Grace Cottage Hospital
Grace Cottage Hospital publishes cash prices for 33 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
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 CT scan of abdomen and pelvis with contrast | $4,231.00 | $5,289.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $2,118.00 | $2,647.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,748.00 | $3,435.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $914.00 | $1,142.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $961.00 | $1,201.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $963.00 | $1,204.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $570.00 | $712.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $24.00 | $30.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $38.00 | $47.00 | 19% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $18.00 | $23.00 | 22% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $30.00 | $37.00 | 19% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $24.00 | $30.00 | 20% |
| Liver function blood test panel CPT 80076 Liver function blood test | $23.00 | $29.00 | 21% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $51.00 | $64.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $51.00 | $64.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $17.00 | $21.00 | 19% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $12.00 | $15.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $47.00 | $59.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $9.00 | $11.00 | 18% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $11.00 | $14.00 | 21% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $6.00 | $8.00 | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $32.00 | $40.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $314.00 | $392.00 | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $234.00 | $293.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $459.00 | $574.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $698.00 | $873.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $434.00 | $542.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $108.00 | $135.00 | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $426.00 | $533.00 | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $505.00 | $631.00 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $146.00 | $183.00 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $191.00 | $239.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $271.00 | $339.00 | 20% |