SelfPayRates
Hospital Fresno, CA

Fresno Community Hospital and Medical Center

Fresno Community Hospital and Medical Center in Fresno, CA publishes cash prices for 38 common procedures listed here, from its own machine-readable price file updated Jun 18, 2026. Click a procedure to compare it with other hospitals nearby.

2823 Fresno St, Fresno, CA 93721 Collected Sep 24, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST $5,760.00 $7,200.00 20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST $5,760.00 $7,200.00 20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST $5,760.00 $7,200.00 20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST $5,760.00 $7,200.00 20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST $5,760.00 $7,200.00 20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST $5,760.00 $7,200.00 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD COMPLETE W/O CONTRAS $2,320.00 $2,900.00 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD COMPLETE W/O CONTRAS $2,320.00 $2,900.00 20%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD COMPLETE W/O CONTRAS $2,320.00 $2,900.00 20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD COMPLETE W/O CONTRAS $2,320.00 $2,900.00 20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD COMPLETE W/O CONTRAS $2,320.00 $2,900.00 20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD COMPLETE W/O CONTRAS $2,320.00 $2,900.00 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST $4,155.20 $5,194.00 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST $4,155.20 $5,194.00 20%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W/CONTRAST $4,155.20 $5,194.00 20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST $4,155.20 $5,194.00 20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST $4,155.20 $5,194.00 20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W/CONTRAST $4,155.20 $5,194.00 20%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI $695.20 $869.00 20%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI $695.20 $869.00 20%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI $695.20 $869.00 20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI $695.20 $869.00 20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI $695.20 $869.00 20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI $695.20 $869.00 20%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI $503.20 $629.00 20%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI $503.20 $629.00 20%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI $503.20 $629.00 20%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI $503.20 $629.00 20%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI $503.20 $629.00 20%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI $503.20 $629.00 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI-TOES W/O CONTRAST $4,500.00 $5,625.00 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI-TOES W/O CONTRAST $4,500.00 $5,625.00 20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI-TOES W/O CONTRAST $4,500.00 $5,625.00 20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI-TOES W/O CONTRAST $4,500.00 $5,625.00 20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI-TOES W/O CONTRAST $4,500.00 $5,625.00 20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI-TOES W/O CONTRAST $4,500.00 $5,625.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI-TOES W&W/O CONTRAST $6,650.40 $8,313.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI-TOES W&W/O CONTRAST $6,650.40 $8,313.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI-TOES W&W/O CONTRAST $6,650.40 $8,313.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-TOES W&W/O CONTRAST $6,650.40 $8,313.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-TOES W&W/O CONTRAST $6,650.40 $8,313.00 20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-TOES W&W/O CONTRAST $6,650.40 $8,313.00 20%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN W/O CONTRAST $4,064.00 $5,080.00 20%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN W/O CONTRAST $4,064.00 $5,080.00 20%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN W/O CONTRAST $4,064.00 $5,080.00 20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN W/O CONTRAST $4,064.00 $5,080.00 20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN W/O CONTRAST $4,064.00 $5,080.00 20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN W/O CONTRAST $4,064.00 $5,080.00 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/&W/O CONTRAST $6,640.00 $8,300.00 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/&W/O CONTRAST $6,640.00 $8,300.00 20%
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN W/&W/O CONTRAST $6,640.00 $8,300.00 20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN W/&W/O CONTRAST $6,640.00 $8,300.00 20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN W/&W/O CONTRAST $6,640.00 $8,300.00 20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN W/&W/O CONTRAST $6,640.00 $8,300.00 20%
MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O CONTRAST $3,944.80 $4,931.00 20%
MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O CONTRAST $3,944.80 $4,931.00 20%
MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O CONTRAST $3,944.80 $4,931.00 20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L-SPINE W/O CONTRAST $3,944.80 $4,931.00 20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L-SPINE W/O CONTRAST $3,944.80 $4,931.00 20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L-SPINE W/O CONTRAST $3,944.80 $4,931.00 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PREGNANCY 14-17 WEEKS $1,116.00 $1,395.00 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PREGNANCY 14-17 WEEKS $1,116.00 $1,395.00 20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PREGNANCY 14-17 WEEKS $1,116.00 $1,395.00 20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PREGNANCY 14-17 WEEKS $1,116.00 $1,395.00 20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PREGNANCY 14-17 WEEKS $1,116.00 $1,395.00 20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PREGNANCY 14-17 WEEKS $1,116.00 $1,395.00 20%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD $460.00 $575.00 20%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD $460.00 $575.00 20%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD $460.00 $575.00 20%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD $460.00 $575.00 20%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD $460.00 $575.00 20%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD $460.00 $575.00 20%
Transvaginal pelvic ultrasound CPT 76830 POC US TRANSVAGINAL NON OB $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound CPT 76830 POC US TRANSVAGINAL NON OB $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL ULTRASOUND $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL ULTRASOUND $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound CPT 76830 POC US TRANSVAGINAL NON OB $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL ULTRASOUND $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 POC US TRANSVAGINAL NON OB $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL ULTRASOUND $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 POC US TRANSVAGINAL NON OB $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL ULTRASOUND $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL ULTRASOUND $931.20 $1,164.00 20%
Transvaginal pelvic ultrasound inpatient CPT 76830 POC US TRANSVAGINAL NON OB $931.20 $1,164.00 20%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMPLETE $1,377.60 $1,722.00 20%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMPLETE $1,377.60 $1,722.00 20%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMPLETE $1,377.60 $1,722.00 20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMPLETE $1,377.60 $1,722.00 20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMPLETE $1,377.60 $1,722.00 20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMPLETE $1,377.60 $1,722.00 20%
X-ray of the lower back, 4 or more views CPT 72110 XRAY-SPINE LUMBAR MIN 4 VIEW $873.60 $1,092.00 20%
X-ray of the lower back, 4 or more views CPT 72110 XRAY-SPINE LUMBAR MIN 4 VIEW $873.60 $1,092.00 20%
