423.00 | $564.00 | 25% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PHYS | $423.00 | $564.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W PHYS | $423.00 | $564.00 | 25% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W PHYS | $423.00 | $564.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY,NO PT | $634.50 | $846.00 | 25% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY,NO PT | $634.50 | $846.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY,NO PT | $634.50 | $846.00 | 25% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY,NO PT | $634.50 | $846.00 | 25% |
| Group psychotherapy session CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY | $69.75 | $93.00 | 25% |
| Group psychotherapy session CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY VIRTUAL | $69.75 | $93.00 | 25% |
| Group psychotherapy session CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY | $69.75 | $93.00 | 25% |
| Group psychotherapy session CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY VIRTUAL | $69.75 | $93.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $291.00 | $388.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $291.00 | $388.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC | $405.00 | $540.00 | 25% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC | $405.00 | $540.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY | $69.75 | $93.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY VIRTUAL | $69.75 | $93.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY | $69.75 | $93.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC PRENATAL GROUP PSYCHOTHERAPY VIRTUAL | $69.75 | $93.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC MCD GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL | $256.50 | $342.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $291.00 | $388.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC OFFICE | $291.00 | $388.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC | $405.00 | $540.00 | 25% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC | $405.00 | $540.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW 30 MINUTES | $210.00 | $280.00 | 25% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW 30 MINUTES | $210.00 | $280.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW 30 MINUTES | $210.00 | $280.00 | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW 30 MINUTES | $210.00 | $280.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW 45 MINUTES | $309.00 | $412.00 | 25% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW 45 MINUTES | $309.00 | $412.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW 45 MINUTES | $309.00 | $412.00 | 25% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW 45 MINUTES | $309.00 | $412.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW 60 MINUTES | $417.75 | $557.00 | 25% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW 60 MINUTES | $417.75 | $557.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW 60 MINUTES | $417.75 | $557.00 | 25% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW 60 MINUTES | $417.75 | $557.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $134.25 | $179.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREVENTIVE VISIT,NEW,18-39 | $138.00 | $184.00 | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREVENTIVE VISIT,NEW,18-39 | $138.00 | $184.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREVENTIVE VISIT,NEW,18-39 | $138.00 | $184.00 | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREVENTIVE VISIT,NEW,18-39 | $138.00 | $184.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREVENTIVE VISIT,NEW,40-64 | $141.00 | $188.00 | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREVENTIVE VISIT,NEW,40-64 | $141.00 | $188.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREVENTIVE VISIT,NEW,40-64 | $141.00 | $188.00 | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREVENTIVE VISIT,NEW,40-64 | $141.00 | $188.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC MCD PSYCHOTHERAPY W/PATIENT 30 MINUTES | $193.50 | $258.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES | $267.00 | $356.00 | 25% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC MCD PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL | $267.00 | $356.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC MCD PSYCHOTHERAPY W/PATIENT 60 MINUTES | $328.50 | $438.00 | 25% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL | $328.50 | $438.00 | 25% |