Selby General Hospital
Selby General Hospital in Marietta, OH publishes cash prices for 46 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
1106 Colegate Drive, Marietta, OH 45750 Collected Sep 21, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Venogram, Ivc Pelvis Veins | $1,593.71 | $2,656.19 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Inquinal Nodes, W | $1,593.71 | $2,656.19 | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Enterography | $1,593.71 | $2,656.19 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Enterography | $1,593.71 | $2,656.19 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Venogram, Ivc Pelvis Veins | $1,593.71 | $2,656.19 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Inquinal Nodes, W | $1,593.71 | $2,656.19 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head Brain W/O Stroke Alert | $1,258.56 | $2,097.60 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head Brain W/O Stroke Alert | $1,258.56 | $2,097.60 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis, W | $1,593.71 | $2,656.19 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis, W | $1,593.71 | $2,656.19 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mam Diag W Wo Cad Bilat | $311.66 | $519.44 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mam Diag W Wo Cad Bilat | $311.66 | $519.44 | 40% |
| MRI of the brain, no contrast dye CPT 70551 Mri Intern Auditory Canal, W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 Mri Pituitary, W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain, W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Intern Auditory Canal, W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain, W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Pituitary, W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain, W & W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Pituitary, W & W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Intern Audi Canal, W & W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Pituitary, W & W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Intern Audi Canal, W & W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain, W & W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine, W/O | $2,270.40 | $3,784.00 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine, W/O | $2,270.40 | $3,784.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Pelvis Ob | $367.11 | $611.85 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Pelvis Ob | $367.11 | $611.85 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 Mam Screening W Wo Cad Bilat | $256.93 | $428.22 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Mam Screening W Wo Cad Bilat | $256.93 | $428.22 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+ | $2,937.91 | $4,896.52 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+ | $2,937.91 | $4,896.52 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal (Non Ob) | $760.99 | $1,268.31 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal (Non Ob) | $760.99 | $1,268.31 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 Us Abd Complete | $880.79 | $1,467.99 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abd Complete | $880.79 | $1,467.99 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine W/Obliq, 4V | $468.06 | $780.10 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr L-Spine W/Obliq, 4V | $468.06 | $780.10 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Complete blood count (CBC), no differential CPT 85027 Cbc: Automated Hemogram | $35.66 | $59.43 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc: Automated Hemogram | $35.66 | $59.43 | 40% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $55.56 | $92.60 | 40% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $55.56 | $92.60 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $49.21 | $82.02 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free | $49.21 | $82.02 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostatic Specific Antigen Tot | $45.28 | $75.46 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostatic Specific Antigen Tot | $45.28 | $75.46 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt | $9.34 | $15.57 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt | $28.65 | $47.75 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt-Lupus Anticoagulant Prof | $28.65 | $47.75 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Quest Pitt - Ptt Activated | $28.65 | $47.75 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt | $9.34 | $15.57 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Quest Pitt - Ptt Activated | $28.65 | $47.75 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt | $28.65 | $47.75 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt-Lupus Anticoagulant Prof | $28.65 | $47.75 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Quest Pitt - Pt | $6.67 | $11.12 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt | $6.67 | $11.12 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt | $6.67 | $11.12 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Quest Pitt - Pt | $6.67 | $11.12 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis | $25.13 | $41.89 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis | $25.13 | $41.89 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, Nonauto W/Scope | $3.62 | $6.03 