New York City Health and Hospitals Corporation
New York City Health and Hospitals Corporation in New York, NY publishes cash prices for 59 common procedures listed here, from its own machine-readable price file updated Sep 5, 2026. Click a procedure to compare it with other hospitals nearby.
462 1st Ave New York, NY 10016 Collected Sep 22, 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 CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $356.43 | $868.00 | 59% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W/CONTRAST | $422.61 | $2,511.46 | 83% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W/CONTRAST | $422.61 | $1,342.54 | 69% |
| CT scan of the head or brain, no contrast dye CPT 70450 CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL | $106.81 | $318.00 | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WITHOUT DYE | $125.84 | $1,332.90 | 91% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WITHOUT DYE | $125.84 | $1,332.90 | 91% |
| CT scan of the pelvis, with contrast dye CPT 72193 CHG CT PELVIS W/CONTRAST MATERIAL | $179.20 | $653.00 | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $210.66 | $640.66 | 67% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $210.66 | $1,506.30 | 86% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $176.84 | $603.48 | 71% |
| Diagnostic mammogram, both breasts both sides CPT 77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $180.34 | $453.00 | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $181.39 | $603.48 | 70% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $140.49 | $479.82 | 71% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAG MAMMOGRAM DIGITAL RGHT | $140.49 | $479.82 | 71% |
| Diagnostic mammogram, one breast CPT 77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $142.26 | $357.00 | 60% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $144.18 | $479.82 | 70% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAG MAMMOGRAM DIGITAL RGHT | $144.18 | $479.82 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $243.77 | $825.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MAGNETIC RESONANCE(EG, PROTON)IMAGING, ANY JOINT OF LOWER EXT | $286.04 | $1,635.76 | 83% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MAGNETIC RESONANCE(EG, PROTON)IMAGING, ANY JOINT OF LOWER EXT | $286.04 | $819.34 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MAGNETIC RESONANCE(EG, PROTON)IMAGING,ANY JOINT OF LOWER EXTR | $286.04 | $819.34 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MAGNETIC RESONANCE(EG, PROTON)IMAGING,ANY JOINT OF LOWER EXTR | $286.04 | $1,635.76 | 83% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $356.43 | $1,270.00 | 72% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL( | $422.61 | $2,956.96 | 86% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL( | $422.61 | $1,342.54 | 69% |
| MRI of the brain, no contrast dye CPT 70551 CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $243.77 | $836.00 | 71% |
| MRI of the brain, no contrast dye CPT 70551 HC MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRA | $286.04 | $1,614.52 | 82% |
| MRI of the brain, no contrast dye CPT 70551 HC MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRA | $286.04 | $819.34 | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $356.43 | $1,287.00 | 72% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST, FOLLOWED | $422.61 | $2,642.62 | 84% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST, FOLLOWED | $422.61 | $1,342.54 | 69% |
| MRI of the lower back, no contrast dye CPT 72148 CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $243.77 | $837.00 | 71% |
| MRI of the lower back, no contrast dye CPT 72148 HC MAGNETIC RESONANCE(EG, PROTON) IMAGING, SPINAL CANAL AND CONT | $286.04 | $819.34 | 65% |
| MRI of the lower back, no contrast dye CPT 72148 HC MAGNETIC RESONANCE(EG, PROTON) IMAGING, SPINAL CANAL AND CONT | $286.04 | $1,593.18 | 82% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $106.81 | $390.00 | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC ULTRASOUND, PREGNANT UTERUS, AFTER FIRST TRIMESTER, TRANSABD | $125.84 | $394.06 | 68% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS, SNGL FETUS | $125.84 | $394.06 | 68% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC ULTRASOUND, PREGNANT UTERUS, AFTER FIRST TRIMESTER, TRANSABD | $125.84 | $893.14 | 86% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS, SNGL FETUS | $125.84 | $893.14 | 86% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $143.52 | $490.90 | 71% |
| Screening mammogram, both breasts both sides CPT 77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $144.99 | $364.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $147.27 | $490.90 | 70% |
| Screening mammogram, both breasts CPT 77067 HC ADDITIONAL SCREENING VIEW NO CHARGE | $143.52 | $490.90 | 71% |
| Screening mammogram, both breasts CPT 77067 HC ADDITIONAL SCREENING VIEW NO CHARGE | $147.27 | $490.90 | 70% |
| Sleep study in a lab (polysomnography) CPT 95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $877.34 | $1,958.00 | 55% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY; 6 YEARS OR OLDER, SLEEP STAGNG W/4 OR MORE A | $1,203.94 | $3,195.76 | 62% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY; 6 YEARS OR OLDER, SLEEP STAGNG W/4 OR MORE A | $1,203.94 | $5,393.14 | 78% |
| Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL | $106.81 | $340.00 | 69% |
| Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND TRANSVAGINAL | $125.84 | $834.30 | 85% |
| Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND TRANSVAGINAL | $125.84 | $394.06 | 68% |
| Ultrasound of the abdomen, complete CPT 76700 CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $106.81 | $329.00 | 68% |
| Ultrasound of the abdomen, complete CPT 76700 HC ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; CO | $125.84 | $1,495.20 | 92% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM, ABDOM, COMPLETE | $125.84 | $1,495.20 | 92% |
| Ultrasound of the abdomen, complete CPT 76700 HC ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; CO | $125.84 | $1,495.20 | 92% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM, ABDOM, COMPLETE | $125.84 | $1,495.20 | 92% |
| X-ray of the lower back, 4 or more views CPT 72110 CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $106.81 | $155.00 | 31% |
| X-ray of the lower back, 4 or more views CPT 72110 HC RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; MINIMUM OF 4 VIEW | $125.84 | $328.38 | 62% |
| X-ray of the lower back, 4 or more views CPT 72110 HC RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; MINIMUM OF 4 VIEW | $125.84 | $472.55 | 73% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL (CALCIUM, TOTAL) | $8.46 | $26.78 | 68% |
| Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $8.46 | $21.00 | 60% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL (CALCIUM, TOTAL) | $8.46 | $26.78 | 68% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $13.39 | $56.16 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $13.39 | $33.00 | 59% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $13.39 | $56.16 | 76% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT;COMPLETE(CBC), AUTOMATED (HGB, HCT, RBC, WBC AND | $7.77 | $32.58 | 76% |
| Complete blood count (CBC) with differential CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $7.77 | $8.00 | 3% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT;COMPLETE(CBC), AUTOMATED (HGB, HCT, RBC, WBC AND | $7.77 | $32.58 | 76% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AN | $6.47 | $34.00 | 81% |
| Complete blood count (CBC), no differential CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED | $6.47 | $16.00 | 60% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AN | $6.47 | $34.00 | 81% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $8.68 | $33.60 | 74% |
| Kidney function blood test panel CPT 80069 CHG RENAL FUNCTION PANEL | $8.68 | $22.00 | 61% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $8.68 | $33.60 | 74% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $8.17 | $26.78 | 69% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $8.17 | $26.78 | 69% |
| Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL | $8.17 | $20.00 | 59% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $47.81 | $170.88 | 72% |
| Obstetric blood test panel CPT 80055 CHG OBSTETRIC PANEL | $47.81 | $120.00 | 60% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $47.81 | $170.88 | 72% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG FREE | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG FREE | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $18.39 | $46.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA; TOTAL, POST PROSTATECTOMY | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL, SCREEN | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL, FREE | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA; TOTAL, POST PROSTATECTOMY | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL, SCREEN | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL, FREE | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL | $18.39 | $77.10 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $18.39 | $46.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL | $18.39 | $77.10 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $6.01 | $15.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT HEPARIN THERAPY | $6.01 | $25.14 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $6.01 | $25.14 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT HEPARIN THERAPY | $6.01 | $25.14 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $6.01 | $25.14 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $4.29 | $14.36 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $4.29 | $16.46 | 74% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $4.29 | $11.00 | 61% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH/REFLEX TO FT4 | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH), ADDITIONAL | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TRH STIMULATION TEST | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH | $16.80 | $42.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TRH STIMULATION TEST | $16.80 | $58.68 | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH), NO REFLEX | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH), NO REFLEX | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH/REFLEX TO FT4 | $16.80 | $70.42 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH), ADDITIONAL | $16.80 | $70.42 | 76% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI | $4.02 | $12.06 | 67% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI | $4.02 | $12.06 | 67% |
| Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $4.02 | $10.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI | $3.48 | $10.72 | 68% |
| Urinalysis without microscope exam, manual CPT 81002 HC POC UA MANUAL | $3.48 | $10.72 | 68% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, BY DIP STICK OR TABLET REAGENT; NON-AUTOMATED, WI | $3.48 | $10.72 | 68% |
| Urinalysis without microscope exam, manual CPT 81002 HC POC UA MANUAL | $3.48 | $10.72 | 68% |
| Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $3.48 | $5.00 | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $2,357.81 | $1,312.00 | -80% |
| Cataract surgery with lens implant CPT 66984 HC EXTRACAPSULAR CATARACT REMOVAL W/INSERTION INTRAOCULAR LENS P | $2,698.92 | $6,967.34 | 61% |
| Cataract surgery with lens implant CPT 66984 HC EXTRACAPSULAR CATARACT REMOVAL W/INSERTION INTRAOCULAR LENS P | $2,698.92 | $8,849.48 | 70% |
| Colonoscopy with endoscopic ultrasound CPT 45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $1,222.56 | $639.00 | -91% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ENDO | $1,395.28 | $3,530.74 | 60% |
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ENDO | $1,395.28 | $4,453.78 | 69% |
| Colonoscopy with polyp removal CPT 45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,222.56 | $634.00 | -93% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/REMOVL | $1,395.28 | $3,530.74 | 60% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/REMOVL | $1,395.28 | $4,446.54 | 69% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,222.56 | $505.00 | -142% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH BIOP | $1,395.28 | $4,252.80 | 67% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH BIOP | $1,395.28 | $3,530.74 | 60% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $950.10 | $469.00 | -103% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; DIAGNOSTI | $1,078.88 | $2,685.72 | 60% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; DIAGNOSTI | $1,078.88 | $3,355.48 | 68% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY SURG CHOLECYSTECTOMY | $6,176.47 | $1,855.00 | -233% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $6,904.15 | $18,723.51 | 63% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $6,904.15 | $16,329.99 | 58% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $3,657.95 | $1,491.00 | -145% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIB | $4,176.15 | $10,932.06 | 62% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIB | $4,176.15 | $12,900.04 | 68% |
| Knee arthroscopy with meniscus trim CPT 29881 PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $3,342.87 | $1,500.00 | -123% |
| Knee arthroscopy with meniscus trim CPT 29881 HC ARTHROSCOPY, KNEE; W/MENISCECTOMY INC DBRDMNT/SHVNG ARTCLR CA | $3,839.54 | $11,625.70 | 67% |
| Knee arthroscopy with meniscus trim CPT 29881 HC ARTHROSCOPY, KNEE; W/MENISCECTOMY INC DBRDMNT/SHVNG ARTCLR CA | $3,839.54 | $9,624.54 | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 PR POST-CATARACT LASER SURGERY | $561.91 | $785.00 | 28% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCISSION OF SECONDARY MEMBRANOUS CATARACT; LASER SURGERY (E | $649.19 | $1,396.26 | 54% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC DISCISSION OF SECONDARY MEMBRANOUS CATARACT; LASER SURGERY (E | $649.19 | $2,260.85 | 71% |
| Left heart catheterization, diagnostic CPT 93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $3,312.15 | $2,556.00 | -30% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATHETERIZATION INCLUDING INTRAPROCEDURAL INJECTIO | $3,806.17 | $8,767.58 | 57% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATHETERIZATION INCLUDING INTRAPROCEDURAL INJECTIO | $3,806.17 | $11,684.82 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $721.17 | $252.00 | -186% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $819.50 | $2,197.60 | 63% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC | $819.50 | $2,552.10 | 68% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $819.50 | $2,552.10 | 68% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC | $819.50 | $2,197.60 | 63% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $903.63 | $209.00 | -332% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,053.53 | $2,498.28 | 58% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $1,053.53 | $2,197.60 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE, NOT INC NEU | $1,053.53 | $2,197.60 | 52% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE, NOT INC NEU | $1,053.53 | $2,498.28 | 58% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $903.63 | $281.00 | -222% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDU | $1,053.53 | $3,253.26 | 68% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDU | $1,053.53 | $2,855.08 | 63% |
| Prostate biopsy CPT 55700 HC BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY AP | $2,424.12 | $6,262.40 | 61% |
