Bexar County Hospital District
Bexar County Hospital District in San Antonio, TX publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated Oct 14, 2025. Click a procedure to compare it with other hospitals nearby.
4502 Medical Dr, San Antonio, TX 78229 Collected Sep 24, 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 | $2,008.75 | $8,035.00 | 75% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W | $2,008.75 | $8,035.00 | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD | $918.75 | $3,675.00 | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT BODY | $918.75 | $3,675.00 | 75% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT BODY | $918.75 | $3,675.00 | 75% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD | $918.75 | $3,675.00 | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRA | $592.00 | $2,368.00 | 75% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRA | $592.00 | $2,368.00 | 75% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MG BREAST BILATERAL POST | $121.75 | $487.00 | 75% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC | $121.75 | $487.00 | 75% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MG BREAST BILATERAL POST | $121.75 | $487.00 | 75% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC | $121.75 | $487.00 | 75% |
| Diagnostic mammogram, one breast both sides CPT 77065 HC DX MAMMO INCL CAD UNI - MG BREAST RIGHT POST BI | $95.00 | $380.00 | 75% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO ADDITIONAL VIEWS | $95.00 | $380.00 | 75% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC | $95.00 | $380.00 | 75% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD UNI - MG BREAST LEFT POST BIO | $95.00 | $380.00 | 75% |
| Diagnostic mammogram, one breast inpatient both sides CPT 77065 HC DX MAMMO INCL CAD UNI - MG BREAST RIGHT POST BI | $95.00 | $380.00 | 75% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO ADDITIONAL VIEWS | $95.00 | $380.00 | 75% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC | $95.00 | $380.00 | 75% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD UNI - MG BREAST LEFT POST BIO | $95.00 | $380.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI HIPS BILATER | $525.75 | $2,103.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE BILATE | $525.75 | $2,103.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI KNEE BILATER | $525.75 | $2,103.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI HIP LT WO CO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI HIP RT WO CO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE LT WO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE RT WO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI KNEE LT WO C | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI KNEE RT WO C | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI KNEE BILATER | $525.75 | $2,103.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE BILATE | $525.75 | $2,103.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI HIPS BILATER | $525.75 | $2,103.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI KNEE RT WO C | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE RT WO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI HIP RT WO CO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI HIP LT WO CO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE LT WO | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI KNEE LT WO C | $412.50 | $1,650.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP BILATERAL W A | $661.75 | $2,647.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE BILATERAL W | $661.75 | $2,647.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE BILATERAL W | $661.75 | $2,647.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP LEFT W AND WO | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE RIGHT W AND | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE LEFT W AND W | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP RIGHT W AND W | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE LEFT W AND | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE RIGHT W AND | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE BILATERAL W | $661.75 | $2,647.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE BILATERAL W | $661.75 | $2,647.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP BILATERAL W A | $661.75 | $2,647.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE LEFT W AND W | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP LEFT W AND WO | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR KNEE RIGHT W AND | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR HIP RIGHT W AND W | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE LEFT W AND | $543.75 | $2,175.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR ANKLE RIGHT W AND | $543.75 | $2,175.00 | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $1,739.00 | $6,956.00 | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MR PITUITARY WO IV CONTRAST | $1,739.00 | $6,956.00 | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $1,739.00 | $6,956.00 | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MR PITUITARY WO IV CONTRAST | $1,739.00 | $6,956.00 | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $1,965.50 | $7,862.00 | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST | $1,965.50 | $7,862.00 | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $1,965.50 | $7,862.00 | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST | $1,965.50 | $7,862.00 | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTR | $789.50 | $3,158.00 | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAS | $789.50 | $3,158.00 | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAS | $789.50 | $3,158.00 | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTR | $789.50 | $3,158.00 | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PBB OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEE | $149.50 | $598.00 | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS S | $149.50 | $598.00 | 75% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC PBB OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEE | $149.50 | $598.00 | 75% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS S | $149.50 | $598.00 | 75% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING | $100.50 | $402.00 | 75% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING | $100.50 | $402.00 | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 6/> YRS REDUCED SERVICE < 6HRS | $606.50 | $2,426.00 | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 6/> YRS 4/> ADD PARAM OVERNIGHT | $606.50 | $2,426.00 | 75% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 6/> YRS REDUCED SERVICE < 6HRS | $606.50 | $2,426.00 | 75% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 6/> YRS 4/> ADD PARAM OVERNIGHT | $606.50 | $2,426.00 | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINA | $158.75 | $635.00 | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC PBB ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVA | $158.75 | $635.00 | 75% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC PBB ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVA | $158.75 | $635.00 | 75% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINA | $158.75 | $635.00 | 75% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US A | $308.00 | $1,232.00 | 75% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US A | $308.00 | $1,232.00 | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPL | $165.50 | $662.00 | 75% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPL | $165.50 | $662.00 | 75% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $41.50 | $166.00 | 75% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $41.50 | $166.00 | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $36.25 | $145.00 | 75% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $36.25 | $145.00 | 75% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARG | $23.75 | $95.00 | 75% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARG | $23.75 | $95.00 | 75% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC | $14.00 | $56.00 | 75% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC | $14.00 | $56.00 | 75% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE | $69.75 | $279.00 | 75% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE | $69.75 | $279.00 | 75% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $32.00 | $128.00 | 75% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $32.00 | $128.00 | 75% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $36.25 | $145.00 | 75% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $36.25 | $145.00 | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN, FREE | $15.00 | $60.00 | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN, FREE | $15.00 | $60.00 | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - TOTAL | $64.25 | $257.00 | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASEN | $64.25 | $257.00 | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - DIAGNOSTIC | $64.25 | $257.00 | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREENING | $70.50 | $282.00 | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - DIAGNOSTIC | $64.25 | $257.00 | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - TOTAL | $64.25 | $257.00 | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASEN | $64.25 | $257.00 | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREENING | $70.50 | $282.00 | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - TIME MIXING STUDY DI | $40.00 | $160.00 | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - HEPZYME | $50.50 | $202.00 | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $50.50 | $202.00 | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - TIME MIXING STUDY DI | $40.00 | $160.00 | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $50.50 | $202.00 | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - HEPZYME | $50.50 | $202.00 | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $29.25 | $117.00 | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-POC INR | $29.25 | $117.00 | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-POC INR | $29.25 | $117.00 | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $29.25 | $117.00 | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATIN | $28.00 | $112.00 | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATIN | $28.00 | $112.00 | 75% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCO | $13.25 | $53.00 | 75% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $13.25 | $53.00 | 75% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE | $13.25 | $53.00 | 75% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCO | $13.25 | $53.00 | 75% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - POCT URINALYSIS C | $8.75 | $35.00 | 75% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM O | $8.75 | $35.00 | 75% |
| Urinalysis without microscope exam, automated CPT 81003 HC PBB URINALYSIS, AUTO, W/O SCOPE | $8.75 | $35.00 | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM O | $8.75 | $35.00 | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PBB URINALYSIS, AUTO, W/O SCOPE | $8.75 | $35.00 | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - POCT URINALYSIS C | $8.75 | $35.00 | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC PBB URINALYSIS NONAUTO W/O SCOPE | $9.50 | $38.00 | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC SPECIFIC GRAVITY, URINALYSIS | $9.50 | $38.00 | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - URINALYSIS DIPST | $9.50 | $38.00 | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - URINALYSIS DIPST | $9.50 | $38.00 | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC SPECIFIC GRAVITY, URINALYSIS | $9.50 | $38.00 | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC PBB URINALYSIS NONAUTO W/O SCOPE | $9.50 | $38.00 | 75% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IM | $2,389.25 | $9,557.00 | 75% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IM | $2,389.25 | $9,557.00 | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $288.00 | $1,152.00 | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC PBB NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GD | $288.00 | $1,152.00 | 75% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $288.00 | $1,152.00 | 75% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC PBB NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GD | $288.00 | $1,152.00 | 75% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $383.25 | $1,533.00 | 75% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC PBB NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG | $383.25 | $1,533.00 | 75% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $383.25 | $1,533.00 | 75% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC PBB NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG | $383.25 | $1,533.00 | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PBB INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W | $417.00 | $1,668.00 | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG | $417.00 | $1,668.00 | 75% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG | $417.00 | $1,668.00 | 75% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC PBB INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W | $417.00 | $1,668.00 | 75% |
| Prostate biopsy CPT 55700 HC US GUIDED BIOPSY PROSTATE | $814.75 | $3,259.00 | 75% |
| Prostate biopsy CPT 55700 HC PBB BIOPSY OF PROSTATE,NEEDLE/PUNCH | $814.75 | $3,259.00 | 75% |
| Prostate biopsy CPT 55700 HC CT GUIDED BIOPSY PROSTATE | $814.75 | $3,259.00 | 75% |
| Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH | $814.75 | $3,259.00 | 75% |
| Prostate biopsy inpatient CPT 55700 HC PBB BIOPSY OF PROSTATE,NEEDLE/PUNCH | $814.75 | $3,259.00 | 75% |
| Prostate biopsy inpatient CPT 55700 HC CT GUIDED BIOPSY PROSTATE | $814.75 | $3,259.00 | 75% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH | $814.75 | $3,259.00 | 75% |
| Prostate biopsy inpatient CPT 55700 HC US GUIDED BIOPSY PROSTATE | $814.75 | $3,259.00 | 75% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PBB EKG MPC | $82.25 | $329.00 | 75% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PBB EKG MPC | $82.25 | $329.00 | 75% |
| Family therapy with the patient, 50 minutes CPT 90847 HC PBB FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 M | $90.50 | $362.00 | 75% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MIN | $90.50 | $362.00 | 75% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PBB FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 M | $90.50 | $362.00 | 75% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MIN | $90.50 | $362.00 | 75% |
| New patient office visit, about 30 minutes CPT 99203 HC FP OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $59.00 | $236.00 | 75% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT FACILITY LEVEL III | $59.00 | $236.00 | 75% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT FACILITY LEVEL III | $59.00 | $236.00 | 75% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC FP OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $59.00 | $236.00 | 75% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT FACILITY LEVEL IV | $100.00 | $400.00 | 75% |
| New patient office visit, about 45 minutes CPT 99204 HC FP OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MIN | $100.00 | $400.00 | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT FACILITY LEVEL IV | $100.00 | $400.00 | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC FP OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MIN | $100.00 | $400.00 | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC FP OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $130.50 | $522.00 | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT FACILITY LEVEL V | $130.50 | $522.00 | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC FP OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | $130.50 | $522.00 | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT FACILITY LEVEL V | $130.50 | $522.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PBB PT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PBB OT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PBB PT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PBB OT THERAPEUTIC EXERCISES | $63.50 | $254.00 | 75% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC FP PREVENTIVE VISIT NEW INDIVIDUAL AGE 18 - 39 | $75.75 | $303.00 | 75% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC FP PREVENTIVE VISIT NEW INDIVIDUAL AGE 18 - 39 | $75.75 | $303.00 | 75% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC FP PREVENTIVE VISIT NEW INDIVIDUAL AGE 40 - 64 | $92.25 | $369.00 | 75% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC FP PREVENTIVE VISIT NEW INDIVIDUAL AGE 40 - 64 | $92.25 | $369.00 | 75% |
| Psychotherapy session, 30 minutes CPT 90832 HC PBB PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $76.25 | $305.00 | 75% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $76.25 | $305.00 | 75% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $76.25 | $305.00 | 75% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PBB PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES | $76.25 | $305.00 | 75% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES | $95.50 | $382.00 | 75% |
| Psychotherapy session, 45 minutes CPT 90834 HC PBB PSYCHOTHERAPY W/PATIENT 45 MINUTES | $95.50 | $382.00 | 75% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PBB PSYCHOTHERAPY W/PATIENT 45 MINUTES | $95.50 | $382.00 | 75% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES | $95.50 | $382.00 | 75% |
| Psychotherapy session, 60 minutes CPT 90837 HC PBB PSYCHOTHERAPY 60 MINUTES | $112.50 | $450.00 | 75% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 60 MINUTES | $112.50 | $450.00 | 75% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 60 MINUTES | $112.50 | $450.00 | 75% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PBB PSYCHOTHERAPY 60 MINUTES | $112.50 | $450.00 | 75% |