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis, Nonauto W/Scope | $3.62 | $6.03 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $3.13 | $5.22 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Specific Gravity | $17.59 | $29.31 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $3.13 | $5.22 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Specific Gravity | $17.59 | $29.31 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy W/Us Exam | $294.13 | $490.21 | 40% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy W/Us Exam | $294.13 | $490.21 | 40% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy W/Lesion Removal | $630.72 | $1,051.20 | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy W/Lesion Removal | $630.72 | $1,051.20 | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy | $237.46 | $395.77 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy | $237.46 | $395.77 | 40% |
| Colonoscopy, diagnostic CPT 45378 Diag/Screen Colonoscopy(53) | $304.33 | $507.21 | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Diag/Screen Colonoscopy(53) | $304.33 | $507.21 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Posterior Caps-Yag | $815.30 | $1,358.84 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Posterior Caps-Yag | $815.30 | $1,358.84 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 P/P Njx Intrlaminar Lmbr/Sac | $1,875.03 | $3,125.05 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Or Njx Intrlaminar Lmbr/Sac | $1,875.03 | $3,125.05 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 P/P Njx Intrlaminar Lmbr/Sac | $1,875.03 | $3,125.05 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Or Njx Intrlaminar Lmbr/Sac | $1,875.03 | $3,125.05 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 P/P Nerve Block Inj, Lum/Sacr | $1,784.19 | $2,973.65 | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Nm Njx Int-Lam Lmbr/Sac W/O Im | $2,277.40 | $3,795.66 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 P/P Nerve Block Inj, Lum/Sacr | $1,784.19 | $2,973.65 | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Nm Njx Int-Lam Lmbr/Sac W/O Im | $2,277.40 | $3,795.66 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Transform Esi,Lumbar;Sing Lev( | $952.16 | $1,586.93 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Transform Esi,Lumbar;Sing Lev( | $952.16 | $1,586.93 | 40% |
| Prostate biopsy CPT 55700 Biopsy,Prostate;Needl/Punch(Pr | $342.54 | $570.90 | 40% |
| Prostate biopsy CPT 55700 Biopsy,Prostate;Needl/Punch | $1,564.37 | $2,607.29 | 40% |
| Prostate biopsy CPT 55700 Usg Bx Prostate | $5,529.02 | $9,215.03 | 40% |
| Prostate biopsy inpatient CPT 55700 Biopsy,Prostate;Needl/Punch(Pr | $342.54 | $570.90 | 40% |
| Prostate biopsy inpatient CPT 55700 Biopsy,Prostate;Needl/Punch | $1,564.37 | $2,607.29 | 40% |
| Prostate biopsy inpatient CPT 55700 Usg Bx Prostate | $5,529.02 | $9,215.03 | 40% |
| Removal of a breast lump, open surgery CPT 19120 Exc Breast Cyst/Tum/Les 1 Or > | $700.13 | $1,166.89 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Exc Breast Cyst/Tum/Les 1 Or > | $700.13 | $1,166.89 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram Complete | $28.48 | $47.47 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram,Complete | $42.62 | $71.03 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram Complete | $28.48 | $47.47 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram,Complete | $42.62 | $71.03 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family/Couple Therapy(Prof) | $117.06 | $195.10 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Therapy W/Patient | $157.88 | $263.14 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Therapy With Patient | $157.88 | $263.14 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family/Couple Therapy | $188.71 | $314.52 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family/Couple Therapy(Prof) | $117.06 | $195.10 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy With Patient | $157.88 | $263.14 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy W/Patient | $157.88 | $263.14 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family/Couple Therapy | $188.71 | $314.52 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psytx W/O Pt(Prof) | $88.70 | $147.84 | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Therapy W/O Patient | $157.88 | $263.14 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psytx W/O Pt(Prof) | $88.70 | $147.84 | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therapy W/O Patient | $157.88 | $263.14 | 40% |
| Group psychotherapy session CPT 90853 Group Therapy | $152.84 | $254.73 | 40% |
| Group psychotherapy session inpatient CPT 90853 Group Therapy | $152.84 | $254.73 | 40% |
| New patient office visit, about 30 minutes CPT 99203 Perq & Icut Allg Test Venoms | $117.23 | $195.38 | 40% |
| New patient office visit, about 30 minutes CPT 99203 Neg Pres Wound Tx <=50Cm As | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes CPT 99203 Ov New Pt Level Iii(Prof) | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes CPT 99203 Neg Pres Wound Tx <=50Cm | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes CPT 99203 New Pt Level Iii (Prof) Split | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes CPT 99203 99203*Ov New Pt Level Iii | $151.82 | $253.03 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Perq & Icut Allg Test Venoms | $117.23 | $195.38 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Neg Pres Wound Tx <=50Cm As | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Neg Pres Wound Tx <=50Cm | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Pt Level Iii (Prof) Split | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Ov New Pt Level Iii(Prof) | $122.11 | $203.52 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203*Ov New Pt Level Iii | $151.82 | $253.03 | 40% |