| Prostate biopsy CPT 55700 HC BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY AP | $2,424.12 | $5,824.46 | 58% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | $10,860.07 | $3,078.00 | -253% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 HC LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INC | $12,320.22 | $23,180.36 | 47% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 HC LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INC | $12,320.22 | $19,719.66 | 38% |
| Removal of a breast lump, open surgery CPT 19120 PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $4,000.24 | $1,195.00 | -235% |
| Removal of a breast lump, open surgery CPT 19120 HC EXCISION OF CYST/FIBROADENOMA/BREAST TISSUE/DUCT LESION/NIPPL | $4,531.42 | $5,507.67 | 18% |
| Removal of a breast lump, open surgery CPT 19120 HC EXCISION OF CYST/FIBROADENOMA/BREAST TISSUE/DUCT LESION/NIPPL | $4,531.42 | $5,507.67 | 18% |
| Tonsil and adenoid removal, child under 12 CPT 42820 PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $6,048.05 | $749.00 | -707% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 | $7,000.36 | $14,922.16 | 53% |
| Tonsil and adenoid removal, child under 12 CPT 42820 HC TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 | $7,000.36 | $15,833.82 | 56% |
| Total hip replacement CPT 27130 PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $13,116.76 | $3,378.00 | -288% |
| Total hip replacement CPT 27130 Total hip arthroplasty | $15,226.08 | — | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $15,226.08 | — | — |
| Total hip replacement CPT 27130 Total hip arthroplasty | $15,226.08 | — | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $15,226.08 | — | — |
| Total knee replacement CPT 27447 PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $13,116.76 | $3,372.00 | -289% |
| Total knee replacement CPT 27447 HC ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL & LATERAL COM | $15,226.08 | $27,894.32 | 45% |
| Total knee replacement CPT 27447 HC ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL & LATERAL COM | $15,226.08 | $39,054.30 | 61% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $926.63 | $351.00 | -164% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, & DUODENUM/J | $1,109.47 | $2,648.08 | 58% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, & DUODENUM/J | $1,109.47 | $3,125.68 | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $926.63 | $315.00 | -194% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GASTROINTESTINAL ENDOSCOPY; DIAGNOSTIC, W/WO COLLECTION | $1,109.47 | $3,073.01 | 64% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GASTROINTESTINAL ENDOSCOPY; DIAGNOSTIC, W/WO COLLECTION | $1,109.47 | $2,648.08 | 58% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $181.34 | $278.00 | 35% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT P | $190.13 | $1,213.25 | 84% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT P | $190.13 | $1,213.25 | 84% |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $181.34 | $268.00 | 32% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) | $190.13 | $1,202.68 | 84% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT) | $190.13 | $1,202.68 | 84% |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $103.79 | $66.00 | -57% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) | $109.46 | $335.40 | 67% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY (OTHER THAN OF A MULTIPLE-FAMILY GROUP) | $109.46 | $257.97 | 58% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES | $32.26 | $315.75 | 90% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT - THERAPEUTIC EXERCISES | $32.26 | $91.97 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $32.43 | $82.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES | $32.81 | $315.75 | 90% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT - THERAPEUTIC EXERCISES | $32.81 | $91.97 | 64% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES | $181.34 | $187.00 | 3% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $190.13 | $416.47 | 54% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, 30 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $190.13 | $698.07 | 73% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $181.34 | $248.00 | 27% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MINUTES WITH PATIENT | $190.13 | $807.47 | 76% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $190.13 | $980.50 | 81% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MINUTES WITH PATIENT | $190.13 | $807.47 | 76% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $190.13 | $980.50 | 81% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES | $181.34 | $365.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $190.13 | $895.13 | 79% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT | $190.13 | $895.13 | 79% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT AND/OR FAMILY MEMBER | $190.13 | $895.13 | 79% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MINUTES WITH PATIENT | $190.13 | $895.13 | 79% |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Porcelain crown CDT D2740 PR CROWN - PORCELAIN/CERAMIC | $660.49 | $2,252.86 | 71% |
| Porcelain crown CDT D2740 HC CROWN-PORCELAIN/CERAMIC SUBSTRATE | $1,967.49 | $2,471.65 | 20% |
| Porcelain crown CDT D2740 HC CROWN-PORCELAIN/CERAMIC SUBSTRATE | $1,967.49 | $2,471.65 | 20% |
Source file: https://nychh.pt.panaceainc.com/MRFDownload/nychh/bellevue