X-ray of the lower back, 4 or more views CPT 72110 XRAY-SPINE LUMBAR MIN 4 VIEW $873.60 $1,092.00 20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY-SPINE LUMBAR MIN 4 VIEW $873.60 $1,092.00 20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY-SPINE LUMBAR MIN 4 VIEW $873.60 $1,092.00 20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY-SPINE LUMBAR MIN 4 VIEW $873.60 $1,092.00 20%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $146.40 $183.00 20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $146.40 $183.00 20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $146.40 $183.00 20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $146.40 $183.00 20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $146.40 $183.00 20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $146.40 $183.00 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $114.43 $143.03 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $114.43 $143.03 20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $114.43 $143.03 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $151.20 $189.00 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $151.20 $189.00 20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $151.20 $189.00 20%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF $124.00 $155.00 20%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF $124.00 $155.00 20%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFF $124.00 $155.00 20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFF $124.00 $155.00 20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFF $124.00 $155.00 20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFF $124.00 $155.00 20%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W/PLT CT $92.00 $115.00 20%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W/PLT CT $92.00 $115.00 20%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W/PLT CT $92.00 $115.00 20%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM W/PLT CT $92.00 $115.00 20%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM W/PLT CT $92.00 $115.00 20%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM W/PLT CT $92.00 $115.00 20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $164.80 $206.00 20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $164.80 $206.00 20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $164.80 $206.00 20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $164.80 $206.00 20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $164.80 $206.00 20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $164.80 $206.00 20%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $157.25 $196.56 20%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $157.25 $196.56 20%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $157.25 $196.56 20%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $220.80 $276.00 20%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $220.80 $276.00 20%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $220.80 $276.00 20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $144.00 $180.00 20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $144.00 $180.00 20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $144.00 $180.00 20%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $163.20 $204.00 20%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $163.20 $204.00 20%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $163.20 $204.00 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA PROSTATE SPECIFIC AG FREE;Q $11.20 $14.00 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA PROSTATE SPECIFIC AG FREE;Q $11.20 $14.00 20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA PROSTATE SPECIFIC AG FREE;Q $11.20 $14.00 20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA PROSTATE SPECIFIC AG FREE;Q $11.20 $14.00 20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA PROSTATE SPECIFIC AG FREE;Q $11.20 $14.00 20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA PROSTATE SPECIFIC AG FREE;Q $11.20 $14.00 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC AG TOTAL;Q $17.60 $22.00 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC AG TOTAL;Q $17.60 $22.00 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC AG TOTAL;Q $17.60 $22.00 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC ANTIGEN $143.62 $179.52 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC ANTIGEN $143.62 $179.52 20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA PROSTATE SPECIFIC ANTIGEN $143.62 $179.52 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA PROSTATE SPECIFIC AG TOTAL;Q $17.60 $22.00 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA PROSTATE SPECIFIC AG TOTAL;Q $17.60 $22.00 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA PROSTATE SPECIFIC AG TOTAL;Q $17.60 $22.00 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA PROSTATE SPECIFIC ANTIGEN $143.62 $179.52 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA PROSTATE SPECIFIC ANTIGEN $143.62 $179.52 20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA PROSTATE SPECIFIC ANTIGEN $143.62 $179.52 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN $92.13 $115.16 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN $92.13 $115.16 20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN $92.13 $115.16 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN $128.00 $160.00 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN $128.00 $160.00 20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN $128.00 $160.00 20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $72.00 $90.00 20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $72.00 $90.00 20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $72.00 $90.00 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $92.00 $115.00 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $92.00 $115.00 20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $92.00 $115.00 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NAPS;NB $22.60 $28.25 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NAPS;NB $22.60 $28.25 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NAPS;NB $22.60 $28.25 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $147.00 $183.75 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $147.00 $183.75 20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $147.00 $183.75 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH NAPS;NB $22.60 $28.25 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH NAPS;NB $22.60 $28.25 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH NAPS;NB $22.60 $28.25 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $191.74 $239.67 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $191.74 $239.67 20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $191.74 $239.67 20%
Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W MICRO $84.00 $105.00 20%
Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W MICRO $84.00 $105.00 20%
Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W MICRO $84.00 $105.00 20%
Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W MICRO $84.00 $105.00 20%
Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W MICRO $84.00 $105.00 20%
Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W MICRO $84.00 $105.00 20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS POC $71.52 $89.39 20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS POC $71.52 $89.39 20%
Urinalysis without microscope exam, automated CPT 81003 URINE SPECIFIC GRAVITY $71.52 $89.39 20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS POC $71.52 $89.39 20%
Urinalysis without microscope exam, automated CPT 81003 URINE SPECIFIC GRAVITY $71.52 $89.39 20%
Urinalysis without microscope exam, automated CPT 81003 URINE SPECIFIC GRAVITY $71.52 $89.39 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS POC $71.52 $89.39 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SPECIFIC GRAVITY $71.52 $89.39 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SPECIFIC GRAVITY $71.52 $89.39 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS POC $71.52 $89.39 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS POC $71.52 $89.39 20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SPECIFIC GRAVITY $71.52 $89.39 20%