| New patient office visit, about 45 minutes CPT 99204 Pain Consult | $181.37 | $302.28 | 40% |
| New patient office visit, about 45 minutes CPT 99204 Pain Consult (Prof) | $188.93 | $314.88 | 40% |
| New patient office visit, about 45 minutes CPT 99204 New Pt Level Iv (Prof) Split | $188.93 | $314.88 | 40% |
| New patient office visit, about 45 minutes CPT 99204 Ov New Pt Level Iv(Prof) | $188.93 | $314.88 | 40% |
| New patient office visit, about 45 minutes CPT 99204 Ov New Pt Level Iv | $205.40 | $342.33 | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204*Ov New Pt Level Iv | $212.29 | $353.81 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Pain Consult | $181.37 | $302.28 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Pain Consult (Prof) | $188.93 | $314.88 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Ov New Pt Level Iv(Prof) | $188.93 | $314.88 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Pt Level Iv (Prof) Split | $188.93 | $314.88 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Ov New Pt Level Iv | $205.40 | $342.33 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204*Ov New Pt Level Iv | $212.29 | $353.81 | 40% |
| New patient office visit, about 60 minutes CPT 99205 Ov New Pt Level V(Prof) | $235.01 | $391.68 | 40% |
| New patient office visit, about 60 minutes CPT 99205 New Pt Level V (Prof) Split | $235.01 | $391.68 | 40% |
| New patient office visit, about 60 minutes CPT 99205 Ov New Pt Level V | $247.03 | $411.71 | 40% |
| New patient office visit, about 60 minutes CPT 99205 99205*Ov New Pt Level V | $257.32 | $428.86 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Ov New Pt Level V(Prof) | $235.01 | $391.68 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Level V (Prof) Split | $235.01 | $391.68 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Ov New Pt Level V | $247.03 | $411.71 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205*Ov New Pt Level V | $257.32 | $428.86 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 At Ther Exercise 1/4 Hr | $105.65 | $176.08 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 At Ther Exercise 1/4 Hr* | $105.65 | $176.08 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 At Ther Exercise 1/4 Hr* | $105.65 | $176.08 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 At Ther Exercise 1/4 Hr | $105.65 | $176.08 | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Prev Visit New Age 18-39 | $51.00 | $85.00 | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385*Prv Visit Nw Pt 18-39Yrs | $187.15 | $311.91 | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Visit New Age 18-39 | $51.00 | $85.00 | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385*Prv Visit Nw Pt 18-39Yrs | $187.15 | $311.91 | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386*Prv Visit,Nw Pt 40-64Yrs | $159.97 | $266.62 | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386*Prv Visit,Nw Pt 40-64Yrs | $159.97 | $266.62 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx Pt&/Family 30 Minutes(Pr | $54.72 | $91.20 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx Pt&/Family 30 Minutes | $143.44 | $239.07 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Min | $193.73 | $322.88 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx Pt&/Family 30 Minutes(Pr | $54.72 | $91.20 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx Pt&/Family 30 Minutes | $143.44 | $239.07 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 30 Min | $193.73 | $322.88 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx Pt&/Family 45 Minutes(Pr | $70.85 | $118.08 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx Pt&/Family 45 Minutes | $167.70 | $279.50 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 Min | $257.03 | $428.39 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt&/Family 45 Minutes(Pr | $70.85 | $118.08 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt&/Family 45 Minutes | $167.70 | $279.50 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45 Min | $257.03 | $428.39 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx Pt&/Family 60 Minutes(Pr | $103.68 | $172.80 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx Pt&/Family 60 Minutes | $216.22 | $360.36 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min | $257.03 | $428.39 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx Pt&/Family 60 Minutes(Pr | $103.68 | $172.80 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx Pt&/Family 60 Minutes | $216.22 | $360.36 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60 Min | $257.03 | $428.39 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Outpt Consult Level Iv | $206.15 | $343.59 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Outpt Consult Level Iv | $206.15 | $343.59 | 40% |
Source file: https://HospitalPriceDisclosure.com/Download.aspx?pi=DXt*_*6qxjbTP0X5gWKEWi4w*-*