Surgery and procedures

ProcedureCash price List priceOff list
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $10,196.00 $12,745.00 20%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $10,196.00 $12,745.00 20%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $10,196.00 $12,745.00 20%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $10,196.00 $12,745.00 20%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $10,196.00 $12,745.00 20%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY $10,196.00 $12,745.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 RADP INJ INTERLAMINAR LMBR/SAC $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Cyberknife $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Prostate Seed Implant $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 RADP INJ INTERLAMINAR LMBR/SAC $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Cyberknife $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Prostate Seed Implant $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 RADP INJ INTERLAMINAR LMBR/SAC $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Prostate Seed Implant $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance CPT 62323 Cyberknife $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 RADP INJ INTERLAMINAR LMBR/SAC $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 RADP INJ INTERLAMINAR LMBR/SAC $1,360.00 $1,700.00 20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 RADP INJ INTERLAMINAR LMBR/SAC $1,360.00 $1,700.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Prostate Seed Implant $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Cyberknife $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Cyberknife $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Cyberknife $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Prostate Seed Implant $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 Prostate Seed Implant $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,792.80 $2,241.00 20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,792.80 $2,241.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Cyberknife $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Cyberknife $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRNSFRML EPI LUMB/SACRAL, SINGLE LEVEL $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Prostate Seed Implant $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRNSFRML EPI LUMB/SACRAL, SINGLE LEVEL $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Prostate Seed Implant $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Prostate Seed Implant $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Cyberknife $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRNSFRML EPI LUMB/SACRAL, SINGLE LEVEL $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRNSFRML EPI LUMB/SACRAL, SINGLE LEVEL $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRNSFRML EPI LUMB/SACRAL, SINGLE LEVEL $3,522.40 $4,403.00 20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRNSFRML EPI LUMB/SACRAL, SINGLE LEVEL $3,522.40 $4,403.00 20%
Prostate biopsy CPT 55700 Cyberknife $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 RADP-PERC NEEDLE BX PROSTATE $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 Prostate Seed Implant $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 Cyberknife $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 RADP-PERC NEEDLE BX PROSTATE $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 RADP-PERC NEEDLE BX PROSTATE $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 Prostate Seed Implant $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 Prostate Seed Implant $4,006.40 $5,008.00 20%
Prostate biopsy CPT 55700 Cyberknife $4,006.40 $5,008.00 20%
Prostate biopsy inpatient CPT 55700 RADP-PERC NEEDLE BX PROSTATE $4,006.40 $5,008.00 20%
Prostate biopsy inpatient CPT 55700 RADP-PERC NEEDLE BX PROSTATE $4,006.40 $5,008.00 20%
Prostate biopsy inpatient CPT 55700 RADP-PERC NEEDLE BX PROSTATE $4,006.40 $5,008.00 20%

Doctor visits and therapy

ProcedureCash price List priceOff list
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THRX-STRGT,ENDR,ROM,FLX EA15 $157.60 $197.00 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THRX-STRGT,ENDR,ROM,FLX EA15 $157.60 $197.00 20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THRX-STRGT,ENDR,ROM,FLX EA15 $157.60 $197.00 20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THRX-STRGT,ENDR,ROM,FLX EA15 $157.60 $197.00 20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THRX-STRGT,ENDR,ROM,FLX EA15 $157.60 $197.00 20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THRX-STRGT,ENDR,ROM,FLX EA15 $157.60 $197.00 20%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $390.40 $488.00 20%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $390.40 $488.00 20%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $390.40 $488.00 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $390.40 $488.00 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $390.40 $488.00 20%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES $390.40 $488.00 20%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $287.20 $359.00 20%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $287.20 $359.00 20%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $287.20 $359.00 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $287.20 $359.00 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $287.20 $359.00 20%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES $287.20 $359.00 20%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINS $367.20 $459.00 20%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINS $367.20 $459.00 20%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINS $367.20 $459.00 20%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINS $367.20 $459.00 20%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINS $367.20 $459.00 20%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINS $367.20 $459.00 20%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8178/941156276-1104906569_fresno-community-hospital-and-medical-center_standardcharges.csv